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EXECUTOR'S DEED (INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8010
("'AlmON: TlILSA,f;REDlo.-r SJIOliLD BE PREPARED .,. "'''' AlTOa"'-EY AND REVIEWED BY ATrORNEYR Io"OKSELLERAN'D
PlIRe_IASER BEFORE SlGN'I~G.
~
THTS INDENTURE, made the \'1 clay of Seprember, 2004
betweeD CONSTANCE R. SCHMIDT.. Executrb under the Lut WUI aad TatumeDt of CONRAD
BULLOCK, (d_) (Sufl'olk CoUDI)' Su........_ Court File No. '18 P 2001), raidlDllut 7 EdllemuDI
LaDe, Bedmluter, New Jeney 0792 I
party of the firsll'art. and
CAROL NOLAN RYAN, 585 South ," St., UDdeDhDrst, NY 11757
party of the second part.
WITNESSETH, thai the party oflhe first part. to whom IClItCni lc5tmnenlal'y were issued 10
CONSTANCE R. SCHMIDT by the Surrople'S Coun, Sufl'olk County. New York on 819/0 I und by virtue of
the power and authoril)' given in and by said I.... will and lestament, andlor by Article II of the Estates, I'owers
and Trusts Law. and in considcl'l1lion of5375,ooO.00 dollars, lawful money of the Uniled Sillies, paid by the
party of the second part, docs hereby gnmtand release unto the party of the second part, the distributee. or
successors Bnd assigns afme paI1y ofthc second part forever,
ALL that certain plot, piece or parcel of land, with the buildingo and impruvemenls thereon erected,
situate, lying and being in the
SEE SCHEDULE 'A' Al"fACHED HERETO
;
Premises are the same as deed dated 3/21/6] recorded 3/22/62 in Liber 4963 cp 119.
TOGETHER with all right, title and interest, if any. oflhc party oflhc firsl part in and 10 uny streets and
roads abulling the, above described premi.... to the center lines thereof,
TOGETHER with the appurtenances, and also a1llhe estate whieh the said decedent had at the lime of
decedenl's death in said premises. and also the _ Ihcrein. whieh the party of Ihe flrsl part has or has power to
conveyor dispose: or, whether individually. or by virtue of said will or otherwi....
TO HA VE AND TO HOLD the premises herein granted unto the party of the second pan, the heirs or
suecessors and assigns of the party of the second pan forever.
AND the party oflhe first part covenants that the party ofthc first part has not done or sulTered anything
whereby the said premi.... have been encumbered in any way whatever. except.. aforasaid.
AND Ihe party of the first part, in compliance with Seclion 13 oflhe Lien Law. covenants thaltbe party
oflhc firsl part will receive the consideration for Ihi. conveyance and will hold the righllo receive such
consideration as a trust fund to be applied first for the purpose of paying Ihe coals of the impruvemcnt and will
apply the same firsllo the payment of the cost ofthe impruvemenl before using any part of the total of the same
for any other purpose.
The word "panyn shan be const.nn=d CUi if il read -panies" wh':lWver the 5eQSd: of this indenture so
requires.
IN WITNESS WHEREOF,the party of the first pan has duly exceuled Ihis deed the clay and year first
above written.
ftux..KJ ~ II ~ l/Y)f.; d 1- _
CONSTANCE R. SCIIMIDT / -
NVSIM. RaldmllalltelII tistac: Forms(tlllIIolDac:aI. rQIOO,
Copyrip. CllpliUft" D......ctorman
...
18/81/21184 14:57 6314754135
UndeIwriIIr No. 317~5
T1lIe Numller CU4lll.:Il104
Schedule A Description
Page 1
. ALL that cerl8in plot, piece or pmel of lend llltuallllylng and being 81 MIUItuck,
SouIhoId Town, sutI'oIk County, New York, boundedlnd descIIled .s foDawa:
COMMENCING 81 the point of inter1eCtlon of the eutIlI1y line of CoKs Neck
ROId and lh.llOUth8Ity line of WeslphaD8 Avenue;
RUNNING lliENCE 88ItIrty along the 80UIherIy One of Wlltphalla Avenue
north 76 degrees aT minutes 00 seconds eIII: 400.23 f8et to lands conveyed by
Con and Eva Bullock to Frank S. BuIock by deed recorded in liber 1571 of
deeds, It PIIge 222; thie ie thelnle poinl or plica of beginning;
RUNNING THENCE north 75 degrees rn mlnu181 00 8eCOndI eaat 100 feet;
RUNNING THENCE south 18 degl8ll 50 milU188 30 second8 eut 200 feet;
RUNNING THENCE south 75 degreu 07 mlnU1e8 00 I8COnds west 100 feet;
RUNNING THENCE north 18 degrees 50 minU18130 18COnd8 W88t 200 feet to
1he point or place of BEGINNING.
PAtE 821B2
STATE OF NEW VORK
COUNTY OF SUFFOLK
)
)55.:
)
On the 1'~daY of Septembenr, 2004. before me. the undersigned, personally appeared CONSTANCE R.
SCHMIDT, penonally known 10 me or proved 10 me on the .....is of satisfactory evidence to be the individual(s)
whose name(s) i. (are) subscribed to,th.. within instrument and acknowladgad to me that he exeeuted the same in
his ~eity(ies), that by his" ~ s) on the instrument, the individual(s), or the person upon behalf of
whieh the individ I s cted. u\ed the instrument.
NOTARY PUBI.I
EAICA.IACKIT!IN
NOTAIlY PUBuc. STATE OF NEW YClRJC
NO. 52-8lI2121l8
QUAuFlED IN SUFFO\J( COUNrf "Ai} \0
COMMISSION ElCPlAES JUly 31 pv-
,I
1
NYSBA Rcsidenllal Real EIIaIte FOI1lll on Ilonlrocs"cwoo)
.,.
CopyrlpI r..,.,ft"llevlrlopmaa1
r-
'I 2
)
.
,-
Number of pagt:s
TORRENS
Serial It
RECORDED
2004 Oct 01 03.23.47 Pt1
Edward P.RDll.lline
a..ERK OF
SUFFOlJ( COIJITY
L 000012346
P 651
OTI 04-09682
Certificate II
Prior Or. f#
Deed I Mortgage Inslrumenl
~d I Monga&c Tax Slitmp
FEES
Recording I Filing Stamp5
~
Page J Filing Fee
\
MOr1&8AC AmI.
Handling
TP-S8.
I. Suic Tax
2. Additional Tax
Notation
Sub T DIal
EA-S2 17 (County)
EA-52 17 (S",e)
Sub Total
R.P.T.S.A.
l~O
-.-i.~
SpcC'JAssil.
Or
Spec. IAdd.
TOT. MTG. TAX
Dual Town_ Dual Coumy_
Held for Apponionmcm __
Transrer Tax ----L~. H
Conllll. of Ed.
Affidavit
Sub Total
Mansion Tax _."_ -----:.....
The property cov~red by . mortgage is ~r
will be improved one or two family
dwelling ani)',
YES orNO_
I r NO. leI: appropriale 18.'1( clause n ptlgu II
_oiChis instrum~l1i. (~ 0
6 Communi Preservation Fund
ConsideratiQn Amounl $
Certified Copy
Reg_ Copy
Other
GRAND TOTAl.
s
Real Property Tax Service Agoncy Verilieation
Disl. Section J:) lock
1.0.
SlaU'lp
CPF Tax. Due
S
7
.
Satisfllctionsll
11300 1200 002000
04042292 1000
~~ ----D' ,__.es
~ .u"'~u........ iCK Kt....URN TO:
Inlproved
Date
Inil11115
Vuealll L..lUd
ERiC SACKSTEIN. ESQ.
228 EAST MAIN ST.
PATCHOCUE. NY 11772
TD
TD
TO
8 Title Company Information
Co. Name
Title"
CLA 4835 S 2004
& Endorsement Pa e
9
Suffolk Coun
Recordin
DEED
111is page fonns parI oflhe llttached
(SPEOFY TYPE OF INSlRUMENT)
made b)":
CONSTANCE R. SCHMIDT AS EXECUTRIX
OF THE ESTATE OF CONRAD BULLOCK
'!be premi5CS herein is situated in
SUFI'OLK COUNTY. NEW YORK.
TO
CAROL NOLAN RYAll
In lhe Township of SOUTHOLD
In the VILLAGE.
or 1-IAMLE1' of ""'- .....+~\. ~ ~
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECOR/JING OR FlUNG.
lOVER I
1111111111 1111 III 11I11 11111110111111 11111111 IHI
11111111111111111111111
SUFFOLK COllNTY CLBRIC
RECORDS OFFICE
RECORDING PAGB
Type of Instrument. DBEDS/DDD
NUmber of Pages: 4
Receipt NUmber . 04-0109509
TRANSFBR TAX NUMBER: 04-09682
Recorded.
At.
10/01/2004
03:23.47 PM
LIBER:
PAGB:
D00012346
851
District:
1000
Section. Block.
113.00 12.00
IZY1lMINBD AllD CHARGED AS FOLLOWS
$375,000.00
Lot:
002.000
Deed Amount:
Received the Following Pees por Above Instrument
-.-...pt
NO
NO
NO
NO
NO
NO
Page/Piling
COB
BA-CTY
TP-584
RPT
Transfer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$1,500.00
Hanc:lling
NYS SRCXG
BA-STATB
Cert.COpies
SCTM
COIIIIII.Pr8s
Fees Paid
$5.00
$15.00
$75.00
$0.00
$0.00
$4,500.00
$6,152.00
Bx.-...pt I
NO
NO
NO
NO
NO
NO
TRANSFBR TAX NUMBER. 04-09682
THIS PAGB IS A PART OF THE IHSTRUMBHT
THIS IS NOT A BILL
Bciward P.Ramaine
County Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473.7222
FOFl COUNTY USE ONLY
Cl. SWIS Code
i'LJ,3,S,S, ell
I /6 / /& 11
Mo"th Dny "e~'
,[Plc4peg,18,':;;,1
REAL PROPERTY TRANSFER REPORT
..
. - - j,
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~. ,~.~ . .
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2. Date Deed Rl~corded
. ,-I 2.'
C3.Book ~ :..;>)j----'l'--t
PROPERTY INFORMATION
RP - 5217
ItP.S211R..3N1
1. P~ope.rtv 5825 ~vestPhalia Ave.
loc;rtton~~6~ STAEElNAM.
-----S<>U.tholrl
CITY O~ 10"','"
M.<:t"t"itllC'k
"'"LAGE
11952
ZIP CODE
2. BUyer
Name
----
'--LAS~~MPANY
r.::lrnl Nol,an
FIRSTJIlA,MF
Lu
LA.';' W.M, CV"P"~Y
--~
FlRSTNAME
-
3 Tax
Billing
Address
Il'ldicste wh!!re future Tax Bills are to be sent
if other lhlm buyer address (at bottom of forml
LAST NAME iCOMfANV
L
FIIISTNAME
__ .J
S-rREH NUMBE~ "~D STR~{r "Ai~1,
-
;>:IPCODf
C'f1YORTOWN
~m
4. Indicate the nUmb81' of Asse$sment I D
Roll parcels transfened on the deed I.~ -'--~ # of Parcels OR Part of 8 Paleel
lOnly jf Part of a P.TCIIU Check as they apply:
4A Planning BOllfd with Subdivision Authority Exists 0
4B. Subd.viSiOrl Approval was Required lor Transfer 0
4C.Pa,ceIApprovedfarSubdivisionwilhMapProvided D
5. Deed
Property
Size
, .
\R~~TL IX~~OR!
"'C~fS
.
6. Soilller
Name
~chroidt
LASTW,"'E' '~OMM'IV
Constance R. as Executrix of the ~
FIRSTNAM~ Estate of Conrad Bullock
L...._
~AS~ ~~."'F. 'COMPANY
-
FIRST NAME
7 Check the box belo,", which most accurately describes thll Ullll of the property at the time of lale:
Check the boxes below ll$ they upply:
8. Ownership Type is Condominium
9. New Construction on VaCllnt Land
lOA. Property Located within an Agricuitural District
10B. BUVSrTllCilived a disclosure noticEt Indicaling
that the property is in an Agricullural District
D
D
D
D
A~ One eamily ResidiH'ltial E~
B 2 or) Family Res:dEl'ntial F
C Reside,lalVilcantland G
D Non.Residenta'Vacantland H
I~communitYService
J Industnlll
K Public Service
L Forest
Agriculwral
Commercial
Apartment
Entertainment/Amusement
I SALE INFORMATION
11. Side Contruct Datil
04 -.J
'9'
15. Ch.ck on. or more of these conditions a~ appli~ble to transfer:
A Sale Between Relatives Of former Relatives
B Sale Between Related Companies or Partners 'I) Business
COne of the Buyers is al$o a Seiler
D Buyer or Seller is Government Agency or Lending Insl:1lJtion
E Deed Type not Warranty or Balgain and Sale ISp.ecify Beiowl
F Sale of Frllctionlll or Less than Fee Interest (Specify Bolow)
G Significant Changfit in Property Between Taxilble Status and Sale Dates
H Sale of Business is!nciuded in Sale Price
r Other Unusual Factors Affecting Sale Price ISpocify Below)
) onp
8 11
Monlh Day
t2.l)ate of Sale I Transfer
L_~...J '1
Montl1 Day
04 -.J
Yellr
13. full Sale Price 3 7 5 0 , 0 , 0 ,U 0 I
, , .
(Full Sale Price is the total '''''OLHlt p<lld for thH propcrtyinclu dingpersonalproporty
Thi~ payment may he ;n lh~ form of c~sh, other property or \Ioods, or Ihe assumption of
mortgages or ottler o'JhgJtiQns.l Please round to rhfl nearest whole do/lar ..nwunt_
14_lndic..te the vatueof personal
property included inthe sale
~ , ,0,01
, , .
Data should reflect the latest Final Assessment ROil and Tax Bill
ASSESSMENT INFOI~MAT[ON
16 Year of Assessment Roll from
wnichinmrrnlltlOrl taken
UlJ:L
(Pf~
, , ,
1hd::CTj C-u:lt'..r) /1. Ct-u-rd
I
17 Total A..lIuSIld Value (of all parcels in transfed ~
18 Property Class
~l
O-u t9. School Di5trietNillme l
----.-J
20_ Tal( Map Identifier(.11 RoIlldentifier{s) (If more than four, attach sheet with addilional identified..)]
1000-113.00-12.00-002.000
--.J
--.J
----.-J
I CERTIFICATION
ll:t:rlif~- that aU or thl~ items of infonnation \'ntcn-d on this fonn 011"(' lrul' and C<Jrrec1 (tu the bcsl of lll~ kno\\ Il"d~\' and bclil'l) IImJ I undcr..'alld dud the 111akin~
uf IIn~- lliUful 1'...lsc ~Illteml'nl of material fllei berein will subjl'\.'1 mc 10 thc IlrO\ l.~ifJns or tlte UClllll lall ,'dalin' tu Ihc mllkinl( llnd tiling of flll~' jmtrulllcllls.
BUYER
BUYER'S ATTORNEY
-~~- M~*~Ji1ibk ~;jS!;~ I ,(2,(k G
>E~)~ w~~teb~'~ 1u."2(. 5i[:,," &-J77_
('Vii cl~Cv
STATE :llpcoo.
"^- '-"+-1-- L -r "- <. K:
C'TV o~ TO"-~
SELLER
NEW YORK STATE
I COpy
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