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Stend.rd N. Y.B.T.U. Form 8005 . Executor'. Deed ~ Uniform Acknowledgll*lt
FORM 3307
CONSULT YOUR LAWYER BEFORE SIGNING lHlS DOCUMENT-lHIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made this;).J' "1;;;YOf .-- oul'l ' in the year Two Thousand Four
BElWEEN DENNIS C. HARKOFF, residing at 1605 Point Pleasant Road, Maltituck, NY 11952,
as executor of the last will and testement of
DORIS HARKOFF, late 01 Laurel. New York, deceased, who died on November 21. 2000, and which Will was
probated in the Suffolk County Surrogata's Court under File No. 1389P2003,
party of the first part. and
~OORIAN J. HARKOFF, residing atP5 Wells Road, Laurel, New York 11948
~
party of the second part,
WITNESSETH, that the party of the first part by virtue of power and authortty given In and by said last will and
testament and in consideration of NOll 00 --dollars,
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 01 the party of the second part
forever, .
ALL thet certain plot, piece or pan:el 01 land, with the buildings and improvements thereon erected. situate,lying
and being in the Town 01 Southold, at Laurel, Suffolk County, New York" bounded and descrtbed as Iollows:
BEGINNING at a point on the westerly line I Wells Road, 67.631eat southerly along said westerty line lrom the
southerly end of a CUNe connactlng said westerly line with the southerty line 01 Albo Drtve; from said point of
beginning running along said westerly tine 01 Wells Road, South 1 degree 41 minutes 10 seconds East 100.00 leet
to land of the party 01 the second part; thence along said land South 68 degrees 18 minutes 50 seconds West
127.11 feel to land of L1psio; thence along said land and along land of the party of the first part North 11 degrees
14 minutes 00 seconds West 101.40 feet; thence along other land 01 the party of the first part North 68 degrees
18 minutes 50 seconds East 143.93 feet to the point of BEGINNING.
Said premises known by the tax map designation 01 Distrtct 1000, Section 128.00, Block lOt.... . Lot,OZo _ and
lurther known as 380 Wells Road, Laurel, New York. -. ", " ,
......c.;
BEING AND INTENDED TO BE the same premises conveyed to Doris Harkofl, deceased, by deed datad January,
1970 and recorded in the Suffolk County Clerk's Office on the 2s"'day 01 January, 1970 In L1ber 6697, at Page
242.
TOGETHER with all rt9hl, title and Interest, If any, of the party of the first part In and to any streats and roads
abutting the above described premises to the center line therecl; TOGETHER with \he appurtenances and elso ell
the estate which the said decedent had at the time of decedent' death In said premises, and also the estate
therein, which \he party 01 the first part has or has power to convey or dispose of, whather Individually, or by virtue
of said will or otherwise; TO HAVE AND TO HOLD the premises herein grented unto the party of the second part,
the heirs or successors' and assigns 01 tha party of tha second part lorever.
AND the party of tha first part oovanants thet tha party of \he first part has not done or sullared anything whareby
tha said premises hava baan ancumbered In any way whalsvar, axcept as aloresaid.
AND the party 01 the first part, in compliance with SectIon 13 of the LIen Law, covenants that \he party 01 the first
part will receive tha consideration lor this convayance and will hold tha rtght to receive such consideration as a
trust fund to be applied first for the purpose 01 paying the cost of the improvamant and will apply tha sama first to
tha payment of \he cost of tha Improvement before using any part of tha total of tha same lor any othar pUrpDSa.
The word "party" shall be construad as If to raad "partias. '""-var \he sense 01 this Indenture so requires.
IN WITNESS WHEREOF, the party of the first part has duly execUted this dead tha day and yaar lirst above
written.
DENNIS C, HARK
of DORIS HARKOFF
IN PRESENCE OF
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
Stata of N_ Yorl<. County 01 SUFFOLK ss.:
P--~nlhe:Z' ~Of ~/y Inlheyear 2004
before me, the undersigned. pe(aonaUy 8ppeered
OENNIS C. HARKOFF. ExecuIotolthe Esl8te oI00ris Harl<otl,
Stata of N_ Yorl<. County 01 s..:
On the day 01 in the yellf
before me, the undersigned, personBUy appeared
peraoll8Uy known to me or proved to me on the basis of
peraonelly known to me or proved to me on the buls of satisfactory evidence to be the indivlduBI(B) whose name(s) I.
..Usfactory evidence 10 be the Indlvldua~.) whose ...me(s) is (&re) sub8cribed to the within lns1rument and BCknowtedll8d to
(are) 8ubllcribed to the within Instrument and acknowledged to me me that helllhelthey executed the s&me In hislherllhelr
that he/shelthey executed the same in hislherilhslr capacity(Ies). capaclty(lBs). and that by hislherllhelr signature(s) on the
and thBl by hlslherlthelr signature(s) on the 1_, the Instrumenl, the IndMdulll(s) or the p&nlOn upon _ of which
elf 01 which the IndMd~{f1.iI the Indlvldual(s) acted, executad the Instrument.
0()1n G Gf'- (signature and oIIice 01 Individual taking the acknowledgment
State (or District of Columbia, Territory, or Foreign Country) of
On tha
personally eppeared
personally known to me or proved to me on the basis of satisfacto<y evidence to be the individual(s) whose name(s) Is
(ans) subscribed to the within insltument and acknowledged to me that he/shellhey executed the same In hlBlherllheir
capaci\y(ies) and that by hislherltheir signature(s) on the in8llUrnen~ the indlvldual(s) or person upon behalf of which
the individual(s) acted. executed the inslrumen~ and that such individual made such appearance before the undersigned
in the
In the year
before me. the undersigned,
(Inlert the Cily or other palltlColI subdivision)
in
(and inaert the m.w Dr Country or OIher piKe the acknowledgment WIIS taken)
CBlgnatu,. and office of IndMdual tIIk1ng IICkncnMdgment)
EXECUTOR'S DEED
SECTION 128.00
BLOCK09.00
LOTOO4.000
COUNTY OR TOWN
STREET ADDRESS
Title No.
DENNIS C. HARKOFF, Executor ofthe
~e of Darts Harkoff,
! .
TO
DORIAN J. HARKOFF
JOHN G. GRIFRN, ESQ.
AQUEBOGUEABSTRACT 46 Route 25A, SuI" 8
123 Maple Avenue E.S....uk... NY 11733
Rlvarf1ead, NY 11901-4674
(ReMMt ~.pece tor recording omce) I
,
RETURN BY MAIL TO:
Number of pages
TORRENS
RECOR~EO
2004 Sep 23 02:21:23 DM
Edward P.Roma~ne
CLERK OF
SUFFOLK COUNTY
L 000012345
P 211
on 04-00412
Serial 1#
Certificate #
Prior Ctf. 1#
Deed . Mong"8c Instrument
Deed , Mongagc Tax Stamp
Rccording , Filing Stamps
3
FEllS
EA-52 I 7 (County)
5--:: Sub Total
/&,~-
~J
d/
Murtgagc Amt.
1. Basic Tax
2. Additional Tax
SubTotal
Spec.' A..it.
or
Spec. , Add.
TOT. MTG TAX
Dual Town _ Dual County _
Hcld for Appointment--..J
Trans(crTax. ~
Mansion Tax
Pagc' Filing Fec
Handling
5 J.l!L
~-
1'1'-584
Notation
EA-52 17 (State)
Comm. of Ed.
5. J.l!L
1bc propeny covered by lhis motgagc is
nr will be improved by D one or (wo
family dwelling only.
YES or NO
If NO. see appropriatc laX c1ausc on
page 1# of this insuument
R.P.T.S.A.
Affidavit
~fiedCopy ~
Rcg. Copy
Other
!)Jt
Sub Total
m..ooo 5
Communit Preservation Fund
J5"
Grand Thtal
4
~.."..tion
1000 12600 0800 020000
Consideration AmouRI
so
SO
Rcal
Property
Tax Service
Ag~ncy
Verification
CPF Tax Duc
I n.proved
Vacan' Land
v
6
SatisfactionIDi!i.chargesIRelease List Propeny Owners Mailing Address
RECORI) & RETURN TO:
JACK GRIFFIN, ESQ.
46 ROUTE 15 A
EAST SETAUKET, NY 11733
TO
Ic)
,
TO
TO
7 ntie Company Information
'Co. Name A UEBOGUE ABSTRACr CORP.
ntlc 1# AAC-S346
8 Suffolk County Recording & Endorsement Page
This page forms pan of the alluched
DEED
(SPECIFY TYPE OF INSTRUMENT)
made by:
DENNIS HARKOFF .a en", of eat.te of
DORIS HARKOFF
The premisis berein is situated in
SUFFOLK COUNTY. NEW YORK.
TO
DORIAN HARKOFF
In the Tuwnship uf SOUTHOLD
In the VILLAGE
Dr HAMLBTof LAUREL
BOXES 6 TIIROUGH 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FlUNG
.
111111111111 111111111111111 1111111111 111111111111111111
111111111111 11111 11111111
SUFFOLK COUNTY CLERK
RECORDS OFFICB
RECORDING PAGB
Type of Instrument 1 DEEDS/ODD
Humber of Pagesl 3
Receipt Number 1 04-0105729
TRANSFBR TAX HUMBBR: 04-08412
Recorded;
Atl
09/23/2004
02121123 PH
LIBBR:
PAGB:
D00012345
212
District;
1000
Section I Blockl
126.00 08.00
BXAMINBD AND CBARGED AS FOLLOWS
$0.00
Lot:
020.000
Deed Amount;
Received the Pollowing Feee Por Ahove Instrument
Bxempt
NO
NO
NO
NO
NO
NO
Page/Filing
COE
BA- CTY
TP-584
RPT
Transfer tax
$9.00
$5.00
$5.00
$5.00
$30.00
$0.00
Handling
!lYS SRCHa
BA-STATE
Cert.Copies
SCTM
CDIlIIlI.Pres
Pees Paid
$5.00
$15.00
$165.00
$5.00
$0.00
$0.00
$244.00
Exempt
NO
NO
NO
NO
NO
NO
TRANSFER TAX NUMBER: 04-08412
THIS PAGB IS A PART OP THE INSTRUDNT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk, Suffolk County
FOR COUNTY US[: ONL y
C1. SWIS Code
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE 15181 473.7222
I ?,-, "/, ? ,<:? , fjJ' 9' I
C2. Data Deed Recorded I tt;zec / ~! / ~a~ I
C3. Book y ,.2, 5, ~ ST<:. P,g. I ,2, / ,.J I
PROPERTY INFORMATION
3.1'0
_L
1'~:;'~1
s:.
s frNUMB[~
2 Buyer
Name
~'..l"
C:TYO~T()WN
L,Ah'\~8ill
L__
L^~' ..MMe...CO....'A\v
3. Tax
Billing
Address
W~JI..I Zo" J
STRc~T A E
~,rrJ~r.ld
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Indicat" where 'I.ItU'~ -:-ax 3ills ar~ 10 bo s~n:
,f other th~1) lol.lyer addre5~ lat bonum d fO'rr'l
CAS~ ",,,",'[ ",0 ".\\V
4 Indicate the numbe~ of Assessment
Roll parcels transferred on the deed
-5i'REETNU~NOSTR~t::ii---
#ofParcels
5. Died
Property
Size
L .---.JxL
FRON~ "FFT
1
~_.......'J
ORO
*..
f" ;,
,:;- "cO."" . ..
REAL PROPERTY TRANSFER REPORT
Q'."Tti
lOR I
STATE DF NEW YORK
STATE BOARD OF REAL PROl>ERTY SERVICES
RP - 5217
1l1'.-,171{,., ','),
.1
tfivve. C
'/J'-~"'GE
f:HS:b??i,..-,'l::L..1-f OJ
ZIP CODE
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"~S' ',"~'F
CTY::>R ~o::~
_~_L
;',TATf
liP COD~
Par10fa PMcel
IOnly ifPllrt ofa Parcel) Check as they apply:
4A.olarln;~g Board with Subdivisiort Authorily F~ists
o
o
o
"'C~ES
.3LjJ
tENNIS C. J
~:~,~ I <; HMIivFE;L__-.-J
4B SlIbcivis1onApproval was f1p.quired forTIIl1sfer
4C P'''<;ei Approved for Sl.lbdivl~i()Jl w'rh Map ~rovideo
6. Sell...
Name
~I~it~~~:~ es~k oJ I
Check the box below which most accurately describes the use of the property at the time of sale
A~oneFIl"'iIYH~SidCnlial
B 2or3FamilyResidential
C RlIsidential V..cant Lanu
D Non-ResiderniaIVaca,llarld
SALE INFORMATION
11. Sale Contract Date
12. Date of Sale I Trallsft'f
13. Foil Sale Pricp.
L
14.lndiClltethe value of personal
propertylncludcd in the sale
F~Agricultural
F CO"1merclal
(J Apartmel11
I-I Entel1amment Amusement
Chl!ck the boxe~ below as they apply
8. Ownership Type is ConcominilJm
9_ r,ew Constrwction o~ Vilcant land
o
o
o
o
[~COmmtlnitYService
J Industrial.
K Publ:cServrce
t, Forest
10A. Properry located within an Agric"ltur~' :Jist(ct
lOB Suyer received a disclosure norce:inrJlc<lting
l11at th~ properry is in ~n Agricwtl.Jlal District
I~O":h
J
15. Check one Or more of these conditions as applicable to transfer
ASSESSMENT INFORMATIO,\,f "
L..o..
, ,
Data shOuld ref;ect the latest Final Assessment Roll and Tax Bill
o I
A Sale Retvvecn KelBtives 0' Forll1er Re:allves
B Sale S"tvl'een Helated Compar>ies or Pa'lnersin Business
C Olleofthe Buye,s<saisoa Seller
o Buyer or Seller is Government Agency Or ICrlding Institution
E (. Deed Typ~ not Warranty or BarYi.lin and Sale (Specify B.elow)
F Sale of f',ctional or less than fee Interest (Spacify Belowl
G Sgllircanr Change" Property lJetwecn 1 aXlIble Status and S~le Dates
H Sale cf Business is induded in Sale Prir~
I Other UnusJal Facl"rs Affecting S~'e P"ce {Specify Below)
J None
'U(LD.')-t......q",;- !--""...... h/v b_~_<i ""';-J/
, ,0 0,01
, .
(11.1,1 Sale Price is the tOlal amoun~ oaid 10' the property i"c1uding pelsnnB: propel1y
Thispay"'enlmay beinthe form of cash. other property or goods. ort heassl.lmptionof
mortgages or ~ther Obl:galions.l PIE'8Se rC)(md to I"", nearest whole dol/ar amounr
16 Yellr of Assessment Roll from &J
which information taken
,3, Lz,,-LJ
18. Property Cla~s
DJ,'
Yea'
,7001
, , ,
jV) A IT I lye I{. - CUTe /-10 6 v(;- J
. --
19. School Dj~trict Name I
17, Total Assessed Value (of all parcels 'n transfer] I
e'3 e "
. 00 - () "Ioe>f
O~.OO o1c:>.pqo
9--/26/0'/
OH;;
/Zc,,,cI
AFT,RSAU',
/1.11
STAT!'
//9'1P
j,PCOOE
o 7 / .).f / 0 'I I
f.1ontn Oay Yea'
o
JVOO.:-l~ b . 00
20 Tax Map Identifierl!;1 I Roll Identifier{~J (If more than four, attach ~heet with additional identifier[s))
CERTIFICATION
--.J
1 {'ertir~ that all 01' the items uf infoml<lIion t'llterl'd on this forlll are trut' and mrrf'd (tu thl' Iw!;t of m.1 I..nuwledgt" and IwHet) ami I undf'rstand that lhe makinl(
uf an~ "iIll'ul false <;taltmcnl of mall'ri;lI fart h~r~in \ljIJ suhjed file to the prr)\'isiulI~ (If the Denallil\\ rl'latiw I!ll the making anrl filing of f:dst' instrumenl:..
.:5 .25--
STRE,rNU'.'B'"'
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UTYO~ TOW~
Sl:lLcqSIGNATURE
ZI! ylo "f
~_U.YER'S ATTORNEY
C-, I U::'2..__
L.A~~ ",AMr
::J{.hn (r
"RST NA~.~o
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7 S 1- 5.--' (. 0
ARI'~ COD"
TELEPHO:-'ENUMBFR
('
l NEW YORK STATE
COPY
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