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i~5tancjlard 'N.Y.B. T .U. Form 8002-Bargain and Sale Deed With Covenants against Grantor's Acts-Uniform Acknowledgment
Fo::m3290 ?--~O<OO/~
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.. ~ONSUL T YOUR LAWVER BEFORE SIGNING THIS DOCUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONt. y
"
THIS; INDENTURE, made this 13"' day of February, in the year 2004
BEllNEEN
..l....... FREDRIC J. VISSER, JR., also known as FREDERIC J. VISSER, JR.. and DIAN01SSER, his wife
~ residing at 5365 Peconlc Bay Blvd., Laura!. New York 11948
part)' of the first part, and ~.
~... FREDRIC J. VISSER JR. and DIANAPISSER, his wife
rasiding at 5365 Peconic Bay Blvd., Laurel, New York 11948
pari)' 01 the second part,
WITNESSETH. that the party 01 the forst part, in consideration 01 \en and xx/100 ($10.00) dollars.
paid by the party 01 the second part, does hereby grant and release unto the parly 01 the second pari, the heirs or
succassors and assigns of the party of the second pari forevar,
ALL that certain plot. piece or parcel of land. with the buildings and improvemants thereon eracled, siluale, lying
and being in the
See Schedule "A" alleched hereto and made a pari hereof
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TOGETHER with all right, tiUe ..nd interest, if any, of the party of the first pari in and to any streets and roads
abulting the above described premises to the cenler line thereof; TOGETHER with the appurtenances and all the
estate snd rights of the party of the firsl pari in and to said premisas; TO HAVE AND TO HOLD the premlsas
herein granted unto the parlY of the second pari. the heirs or successors and assigns of the party of the second
part forever.
ANI) the party of the first part covenants that the party of the first part has not done or suffered anything whereby
the lssld premises have been enrombered In any way whatever, except 8S aforesaid.
ANI) the party of tha first part, in compliance with Section 13 of the Lien Law, covenants that the psrty of tha first
part wnl receive the consideration for this conveyance and will hold the right to receive such consideretion as a trusl
fund to be applied first for the purpose of peying the cost of tha improvement and will apply Uhe same lirstto tha
payment of the cost of the Improvement before using any part of the t01e1 01 the same for any other purpose.
The word "party" shall be construed as if to read "parties" whenever the sanse of this indenlure so requires_
IN WITNESS WHEREOF, the party of the "rst part has duly executed this deed the day and year flrst above wriUen.
IN F'RESENCE OF
-l~lI~ S"JL.
FREDRI~ 3. V~~Sl'R. JR.
~V~
. - .d A. J~
01 ~VISSER
. TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
St8ta 0~.1W York, County of SUffOlk 58.:
....1
State of New Yori<, County of
On \he day of In the YBBr
before me, the undersigned. personally appeared
~Iy known 10 me or provad 10 ma on the bBl. of
I8tisfactory avldanea 10 bB tha IndividualCI) whol8 name(s) 18
(aIV) oubacrlbBd 10 \he wtthln Instrument and _nowladged 10
me th8t helshelthey executed the same in hislherlthelr
capaclty(Iaa), and that by hiolhar/thalr s1gnaIUre(s) on tha
Inlllument, the indlvldual(s) or the parson upon bBhaN of which
the Indlvidual.a) acted. executed the instrument.
Sulan R. MahOn8Y
88.:
On the 13"1 day of February In the year 2004
bafora me, the undBfBignad, p&lBOnally appaarvd
FREDRIC .J. VISSER. JR, and DIANA A. VISSER
parsonally kncrwn 10 me or proved to ma on \he bBSls of
satisfactory evidence to bel he individual(s) whose name(s) is
(8nt) subscribed to the within InatNment and acknowledged to me
that halshEl1lhey RXBCUted the I8ma in hi&lherlthair capaclty(iel),
and thai by hislher/thelr signature(s) on the instrument, the
indlvlduallM or the parson upon bBhaN of which tha indivldual(s)
acted. executed e instrument.
Ii
I:
nowledgm
usl taking the acknowledgment
QuaIIfted In SUIIoIk County
Commllslon Expl,.. Feb. 28, 2O..c::j
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
Slate lor District of Columbia, Territory, or Foreign Country) of
On Ihe day of
personally appeared
personally known to ma or proved to ma on the basis of aatlafactory evldenceto ba the Indivldual(s) whose name(l) Is
(are) subacrlbed 10 Ihe within Instrument and acknowledged to me that helshellhay executed Ihe sama In hlslherllhelr
capacily(ies) and Ihat by hls/herllheiT signature(s) on the Instrument. the individual(s) or person upon bahalf of which
tha indlvidual(s) acted. execulad the instrument, and that such individual made such appearance before the undersigned
in the
in the year
bafore me, the undersignad.
(Insort tho City or oIhor political subdlYtalon)
in
(and InNlt the Stale or Country or other pIac::e the .cknowlecfgnwnt waslBken)
(eIgn.ture and ornce of indi.vid....1 taking at*nowIedgrnent)
BARGAIN ANOSALE DEED
WITH COVENANTS AGAINST
GRANTOR'S ACTS
Tille No.
SECTION
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS
FREDRIC .J. VISSER, .JR. alllO known as
FREDERI4:.J, VISSER, .JR. and DIANA A. VISSER,
hlswlfe
TO
FREDRIC .J. VISSER, .JR. and DIANA A. VISSER,
his wife
RETURN BY MAIL TO:
SAFE HARBOR TITLE AGENCY
1529 Main Street
Port Jefferson, NY 11777
FREDRIC J. VISSER JR, and
DIANA VISSER
(Ruerve Ihbl apIICIlt Iar reoordlng office)
".
TIll. Number: CWM-2306074
Policy No. :
SCHeDULE A
ALL that certain plot, piece or parcel of land situate, lying and being at Laurel, in the Town of Southo/d.
County of Suffolk and State of New York, bounded and described as follows:
BEGINNING at a point on the northwesterly side of Peconic Bay Boulevard distant 50 feet southwesterly
from the intersection of the southwesterly line of land of George J. Turner with the northwesterly side of
Peconic Bay Boulevard;
RUNNING THENCE along the northwesterly side of Peconic Bay Boulevard south 39 degrees 46 minules 30
seconds west, 75 feet;
RUNNING THENCE north 50 degrees 13 minutes 30 seconds west, 95 feet;
RUNNING THENCE north 39 degrees 46 minutes 30 seconds east, 75 feet;
RUNNING TIIENCE south SO degrecs 13 minutes 30 se.:onds east. 9S 1~C..110 the northwesterly side ofPeconic Bay
Boulc,,'onl.the point orplacC' ofDEGINl'\ING.
TOGETHER with a right of way as shown on Map No. 1857 Southold Book No.9 Page 18, filed August 18,
1951 in the Office of the County Clerk running from Peconic Bay Boulevard on the North to Peconic Bay
along the Westerly portion of other premises of Ethel F. Turner, said right of way being for access between
Peconic Bay Boulevard, and Peconic Bay for fool passage only and for bathing purposes and described as
follows:
BEGINNING at a point on the Southerly side of Peconic Bay Boulevard adjoining land of Vincent Scholl and
Frederick Blankshire;
RUNNING THENCE along said land of Scholl and Blankshire, South 19 degrees 41 minutes 40 seconds
East 528 feet more or less to mean high water mark of Peconic Bay:
RUNNING THENCE in an Easterly or Northeasterly direction along Peconic Bay 25 feet, more or less, to
other lands of Ethel F. Turner;
RUNNING THENCE along land of Ethel F. Turner three courses and distances as follows:
1) North 19 degrees 41 minutes 40 seconds West, 45 feet more or less; thence
2) S'.outh 37 degrees 34 minutes West,
3) 17.0 feet; thence
4) North 19 degrees 41 minutes 40 seconds West, 461.74 feet to the Southerly side of Peconic Bay
Eloulevard;
RUNNING THENCE South 46 degrees 24 minutes 20 seconds West, 8.75 feet along the Southerly side of
Peconic Bay Boulevard to the point or place of BEGINNING.
I_by:
TITLESERV. INC
(516) 719.4:/00
(203) 831.(),'00
Schedule A includes Page 1 of 2
TItI. Number: CWM-2306074
Polley No. :
SCHEDULE A
For Informiotlonal PurposM Only: 5365 PECONIC BAY BOULEVARD LAUREL. NY 11948
OJa1rlct 1000
Section 128.00
Block
01.00
Lot 011.000
This Schedule A has been made accessible via our websRe for revl_ only purposes. The final Schedule
wll be in<;luded wRh your TiUe CommRmenl. Any changes mede to \he Schedule which have not been
sanctioned by Tilleserv, Inc. will nol be included in \he liUe policy and therefore will nol be Insured.
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TITLESER\', INC. ,.
(516) 719-42iJo
(2O31~l-01OO
;.- Schedule A includes Page 2 of 2
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Certificate 1#
)
RECORDED
2004 ~U9 13 03,34: 18 PM
Edward P.R(~a~ne
CLERK OF
SLiFFOL~ ("ool!T'1
L DOOO123:.<7
P 2%
on 04-cn244
I
NIHllb.;,. or !,agcs
TOKKI3NS
i ,
Serial #
Prior C. f. 1#
Deed l Mortgage Inst.rument
Ocecll Mortgage Tax Stamp
Recordiog IlIiling Slamps
2J
I'Il!!S
PaRe I Pi linB Fee
I . ~andling
" ~-584
BA-52 17 (Connty)
BA-5217 (Stllte)
K.P.T.S.A.
Suh'fulal
Mortgage AmI.
J. Basic Tax.
2. Additional Tax
Sub Thlsl
SpecJAs.il.
ur
--._-2.0 ..J!!1.
Notation
3:i'
Spec. IAcId.
TOT'-M1'G. TAX
Ona1 TOWIl_OU;Junty
Held for Appointment _
Transfer Tax. _
Mansinn Tax
----Conllu. of Edl,
____ 5. ...QQ..
Affidavit
CerUfied Copy
Reg. Copy
Orher
----
Snb Total __
I~() ,S~ {llJ
TIle property cov.....rcd hy Ulis Inonguae is
or will be improved by a one or Iwo
family dwelling only.
YRS ur NO~__
If NO, see apl,ropriate lax c1anse 011
page -II _ of this in8tnunc t.
---- -
Grand '!blal
4 q,'trict Section
Relll ID::lo 11.R.Od
Property" 04032467 1000 12800 0100 onooo
Tax Service _~
Agency' ~""'p T~
Verifiealiun R DHO A
03.,AU
7 Satl.fae~;;'nslDi8ChargeslReleasea List PropeJty.Ownen Mailing Addr-eas
~ RECORn & RETURN '1'0:
Block' ", ' ,'" .Lot
r.i hA '~"J.rln
5 Co~munlty PreeervatJo
ue $
Impmved
TD
Vacanl Land
;J
Fe~~bJlIc.. l.I; S.wl(..
t:;~OC:;: P-4:>c:.eulC- '13 ~ b \Uo\.
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".is pRge funu9I' parl of lhe attached
-4-
Recordin & Endorsement Pa e
Uqp -=oJ (
. (SI'BCJFY TYPE 01' INSTR
7
Dlation'
~ Suffolk Count
__JJ~~~ t._
mlUle by;
.
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The pfetllisea herein is situated in
SUPFOI,K COUNTY, NEW YORK.
In the '.ownshi.. ur CScc:A-'ha.1 ol
In Ihe VII.LAGH
urHAMLHTof _l f'lu~l
BOXES" THRIJ 8 MUST RR TyPED OR PR1NTfiD IN BLACK INK ONLY PRIOR TO RBCORDJNG OR Fi", '
II ):!.XIL-
TO
111111111111111111111111111111111111I11111 mil I111 1111
1I11111111111111111111111
SUFFOLK COUNTY CLERK
RBCORDS OFFICE
RECORDING PAGE
Type of lCnstrument I CORRECTION/DEED/DCa
Humber oj! Pages I 5
Receipt Humber I 04-0090263
TRANSFER TAX HUMBER: 04-02244
Recorded I
At:
08/13/2004
03134118 PM
LIBER:
PAGE:
D00012337
296
District:
1000
Section I Block I
128.00 01.00
BXAJlINED AND CHARGED AS FOLLOWS
$0.00
LotI
011.000
Deed Amountl
Received the Following Fees For Above Instrument
Exempt Exempt
Page/FUing $15.00 NO Handling $5.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $50.00 NO
TP-S84 $5.00 NO Notation $0.50 NO
Cert.Copies $0.00 NO RPT $30.00 NO
SCTH $0.00 NO Transfer tax $0.00 NO
Comm.Pres $0.00 NO
Fees Paid $130.50
TRANSFER TAX NUMBERI 04-02244
THIS PAGB IS A PART or TBB IHSTR1DIENT
THIS IS NOT A BILL
Bdward P.Romaine
County Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.slate.ny.us or PHONE (518) 473-7222
FOR- r;:OUNTY ,USE ONLY
C1.'8WIS Code
REAL PROPERTY TRANSFER REPORT
I 7"; -?,~ , 51, 1l.<( I
*
RP.S111llnJ1f7
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2. Date Deed Recorded
I e/f / ~a: /C:e?: I
,.;7,Q,LI
RP - 5217
CO. Book 1 /:.~, ?, 3, '/1 co. p...1
,
PROPERTY INFORMATION
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,. ""'''''''' 1 !::;..JO
Location STIlE~T NUMBER
J....C) LA. r-e /
em- Oil TOWN
lBL/ }3/vol
,
ftcoYJ/C
STREET NAME
I
1//9'/;(1
""'''''
(,TIZ. )
- /
VILLAGE
2. Buy.
No...
y,::-','\Frc
LA NAME/COMPANV
,/
FJt~.,) "-IC
flll5TNAME
D,E:rJA
FIR$TNAME
'/1.:5" '>",
Y I '-.)C {/........
l.ASTNAME/COMPANY
A.
I
(:Ifl) 1
1 1
ZIP CODE
3. rex Indicatl!l where future Tax Bills are to be sent
BIlling jf other than buyer address (It oottom of form)
Address
VlSSErL
LA5TNAME/CONlPANY
~;-"\.E::"(~IC. \T
FIRSTNmf
STlIEST NUMIEflI ANO STl'IEET NAME
CI1YORTOWN
ST~n;
.... lndiut. the number of ASMHment
Roll ~rcW tr.nsterred on the dHd
10 rt--J.[ I 1# of P",rcels OR D Part of a Parcel
(Only H Part of a Parcell ChllCk as the~ appty:
1 X 1
.
o
48. Subdivision Approval was Required for Transfer 0
I 4C. Parcel Approved for Subdivision with Map Provided 0
~~,S.n Q I C -:::J (J(C)
b,-ANA A,
FlIISTNAME
.fA. Planning Board with Subdivision Authority Exists
5.De~1
Property
SlD
~Kyt...l-
,,~
FRONT FEET
ACRES
8. S6t1t!r
Neme
VI ,",,~? (\..,.
lAST NAME I rAN\'
;L~~ME~
7. ChKk the bolt below which mOllt accurately describes the use of the property at the time of sala:
Cheek the boxes below 85 they IIppl~:
8. Ownerahip Type is CondQminium
9. New Construction on Vacant Land
lOA. Property Located within an Agricultural District
1OB. Buyer received a di5Closulll notice indicating
tI1at the property is in an Agricultural District
o
o
o
o
~.oneFamiJYReSidenlial
20r3FamilvResidenlial
C Residential Vacant land
D Non-Residential Vacant land
E ~ Agricultural r ~ Community Service
F Commercial J Industrial
G Apartment K Public Service
H Entertainment I Amusement L Forest
SALE INFORMATION
Ob-, ,'3, D)-j~LD-
Monlh Day Year
15. Check one or more of th_ eoncfrtions as applic.lble to van_:
11. Sal" Contract Date
A
B
C
D
E
F
G
H
1
)
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partner5 in Business
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or less than Fee Inlerest (Specify Below)
Significant Change in Property Between Texable Status and Sale Data
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
12. Oat" of Sale I Transfar
~
i3/0~
MellIn
Doy
Yesr
> 0
, , , 0 , 0 I
, , .
(Full $aJe Prica is the tOlal amount paid for the property including personal property.
This payment may be in the form of cash, other property or goods, or the llssumption of
mortgages or other obligations.) Please round to the nearest whole do/llu amount.
14. Indate tt.. v.rue of personel ,0 , 0 I 0 I
property includ~ in the sale , e
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
13. Full Sale Price
CC.tLi}C-\',e, 0"~ .( l~j
~
18. Vear of A!SSeument Roll from
which informltion taken
I c:J- I Ol_~
17. Total Asseu~ Vllu. (of all parcels in ulnsferl I
s p>..(l C~
,
19. School District Name I
L~L}U0\
18. Property Clan
20. Tax Map Identifier!s) I Rollldentitier{sl Uf more than four, attach sheat with additional identffi.r{sl)
C'
LI )CO<>'
1~S'-oc- CI.()C - 0 I) .D" I
L
I CERTIFICATION
J <<rtify that aJ! of the item." or Inronnlltion entered on this ronn lire true and correct (to the hes1 of m~' knowledge and belieO and I understand that the making
of an)" "olillful flllse statement of material fllct herein Viill subject me 10 the prm-wons of the penal L:.aw relath:e to the making and lilinR of false instruments.
BUYER
BUYER'S A TIORNEY
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STREHNl.IMBER STREHNAME(AITEA5ALEI .
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LAST NAME FIA5TNAME
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AREACOOE TElEPfiOr-lENU",aER
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STATE ( ZIP CODE
NEW YORK STATE
COPY
CITVORTOWN
SELLER
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