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Stand.rei N.Y.B.T.U. Form 8002 - B8rvein.ncI Sere Deed. with Covenant 8g...... Gnlntor"sActs - Uniform Acknowtedgment
Form 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT.THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
CORRECTION DEED
THIS INDENTURE, made the /I/{ day of December, 2004
BETWEEN
DEBORAH G. CELIC, residing at 2195 New Suffolk Avenue, MBlliluck, New York 11952, party of
the first part, and
CELIC BEACH HOUSE, LLC, with an address c/o Robert A. Celie, 2195 New Suffolk Avenue, P.O.
Box 1247, Manituck, New York 11952, party of the second part,
WITNESSETH, that the party of !he first part, in consideration 01 Ten and 00/100--
_____ -(SI0.00) dollars.
and other good and valuable consideration paid by the party of the second part does hereby grant and
releasa unto the party of the second part !he heirs or successors and assigns of !he party of the sscond part
forever.
ALL that certain plol placa or parcel of land, situale, lying and being at Mallituck, Town of Southold. County of
Suffolk and Slate of Naw York. bounded and described as follows:
On !he Northwest. North and East by Deep Hole Creek; on !he SouIheest by Ihe Great Peconic Bay; and on
!ha SOUthweSt by lands now or formerly of J. Parkar Wickham. Containing 1.7 acres more or lass.
BEING AND INTENDED TO BE Ihe same pramiaes as conveyed to the party of the first part by deed daled
February 8, 1988 and recorded in the Office of Ihe Clerk of the County of Suffolk on March 9, 1988 in Liber
10558. paga 98.
TOGETHER with all righl tiUe and inlareSl. if any, of the party of the first part in and to any straats and roads
abutting tha abova described premises to the cenler IlnBS Iharaof; TOGETHER with the appurtenances and all
tha eslale and rights of the party of tile first part in and 10 said premisas; TO HAVE AND TO HOLD Ihe
premisas herein 9ranled unlo !he party of !he second part, the heirs or successors and assigns of Ihe party of
the sscond part forever.
AND !he party of the first part covananla that Iha party 01 !he first part has not dona or suffered anylhing
whereby the said premises have been ancumbered in any way whalever, except es efonssaid.
AND tha party of Ihe first part, in compliance wilh 5eclion 13 of !he Lien Law. covenants Ihet the party of ttie
first part will receive the consideretlon for Ihis conveyance and wKl hold the ri9h11o receive such consideration
as a trust fund 10 be applied first for the purposa of paying Ihe cost of the improvement and will apply the same
first to the payment of !he cost of the improvement before using any part of Ihe total of the same for any o!har
purposs. Tha word "party. shall ba construed as if it read .parties" when evar tha sanss of this indanwra so
requires.
IN WITNESS WHEREOF, !he party of lhe first part has duly execuled Ihis deed tha day and year first above
written.
IN PRESENCE OF:
If).,L.d ~~~.
, Ileborah _ C~lic
,7d..,d
~
. .
TO BE USED ONLY WHEN THE ACKNOWl...EDGMENT 18 ManE IN NEW YORK STATE
Stale of New York, Coun'y of Suffolk n:
On the I~ da)' 0; December in the yeIIr 2004.
before me. the undersigned. per&on8lly appeared
DEBORAH G. CELlC
personally known to me or proved to me on the basis of
satisfactory evidence to be the individuaJ(B) who.. name(.) Is
(are) subscribed to the within instrument and acknowledged to
me lhet hel8he11hey executed the ..me In hlBihe<llhelr
cepaCiIy(ie8). and thlll by hlolharltheir olgnalura(a) on Iha
in.trument. the indlvldual(B), or the person upon behelf of 'Nhich
the individualCs) aded. the instrument.
SI8Ia 01 New York. County 01 Suffolk
On the day of . In the year 2004.
before me. the undeBigned, personally appeared
os:
personalty known to me or proved 10 me on the basis of
_ry evidence to be the indIvidual(l) whose name(s) Is
(are) oub8crlbed to the wtlhln inolnlment and acknowledGed to
me that helshelthey executed the urns In htslherltheir
CllpacIty(&ea). and that by hillherllheir Bigna1ure(a) on the
lnotrumenl. the individual(s), or the person upon behalf of which
the Individual(s) acted. execuled the Instrument.
ividua' laking eckoowledgmenl)
(Blgnllture and offtce of individual taking acknowtedgment)
..- J.lJHLJNOER
-'__oil_V....
No.Ot~
~"_CaunI\o
c...... . .--....mLL7
TO BE USED ONL V WHEN THE ACKNOWLEDGMENT IS _DE OUTSIDE NEW YORK STATE
Stale (or Oistrid of Columbia, Territory, or Foreign Country) of
os:
On the
day of
In the year
before me. the undersigned. personally appeared
personally known to me or proved to me on the besis of satisfaclory evidence to be the individulIl(s) whoM MlmeCs) is (are)
subscribed 10 the within instrumenl and IICknowledged 10 me that helahellhey executed tha aame in hislherllheir capecity(ies). end
thaI b, hiolharlthe" Bignature(s) on the Instrument. the indlvldual(.). or the parson upon behalf of which the Individual(s) ected,
executed the instrument, and that $Uch Individual made such &ppe8l11nce before the undersigned in the
(insert the Crty or other poIlbcaI Subdivision)
In
(and In-.t the State or COuntry or other place the 8cknOWledgmenl wn taken)
(sJgnature and ofIice of IndlvidUIII taking lICknowleclgment)
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
Title No.
DEBORAH G. CELIC
TO
CELIC BEACH HOUSE. LLC
STAlC)"tUtD FOIaI OF NEW YORK BOARD OF TITLIi t..WDEfW.._I_
OlSlnbuted by
o CommOn~~~!!~,."",,,
C.''\I;\luSVO.F.AI.nll_'\....u .11111' b..,'l.,'ICASl,'I!I.."''\IP.'\S\'
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TORRENS
RECORDED
2004 [)ee 15 04: 12.49 PM
Edward P. RoaiIine
CLERK OF
SUFFOLK COIMTY
L ??oo12360
P 7S?
(>Ill 04-20372
S~riul#
('crtilicah..' #
Prior Of. #
Ik...... . Mtlrl~~tgC In~lrul1renl
Ilt.'1.:'d J Mortgage Tax Suamp
Rc.,,-urding 1I00ling Swmps
3
FEF_"
EA-5217 <(."c.'untyl
SubTOIal__._
3" Mllrtg:Ua:C AmI.
I. RU!'Ii"'Tu.,,
2. Audiliumll Tax
Sub ',-lIal
SP'o..... I Assi..
ur
Spec_I Add.
'ID,.. ~1TG. TAX
Pa~c I Filin~ F~~
Handlin!;
5 J10__
TP-5ll-l
Nolaliml
EA-S.:! 17 (SIUll....'
CQlllm. t.,f E.....
---..i. .(llL
Du..1 Town _ Dual CQunty _
Held fur A1)JlOinlnK:'~
Trunsrc.ar Tax __~. . _"
M.III~iun '[ax
R.P.T.S.A.
3)
1._
1000 12300 0800 02POOO
Suo Tutu!
Gnmd TUlal -L q 9. 'iJ
~nlC pmllCn.y cO\'ered hy [hi:; m(ll@:ilg~ is
or will he impn)\'~d "'y a nile fir two
nUllil)' dwelling only.
YES or NO
If :'\I(). <;'-'e ~ppnlpliule lax ,,~Iuuse un
page" of this in,., melll. . A
- -"y
Al1idu\'it
Ccnilkd Cup)'
Rl:~. Cupy
Qlht=r
~ --'
4 Dll'olnl.:'IUJ
N...-ul
Pre'I'cny
Tax Ser",ice
A!;clu:y
\-'(.'rific,:millll
'9.000 :;
Connnunlh' Praen'ullo
('onl(,id~nl1i'll1 Aml.)unt S
CPt-: lux Ou..- S
(;
Sali~I"aL'li()nlDisc:hargc~R~lcmiic.' l.isl Prclpt'ny Owners Mniling Address
HEeOH!) '" R~:TUH~ TO:
TO
Vacam LwIJ
I/J-
'1'1)
b...a.__JIl.IllIIIIlII&llWA,ec.
llllIlIAII-,_ "1424
"III" U UIII
TO
7
Tillo: Company Inronnullnn
Cu. Name
lith~ #
8
Suffolk County Recordin
& Endorsement Pa e
This ....,gc furms pin nt" the iJuac."heu Bargain alUl..Sale_~. '__
(SPECIFY TYPE OF I~STR'JME"Tl
m:ulc t,y:
Jleb_u~.h_G._Cl.iic
l11c pn:misis Ik.-n."in i!rO silUatOO in
SUFFOLK COUl'n'Y. NEW YORK.
TO
.c...lLcJk,.h Hn...... I.LC
In th,,' Township uf Sc>>Uthol~
III ,he VILLAGE
or HAMI.ET of Mattltu.;:k
!30XI;S 01 THROUGH K MUST liE TYPED OR I'RI:>ITED IN BLACK INK ONLY PRIOR TO RECORDING ()I~ FILING.
(ll,\'cr)
1111111111111111111111 11111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICB
RECORDING PAGE
Type of Instrument: DBEDS/DDD
NUmber of Pages: 3
Receipt NUmber : 04-01369S8
TRANSFBR TAX NUMBBR: 04-20372
Recorded:
At:
12/15/2004
04:12149 PH
LIBER:
PAGE:
D00012360
757
District:
1000
Section. Block:
123.00 08.00
EXAMINED A1m M1I1RGBD AS POLLOWS
$0.00
Loti
029.000
Deed Amount I
Received the Following Pee. Por Above Instrument
Exempt Exempt
Page/Piling $9.00 NO XlU1dUng $5.00 NO
COB $5.00 NO NYS SRCHG $15.00 NO
BA-CTY $5.00 NO BA-STATB $75.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTH $0.00 NO
Transfer tax $0.00 NO CCIIIIIII.Pre. $0.00 NO
Pees Paid $149 . 00
TRANSFER TAX NUMBBR. 04-20372
THIS PAGB IS A PART 01' THB INSTRmmNT
THIS IS NOT A BILL
Edward P.Ramalne
County Clerk, Suffolk County
.
FOR COUNTY 'USE ONLY
t"'LI::~;:,t:: I Yt"1: UN: t'Mt:;:,;:, t"IHIVIL Y VVHt:I'\I VVlit IINI.::J VI'\! rUtllVl
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (5181 473.7222
REAL PROPERTY TRANSFER REPORT
L(, "73, g, .2', 9;
C2. Date Deed Recorded I / q / / $/ 6' L/1
Month 'Day Yuf-
C3.ook 1 j d-3, h,OICH'9'1 1,';;:1-
PROPERTY INFORMATION
Cl. SWIS Code
~
-
STAlE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP-5117 R~ 3m
I. ~;::i:~ I 910 Park Avenue
SlRHTNUMBER STRHTNAME
Southold
CHVORTOWN
2 Buyer Celie Beach House~ LLC
Name I....STNAME/COMPANY
Ma~t:ltllc.k
VILlAGE
11952
ZIPCOOE
FII'lSTNAME
__----.J
LASTr>lAMFICOMPANV
fiRST NAME
3. Tax
Billing
Address
Indicate wherefut1lreTax Bills are tCbe sen\
ilotherthan buyer address lilt bottom offorrrl
lAST NAME/COMPANY
.__L-
FIRST NAME
STHHT NUMBER ANDSTAElOr ""'ME
crl'l OA TOWN
STATE'
ZlPCOOE
4. Indicate the number of Assessment
Roll parcels transfe...ed on tha deed
11 #ofPsr(:els OR D Part ofa Parcel
iOnly if Part of a Parcell Check allthay apply:
4A. Planning Board with Subdivision Authority Exists D
48. Subdivision Approval was Required for Transfer D
4C. Parcel Approved for Subdivision with Map Provided 0
5. Deed
Property
Size
L____
'RONT'HT
JxL
J OR l..
2 . 0 01
OC~
ACIIES
6. Sallar
Name
Celie
LAST NAME ICOMPPlNY
Deborah G.
flRSTNAM.
ll\~T NAME! COMPAIII--Y-------
flRSTNI\ME
Check the box below which most accurataly descrIbes tha u.e of the property at the time of s.le:
Check the box.. below as they apply:
8. Ownership Type ill Condominium
9. New Construction on Vucant Land
lOA. Property Located within Sri Agricultural DisttiCl
108. Buyer f<<:(Jived a disclosure Ilotice indiceting
(hat the propeny is in an Agricultural District
o
D
o
o
A~oneFamilYReSidential
B 2 or 3 Fam;lvAes"dential
C Resider.ral Vacant Land
o Non-Residentiai Vacant Land
E~Agricultural
F Commercial
G Apartment
H Entertainment I Amusement
l~ Community Service
J Industriill
K Public Service
L Forest
SALE INFORMATION
15. Ch.-c:k one- or more of t..... condition. as appll_le to transfer,
11. Sale Contract Date
L-I
M~. Do, Yeer
LIJ---I II I OtJ
Month 0., Year
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Penners in Business
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Wam.mty or Bargein Ilnd Sele (Specify Belowl
Sale of Fractional or Less than Fee Intere5t{Specify Below)
Significant Changll in Property Between TaxlIble St<I(us and Sale Dates
Sale of8uslness is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Belowl
None
A
B
C
D
E
F
G
H
I
J
12. Data of Sale I Transfer
o 0 , 0 1
, , .
(Fuil Sale Price is the total amcunt paid for the property including personal properly
!his payment may be in the foern of cash. DIner propeny or goods, or the assumption of
mortgages Of Olhor ol>ligationsJ P/eilse roum! to the nearest wllo/e dollar amount.
13 Full Sale Price
___-J
14. Indicate the value of personal I
property included in the sale
q 0 . 0 1
, , .
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bil!
16" Year of As$e$$m!lnt Roll from I 03 041 17. Total Assll$$ed Value lof all parcel. In transfer) I
which information taken
,
7 2 0 01
18 PropertvClass
2 ,. Ol-U 19. School District Name I
~-----
Mattituck
20. Tax Map ldantlflerlsll Rollldentifferlsl (If more than four, attKh sheet with additlonalldentlfler('lI
L
1000-123.00-08.00-029.000
..-
L
___----.J
I CERTIFICATION
T certify that aU of the i1ems 01" lnronnalioll entt'red on Ibis ronn are true ilDd correct (to the best of my knowledge and belieO and I understand that the maldng
01" all)' "illl"ul false statement or material (act berein will subjecl me to the Dnlvisions uf the penal law relative to the maidn)!: and filing of fal5e inm-umenes.
BUYER
BUYER'S ATTORNEY
,/;2-//---cYj
OATf
Wickham
LAST NAM~
Ahi~ail A.
"RST~M~
ST~,U "u~'~f,
P.O. Box 1247
298-8353
TELEPHONE NLJMBE~
631
"",,"A coo.
$!"'fT"AMl,:Af'TERSA(f,
Mattituck
---'-;iyo~-""i'OWN-"--".
[NEW YOR~ STATE I
COpy !
)
NY
11952
STATE
ZLPCOOE
SELLER
D."k'l~#Pt:. ~.a; A
mr R IGNATU~f Deborah G. Celie
i~-I/-tJ'I
OATE .
J