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Standard N_Y.BTU Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts - Uniform Acknowledgment
Form 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the
5'"
, Two Thousand and Two
day of March
BETWEEN
\ \1
1'1
t C~ - ,.
RANDALL J. FEINBERG, residing at 104 Lake Drive, Southampton, New York, 11968,
party of the first part, and
PAUL PAWLOWSKI, residing at 1785 Crown Land Lane, Cutchogue, New York, 11935,
patty of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten and 00/100........... .....................
($10.00) dollars and other good and valuable considerations 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 of land, with the buildings and improvements thereon erected, situate,
lying and being in the Town of Southampton, Suffolk County, New York, bounded and described as follows:
SEE SCHEDULE A ATTACHED
Suffolk County Tax Map NO.1 000.113.00-014.00-01 0.000
TOGETHER with all right, title and interest, If any, of the party of the first part in and to any streets and roads
abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all
the estate and rights ot the 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 encumbered in any way whatever, except as aforesaid.
AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the
first part will receive the consideration for this 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
first to 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 construed as if it read "parties" when ever the sense of this indenture so
requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF:
~~(1 ~L;lIL W
WITNESS
~.__/..J!f' Jf d:-- '-L-.
RANDALL J. FE'i'NBERG ~
SCHEDULE A
DESCRIPTION OF PROPERTY
1000-113.00-012.00-010.00
ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck,
Town of Southold, County of Suffolk and State of New York, known and designated
as Lot No. 10 on a certain map entitled, "Map of Heritage Harbor" situated in the
Town of Southold, Suffolk County and filed in the Office of the Clerk of the County
of Suffolk on September 18, 1979 as Map No. 6853.
BEING AND INTENDED TO BE the same premises as were conveyed to the party
of the first part by deed dated July 9, 1985 and recorded in the Suffolk County
Clerk's Office on July 25, 1985 in Liber 9838 page 192.
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Number of pages
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PECOPDED
TORRENS
'~DD2 r'1.:Jr- H.:: 02: 46: 3t. Pt'l
Edl,L~H-d F'" POrflaine
Serial #
CLEP~< OF
SUFFOLK CDUHr/
L DOD012175
F' Od;:'
DT# 01-3.1101
Certificate #
Prior Ctf. #
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
4
FEES
Page / Filing Fee
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,~
:)
Mortgage Amt.
Handling
TP-584
1. Basic Tax
'-:>
2. Additional Tax
Notation ---
EA-52 17 (County) '"J Sub Total
---
EA-52l7 (State) ;2()
R.P.T.S.A. 3D
Comm. of Ed. _---.i O~
Affidavit ---
Certitied Copy ---
Reg. Copy ---
Sub Total
Other ---
GRAND TOTAL
Sub Total
Spec.! Assit.
Or
Spec. /Add.
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionm.en~
..~.t).
~7Y~b
ManSIOn Tax
The property co ered by this mortgage is or
will be improv d by a one or two family
dwelling only.
YES or NO
If NO, see appr priate tax clause on page #
of this i strument.
nic::t
~po('tinn
R loc.k
I,ot
6 Community
Consideration A
9 r:JD .
Real Property Tax Service Agency Verification
Stamp
02001162 1000 11300 1400 010000 b CP
;F~~T S
r R RSK A
"'~MAR~
Improved
Date
7 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
TD
Initials
Vacant Land
9
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VAf\J rvI.:JJ~AN~ 't- ff/M..I7N
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Am/IYV /LLE( NY
//7D/
Suffolk Count Recordin & Endorsement Pa
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TD
TD
8
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Title #
1lus page forms part of the attached
made by:
(SPEOFY TYPE OF INSTRUMENT)
(\R.f\'f'-O ACL ~. Fe::./ NI(3€/(6- The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO
In the Township of
In the VILLAGE
or HAMLET of
~ \J \) m Oe'-Z)
P;::::,uL
fF!.WL\J~KI
rr] ATTITU~
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
TRANSFER TAX NUMBER: 01-31101
Recorded:
At:
LIBER:
PAGE:
03/18/2002
02:46:36 PM.
D00012175
047
Deed Amount:
Section:
113.00
EXAMINED AND
$120,000.00
Block:
14.00
CHARGED AS
Lot:
010.000
District:
1000
FOLLOWS
Received the Following Fees For Above Instrument
Exempt Exempt
page/Filing $12.00 NO Handling $5.00 NO
COE $5.00 NO EA-CTY $5.00 NO
EA-STATE $25.00 NO TP-584 $5.00 NO
Cert.Copies $0.00 NO RPT $30.00 NO
SCTM $0.00 NO Transfer tax $480.00 NO
Comm.Pres $900.00 NO
Fees Paid $1,467.00
TRANSFER TAX NUMBER: 01-31101
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
.
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473.7222
F!lRC~~ I$E ONLY I i V
C1,.~ .r-:{,7,3'.(h~''l:1.
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
. ..
,
~C2'~'Uat.''''R'Cl' Wd
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PROPERTY INF RMATI()f>f
REAL PROPERTY TRANSFER REPORT
RP - 5217
Rp-5217 Rev 3197
1. Property 1
Location
26(\
STREET NUMBER
em" Ned: P.oad
STREET NAME
Scuth()'Ld
CITY OR TOWN
l-laLtituCK
VILLAGE
ZIP CODE
2. Buyer
Name
Pav1.'~wg;,ci
LAST NAME I COMPANY
Paul
FIRST NAME
LAST NAME I COMPANY
FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address
LAST NAME I COMPANY
FIRST NAME
STREET NUMBEA AND STREET NAME
CITY OR TOWN
STATE
ZIP CODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
#of Parcels OR D Part of a Parcel
5. Deed Ixl
Property
Size FRONT FEET
6. Seller Fe::";lb.!'...:rg
Name LAST NAME I COMPANY
OEPTH
lOR I
'ACRES'
.
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists 0
48. Subdivision Approval was Required for Transfer 0
4C. Parcel Approved for Subdivision with Map Provided 0
Randall J.
FIRST NAME
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:
A~ One Family Residential
B 2 or 3 Family Residential
C K Residential Vacant land
D Non-Residential Vacant land
E ~ Agdcultu,"'
F Commercial
G Apartment
H Entertainment / Amusement
I ~ Community SelVice
J Industrial
K Public SelVice
L Forest
Check the boxes below as they,apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property located within an Agricultural District
10B. Buyer received a disclosure notice indicating
.... that the property is in an Agricultural District
o
o
o
o
SALE IN OIII'M N
11. Sale Contract Date / /
Month D., Year
12. Date of Sale / Transfer J / 6 / 02
Month D., Year
15. Check one or more of these conditions as applicable to transfer:
120000
13. Full Sale Price I I I J I I I 0 I 0 I
, , .
(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 dollar amount.
A
B
C
D
E
F
G
H
I
J
Sale Between Relatives or Former Relatives
Sate 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 Less than Fee Interest (Specify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
ther Unusual Factors Affecting Sale Price (Specify Below)
None
14. Indicate t~e value ~ personal I I I , I I I I 0 . 0 I
property Included In the sale, , .
l ASSessMa-/Tll'lfClRMAtIQN" .nata Bl19uIlI rOUd Uw !!>!"' Fin" ;"\~i.iMI,eiltll.li!8fld.TllX 'lt~
o 1
16. Year of Assessment Roll from
which information taken
17. Total Assessed Value (of all parcels in transfer) I
1 4 O' 0
;
;
18. Property Class
3
1 i
I-U 19. School District Name I
l1attituck
20. Tax Map Identifier!s) / Rollldentifierlsl (If more than four, attach 'sheet. with additional identifier(s"~
113- l'-t-IO
1000 113.00 14.00 010.000
I
t~IU
I certify that aU of the items of infonnation entered on this form are troe and correct (to the best of my knowledge and belief) and I understand that the making
of any willful false statement of material fact herein will subject me to the orovisions of the oenallaw relative to the making and filing of false instruments.
BUYER
BUYER'S ATTORNEY
j
BUYER SIGNATURE
3/6/02
Desm.ond
Dav id
OATE
LAST NAME
FIRST NAME
1785 Crown ir31ld Lane
631
264{)303
STREET NUMBER
STREET NAME (AFTER SALEI
AREA CODE
TELEPHONE'NUMBER
Cutchogu<o
NY
11935
CITY OR TOWN
STATE
ZIPCOOE
SELLER
CITYfTOWN ASSESSOR
COpy
3/5/02
DAn;