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Bargain and Sale Deed with Covenant against Grantor's Acts
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD BE USED
BY LA W':'ERS ONLY
THIS INDENTURE, made the 25th day of March Two Thousand Two
SCHEMBRI HOMES, INe.
2042 North Country Road
Wading River, New York
AND,
party ofthe first part,
CARL PA TCHKE and ELENA M. P A TCHKE, husband and wife.
130 Lee Avenue
Rockville Centre, New York (I 510
party of the second part.
WITNESSETH, that the party of the fIrst part. in consideration ofTen Dollars and other valuable consideration paid by the party
of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party
of the second part forever, all that certain plot, piece or parcel ofland, situate, lying and being.
SEE SCHEDULE "A" ATTACHED HERETO AND MADE A PART HEREOF.
DISTRICT: 1000
SECTION: 086
BLOCK: 01
LOT (s): 004.017
SAID PREMISES KNOWN AS: 95 SHORE LANE, SOUTHOLD, NEW YORK
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BEING AND INTENDED TO BE the same premises as conveyed by deed dated March 25, 2002 on" .OMd.iil
ia l.is..- 61~1IS~ .1 pag..... ~~,
Conveyance has been made with the unanimOllS consent, in writing, of all the stockholders of the party of the first part.
TOGETHER with all right, title and interest, if any, of the party of the first part of, in and to any streets and roads
abutting the above-described premises to the eenter lines thereof; TOGETHER with the appurtenances and all the estate and
rights oftlle party of the fIrst part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party
of the second part, the heirs or successors and assigns of the party of the second part forever.
AND the party of the fIrst part covenants that the party of the fIrst part has not done or suffered anything whereby the said
premises have been incumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with
Section 1 J of the Lien Law, covenants that the party of the first part will receive the consideration for the conveyance and will
hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement
and will apply the same fIrstta the payment of the cost of the improvement before using any part of the total of the same for any
other purpose. The word "party" shall be constructed as if it read "parties" whenever the sense of this indenture so requires.
IN WIThESS WHEREOF, the party of the first part has duly executed this deed t day and year first above written.
IN PRESENCE OF:
SCHEME I
S,INC.
BY:
OM-~; 1 Pr-,,;/..cn
H<ne>fj ){U"-~
~
STATE OF NEW YORK, COUNTY OF lltfFF6LK) ss: Individual/Corp
On the 2Sth day of March 2002, before me, the undersigned, personally appeared
kn ~d ~lcl f'1'\)~ . f: . b. d.. 1 .
personally own to me or prove to me on the basIs of sahs actory eVIdence to e the m IVldua (s) whose name( s) IS (are)
subscribed to the within instrument aod acknowledged to me that he/she/they executed the same in hislherltheir capacity(ies), aod
that by hislher/th . s ature(s) on the instrument, the individual(s), or the person on behalf of which the individual(s) acted,
executed t s nt.
USA LUBRANU
HotalV Public, State of New Yotll
Ho. OlLU50GJ)02 - suffo!!l.c~n.l'L.. _-
Term Expires, oct. 21. ~ ~
SCHEDULE A
ALL that certain plot, piece or parcel ofland, situate, lying and being at Peconic, in the Town
of South old, County of Suffolk and State of New York, known and designated as Lot No. 17, as
shown on a certain map entitled, "Map of Richmond Shores at Peconic", and filed in the Office of
the Clerk of the County of Suffolk on November 20, 1979 as Map No. 6873, which said lot is more
particularly bounded and described as follows:
BEGINNING at a point on northerly side of Shore Lane distant 5.00 feet from the extreme
easterly end of an arc bf a curve which connects the easterly side of Indian Neck Lane with the
northerly side of Shore Lane;
RUNNING THENCE North 24 degrees 00 minutes 00 seconds West, 155.00 feet;
THENCE North 66 degrees 00 minutes 00 seconds East, 146.40 feet to the division line
between Lot Nos. 17 and 18 on the above mentioned map;
THENCE South 25 degrees 20 minutes 00 seconds East along said division line, 154.96 feet
to the northerly side of Shore Lane,
nrnNCE along the northerly side of Shore Lane, the following two courses and distances:
I. along an arc of a curve bearing to the right having a radius of 3 00.00 feet, a distance
of 6.98 feet;
2. South 66 degrees 00 minutes 00 seconds West, 143.03 feet to the point or place of
BEGINNING
TOGETHER with ingress and egress over Shore Lane to the nearest public highway.
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Number of pages
TORRENS
Serial #
Certificate #
Prior Ctf. #
Deed I Mortgage Instrument
Deed I Mortgage Tax Stamp
4
FEES
Page I Filing Fee
19
Handling
TP-584
s
5'
---
Notation
EA-52 17 (County)
EA-52l7 (State)
:)
d)
~1aJ
---
Sub Total
!tP.T.SA
30
Comm. of Ed.
50~
Affidavit
Certified Copy
Reg. Copy
Other
Sub Total
GRAND TOTAL
5
Lot
Real Property Tax Service Agency Verification
Dist. Section Block
Stamp
02003342 1000 08600 0100 004017
,017
Date
Initials
~
Satisfacllunslulscnarges/Keleases List Property Owners Mailing Address
RECORD & RETURN TO:
Carl W. Patchke, Esq.
130 Lee Ave.
Rockville Centre, NY 11570
RECURDELi
20U2 Hpr 04 04: 04: 1:3 F't'1
Ed!,J.:. fa F'. Rom.::. i ne
CLEF:K OF
SUFFOLK CUUH f\'
L [)OOOi2178
P 681
[:'1'# 01-::r~8i'1
Recording I Filing Stamps
Mortgage AmI.
I. Basic Tax
2. Additional Tax
Sub Total
Spec.! Assit.
Or
Spec. I Add.
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
Transfer Tax /dO dO -
Mansion Tax _
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES or NO
If NO, see appropriate tax clause on page #
of this instrument.
6 Community Preservation Fund
Consideration Amount $
CPF Tax Due
$
Improved
Vacant Land
TO
TO
TO
8 Title Company Information
Co. Name North Star Title Agency
Title #
9
Suffolk Count Recordin & Endorsement Pa e
lbis page forms part of the attached
Schembri Homes, Inc.
Deed
(SPECIFY TYPE OF INSTRUMENr)
made by:
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK
In the Township of Southold
In the VILLAGE
or HAMLET of
TO
Carl Patchke & Elena M. Patchke
Southold
BOXES 5 TI-IRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
.
111111111111111111111111111 11111 11111 11111 111111111 I111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
TRANSFER TAX NUMBER: 01-33871
Recorded:
At:
LIBER:
PAGE:
04/04/2002
04:04:18 PM
000012178
681
District:
1000
Section:
086.00
EXAMINED AND
$505,000.00
Block:
01.00
CHARGED AS
Lot:
004.017
FOLLOWS
Deed Amount:
Received the Following Fees For
Page/Filing
COE
EA-STATE
Cert.Copies
SCTM
Conun.Pres
$12.00
$5.00
$25.00
$0.00
$0.00
$7,100.00
Above Instrument
Exempt
NO Handling
NO EA-CTY
NO TP-584
NO RPT
NO Transfer tax
NO
Fees Paid
$5.00
$5.00
$5.00
$30.00
$2,020.00
Exempt
NO
NO
NO
NO
NO
TRANSFER TAX NUMBER: 01-33871
THIS PAGE IS A PART OF THE INSTRUMENT
$9,207.00
Edward P.Romaine
County Clerk, Suffolk County
.-----~-PLEASETYPi:..OFl PRESS FIRMLY wHENWRmNCfON~~------
.' . INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 47~.1222
i
1. PToperty I
Location
95
STIlEET NUMBER
STREET NAME
~~~~kl~ Pecoric
VILlAGe
I
11958 pJjfijXxl
ZlPCOOE
Shore Lane
S()uthold
Cln' OR TOWN
2. Buyer
Name
PJ\TCHKE,
LAST NAME I COMPAtff
F1ftSTNAME
PJ\TCHKE,
REAL PRopmrv TRANSFER REPORT
i STATE OF.NEW YORK
STATE ~Of IlEAl. PROPEh " SERVICES
"',- 5217
u.QI7-.e,.J/fn
Carl
FIRST NAME
Elena, M.
lAST NAME I COMPANY
3. Tax Indicate where future Tax Bills are to be sent
Bilting if other than buyer address (at bottom of folin) I
Address
lAST NAME / COMPANY
FIRST NAME
QTY OR TOWN
STREET NUMBEfl AND STREET NAME
I I # of Parcels
Part of a Parcel
4. Indicate the number of Alleasnwtt
Roll parcels tiansferred on the deed
ORD
5. Deed
Property
Size
..5;;J- I
L
I:RONTFEET
Ixl
lOR I
'ACRES'
DEPTH
6. Seller
Name
L-.:,CHEMBRI HOMES, INC.
LAST NAME I COMPANY
FIRST NAME
ST A IE. ZIP CODE
!Only W Pan of.. ~.QIOd< ..1hey ~,
4A. Planning Soard w~Subdivision Authority Exists
48. Subdivision ApProyaJ was Required for T r&nster
4C. Parcel Approved'tdr Subdivision with Map Provided
D
D
D
LAST NAME I COMPANY
FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
i
A[ne Family Residential
B 2 or 3 Family Resideritial
C Residential Vacant Land
D . Non-Residential Vacant Land
--
E ~ Agricultu,"' - I ~ Community Service
F Commercial J. Industrial
G Apartment K .. Public Service
H . Entertainment I Amusement L Forest
Check the boxes ~as: they apply:
8. Ownership Typel is Condominium
9. New Construction on Vacant L8nd
1M. ProPertY Located ~in an Agricultural District
108. Buyer received a disclosure notice indicating
that the property ~ in an Agricultural District
D
D
D
D
11. Sale Contract Date
1
I. . .
15;Checkone.ormoreolthae~.. )1.1 1:1 Ie to tnmsfer:
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners 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 lessi than Fee- Interest (Specify Below)
Significant: (:hange in Pr~perty Between Taxable Status and Safe Oates
Sale of Business is Inc+ in Sale Price
Other UmisUal Factors Affecting Sale Price (Specify Below)
None
01
M_
311
Day
021
Year
12. Date of Sale I Transfer
1 ?o;
Day
o?1
Vaa,
1
',..-
03
Month
13. Full Sa" Price
'S' 0'5'G'G'9,0,01
, , .
(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 round to the nearest whole dollaf amount.
14. Indicote "'" v.1ue of ---01 I 0 0 I
property...........hf,the.... - . I I I. ..1. I . ~ _... _.._ . .
16.=~~~":':.::from ID ~ I 17. Total AssesNd Valu_lof anparcela In transferll
18. p.......C/tqO
I~ ,\ I,
- "
~\.! \,k
I-U 19. School District Name I
20. Tax Map ktentifierlslI llo1l ktentlfier1sJ (If more than four, attach sheet withaddftlonal kIentlfleiisn
\1000
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I certify tJW aD of the ilems of Information entered... Ibis form .... (roe and COITeCt (Ill the best of my --J and beIilfl and I nnde.ot.nd tbet the ~
of any wlIIfuI l'eIse .IIltement of mnteriel feet herein wiD subject me III the orovislous of the oeneI law .....dve III the .-mg Imd IIIIeg of l'eIse lIIstnnnents..
( -- ""\ !!rffi! BUYER'S AtlrORNEY
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BUYER SIGNATURE
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J.2'~MBER
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STREET NAME (AFTEA SALE)
CITY OR TOWN
AREA CODE
/1511 ~
ZlPCODE
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'1
SELLER SIGNA RE
;
.5.00
,
;
610- I -4 ./1
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. FIRST NAME
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TELEPHONE NlilMBER
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