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CONSUI.T YOUIl LA.wvt'Jl aEFalE SIONINGnDS 1N5J"II.l.IMeN. nos INS'TRUMENr SHOUlD DE USED BY LAWYERS CIoIL Y
THIS INDENTURE, madelh"/~ay of Seplember. lwo lI10u0and and Ih.....
BETWEEN ALFRED NELSON and JANE A. NELSON, his wir., ....idinS al 136 Wickham Rood.
Garden City. New York IIS30, as own.... of,lfl.J'!..~.i!>.Ii>(),()IJIl'\l1g) Baybeny Rood. CUleh..... New
Yo.-k 1193S
paIt)' of the fi~ part, ond
JANE A. NELSON, ....idinllot ]36 Wickham Ro.d,Garden City, New YOI"k IIS30.aslo 1/2
in~ ,in (no number) Baybeny R<&!, Culchogue, New YOI"~ ] 1935
pori)' oflhe second port,
,,..j) WITNI:SSETH. Ihotlbe porty oflbe fir. part, in cons_~ of'"Ten'DoIlara" ond other valuable
Ct-'- consideralion poid by the porty of the second poi<, does hereby granl and rei.... unto Ibe paIt)' ofth.
~ \ 0 second part, Ibe heirs or a.........." and assignaoflbe portyoflhe_dport r.........
, . 0 ..
t(;, J) ALL th.... .....in I.... pieces 01" parcels ortond, wil~ Ihe buildings and im_enlS thereon
rlJP \ ?,.~ereclOd, siluote.lyinll and belnll ot N....u Point. 01" Lillie Hog Neck, Town ofSoulholcl, SuflDlk County,
J ~ 0 JY' New YOI"k, and known and designllled as port of Lot 120 on a map enlilled "Amended Map B of Section B,
~v 000i.. N....u Point Club Properties, In.... situated in Ihe Town ofSOulholcl, Lonlllslancl, New York" ~ on
. ~ 0 Oct_4, 1923 byOltoW. Van TuyI,C.E. and Land ~,Oreenport, N.Y. on Seplember26, 1924,
v File ~789, as m.... porticularly set forth and described as fi>llows:
BEGlNNING.ol a poinl on the westerly side or Bayberry Rood. wh....th. same is intersected by the
division line _1015 120 and 121 on said map: runninll thence alonll Ihe westerly side ofBaybeny
'::":!!~I1~~aIe lie line ofwhieh bean Soulh II'degrees, 09 minutes 20 seconds EBSl SO _
~'1iii iW. lors 119and 120 on said map; running thence along said divisiOl1linc South
....-- - 110_ W... 288.32 _: runninllthence South 63 <Jesr- 40 minutes Wesl
SO.6lf , ~ence South 4S degrees S6 minutes SO.60 _ W...; runninllthence _in a10111l!he
division line _ IolS 119 and 120 on said map SouIh S4 degrees 4ll minlllel 00 seconds W... 84.68
- 10 a lagoon; runninlllhence in a gen..... northerly and northeasterly direction along lhe same !he
followinll two lie line course and dialances: (I) NOI"lh 26 degrees 20 minUles 30 seconds West 92.33
feet; (2) NOI"lh 46 degrees 20 minutes 00 seconds EBSl 22S.46 ..... 10 Ihe division line _ 1015
120 and 121 on said map; running thence alonllsaid division line North 7. degrees S3 minutes 30 seconds
EaIl 268 ..... 10 the _Iy side of Bayberry Rood otlhe poinl 01" place of BEGINNING.
. TOOI!THER wilh all righI, lille and inlerell, ifony. of the porty of the f'nt pari in and 10 any streets
and roads abutting the aIxm: described pranises to the center'lines thereof; TOGETHER with the
appuncnances and all the _ and righlS oflbe paIt)' oflhe'first port in ond 10 said premjsc:s: TO HAVE
AND TO HOLD the pnmises herein granted unto the pIII'ty of the second part. the heirs or C!1~5on and
assigns oflbe paIt)' oflbe second port fore.....
,
AND the panyoflhe finr. pm'tIXJWlllU1lS mat the partyofthc 61'111: pan: ha nul done 01 syfli:ftd IIn)1hins: whereb)o
the said prani.acs lave been encumbered in any way ",-hlltcYcr. cxczpI. .. afbraaid.
AND the pIlII't)"Orlhe Ii.... pan. in IX'IIIIpllance with Section 13 of the 1.Jcn law. covcn.nts that thtpwl)' oflhc first
pm1 ",ill receive tJ. ooasIdcrIIlion for this ClXlveymce and will hold the rip! kJ receive such oonsidmllion as D
InallbndlO boapplled flnl firth. purposcof~D8Ihe.... orlbc ;mplUVOlD....and will appl).the...... firlllO
Lhc pI)'1Den& orlhe cost oflhc improvcmcna hcfbrc us,."'" pari ofthc toeal ortbe same fbr ....y DI.hc:r puI'pOK.
"fhco ",'Old '.party"" &ball be construed as ir it tad ""pIII1ies" whenever che sense oflhis indrntun: so n:qui~s.
IN wrI'NESS WHEREOF, the porty oflbe first port has duly executed Ibis _the day and year first
above writtel1. .
IN PRESENCF. o~
-
J)If'''b A,
-I/~~
oS' ,.,. / 77-1"
~ ~"h-L. . ~ ~,..,~{lIlIUUrk-
. ANI! A. .J.soN. as SpecIal .... fir
ALFREDNEI.5ON .
.~ Oft~$''''''
C7^' NELSON
Num""r of paj!e.
TORRENS
RECORDED
2003 Nou 28 03.50,02 PH
Edward P.Roaaine
CLERK OF
SlFFOlK COUIITY
L ??oo12286
P 774
DTI 03--17721
Serial/l
C~ni fical~ 1#
Prior Clf. /I
Deed I MOI1gllgc In..rumcnl
.}
Deed I Monglltlc 1llx Slamp
FEF-S
Recording I Filing Stnmpoi
Cumm. of Ed.
S. J!!L
Mongal!c AmI.
I. Hasie Tax
2. AdcJitiunal Tax
Sub Tutal
SpccJAs.'il.
or
S"""./Adcl.
TOT. MTG. TAX
Dual Tuwn _ Dual Counly _
Hcld for Appoin.mcl\t_
Transfer Tax ~
Mun~iun T.3X
Poge I Filing Fee
Handling
TP-SIl4
S. 00
~-
Notation
EA.S2 17 (Counly) :5
EA-S217 (SlaIC) -.2Q_____
~-==-
Suh TOlal
R.P.T.S.A.
Affidavil
Ccnilicd Copy
NYS Surcba'l!C
Othcr
IS. 00
Sub Total
The propeny covered by lhi. mongage i.
01" will be impro,,'ed by a onc or two
family dwelling only.
YR.'! or NO
If NO. ..,., approprialc lax c1aWIC on
pagt: 1# 01" thi!': instrument.
GrlInd lbtal
4
01
5 Co_lIDl.ty PnIHrvati
./
Real Propeny
Tax Service
Agency
Verification
1000 11800 0200 008000
Consideration Amount $
CPF Tax Due $
I mpnn.'ed
6 Salidaction:UDi:schnrgesIRcle3Ses List Prup:=ny Own~rs Mailing Addn.'g
RECORD '" RETURN TO:
~vid ~. Srv0-..m
LI G D C...,u. -rOJ.-- \'" Q...; +-y "PIc.... '2.0.
SU\+c &\%'
CrCAvOet'lC iN .N.'--! 11:530 7
Vacant Land
//)
.
TO
TO
1"1)
8
Suffolk Count
7-
Recordin & Endorsement Pa
1X:::.c:C\ . m:Kle hy:
(SPECIFY TYP.E OF INSTRUMENT)
This page fnmls pan of the auached
,9i~~~~
The premises herein is situated in
SUFFOLK COUNTY. NEW YORK.
~ \f\ ("\ f
In the Township uf
In thc VILLAGE
<" HAMLET of _
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN HLACK INK ONLY PRIOR TO RECORDING OR FILING.
TO
N-f tc;., l\n
S'Dome \ Cl
(uvt:-r)
IIII~IIIII~IIIIIIIIIII IIIIIIIIII~11111
1111111111111111 II1111I1
SUPI'OLIC COUN'l'Y 'CLERIC
RECORDS OPPICE
RECORDING PAGE
Type of Instrument: DEBDS/DDD
NUmber of Page.: 3
TRANSFER TAX NUMBER: 03-17721
Recorded:
At:
LIBER:
PAGE:
11/28/2003
03:50:02 PM
D00012286
774
ALFRBD RBLSON
JAMB A OLSON
Di.trict:
1000
Section: Block:
118.00 02.00
l'lYa..MINBD AND CHARGBD AS laLLOWS
$0.00
Lot:
009.000
Deed AIIount:
Receive~ the Pollowing Pee. Par Above In.trument
Exempt
NO
NO
NO
NO
NO
NO
Page/Piling
COE
RA- CTY
TP-584
RPT
Transfer tax
$9.00
$5.00
$5.00
$5.00
$30.00
$0.00
Handling
RYS SRCRG
RA-STATB
Cert.Copie.
SCTM
Comm.Pre.
Pee. Paid
$5.00
$15.00
$50.00
$0.00
$0.00
$0.00
$124.00
Exempt
NO
NO
NO
NO
NO
NO
TRANSPBR TAX NUMBER: 03-17721
THIS PAGB IS A PART OJ' THE INSTRmmNT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk, Suffolk County
FOR COUNTY USr: ONLY
PtEASE 'rYPE OR PRESS FIRMLY WHEN WRITING ON FORM j;:I7S - 37 --5
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
C3.
14,1,..3,3, lS, ~I
I / I 1 cl SI 031
Month Day Yea,
Book I ), 4, c1, E::, b 1 COP... I 7, / , i
Cl. SWIS Code
cz. Date Deed Recorded
PROPERTY INFORMATION
1. ProP~rtv L I ~a...~
Location ~STRHT NUMBER STREET 1'1""""( I
C1TVC:;T~N~ t"'\.. O~. to e.
{je\ <"M)
't-.",<",,'
S\J'j\
2. Buy9f'
Nama
LASTNAM/:7.cOMI'Ar-lV .
LASTNAME/COMPANV
3. Tax
Billing
Address
Indicate where future Tl'Ix Billsl'lre to be sent
if other than buyer address (at bottom of form)
*
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RI'.51l7lkvJI97
\?t"\~
VILLAGE
I ,\q ..,~
ZIPCOOE
.::J (\ \r\<"
FIRST NAME .
A.
_-----.1
FlASTNAME
LAST NAME I COMPANY
I
STREET NUMBER AND STREET NAME
C'TYORTDWlj
/ I I/. of Parcels OR D Part of a Parcel
4. Indicate the number of Assessment
Roll parcels transferred on the deed
5. Deed
Property
Size
.. Seller
Name
1
L_MLlV:.fA~
FAONTFEET OEP
~~S .... C\ Ii'\
LASTN .0Mp."NY
L ~~o"l"',^
LAST NAM / 0 ANY'
FIRST NAME
STATE
~rcoDE
ACflES
.
IOnly if Part of a Percell Ch~k as they apply:
.4A. Planning Soard with Subdivision Authority EKists
48. Subdivision Approval was Requirtld for Transfer
4C, Parcel Approved for Subdivision with Map Provided
o
o
o
,,"~,Cno ~~
_Pt
-:3G.\Nl
FlflSTNAME
7. Check the box below which most accurately describe$ the use of the property at tha time of sale:
A~ One Family Rasidantjal
B 2 or3Family Residential
C Residential Vacant Land
D Non-Residential Vacant Land
I SALE INFORMATION I
11. Sale Contract Date
~~
Agricultural I~
Commercial J
Apartment K
Entertainment / Amusement L
{/I 191631
Montr. Day V....r
q I/{j J}31
Moolh Day V..ar
12. Date of Sala I Transfer
L.......~~t-_L , ~I
(Full Sale Price is the total amount paid for the property including personal properTy.
This paymant may be in the fonTl of casr., other property or goods. or the assumption of
mortgages Or other obligations.:. Please round to the nearest whole dollar amo nt
13. Full Sale Price
14. Indicate the value of personal
prOl>ertv included in the sale
, ,
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
18. Year of Anessrnent Roll from . /: JJ
which information taken ~_.
1 0
I~L.:::J-LJ
Check the bOJlH below as they apply:
8. Ownership Type is Condominium
9. New C:onstruction on Vacant Land
lOA. Property Located within an Agricultural District
lOB. Buyer received a disclosure notice indicating
that th,~ property is in an Agricultural District
o
o
o
o
CommunityServicll
Industrial
Public Service
Forest
15. Check one or more of these l;:ondftlons as applic.abla to tral15fer:
A
B
C
D
E
F
G
H
t
J
Sale Between Helativas or Former Relatives
Sale Se[Ween Relatfld Companies or P<'Irtners in Business
One 01 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 Interest (Specify Below)
Significant Change in Property Between Taxable S!:lItus and Sale Dates
Safe of Business is Included in Sele Price
Other Unusual Factors Affecting Sale Price (Specify Below)
Non8
19. School District Name I
17. Total AsseSHd Value lor all parcels in transfer! I
---.
18 Property Class
;
20. Tax Map Identifier(s) I Roll Identlfierlsl (If more than four, attach sheet with additional identifierlsll
S (? c--.1/ g-
(!;JK 0:;2.,
1
I CERTIFICATION
Lo f 00 '7
BUYER
I certify that all of thll items of infonnatlon entered on this foem are true and correct (to the best of my knowledge and belief) and I unden.1and that the making
of any willful False matement or material fact herein will subject mll to tlle provisions of the nenal IHw relative 10 the: making and filing of fHlsll imtruments.
d~;;;
IllJYEflStGNATUflE
71p ~ 6~,<--,
I ~J,/;9 /0 ~
\lCD~
f?:. Co_L._
STReONUM8Efl
t ~~H~( ,^l\W\
STlI.ET NAME !AFT~~ SALEl
(' -,a,.,~eV\
CITY Ofl TOWN '
C\~I
SE ER
~,,1
-
\ I'> 3.0
"'COO<
.",
/ "-
~"O"Aru"'
~"
BUYER'S ATTORNEY
LAST NAME
Sm,"-Tt, Yc,-V\'~
FIRST 'lAMe
A-
SIt...
AAEACOOE
~jo"~L" '7 ?,() \
[ NEW YORK "AT.
COpy