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BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8007
("Al!TI()~: TillS ,\GRFEMf~T SIIOUI.I) BF. PIU;;PARI:1) 11" ^~ ATTORl'eV l\r..;n RF.VIEWI:DDY ATll,'H,"'-EYS FOR SF.l.LI;'R ANIl
P1JRCIIAl-UER n1WOItF. SI(i~INli.
TIll... INDENTURE. made the ;},;)...
day of A~\'l-
.2003
Ilet\\.'een
I((X:CO I'. CAMMAROTA and NANCY K. CAMMAROTA. his wife. O(llh residing at 21 00 Pine Neek Road.
Southold. New York 11971
Party uf lhe lirst part. and
LAURI::NCE C. SELBY, residing al 391::0st 12'" Street. Apt. 808. New York. New York 10003
pany of the second part.
WITNESSETH. lhat the party ufthe first part. in consideration ofTen Dollars and other valuahl~
consideration paid by the party o(thc second part. docs hereby ~ranl and relcllSCo:' unto the party of the secund pan.
the heirs Of successors and aSsigns of the party of the scc(lnd part fQrc"'cr.
ALL that certain plot. piece or parcel of land. with the buildings and improvements thereon erected.
situate. lying and being in
SEE SCIII:.DULE . ^' AITACHED HERETO
Said property being known as and oy 21.. Pine Neck Road. Southold. New York 41k:.II\ lli&>PtU Iv~ ~
Being same pfilp~rty as eonveyed by deed dated 9/11195 reeorded 11/16/95 in Lil>cr 11750 cp 454 .
Said premises are not in an agricultural district and the parcel is cntirely owned by thc transferors.
.
TOGETIIER with all right. titl..: and interest. if any. oflhe party of the first part in and to any streets and roads
3butting the abovl::' dl::'!;cribcd premises to the center lines thereof,
TOGETHER wilh the appurtemmc~s and all the eslnt~ and rights of the porty oflhe first port in and to
said premises. ..
TO IIAVE AND TO flOLD the premises herein gran1ed unto the party of the second part. the heirs or
successor!l; .:md .assigns of the pany of1hc second purl forever.
AND the part)' ufthe first part. co\'enants that the port)' of the first part has not done or suffered .anything
whereby the said premises have been encumhered in un)' way whatever. exc..:pt as afuNsaid.
AND the party of the first part. in compliance with Section IJ of the Lien Law. c'lVenanlS that the p:lrty of
the first part will receive the consideration for this eonveyanc~ ~md will hold the right to receive such
consideration as a trust fund 10 be applied first for the pllJ"pOSC or paying the co~t of the improvement und will
apply the same tirst to the paym~nt of the cost of the impruvemt:nt before using any part of the total of the sam4:
for nny '-"'Ither purpose.
The word "pany" shall be construed as if it read "parties" whenever the sense of this indenture so
~quires.
IN WITNE...... WHEREOF. Ihe party of the first port has duly exeeuted this deed the day and year Ii..t
aoove wrincn. ~
IN PRE"'ENCEOF: ~ 11'/
aAI./AtL d~1fo 'l'/I p-fi<--
(/'----. RCJ 'COI'_~A A
1;, _ .
NCY K. CAMMAROTA
","YSUA R~...idcnti.al Me.1I L:slalc Forms on 1llllDucs" 1"'00)
-1-
C"l'yrighl ("upsun~ Ik\.rlopn~nr
..
STATE OF NEW YORK
SS.:
COUl'TY 01' NASSAU
011 the '>>< day of -PR,?-It..- ,2003. before me. .he undersigned. personally appeared ROCCO I'.
CAMMAROTA AND NANCY K. CAMMAROTA. personally known to me or proved to me 011 the basi. or
satisfactory ~vidence to be the individual(s) whose name(s) is (arc) subscrihed to the within instrument and
acknowlcd~cd to me that he executed the same in his capacity(ics). and that hy his signalure(s) on the instrument.
the individual(s). or th~ person upon hehalfofwhich th individ ) acted, executed the instrument.
(signature and oftice nf individual taking acknowledgment)
STATEOI' NEW YORK
)
) ss.:
)
COUNTY OF
~
j;o/ R'.e.~ f. Wp.erNe.1?...
ROBERT p. W~GNER N I WL'> U"",....., ,........~
NOTAR\' I'IIBUC. STATf 0' NEW YORK b. ~ ,... T'" 0- ~ ..
NO.O:WM8l2l,S ..... l. N~AIJ 0
OUAlIflED IN NASSAU COUNTY 't' IJA . .
COMMISSION EXPIRES JU:IE 30. 20 ~ <J:.",/I1. e x.r. Iof3\) of"
On the day or . 2003 hero", me, the undersigned, personally appeared
personally known tome or proved to me on this basis of satisfactory evidence to be th~ individual whose name is
subscribed to the within instrument and acknowledged tome that she executed the same in her capacity and that
hy her signature on the instrument. the individual orthc person upon behalf of which the individual acted.
executed the instrument.
BARGAIN AND SALE DEED
Title No lfO.-1.t\'1 .
ROCCO P. CAMMAROTA AND
NANCY K. CAMMAROTA
TO
LAURENCE C. SELBY
District ~ \ooD
SI.'"tion 070.00
mock 09.00
Lot 005.000
County or Town: Suffolk { SoUftjQW
StreetAddres. J.lOO p(IW'~fx:"...l~"
In.!;\) QIM!;'Ne.u...~
~ t.M. 1\'11/
R"turn 8)' Mail To:
OLSEN & OLSEN. LLP.
32495 MAIN ROAD, PO BOX 706
CUTCHOGUE. NY 11935
ATTENTION: GARY FLANNER OLSEN. ESQ.
Rl.'sen'e This Sp.."e .-or Use Of Rel.'ording OfficI.'
NYSUA RC$i~ntlal Real E!daIe I-"t~rm!ll nn J IntUoes"" (9/00)
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Cop)'righl capsona o.:,'clornwnl
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Fidelity National Title Insurance Company of New York
TITLE NO. 03-3704-49797-SUFF
SCHEDULE A-I (Dt5I:,iptiM)
ALL that certain plot, piece or parcel of land, situate, lying and being at Southold, Town of Southold. Caunty of SulTolk
and Stllte of New York. bounded and described as follows:
BEGINNING at a point on the southerly side of Pine Neck Road a distance of 317.05 feet weslerly as measured along the
southerly side of Pine Ncek Road from the corner by the intersection of the southerly side of Pine Neck Road and the
westerly side of Oak lawn A venue:
RUNNING THENCE South 5 degrees 25 minutes 20 sccunds West. along land now or formerly of Patricia A. Cain.
200.00 feet to land now or fonnerly of Sucich;
THENCE North 1I4 degrees 47 minutes 00 seconds West. along land now or formerly of Sucich, 100.00 feet ta land now
or formerly of Lonic;
TIIENCE North 5 degrees 25 minutes 20 seconds East. along land now or formerly ofLonic, 200.00 fcello lhe southerly
side of Pine Neck Rood;
THENCE South 84 degrees 47 minutes 00 seconds East, along the southerly side of Pine Neck Road, 100.00 feet to the
point or place of BEGINNING.
l'
l"11E POLlCI' TO S,.: ISSUED untkr Ihis commilmenl will insure Ihe rille I" ..ueh building.. and impro\'emellls ut/lhe premises ...ili,'h
by low con.<li/ll1C ",'al pruperlY.
I'OR CONVEI'ANCING ONL Y; To!:clher wilh alllhe righI, Iille und inrcresl oflhe pur(v Oflh,' fir.'1 parI. of in u",/IO Iilelund (";ng
in the s/reel it/front of and udjilining said premises,
SC/fWIJLE A-I ({A',<cri/.iun)
[!]2
Number of pages
TORRENS
RECORDEII
2003 Apr 29 12:05:57 PtI
Edward P.Romain~
CLERK OF
SUFFOL~. COUNT\'
L D00012248
P 711
DTi 02-37487
Serial #
Certificate #
Prior Ctf. #
1)~cJ I Mllrtgugc Instrument
Deed / Mortgage Tax Stamp
Recording I Filing St.mps
3
FEES
Handling
TP-584
5. 1I11
Mortgage AmI.
1. B3Sic Tax
2. Additiunul Tax
Sub Tot.1
Spcc.lAssit.
or
Page I Filing Fcc
Notation
EA-5~ 17 (Counly)
EA-5217 (State I
Sub TOIal
R.P.T.S.A.
:30
QQ
5. 00
Spcc./Add.
TOT. MTG. TAX
Cenified Copy
Reg. Copy
Olher
Sub TOlal
DU.il1 Town _ Dual County _
Held for ApPllinu~lt:nl
Transl"r Tax _ <>ld~O_ ~
Munsion Tax
The prupcn) crwered h)' this mongage is
or will be mpnwed lly a une or Iwo
family dwc iog only.
YES or NO
Camm. of Ed.
Affidavit
Gr"dnd Total
I OC). .,-
f(J..
If ~O. s~c ppropriutc tax daus~ 4,\n
pug~ # of this instrumenl.
4
Sccliond70.oo
Lot 0<:l:!CO(O
5
Real
Propeny
Tax Service
Agency
Verificatiun
03016113 1000 07000 0900 005000
(;;~
~~
Consideration
CPF Tax Due
ImpnlVed ~
Vac..lOl Land.
6
SatisfaClium"Di~hargcslRcleast:s List Propcny Owne~ Mailing. Addrc!;s
RECORD & RETURN TO:
O\....~..I- 0 \. ~~ l.,LE>
":>~CK N\:It;i~~. Q()e:.~,ufo
Cvt-et\Ou..€ ~>f, l\ ({">:y
~ ~'\ ~~ (h..~~l3"w
TD ID
TD
TD
7
Information
...
litle#
8
Suffolk Count
Recordin & Endorsement Pa
-..t)~
(SPECIFY TYI'!:: OF INSTRUMENT)
This pagt: IlmllS p3.n of the attaL.ht:ld.
_ _ . .._ mad. hy:
~~ ~ . ~~.!\e.TA- -J-
~CJ:fA."'-~~X.A
TO
~-('.. ~d.4!a'1
"Int." premises herein is situutcc.J in
SUFFOLK COUNTY. NEW YORK.
In tht: ~Ihwnship or _
In the VILLAGE
ur HAMLET of _
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILlro;G.
So~
~&-
( oyer)
111111111111111111111111111111111111111111111111111111I
1111111111I11111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument. DEBDS/DDD
NUmber of Pages: 4
TRANSFER TAX NUMBER: 02-37487
Recorded:
At:
LIBER:
PAGE:
04/29/2003
12:05:57 PH
D00012248
711
District:
1000
Section:
070.00
EXAMINED AND
$560,000.00
Block:
09.00
CHARGED AS
Lot:
005.000
FOLLOWS
Deed Amount:
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $12.00 NO Handling $5.00 NO
COE $5.00 NO NYS SCRCHG $15.00 NO
EA-CTY $5.00 NO EA.-STATE $25.00 NO
TP-5B4 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Transfer tax $2,240.00 NO CODllII.Pres $8,200.00 NO
Fees Paid $10,542.00
TRANSFER TAX NUMBER: 02-37487
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
.
FOR COUNTY USE ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518i 473.7222
c{Q'l'1.i
Cl. SWIS Code
1'7< 7,3,8, $, /1
..........,
'J
\;.
C2. Date Deed Recorded I 'T I -::21
Month Day
C3. Book I I.'OZ, ~, <;/, .91 C4. Page I
PFlOPERTY INFORMATION
IO!'
Year
./(//
1. r~~~:,~ I
2100
Pine Neck Road
ST~EETfIIUMaER
STR~fT NAM.
Southo1d
CITY OA TQWN
VILLAGE
2. Buy(U'
Name
Selby
LAST NAME I COMPANY
FIRST NAME
LAST NAME I COMPAW'
FII'\STNAM~
3. Tax
Billing
Address
Indicate where future Tax 8ills are to be sent
f other than buyer address (at bottom of 1orrr,)
LASTr-iAME/COMPA"Nv
$TREETNVMBEFlANDSTREnNAM~
CITY Ol'l TOWN
II # of Parcels OR 0 Pan of a Parcel
4. Indicate the number of AalilQ5$ment
Roll parcels transferred on the deed
,. Deed I X I
Property DEPTH
Size FIlONTFEH
6. Seller Cammarota
Name lAST NAMr: I COMPANY
Canunarota
l,A,STNAMEiCOMPANY
10RI .50
AC~ES
Rocco P .
flflSTNAME
Nancy K
FI~STNAME
7. Check the box below which most accuratelv describes the use of the property at the time of sale:
A~ One Family Residential
B 2 0" 3 Family Residential
C Re~idBntial Vaca'lt Land
D Non-Residential Vacant Land
E~ A9""""'" I ~
F Commercial J
G Ap<lrtment K
H Entertairment / Amusement L
Community Serv'ce
industrial
Pubiic Service
Forest
REAL PROPERTY TRANSFER REPORT
$T ATE OF NEW VORK
S1 A TE BOARD OF REAL PROPERTV SERVICES
RP - 5217
RP_.!i217 Rev3J97
401.)\It.,l1..JO
119711
ZIP CODE
Laurence C.
FIRSTJ\jAME
STATE
Z1PCOOE
(Only if Part of a Parcel) Check as they apply;
4A. Planning Board with Subdivision Authority Exists 0
48. Subdivision Approval was Required for Transfer 0
4C. Paree: Approved for Subdivision with Map Provided D
Check the boxes below Ill$- they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property located within an Agricultura! District
108_ Buyer received a disclosure notice indicating
that the property is in an Agricultural District
D
D
D
D
SALE INFORMATION
15 Check one or more of these condition, 8. applicable to trensfer;
11, Sale Contract Dlte
3 1 17 03 I
Mon'l' D', '00'
4 22 031
Monlh Do, Year
A
B
C
D
E
F
G
H
I
J
12. Date of Sale / Transfer
13. Full SlIle Price ~ ' 5 , 6 0 0, 0 ,0 ,0 0 I
, , .
(Full Sale Price is the total amount paid for the property including personal property.
This payment may be in the form of cash. other property or goods. or the assumption of
mortgages or other obligations.) Please rounr;! to the nearest whole dollar amount.
14. Indicate the value of pe~nal
property included in the sale
j , 0 , 0 I
, , .
Data should reflect the latest Final Assessment Roll and Tax Bill
ASSESSMENT INFORMATION -
16. Vear of Assessment Roll from I 0 ,3 I 17. T otel Assessed Value (of all ..rcels in transfer) I
Which information taken
18. Property Class
l 2 1 0 !-U 19. School District NlIme I
5
20. Tax Map Identifierl$-)I Rollldentifiertlil (If more than four, attach sneet with additioniiill identifler(s))
Dist. 1000 Sec. 070.00
Sale Between Relatives or Former Relatives
Sele Between Related Companies or Partners in Business
One of the Buyers is also a Selier
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warrenty or Bargain and Sale (Soecify Below)
Sale of Fractional or Less than Fee Interest lSpecify Below)
Significant Change in Property Between T<lxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
5
975
,
~\)\J TNOL--LJ
B1k 09.00 Lot 005.000
I CERTIFICATION I
I certify tbat all of the itelD.Jj of infonnadon entered on this fornl are true 1Uld correct (to the best of my knowledGe .and belief) and I understand that the making
of' any willful false stu.tement of material fact hereiq will subject me to the nrovisions of Ihe penal law relative to the making and filing of fali'ie instruments.
BUYER
y ~_r~-
( arG~~;-.,;I'-'-
2100 Pine eck Road
4/22/03
OLSEN
LAST NAME.
DATE
631
ST~EHJ\jUMa~1l
STIlI<ETNAMEIAF"J"I':RSAl,.lt)
AR~'" COD~
Southo1d
J<f;1; De mw, . ./// SELL_ 1./
/~,.jt~~ ._.~
~'.%I'cl) ./ ('eJ.uUbb /...
SRLE~NATUFl€ I
NY
11971
STAT~
ZIP CODE
4/22/03
DATI<
BUYER'S ATTORNEV
GARY FLANNER
FlRSTNAMI<
734-7666
TELEPHONE NUMaER
NEW YORK STATE
COPY