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BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS
(INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM S007
("AI;-rION: THL"i AGRI.:I.:Mf:N1" !lIHOIII.D B.: paRPAKED BY A.... ATrORNEY A.IIliiD REVIEWED BY A1TOK.""t:VS JI'OR SELLER AND
:<: PURCIIASER DEFORE SIG!fliING.
';)
771IS INDENTURE, mad. Ih. . day of November. IwO thousand lhrce.
/I I'f/xP :::Ti;t:"N"-"'" ". ~.....~
betW..,n Jacqu.lin. A. Lombardi, of 900 Y.nnccon Drive, Southold, N.w York 11971
~
pany of lhe first 'pan, and
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pi.
, A
Vineen,1 Dolomit. and Kalhl..n Dolomil., as his wif.. of 141 Winlers Drive, Mastic, New York 11950
pany of the second pan,
WITNESSETH, that the pany ofth. first pan, in consideration ofTen Dollar.. lawful money of the
United States, paid by the pany of the second pan, docs hereby grant and rei.... unto the pany of the second
pan. the h.irs or suee.ssors and assisns ofth. pany orlhe second part forever.
ALL I 'WI that lot or parcel ofland, with the buildings and improv.ments
Iher.Oll, siluate, lying and being in Ih., Town ofSouthold. County of Suffolk and Slale ofN.w York, known and
d.signated as Lot #4S, as shown on a certain map .ntililed "Map ofYenn.con Park", filed in the Suffolk County
CI.rk'" Office on October 9, 1968 as Map. No.5 187 said 101 bcina: more particularly bounded and d.scribed as
follow!;:
BEGINNING al the eomCT formed by lhe inl.'I1ICCtion ofth. SouthCTly side ofYennccon Drive with the
Wcstcl"ly side of Tuthill Road: RllNlVlNG THENCE alons the WestCTly sid. of Tuthill Rood, South I degrees
34 minulc:S 20 seconds West. 156.48 fect to land now or formerly of Moffat; THENCE along said land South 88
degree. 57 minutes 30 seconds West 138.46 feet; TlIENCENorth I dcgrcc41 minutes 30 seconds East, 163.07
fect 10 the SouthCTly side of Yennccon Driv.; THENCi!.' along the Southerly side ofYcnnccoll Drive South 88
degree. 18 minutes 30 seconds East 137.98 feet to the point or place of BEGINNING.
/II... o>y; ~
BEING AND INTENDED to be the same premi..s conveyed by deed dated S."......b... n, 199:;, to
Rl.1~k "'-...I>...d.._od Jacqueline Lombardi, his wife and duly recorded in the Suffolk County Clerk's Office on
O"..t....1:k..".lftJ I 1.:1.._.11:".'_....861. ""6,.,01" ~,-J,'"
SAID PREMISES ARE KNOWN AS: 900 Yennccotl Drive. Southold New York 11971.
TOGETHER with all right, title and interest. ifany, of the party of the first part in and to any streets and
roads abullins the above described premises to the center lines thCTCOf. TOGETHER with the appurtenanecs and
all the estate and ri8hts of the party of th~ first part in and to said premises, TO HA VE AND TO HOLD th~
premises herein granted unto the party of the second pan, the heirs or successors and assigns of the party of the
second pan forever. AND the party of th~ first pan. covenants that the pany of the first pan has not done or
suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid.
AND ,he party of the first part, in compliance with Section 13 of the Lien Law, covenants that the pany of the
first part will receive the consideration for this conveyance and will hold the right to receive such consideration
~s a trust fund to be applied first for the putp05C of paying the cost of the improvement and will apply the same
firsl Ie. Ihe payment of the cost of the improvement before using any pan of the total of the same for any othCT
purposc. The word "party" shall be construed as if it read "panics" whenever the sense of this indenture so
requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed Ihe day and year first
above written.
IN PRESENCE OF'
~
Jt%.~.;~~,. ~d'r-/2?h...
... elIDe LOmbardi
If.
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19f1i/" =::[-fc(iIoJG"... ~. r,6>. ~
l'liYSBA PKACTICF. FJ_M."l 319Ii
KE"'..6
STATE OF NEW YORK )
) ss.:
COUNTY OF SUFFOLK)
'}'>
On the / day of November in the year 2003, before me, the underllillDed, personally appeared Jacqueline "'.
A A/44 :r...,~~r A. ,c;-.,.,:;
Lombardi, personally known to me or proved to me on the basis of satisfactory evidence to be the individual
whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his
eapaeity. and that by his signature: on the instrument, the individual, or the penson upon behalf of whieh the
individual Dcted. cxrcutcd the instrument.
~~
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Notary l'ubhe ~
BARGAIN AND, ALE DEED
WITH COVEN r AGAINST
'--
7 N~ P.IP"''''8UMOJl
.,. Public. StIlle 01 New v......
. No. Ol8PGOlil64
Qu.Ilned fa SWIbUI ~
R'S AcH1 ConmoIoIIon Exp/.... Oa. 1.2Oll5
Jacqueline Lombardi
TO
VinCCflit Dolomite and Kathleen Dolomite
RETURN BY MAIL TO:
John 'fagan, Esq.
616 Roanoke Avenue
P.O. Box 779
Riverhead, New York 11901
Rescrve this space tor use of recording office
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HEM7...
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NYSBA. PRA(:TICE FOItMS.1/'N
~2
J
~ri.11#
RECORDED
2004 Jan 08 08,09.06 AM
Edward P.RoIlaine
CLERk OF
SUFFOLK COUNTY
L ??oo12294
P 034
DTlI 03-23426
Nu~ber OfPagCS3
TORRF.NS
Ceni neate It _
Prior Clf. N
Deed I Mnrtgage Instrument
Doed I Mortpge Tax Slimp
FEES
Recording I Filing Stamps
4
Page I Filing Wee
Mortgage Ami.
Ilandling
TI).SB4
I. Basic 1'3"
2. Additional Tax
Notation
Sub TolBI
EA-52 17 (County)
r:lA-5217 (Slate)
Sub Total
Comm. of Ed.
5~
Spcc./Auit.
Or
Spec./Add.
R.P.T.S.A.
-:5P
TOT. Mro. TAX
Dual TOWR_ Oual Cuunly_
Ileld for Apportionment _
/(,00
AfTldavil
T....nsfer Tax
Reg. Copy
Other.
SubTota.I
GRAND TOTAL
\d.4.
Mansion Tax
The propeny covered by this mortpac is or
will be improved by a unc ur two rom i1y
dwellinyonly.
YES_or NO_
If NO. see .ppropriuce .8X clause- on page"
_ "fthis instrument.
Certified Copy
:D
~
Real Property Tax Service Agency Verification
nl.fi_ ~ection Block
LOI
6 C0l11nlunit' Preservation Fund
Consideration ^nlounl S .CJDlJ
Slamp
CPt: Tax Due
~525 1000 05500 0600 007000
~+;;
lJ8.,JAN
Initials .
7 Satisfactions/Discharges/Releases List IJroperty Own~ii r\iiiling-Addres
RECORD" RETURN TO:
Dulc
Improved V
VB(,".nl I.and
Ciarelli . Dempsey
737 Roanoke Avenue
P.O. Box 4'88
Riverhead, New York 11901
TD /0
TD
TD
9
R Title Company Information
Co. Name First American Title Ins. Co.
Title 1# 641-S-02326
Suffolk County Recording & Endorsement Page
111i8 pl1I!e fonns part of the allachcd
D~rg.~ft A~d ~a'~ nAPn
(SI'EOFY TYPE OF INSlRUMENT )
_ ...__ made by:
.Jacqueline IJ6mbardi
The ptemises he..,in is situated in
SUFFOLK COUNTY, NEW YORK.
TO
In the Township of
In the VILLAGE
or HAMLET of Southold
So'uthold
V;n~p~~ , X~+hlAPn nnlnm;~A
UiJXES 5 UIRU 9 MUST DE TYPED OR PRINTED IN DLACK INK ONLY I'RIOR TO RECORDING OR FILING.
(OVER)
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SU!'!'OLlt COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/ODD
Number of Pages: 3
TRANSFER TAX NUMBER: 03-23426
Recorded :
At:
LIBER:
PAGE:
01/08/2004
08:051:06 AM
D00012294
034
JACQUELINE A LOMBARDI
VINC~ DOLONITE
District:
1000
Deed Amount:
Section: Block:
055.00 06.00
EXAMINED AND CHARGED AS FOLLOWS
$400,000.00
Received the
Following Fees For Above Instrument
Ex..pt
NO
NO
NO
NO
NO
NO
Page/riling
COE
BA-CTl'
TP-584
RP'1'
Transfer tax
$51.00
$5.00
$5.00
$5.00
$30.00
$1,600.00
aanelling
HIS SRCaG
BA-STATE
Cert.Copies
SCTH
CClIIIIIl. Pres
Fees Paid
'l'RAHSFER TAX NtlMBBR: 03-23426
THIS PAGE IS A PART or THE INSTRUMENT
THIS IS NOT A BILL
Lot:
007.000
$5.00
$15.00
$50.00
$0.00
$0.00
$5,000.00
$6,724.00
Ex..pt
NO
NO
NO
NO
NO
NO
Edward P.Romaine
County Clerk, Suffolk County
.
FOR COUNTY USE DNLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.u5 or PHONE (518) 473-722:2
14 , 1, x3,g, ':2/11
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C1. SWIS Code
C2. IDate Deed Recorded
C3. 800k L1,-,),0(,
PROPERTY INFORMATION
, PtOp"tty L-2..Q 0
location STAEET"UMB,R
Yennecott Drive
STREETI'lAME
l---5..0llrnn 1 i!
e<rVORrOWN
S0I1t-hf"l1il
VI~L.AGE
1. Buyer L. _Dolnmi rA
Nam'l LAST NAME I COMPANY
\TTnf"'pn+
FIRST NAME
Ka thleen (VI .
FIRST NAME
~
Dolomite
LAST NAM~.' COMPANY
3. Tax Indicilta whEre future Tax Bills aralO be sent
Billin[l ifotherthanbuveraddressfatbotturnofform)L
Add....s,s
LASTNAMEiCOMPA~V
STREET ~UMBER A~D STREET NAME
em-OAlOW^'
4 Indic;lte the numbel- of Assessment
Rollll1Hcels transferred on the deed L~
I
__-..1 #of PBrcels
OR D PartofaP211eel
5 Deed
Propl~rty
Size
.5/1
1______J X L-~ OR L__
FRO~T fEET :JEPTH
AC~~S
Jacqueline
FIRST NAME
1S. Checlc one or more of the'!l'" conditIons as applicablll to tran$fer.
A Sale Between Relatives or Former Relati\les
B Sale Between Related Compllnie5 or ParlneES in tsllsiness
COrle of the Bt.yers is also a Sellcl
D Buyer or Seller is Governmen: Agoney O' Lending InstltullOrl
E Deed Type not Warranty at Bargain and Sale (Sl"~c<fy Belowl
F Sal", uf Fractional Ot Les,:> thi'n Fee Interest (Specify Belowl
G Sionific"nl Change in Property Between Tax<lb e Status and Sale Dates
H Sale o'Business is Included in Sale Price
I . Other Unusuai Factors Affecting Sale Price ':Specify Elelow)
J \None
6. Selh.r
Name
lLo.mb."lrili
LAST Nil"", ICOMP.~NV
1f/4t h""')
L--
LASTN"ME/COMPANV
FIRHNAME
7 Check trle box below which m09t eccurately describe$ ~he use of the property !1!ta!' 1ime of sale:
^ ~~ One Family Res'centiBi
B 2 or3 Fo'ImilyResioenti<'l1
C ResidentialV,lcamland
D Non-Resident;al Vacan: Land
E ~ A[jricultural I ~ Community Service
F Comme'cial .J Industrial
U Apartmen~ K Public Service
H Entertainment I Amusement L Forest
~NFORMATIOJ\l I
11. Sal,~Contract Datil
l-.LJZJ -;
Month bay
03
1 1
Vear
1;> Oate of Sale I Tran!ifcr
i/~\ 103
MOnlM Day Year
13. Full Sale Price 4 J.9 ~.---L 0,0 0 ,0 () I
, , .
IFLJII Sale Price is the total amount paid for the propenyincludi ng personal property
Tnis oayment may b,~ in the form of cash. other prcpeny 01 goods, or the assumption of
mortgages or other Clbligatiortf,,) Pleflse round /0 the nellrf'st whole dollar IImounr
14, Indica1e the value ot penonaf
property included in 1hesitle
o
() 1
L.c-
, , .
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Ta:>< Bill
16 Ve". of Assessment Roll from 0 d J
which infonnation taken ---'---
17. Total Assessed Value (of all parcels in tranfferll
18 Property Clas,>
L22c 0 .-1
_J 19. School District Name L-~____~
20 Ta" Map Iden1ifier!s) f Rollldentifier(s) {If more than four, attach sheet with additional identitier(sll
/OOQ
l_.~
s-s- . G - r]
L
I CERTIFICATION
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP.Sl17 !I.~,. V97
11 q71
lIPCOOF:
~
__-.---J
rl~Sl NAMt
~.
STAT. /Ioronl
(Only if Partofa Parcln Check as1hav apply:
4A. Planning Board with Suodi\lision Autho.,ty Exists
4B. Subdivision Aoprovalwa~ReQu."eo for Trilnsfer
4C. Parcel Approved fur SubdiVISion with Map Provided
o
o
o
Ch9Ck the bOlles below a9 they apply'
8. Ownership Type is Condominium
9. New Construction on Vacantwr.d
10A, Propertytocated within an Agriculturai District
11lB. BUY'll rB~e;ved a disclosure ,1otice incficati'l9
that the property is in 21n Agricultural D'$t"cl
o
o
o
o
,
): \Lcth"l~
,
,& gO?)
------~
BUYER
f the item.. of infonnlltion coteroo on this form afe true and CUtTCct (to the 1le.~1 of my knowledge and belief) and I Undi'I"'itlllld that the maki~
!>1atc en! of material flld herein will :mbjcd me to the vrol.isiuns of the Dellal law relative to the making "od filing of false jnstrumet1t~.
BUVER'S ATTORNEY
I~~j
OATE
2>.<"
/ "f'i (';1-;"'-
LASTN"-ME
~..JFCO'T
~~~UMB.H . . STR~nNI\."'.i"''''^'t
""::::'''''"-,;-,",,,c:> uj'0 I
STAT.
(P3/
AReACOOE
/19"71
Z'PCODE
CITVO~TOWN
SELLER
~{{.<. a 7h~--;e
S,l SIGATIJRf
1_ /(f-ifo~
DATE
'~H,J ~d"",<
F,RST NAME
7d7-~<70C
lELEPHONENUII'ISER
[N>'
YORK STATE 'I
COpy
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