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B:ARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
STANDARD NVlnU FOR.~ 8007
CAUTIOI': THIS ^Gl(n;~lI.:"T SII(JlILU lSl PREPARED nv AN '\TrOR~I:Y A~D REVIEWF.D 'n' ,\TI ORNl::YS FOR SEI.I.F.R AND
l"lJRl.'HASF.K IU:I.ORI: SIUNING.
THIS INDENTURE. made the February
~nvf:'f:'n
II,
2003
HARRY M. .JAQUILLARD .md ARLF.NE E. JAQUILLARD, huoband and wife,
.....ldloE at 475 Alais Lao"
Matlituek, NY 11952
party of th" first part. and
JACK M.IJAMII.TON and DONNA I'. HAMILTON, husband and wife.
residinR at 60S Re..",'C' A,,"enue, Murtltuc::k, ;\,Y 11952
party of the second pan_
WITNESSETH. that the party of the first part. in consideration of Ten Dollars llnd other lawful
considl~ration. lawful mun"y urth~ United States, paid by dlC party of the second part, do~s hl:reby grant and
release unto the party of the second part. the heirs or succ~ssors and assigns of the party of the second part
forever.
A/~L that certain plOI. piece or parcel ofkmd. with Ih~ huihJing.s and imprllvC'm~l1[s thereon crcctcd_
situate. lying. and being:J.t Mattituck. Town ofSolllhold. Counly of sur folk and Stal~ nf~~w Ylolrk.
SEE SCHEDULE'A' ArrACHED HERETO AND MADE A I'ART HEREOF
The grantor h~rein is the same perSlln ~U1d the ,grantee in Deed dated 11/1171 and recorded 11/17/71 in
Liber 7049 !'age 327.
TOGETHER with all righl. lill. and interest. ifany. oflh. party "flhe first part in and to any Slreets and
roads abutting the abov~ described premises to the center lines thereof.
TOGETHER with the appUJ1~mmct::s and all the t::SUllt:: and rights of the party of the first part in and to
said pn::mises,
TO HA VE AND TO HOLD the premises herein granted unto the party of the second pan. the heirs or
succcsso.-s and assigns of lhe pany of lhe second pan forever.
AND the party afthe: tirst part. cuvenants that the party of the tirst part has not done or suffered anything
whereby the said premises ha\Oe been encumbered in nny way whatevc:r. C:XCC:plIlS arconesaid.
AND the part)' of the first pan. in compliance with Section 13 of the Lien Law_ covcnants thal tht: party
ofthc rinn pan will rc:cc:ivli:" lhe: Cllllsideralion 1(."Ir this conveyance: and will hold the right to receive such
consid,:ratioll as ,r) trusl fund to be :lpplied lirsl f'''If the purpose; of paying lhe C("Ist orlht! improv~ment and will
apply the same Iirst to the payment of the C\."l51 orthe- improvcm':l1l before using any parl urlhe 10131 urIbe:: sumc:
for any othc.- pllrpa~.
The '\".ord "parly" shall be conslrued ~tS if il read "parties" whenevc:.- th~ ~nsc: of this indenture so
require,s.
IN WITNESS WIlEREOF, the puny ol'lhe lirsl part has duly executed this deed the day and )'ear tirst
nbove written.
~-J
NYSH^ Kc:sllk:.uwl Itl:aJ EslDt.: h'lml nn IIntJ>oc..o;. ,../UO)
-1-
C:UPYli,hl cltp:s"n" Ul:vc-Iupmcnl
File No.: RH80023486
SCHEDULE A - DESCRIPTION
ALL tIIat certain plot, piece or parcel of land, situate, lying and being at Mattltuck, In the Town of Southold.
County of Suffolk, and State of New York, bounded and described as follows:
BEGINNING at a point on the southerly side of Main Road where the same is intersected by the westerly side
of land now or formerly of Walter C. Grable, which said point Is distant 293 feet more or less westerly as
meaSllred along the southerly side of Main Road from the Intersection of the southerly prolongation of the
westerly side of Wickham Avenue with the southerly side of Main Road:
Runnil~g thence South 9 degreesa4 minutes 30 seconds East 168.75 feet to land now or formerly of W. E. J.
Assodates;
Thence along said last mentioned land the following two (2) courses and distances:
1). South 84 degrees 50 minutes 00 seconds West 99.14 feet;
2). South 82 degrees 15 minutes 00 seconds West 39.58 feet to land now or formerly of Mary F. and
Peter J. Jacques;
Thence North 6 degrees 35 minutes 50 seconds West along said last mentioned land 150.00 feet to the
southl!rly side of Main Road;
Thence along the southerly side of Main Road the following two (2) courses and distances:
1). North 75 degrees 01 minutes 00 seconds East 38.27 feet;
2). North 76 degrees 26 minutes 00 seconds East 92.73 feet to the point or place of BEGINNING.
AL TA l.oan Policy Insert 1
STATE OF NEW YORK
Sll.FF6LK....
COUNTY OF tICY/ YORI{
)
) 55.:
)
On lh. /I'll day of February. 2003. before me, the undersigned, personally appeared HARRY M.
JAQUILLARD and ARLENE E. JAQUILLARD, personally known to me or proved to me on the basis of
satisfu,:tory nidence to be the individual(s) whose namc(s) is (arc) subscribed to the within instrument and
acknowledged to me that he executed the same in his capacit)'(ics), nnd that by his sigR8turcls) on the instnlmenlt
the individual{s), or the person upon behalf of which the individual(s) acted. executed the instrument.
"""-Eo '~A ~
NOTARY PUBLIC
.. d o.V
()1 1l!RESA K1SELYAK
P\IbIIC SlIIe af New_
J1~~~a1CounIY
ClIIIUIlIssIan ....._ -g. .2IIllI
DEED
Jitle No.
Seetion 114.00
Uloek 11.00
Lot 011.001
County or Town SUFFOLK
JIAQUlLLARD
To
HAMILTON
Return U)' Mail To:
ABIGAIL WICKHAM, ESQ.
P. O. BOX 1424
MATTlTUCK, NY 11952
Rese...,e This Space For Use or Reeording omee
NYSl!A KcsidC:llial Rca.ll:~t:Lt.:- hlrnlS on JlolDocs" (91UO)
-2.
Copyriaht Ca~n'" lle\'cklipment
,
Number of pages
TORRENS
Serial #
Certificate # _
Prior Clf. #
Deed . Mong811e Instrument
Deed I Mortgage Tax Stamp
FEES
.2J
Page I Filing Fee
Handling
5 .!IlL
TP-S84
Notation
EA-S217 (County)
EA-S217 (State)
Sub Total
R.P.T.S.A.
Cs"o.--J
Comm. of Ed.
5. ..Q!L
Affidavit
Certified Copy
Reg. Copy
Other
--,1000
~District
Real
Property
Tax Service
Agency
Verification
Sub Total
"-~-
GrandThtal
102 .,-
114.00 11.QO I
Section Block
03008185 1000 11400 1100 011001
~~
~
Satisfaction/DischargeslRelease List Property Owners Mailing Address
RECORD & RETURN TO:
REWRl>ED
2~}G.3 nac 04 05:29:27 Pli
Edl~.;:,-d P.iioi.laine
CLERK OF"
;Ur-f-G~K COUhlV
:. !.l1...ul122:.a
P:i,~
['T# 02-~':o6r:2
Recording I Filing Stamps
Mortgage Amt.
1. Basic "Thx
2. Additional "Thx
SubTotal
Spec. I AssiL
or
Ji
Spec. I Add.
TOT. MTG TAX
DualThwn Dual County _
Held for Appoinunent _
Transfer Tax Jl.I (){). ,.
Mansion T
The propert covered by this motgage is
or will be I proved by a one or two
family dwelli g only.
YES or NO
If ~O. see ap ropriate tax clause on
page # of this instrument.
5 Communi
Preservation Fund
CPF Tax Due
Improved Xl(
Vacanl Land
TO
It>
Ab:lpil. 'ilf.Ckhaa.'Eriq.TD TD ~
P. o. Boll 1424
Ka~~f.~uck. NY 11952
7 TItle Company Information
Co. Name T..An"'~ric:a C~DVea1t:h
Title #
~ Suffolk County Recording & Endorsement Page
Th" < h h DEW de b
IS paJ~e IOInlS part of ( e auac cd _ mB y:
(SPECIFY TYPE OF INSTRUMENl)
lfAIlII.y ". JAQUILLARD AIlD
AIlLEIIE K.. JAQUIu.AllD I NI S [,)/ Fe..
TO
The premisi& herein is situated in
In the Thwnship of
SUFFOLK COUNTY, NEW YORK.
SODTHOLD
,..AI N IIAMTT"I"n'IiI ANn In the vn..LAGE
DOJIlIIA P.. HAKILTOII, HI6 6Ju= &3- or HAMLET oC fJllITTllUe..JrL.
, Co
BOXES 6 THRClU H 8 MUST BE ED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING
. .
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/ODD
Number of Pages: 4
TRANSFER TAX NUMBER: 02-29672
Recorded:
At:
LIBER:
PAGE:
03/04/2003
05:29:27 PM
D00012238
586
District:
1000
Section: Block:
114.00 11.00
EXAMINED .AND CHARGED AS FOLLOWS
$350,000.00
Lot:
011.001
Deed Amount:
Palle/Filing
COE
EA-CTY
'1'P-584
RP'1'
Transfer tax
Received the Following F_s For Above Instrument
E_pt
NO Handling'
NO NYS SURc:HG
NO EA-S'1'A'1'E
NO Cert.Copies
NO SCTH
NO CQIIIIII. Pres
F_s Paid
$12.00
$5.00
$5.00
$5.00
$30.00
$1,400.00
$5.00
$15.00
$25.00
$0.00
$0.00
$4,000.00
$5,502.00
IbrAlOlpt
NO
NO
NO
NO
NO
NO
'1'RANSFE:R TAX NUMBER: 02-29672
THIS PAGE IS A PART 01' '1'HB INS'l'ROMEN'l'
Edward 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
FOR COU NTY USE ONLY
C1. SWIS Codo
y,
S
9'J"J
,
REAL PROPERTY TRANSFER REPORT
7, \,;:?
'*
1I.1'.~217 11.., 31'17
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
It:
C2. Date Deed Recorded
I C??-.J
Year
MO~l'l
RP . 5217
C3. Book L ~ d, d, 3
,
If i C4. Page I
.); R,C
PROPERTY INFORMATION
1. ~:::i:~ I
13100
STR(rTt.\iMBEF'
Main Rd.
ST~EETNAii;;E---
~
_.1 11952 I
ZIP CODE
~__~llnThol..Q
u S'='R.TOWN
Mat:t:ituck
\111.'_,,(';1'.
2. Buyer 1_ _.JI~m-flt:on.~_
Name lAST NAME iCOMPO.NY
Jack M.
FIRsrr;AME
-----.-J
lIamilton
Donna P..
-----.-J
l.~ST ~JAM~ '(;()MP~.'.y
"'~ST NAME
3 Tax
Billing
Addre'l.5
In.j;cnt" whore '<.:lu-eTax Bills ~re to be se"l1
i'" other Iran buyeraaclress (ill bottom of form:
L.-
UlST '~"ME I COMPANY
-~
FfRSTNAME
L.__
Slr,eUr>.Ur..'BER""DST"~H,A'\'f
CITy CR '"ijIVN
~T"'-T
/ll'coiil-
4. Indicate the numbtlr of Assessment
Roll parcels tral15ferred on the deed
~,___~ # of f'orc<ll:; OR D POrt of 8 Parcel
(Only if Part of a Parcell Check as they apply:
4A,PlanningBoardwitrSubJivi<;;or-Authori:v[xi"h 0
4B. SlIbdivisio'l Approvai wa:i Rrq~j'"d f<>r I r3nsJer D
4C. I'arce: Approvcc lor Subdivision with Map I-'f'~viderJ 0
5. Dead
Property
Size
6. Seller
Name
.~
L_ __Xl
f-RON-OEET
_~..J OR L_~,
DEPTf-'
A~Rf~
Jaquillard
L..:..______
I A~rNAME :(GMPANY
Jaqui1lard
Harry M.
H~ST NAME
Arlene E.
L>,ST ~JM.1~' ~'JMPA'jV
--.l
FIRS-'-NAME
7 Che'-'k. the box below which most accurately describes the use of the property at the time 01 sal..,
Check the- bakes below as they apply:
8. Ownership Type ,:; Cundominll.!r1'l
9, New Constructiun on 'Jacnnl Land
10A. "ropeny LocaWd within an AgriclJlh,ral Ci~\ricl
10B Bl.l{fJr received a dsclqs;lre r-cl.c€ndicatir-g
that the property is i1 all AgricultU'ill Dishct
D
D
D
o
,'~one."'rniIYR~"'irJential
H 7 or 3 Furnily Residf]ntl~1
C Re~identi~1 \Ia':ant_~..c
D._ NOIl-Residentla \/acilntLp.nd
L~
f.
G
H
~~
Agricu'tw'al
Community Service
Industrial
Public Service
Forest
CO"""1ercia'
Apar1rnent
Ell1ertainmentfAmJsement
I SALE INFORMA1~
11. Sale Contract Date
15. Check one or more of these conditions as applicable to transfer'
11 , I 21 I 02
M~n:1c Oa\,' Vear
~ I // ~..J
Vonl~ 0,/ Va",
A
B
C
D
F
F
G
H
I
.I
Sale BelV\laer Relatives cr FO'rf'Qr Rel"'tiv",~
Sale Between Related Companies or Partners ir> Business
One of the Buye,s IS also fl Seller
Buyer or Seller is. Government Agen.;y 0' lenuirg Insli:Jtlon
Def!d Type not Warr"nty or Bar(jOlln and Sale ISpeclfy Below)
SlIle of Fractional or Less than ::::8e interest (Specify B(' ow)
Significant Ctlange ill Property B('lweer-, Taxabl", Status <Inri Sale DMes
Sale of Busirl!"SS is !ncliJded in Sal", PrictO'
Other Ur,LJsl.al Filctors Alteclin~ Sale I'ricc ':Spccify 3eI8w:,
/'vone
12. Date of Sale I Transfer
1'1. Full Sale Price
3
II
\) \
5
o
o
o
o
_----'----'-----_.__L_~_---'-_
, , .
:I'LJ I Sale Prico i~ tile IOtQI ~rnGl,rt ;:>a,c for '.he property Inell.ding personal :)rO,::>eny
I"is r;aymwl: "l1<lV be ,'n the fo'm alcas", (;[lIW poperty ur goods, or the assumption of
r'1"'1S2gl'~ rr 0'1€!'- Dbiiy,-,Cvps PI'lf}!,O round 10 '''0 nearest whOle dolliN amo"nt.
14_ Indicate the va ue of personal
property inclUded in tile sale
I____,L .L.....-.L__..l _::...~ t""1L_LJU
, , .
I ASSFSSMENT 1r'-IF'ORMATION - Dflta should re~lect the latest Final Assessment Roll and Tax Bill
16 Year of Assessment Roll frorn ,6 /) 17 Total Assessed Value (ot all parcels in transfer) :
wh,chinforrna1fontaken ~---- L---I....
.~--5.~I~~
,
18 Property Class
Li,.L/J-LJ
19. School District Name I ;}!!J FiJ if/elK-
/
20 Tax Map Iderrtifier(s] I Rollldentifier(s) (If more th.m four, atta.:h sheet with additional identifier(sl)
1000-11',-11-11. :L
J
L
L
--.J
CERTIFICATION
.J
1 (,f'rti(~ Ihat all O]p the items of illflormation l'llt~red on thts loon are true and corn..~t (to the best of illY knowledge and heliel) and I umJcrstand thai thl' In:lking
\~YJJ~."~~,':~:--'=::~~~'~:~~~:::=-
- ~'-"ERSIG"ATIJ~" ~ l ,ASTNAMf etRSTfJAIV1E
r;~ .. /1 r.
!1t:";- jl.~1}12rILf:;:~
~';~\':~'jM l ','CC"""em" f~C y (( '7) J
CITYOR10Wt, SlAT Z'PCCCF
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D (} '" CQ
vO ~J< l' I." 1
05'
Afl~A co ~
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.~_~----2.~__
T~LHH(-'''~ NcJMIlER
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