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CONSULT YOUR LAWVER BEFORE S!ON". nus INSlRUMENT-THIS _lRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the $ dey of June, 2004
BETWEEN RICHARD SUNER THOMAS end MARIANNE GREGORY THOMAS, his wife, both residing at
154 Indian Rock Road, New Cenaen, CT 06840
perty of the first pert, end COYOTE PROPERTIES, LLC, with offices at clo Edward L. Kavanagh, Esq., 280
Bayvllle Road, Lallingtown, NY 11580
party of the second pert,
WITNESSETH, that tha party of tha first part, in consideration of TEN and nall00ths ($10.00) dollars paid by
tha party of tha second part, doas hereby grant and release unto the party of the second part, tha hairs or
successors and assigns of tha party of the second part forever,
ALL that certain plot, piece or parcel of land, with tha buildings and improvements thereon arected, sltuata,
lying and being in tha
SEE -SCHEDULE AM ANNEXED HERETO
BEING AND INTENDED TO BE the serne premises conveyed 10 the parties of the first part by deed from
CHARLES R. THOMAS dalad 111091OO and recotdad on 02/18101 in Llber 12102 at Page 995.
TOGETHER with all righi, tlUe end Interast, If any, of the party of the first part in and 10 any slraets and roads
abutting the above described premises 10 tha center lines thereof; TOGETHER with the appurtenances and all
the estate and rights of the party of the first part in and 10 said premises; TO HAVE AND TO HOLD the
premises herein granted unlo the party of the second part, tha heirs or successors and assigns of tha party of
the second part forever.
AND tha party of tha first part covenants IhsI the party of the first part has not done or suffared anything
whereby the said premises have been encumberad in any way whatever, except as aforesaid.
AND tha party of tha first pert, In compliance with Section 13 of the lien Law, covenants thai the party of the
first part will receive the consideration for this conveyence and will hold tha right to receive such consideration
88 a trust fund 10 be applied first for the purpose of paying the cost of the improvement end will apply the serne
"rstto the payment of the cost of the improvemant before using any part of the Iotal of the same for any other
purposa. The word .party" shell be construad es If II read "parties" whenever the sense of this indenture so
requires.
IN WfTNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
wrtllen.
~~
~.(.1~ - ...&._. ~
MARI~{ci1fRor~~
IN PRESENCE OF:
TO BE USED ONLY WHEN mE ACKNOWLEDGMENT 18 MADE IN NEW YORK STATE
SlalB of New Yol1<, County of SUffolk eo:
On the.:($ dey of June In the year 2004
before me, the underwlgned, peIlICInIIly eppeered RICHARD
SUNER THOMAS end MARIANNE GREGORY THOMAS
pereonelly known to me or 1>"'_ to me on the _ of
_BCtory _noe 10 be the IndMduel(e) _ neme(e) ie
(_) eubecrlbed to the within lnetrument end ecknowledged to
me !het heIaheIIhey executed the ""'"" in hlelherllhelr
cepecily~ee). and that by hlelherl1l1elr llignalure(e) on the
instrument, the Indlvldualle), or the pereDn upon behalf of whlcl1
the Ind~dual(e) ~CIed, executed the inetrument.
-fi!.!j" ,U ~ fJ ...:A~ /1;,. J
(elgnature and _ of Indivtd.... tekIng acknowledgment)
NOTARY PUBLIC
PATRICIA L IW.LON
...,. PuIIIIO. __ 01........
No. ofFA48I01441
c:=:= =n..,,!M7
S_ of New Yol1<, County of
On the dey of In the year
before me, the underwlgned, peIlICInIIlly appeared
pereonaDy known to me or proved to me on the beele of
"""""'''''y _ to be the Indlvldual(e) _ na....(e) Ie
(are) ...t-..Ibed to the within Instrument and ecknowledged to
me that l1eIeh8Ilhey ellBCUlBd the same In h_/theIr
~Iea). end that by _/their llignature(e) on the
lnetrumenl. the Indlvldual(e), or the pe""'" upon behaN of whlcl1
the Indivldual(e) ected. executed the Instrument.
so:
(elgnature and ofllce of individual laking ecknowledgment)
SlaIB (or District of Columbia, Territory, or ForeIgn Country) of
TO BE USED ONLY WHEN THE ACKNDWI IllftIUIIENT 18 MADE OUTSIDE NEW YORK STATE
88:
On the
day of
In the year
before me, the underlligned. pereoneUy eppeered
pereonely known to me or proved to me on the beele of _ry _ to be lI1e lndIvIduaI(e) _ name(e) Ie (are)
eubecribed to the within Inlllrument and acknowledged to me that helehellhey ""ecuted lI1e same In hlelherlll1e1r cepecl~..), and
that by I1Isi11ar1111elr llignature(e) on the Instrument. the Indlvldual(e), or the pareDn upon baIuIIf of which the Indlvidual(a) ecIBd,
execulBd Ihelnslrumant, and that eueh individual made euch appearanoe before the undenlgned In the
In
(insert the City or oilier political eubdhrielon)
(and Insert the SlBta or Country or other place tlla acknowledgment was taken)
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
Title No.
RICHARD SUNER THOMAS end MARIANNE
GREGORY THOMAS, hie wife
TO
~'DYOTEPROPERTIES.LLC
STANDARD fORM OF NEW YORK IIOAIID OF TITLE UNDIER'I......I~
DllIIrIbulOd by
o Com~~~,,__
0>>1MCIM'\"I!ALTlilA..'"DTm.I! IN'OURAI\lWCECOMPA;o..oy
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(slgnatwe and office of Individual taking acknowledgment)
DISTRICT 1 DOlI
SECTION 078.00
BLOCK 02.00
LOT 037.000
COUNTY OR TOWN
STREET ADDRESS
Recorded 8t Request of
COMMONWEALTH LAND TlTl.E INSURANCE COMPANY
DEBORAH DOTY, ESQ.
P.O. Box 1181
Cutchogue, NY 11935-0876
~ ,.e No.: RH80040554
SCHEDULE A ' DESCRIPnON
All that certain plot, piece or parcel or land, Situate, lying and being in the Town of Southold, County of
Suffolk and State of New York, known and designated as Lot No. 20 on II certllin map entitled. "Map of West
Creek Estates, at Southold, Suffolk County, New York", filed In the Suffolk County Clerk's Omce on August 19,
1963 as Map '3848.
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TItle Report
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Number or pages l\.
TORRENS
Serial #
RECOROEil
2004 Jul 16 08,08:16 ~
Edward P.Romaine
CLERY. OF
SUFFllLK COUNTY
L 000012331
P 133
IHw 03-52024
Certificale #
Prior or. #
Deed I Mongage Instrument
Deed I Murtllllg. Tax Stlll11p
FEllS
Recording I Filing Stamps
4
Page I Filing Fee
5
Murtg.e AmL
llandling
TP-S84
1.I:JasicT."
2. Additional Tax
Notation
Sub T olal
Comm. of (,d.
S~
Sped AMi..
0,
Spec. I Add.
TOT. MTG. TAX
Dual Town Dual Count)'_
Held for AprHlnicmmcnl ___
Transrer Ta. I 'tOO . "0
EA-S2 17 ,County)
EA-S217 (SIale)
Sub TOIal .
RP.T.5.A.
3:?
Arrldavit
Reg. Copy
Sub TOIal
GRAND TOTAL _I ~ 7. .,..
Mansion Tax __" _ _
The property "ove~d by this mortgage is ur
will be improved by a une or ''''U family
dwelling only.
YES orNO_
If NO. see appropriate tax clause on page II
_ofthil inSlrumen..
Certified Copy
Other
rj
l
Real Property Tax Service Agency V..-ific8Iioo
DiSl. Se..ion B Ioc:k
LOI
Comnlunit Preservation Fund
Consideration Amount S 350.000.00
Stamp
D8Ie
04029145 1000 07800 0200 037000
PF Tax Due
S 5,500.00
Initials
-;t Satisfactions/Discharges/Releases LlStl'rnpcrty Uwncrs Mailing Addrcs
...:J RECORD'" RETURN TO:
Improved
V acant Land --.!.... .
DEBORAH DOTY, ESQ.
P.O. Box 1181
Cutchogue, NY 11935-0876
TD IC'I
TO
TD
9
8 Title Company Information
Co. Name Lr-J,I LA..u> 7""/7U;;.
Tille II IUI 'I7J
Suffolk Count Recordin & Endorsement Pa e
"Ibis page fonns pari oft"" attached
Deed
(SPECIFY T\1'I; OF INSTRUMENT)
made by:
RICHARD SUNER THOMAS and MARIANNE
GREGORY THOMAS
'Ihc pn:mises herein is situa..:d in
SUFFOLK COUNTY. NEW YORK.
TO
COYOTE PROPERTIES. LLC
In the To"nship of SOUTHOLO
In the: VILLAGE
or HAMLET of SOUTHOlD
BOXES 5 THRU 9 MUST BE TYPED OR PRlNIED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OrrICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
Receipt Number : 04-0078762
TRANSFBR TAX NUMBBR: 03-52024
Recorded:
At:
07/16/2004
08:08:16 AM
LIBBR:
PAGB:
D00012331
133
District: Section: Block: Lot:
1000 078.00 02.00 037.000
EXAMINED AND CHARGED AS lPOLLOIfS
Deed Amount: $350,000.00
Received the Following Fees For Above Instrument
Bxempt Exempt
Page/Filing $12.00 NO Handling $5.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA- en $5.00 NO EA-STATE $50.00 NO
TP-584 $5.00 NO Cart.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Transfer tax $1,400.00 NO COIIIIII.Pres $5,500.00 NO
Fees Paid $7,027.00
TRANSlPBR TAX NUMBER: 03-52024
THIS PAGE IS A PART OlP THE INSTRUMENT
THIS IS NOT A BILL
Edward P.Romaille
County Clark, Suffolk County
".,.-.. --'-'--"__ _____n.___.___
.
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.otps.state.ny.us or PHONE (5181 473-7222
REAL PROPERTY TRANSFER REPORT
FOR COUNTY USE ONLY
C1. SWIS Cade
'-I, 1,~3, &, g, 9\
I II,{:
Month O"Y
f I C4. Page I
C2. Date Oeed Recorded
I
..3
1&1.-(1
Yell'
I 3,..3,
~
JII}t
C'Book I /, ;,:~
PROPERTY INFORMATION
Glenn Road
1. ~~~~:~~ I 2000
STR~ETNlJM8ER STREET NAME
Southold
CI'IY QA TOWN
2. Buyer Coyote Properties, LLC
Name LAST NAME I COMPANY
LAST NAME IOOMPANY
J. Tllx Indicate where future Tax Bills are 10 be sent
Billing it other than buyer address (at bonom of form)
Addr...
LAST NAME I COMP.....V
STREET NUMBEIl ANOSTREET NAME
CITV OR TOWN
I # of Parcels OR 0 Part of II Parcel
4. Indicate the numbet" of Anessment
Roll p.rcels transferred on the deed
1
5. Deed
Property
Size
lOR I
I X I
ACRES
~~"
FI'ONTFEET
Thomas
6. Seller
Name
LA.STNAME/CQMPANY
Thomas
lAST NAME I COMPANY
o .6
VlLLAGE
FlRSTN"'ME
FIRST NAME
3 I
FlIlSTNAME
7. Check the box belOW whh:h m05t accurately describes the use of the property at the time of 51le:
fll'lSTfIlAME
A~ One Family Residentiel
B 2 or 3 FlImily Residential
C XX Residential Vacant Land
D Non.Residential Vacant Land
E~A.9riculturllll
F Commercial
G Apartment
H Entertainment' Amusement
I ~ Community Service
J Industrial
K PublicS'Nice
L Forest
SALE INFORMATION
/ ~~ar
11. Sale Contract Date
OB
Moo~
11R
Coy
12. Data of Sale I Transfer
06
125
coy
104
Yu'
Month
13. Full S.le Price ' 3. , !; , n . n , n , n , 0 , 0 I
, , .
(Full Sale Price is the total amount paid for the property including personal prop&rty.
This payment may be in the form of casl1. ott1er property or goods, or tM assumption 01
mortgages or other obligations.) Plesse round to the ne~rest whole dol/a' amount
Southold
STATE OF NEW VORK
STATE BOARD OF REAL PROPERlY SERVICES
RP - 5217
RP~211ltc..3J'J7
I 11971
liP CODE
FIRST NAME
SlAlE
ZIP CODE
01
IOnly if Plft of a Parcell Chack as ttwy apply:
&A. Planning Board with Subdivision Authority Exists
48. Subdivision Approval was Requ'ired for Transfer
4C. Parcel Approved for Subdivision with Map Provided
o
o
o
Richard Suner
Marianne Gregory
Check the boxes below .s they appty:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
10B. Buyllr received a disclosure notice indicating
thaI the property is in an Agricultural District
o
o
o
o
16. Chec:k one or m~ of th_ cond'rtlons .. appfieable to tn.nsfer.
A Saie Between Rel~ives or Former Relatives
B Sale Between Related Companies or Partners ill Business
C One of the Buyel'$ is also a Seller
o Buyer or Seller is Govwnment Agency or Lending Institution
E Deed Type not Warranty or Bargain and Sale (Specify Below)
F Sale of Fractionil\ Of Less than Fee Interest (Specify Below)
G Significanl Change In Property BetWeen Taxable Status end Sole Oates
H Sale of Business is Included in Sale Price
I Other Unusual Factors Affecting Sale Price (Specify Below)
J None
14. Indlcata the value of penonal
proper'ty lracluded Ira the ul&
ASSESSMENT INFORMATION.
; ; d)~ II , II r-
Da1a should reflect the latest Final Assessment Roll and Tax Bill
16. Vear of Assessment Roll from I n
wttich information takan
1
17. Total AssnMd Value lof all pareals in trarwterl I
18. Property CIII.
13
1 , 31-U 19. School District Nama I
20. TIIX Map kiBntifler(s)I Rollldentitlerls) IIf more than four, attach sheet with additional idammerfsll
1000-078.00-02.00-037.000
Southold
,
1, 4
o
CERTIFICATION
l certify that all of the item... of information entered on this form are true and correct (to the besl of my knowledae and helief) and I undersland that the making
or an~" willful false slatement of material fad herein will subject me to the orovisions of the oenW law relatil'e to the mWdng and DUng of false instruments.
UYER BUYER'S ATTORNEV
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SlREETfIlUMIIER
(~"' fr.-
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1tV't
sT.....n;
US(.o
liP CODE
(j~ti4
(p1.zdCJ'I-
DAU
(631)
Ooty
lIlSlfllAME
Oeborah
I
fIRSTN"ME
734-6648
AREA COD~
tELEPHONE NUMBER
NEW YORK STATE
COPY