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l."C":QilII.T YOIIIIIA ,,"VFoR BF.ftIKF. SltiSOO: TIlL.. 1~"TKli~I~T - THItii IS!CTKU)1F..'T ='H_""l.D BE IISP..IJ .,. IA "'1I"KJUi OSI.'.
/7'11{ duy..r ~
. in lhe ).".... :l 100 If
THIS INDEN1'UIlF~ made: .he
KETWF.F.N
Relllnu COUllhlln. resldlnaut 115 MUllen Rou", Mutthu.1t. New York
II !l5Z
,....,
J'DnyCJf.J~n1;lt~!U"n..t::'- _
Rilrsell WllilioiiiOn .neftiieen "WiiuamlOn, both relidinlluC 10885 Peconic Bay BI"d~
Mattllu.1t. New York 1195Z
p3ny I'fthe !k!Cnnd pan. .
\VITNt:...F..TH,ltw ,he rart)' or the Om part. in clIDhidcmlinn urTen IlnlhafS and IN.tM!or vMluMhI.: L'tNUJdcnllion paid by the:
Pilrty (lfthe: ~ond pan. cJoes hcretly pnant and relca5C unl,' the! piny oflhc ~"COIId pan.lhe hc'il'lC orSUL"CC''''''OI'5 3nd """i,n,; or
the part)' nf thco ~-und pw1 rUTC'\'1."-.
AI.I. Ih:u ,"Crulin I1h1l. Ph:\."C nr JW1."\"I or 1uruJ. with IhI.' huildinjlS :11'" imprm,1.'lnc:nI, lhl:nx'l1. CR."\.'ll.-.:t. NILUc.lyins unci h=:inS in lhc:-
"SCHEDUI.E A ANNEXED HERETO AND MADE A PART HEREOF"
T()(iF.THER with all riUhl.lillcand inlcn"5L ifan)'.oflheo p;:Iny Ilfthc Ii.,.. pan or. in and lOun)' s.lI"e'CIJiand roadsabUltin.e.hc
Ilbovc-dcM:ribcd premi~ an the ccnlCfline" thereof: Tf)(:ETHER wkh lhr appurlrnllllC'rto anti alll~ et.Wc antJ ri,hl" I1fthe
pg.rty or the fiJ1i.l part. in and 10 ,...id prcmil'C'a: TO HA VE AND TO HOI..D the pn:mi~)o herein pnled Untl,.1 the party or lhe
liC(:ond pari. lh~ heirs or 5U~Io.-':!oM"'" and ~!'ilPl)o n"lh~ port)" uf Itu: 2oCt'und p:m forever.
AND lhe pany n" lhe linol 11'1" COl'C'Rllnl5 Ihut lhe: party of lhe lirN pan h>> nOl clorK: or IlUlfem.l an)'China;. whc"b)' lhe tiMid
pt'C'miscl'lo bu\'C' been incvmt.:n.-d in any way whahJver. UL"t'pllb arW1:Nlid.
AND lhe: pany or the firM pan. in compliuna: ~'ilh SccIion 13 mils.: Lien I.uw. covenants that the party ofthe' lin.! part will
l1."Q;il"C.': Ihc: ~on"idenuinn lil,. 1hiJ; I.:cJin\"C:yance and will h"klthc ",htln l'C!\."eivc llouch C'nIWderatian u auu..". fund 10 be applK.-d
li""l for the pUlpI'tM!: of JNlyinS tbte cU.1 or the!- imrruvcnlCN and ",'i11 apply the :wune' n""llo the l'=Iymcnl ,tf the Io.-':W Ill' the
impro~mrnll1rrlln: ullo1ns uny pun \)f Ih..s ",laI ,.r 1M ,",me rnr IIIIY'~ PUI"pOlll:.
The ",....11\I ''p3ny.' lChall be ~OMI.rUC'd :a.. if il n:ud .'JKlnkos'. w~ncwr 100 5C!'n~ uf Ihi!5 indcnlure ""I ll!\Iuircs.
IN WITNESS \VHEREOF. till- purl)' of lhe linot part bwI. duly cJ\n.-ulC'd Ihis. deed Ik day and YL-:arlirsl .tx'\"r wrilten.
hi PREKY./'lICI-: UF':
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.COUlln
U.V:Ac:&WWiUilKiM,.;\TI'IMM tu:."JJWWI1lII,.,",''IHK" YCVKSr" n:aU.):-
S&aleorNew\'-'(;owdyor Sutfolk ,...;
Onlhr/~"f ~ inttb;}~ilr~".~
bdorr me. the ~~lJy upp:nl'Dot
R.llln. Coullhlln .
pt."fMHIally Ir.llvwn tu nlC' or JIn'",,'d ." IIlC' ...... lhc N,..i.. l,f ,,""lIilrof3L"Wr)'
cvid&:na.-Io t'C lhe i....li,.iduulboJ VIo'~ n:.tlnL"t ~J b: Cure I ,;u~rihLtd Ut Ihc:
",il.hin in~nm'lCl11 ;and UL'U1l1wh:dp...d ..., lI1I.. IhuI I1e/4lcIIhc)' C~~'ulI:d
..... :Wh." in hi!'o/hcrltl1cir cupacily(M:Jro>. illkl that ~. hi"""'=rflD.:k
s.ipnalUrdtoJ nI'J ft- irNrumenL I.hr..- inJivkluuk.... \I" n' J'L"I'5"''' upon
h........r of'Attk-h Ib: in.Jividuall!ro1 UL"tc.-d. cx.."C.'lIk."I.Ilhe in...uument.
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/,v_.}..ri.......:""/lIfl W,~...Ao"""",~, ("rrtll;,VI,/
_orNe.. \'ork.C_or I....,
On thc: tb) of in Ib: ~~lr
hcli:lIr me. the undcn;.igl'k"d. per.onally ilppC!ar'L.'d
lhe )oLI~"libing Willk,..,... 10 I~ 1On:lJnin,. in...aJ'Urncm. wilh _hum I :am
J1LTM'1IIally a..:lfwinlCd. who. hcinB by me dul)' "\\'\X'I1. did c.kp.l'oC :aIItJ
!to:I~. thai hd~)' n.,.idd"'l in
(;f''''' phA'I"1f ~~;,I"'K'l';' in '(111).', ;nr"lI1l4'",,' .urn" untl Aln"rl IIun,"",..
if CUIY. ,hr"..,,/): thai ~)" kIkN1")
10 be- I.hc individual .k~H:riR.-d in wkl whn c:x.a:ulc.-d lb.- tnr..~ne
iIL"UlInlCtll; IhuI "-Iud ,.u.....'1ihina wilnl.""''; v.".llf, J'I'L"M:'nl UIII.I '""w __id
c-XQ:UIl" Ita.. :rr.an..~ :md .hm ,..p,J \lI,"i~ at 1M !W.1T1C til11l.- ..ubo...-rihL-cJ
hhJh..'rIlhcir mnld:'oo) WIo H wil'X"!ro...Iht.'TCIIl.
BAR(.,US .. SAI.F.I).:....o
WIIII."II\.n."TW An.-.......-rr.."oUIn...lIo "",,.
Ttru.Nfl
Regloa Cougblin
TO
Ku..." Wllliam.nn and Eileen WUUamlOR
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"i::.J1A_tWrtfo #.- Fid~1ily .J:.~':.--r:.....
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_or...... \'ark, CaunIy or
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On 1hL' du) of in the ,,'t""oll"
ber"", mo, Ih< unok........-J. """",,,,"Iy "1'1'<'.....1 .
pcn;.'Il:dl)' knllWf1 W n"'.)I" rnw...d k) ~ on the hw.U. "r ~i'if:&"b...y
cvi~.., hr tb..- ilkliviaJuWC101 whllhC no.UICI") boo Cal'\"J ~riha.l...,.b.'
,,'ilhin in"lnuncm and ar.:klll'IWk.odJ1L.... k' nil: lh:Il. ~f I!XL'l.uec.I
,he ~ in hWh<<lIh.:ir L":IpQC11)"Cie,;,. :tnIJ Wll I1y hl~r1ll1l:'ir
-.iPIlDlun:t!'lo1 on 1M ilbolrum.."11L the- indi...iJuaklo). .M' ItE per.nn UJ10fI
behal( or ",.hi.:" Ihc IndMduuU". &'11.'\1. I!XL"C.'Ub.....t the Inl&tI'Llt1lC'nI.
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A("lQaV..,'JI(WHAT PCIIUI'VII rJ5I.: t.Iur.wJR .YI\M. t.,1IrA' ~TA""':U.\"I.Y:
I'''''rof'.~,., I-..rrltff r;.,_MlA,"IMo...inllI""" CI'mJlt.Uh"'
.. .. . .. . . . . . .. .. . . . . .. . .. - .. .. .. . . .. . .. .. . . .. .. .. . I...'
IC',"",,*'" "_w ...,III.sa...-. (.___". P~..ina-r,,~ Iflllli.-i/'lllllY,
On IhI.' du)" ".. in Ihe )'C'Rr
hco(un: r1lC'.1hr ulklcr.YJ..'llOO. p..~ly uppc::Il\"d
pcnt.Imally klk~"'"IJ 11" nil: ''I'" J1I"Il"...-d la I1lI! nil Ihc: huN.. uf ..w.ist.......'IIY
c\"Uk-m,' "" hc,'lhc indi,"iduaJllC) whooc nPl11e(';'J i" CIIR:I ~ribCfJ 10 the
wilhin in..INnlIMI tlnal w:knuwln4k-'\I ..., ".... lhlll ~y CXL....'UU.'d
lhe ..,nc in hioJhcrll......,r cupucil)1DL Ihal h)' hlWhcrllhc:-ir ",ignal~ "I
un the In.rumen.. Lha: indi,,'iduaal(loL '11"~ ('ChI.'n Up'l1 htiwlr,,,"whkh
_hi: indj" klualbl ~L c"ccUlcd Ihr.: irr.annncm. al1lllhalloUCh IIxli",idllal
ma.J.: .;w:h upp.'UI'1IDI..~ ~(nn: Iha: UlIIkDoiJ:l,I1I....1 in Lh.:
I "......n IhIIl rilY .n"IIl/,." p.l/ilil wII.lllhJi,i"UIII wid IJrr skIItl ""."rlt'''''')o ",.
,"""r pltH:r. ""'UI-/atI'U",vJ.",k?f' "''llI.\'' tuk..,,).
DI51..1(... t 000
SE''''''s 126.00
BLOCK 09.00
1= 013.000
("en:N',..... ON Tows
RI-;r"O"')l\JI.1TR'.QUOTtJl--"
F_ly NIIllonaJ Tille 1-.-.., (,'om_
RI:7lJN."f HY.\1.411 10
IJ.....Pb Rueba", Eoq.
230 HUtOD Av.nu.. Suit. 201
jH.mp.....d. N.w York 11550
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TIlle Mo.: 3804 - 00604
LEGAL DESCRIPTION
ALL THAT CElt':',,:. PLOT. PIECE. OR PARCEL OF LNlIl. SItUATB. LYING. 'AIID BEING IN
THE TOWN or SOt.-:HOLD, . COUNTY OF SUFFOLK AIID STATB OF NBW YORK 1Q/OliN AIID
DESIGNATED AS LOTS , AIID S AS SIIOIIH 011 A CERTAIN MAP ENTITLED "MAP OF PROPERTY
'OF DAN J. STACK. ETC" AND FILm IN THB OFFICE OF THB CLERIC OF THB COUNTY OF
SUP'POLK ON ~Y 30. 1926 AS MAP NUMBER 815. MORE PARTICULARLY BOUNDED l\HD
DESCRIBBD AS FOLLOWS:
BBGINIIING AT A' POINT 011 TIIB S0111'IIWBSTBRLY SIDE OF A RIGHT OP WAY DISTANT 152.19
PBET NORTIIWIlSTBRLY PROM A IlONllMBIIT MARKING THB INTIlRSBCTION OP SAID
sourHWBSTBRLY SIDE OF THB RIGHT OF WAY WITH THB NORTHlIBSTBRLY SIDE OF PECONIC
BAY IIOIlLBVARD;
RUNNING '11lBNCE SOU'11l 40 DBORas 51 MINtlTBS 20, SBCONDS WEST 140. S5 PBBT;
,TIIBNCE NORTH 29 DBGRBBS 10 MIWTBS 0 SBCONDS WBST 100.00 PBET;
THENCE NORTH U DBGREES 11 MINUTES 0 SBCONDS EAST 143,87 FEET TO TIIIi:
" SOUTIIliBSTBRLY SIDE OF AIlOVB MENTIONED RIGHT OF WAY;
THENCE ALONG SAID RIGHT OF WAY. SOlTl'H 27 DBGRBIlS 13 MINUTES 50 SECONDS EAST
100.42 PBET TO THE POINT OR PLACE OF BEGINNING.
FOR INFORMATION ONLY: DISTRICT 1000 SECTION 126.00 BLOCK 09.00 LOT 023,000
UIOAL
-LEGAL DBSCRIPTION-
,"
.... ~
.'
, .
C2
.
1
Number of pages
TORRENS
1
4
Serial #
RECORDED
2004 Oct 04 0\1 17.18 PI'l
Edward P.IlDII..i......
CLERIC IlF
5IFFDlK COUNT'"
L 000012347
P lJ52
DTI 04-09825
Conilie.le II
Prior elf. :;
Deed I Mortgage 1~lStrument
Deed / Mon_o Tax SIamp
FEES
Recordilll/ Filing Stamps
l
Page I Filing Fee
Hlndling
TP-5B4
Mansell Ami.
I. Buic: Tax
2. Additional Tax
Notalion
Sub Tolal
EA-52 17 (County)
EA-S217 (Stalo)
RP.T.S.A.
Sub To...'
Cenified Copy
Reg. Copy
Olhor
Sub TOll'
Spec./Assil.
0'
Spec./Add.
TOT. MTO. TAX
Dual To\vn Dual COUnty _
Held for Apportionmrnl _
. Tl"II\sfer Tax I/O(J"[) -
Mansion TLlf. _ J
11. property covered b)O this mOr1pae is or .'1
will be ill1proved by . one or two family t
dwellinlonly.
. YES or NO
If NO, sce Bppropriate tax clause 011 p ge 1#
- of chis insll1lolOnt -1'1-0
6 COllUllunity Preservation Fund
Consideration Alnount S UOb. -
Conlin. or Ed.
S~
CP_
Affidavit
ORAND TOTAL
s
Reel Property TL~ Service Agency Verification
Dill. Section B lock
LOl
1"00
Slimp 04042473 1000 124500 01100 023000
::;als ~~
7 Satisfactions/Discharges/Releases List Propeny Owners Mailing' Addres
RECORD ... RETURN TO: c
Joseph Ruchala. Esq.
230 H~lton Avenue, Suite 201
Hempstead. New York 11550
CPF Tax Due
$
Impro"ed cl
/
Vac:anl Land
.
i
..,
TO ( lJ1fl:)
TO
TO
8 Title CompallY IlIformatiulI
Co. Name.. "
Tille##. _
9
Suffolk Coun
Recordin & Endorsement Pa e
C)
'nus puge fonTIS part of the allached
Deed
(SPOClFY TYPE OF INSIRUMENT)
mude by:
Rogina Coughlin
1be pzemiscs herein is aituated in
.SUFFOLK COUNrY, NEW YORK.
TO In the To\\nship of
In the VILLAGE
RUlilsell W111:LaInBon and Eileen Wl111.alD8on or'HAMLET of
Southol.d
II
!I
BOXES 51"HRlJ 9 ~llISTRFT'''PFl')nR PllrN'T'l:n"" Rt 6'-". ",TIre nt..TT '-DDlnD Tt"'IoDCrrn".....I'II.Ir-,-".., "." "1_
11111111111111111111111111111111111111111
11111111111111111111
SUPPOLlt COUNTY CLBRlt
RBCORDS OPPICB
RBCORDIHG PAQB
Type of In.trumel1t 1 DBBDS/DDD
NUmber of Pagesl 4
Receipt Number 1 04-0109861
TRANSPBR TAX NOMBBR: 04-09825
Recorded.
At:
10/04/2004
01117.18 PM
LIBBR:
PAGB:
D00012347
052
District 1
1000
Section: Block.
126.00 09.00
U1IJIIRBD AHD CDllGID AS FOLLOWS
$400,000.00
Lot.
023.000
Deed AIIIIount.
Received the Following Fees Por Above In.trumant
B,"-.pt
NO
NO
. NO
NO
NO
NO
Page/Filing
COB
D- C'1'Y
TP-584
RPT
Transfer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$1,600.00
Handling
HYS SRCBG
BA-STATK
Cert.Copi.s
SCTM
c:a-. Pre.
Fees Paid
$5.00
$15.00
$75.00
$0.00
$0.00
$5,000.00
$6,752.00
12Y-.pt
NO
NO
NO
NO
NO
NO
TRANSFER TAX NUMBER: 04-09825
THIS PAGB IS A PART OP TIlE INSTRUIIBNT
THIS IS NOT A BILL
Edward P.RclIIIaine
County Clerk, Suffolk County
i
\
,
t-'Lt:Atit: I yt-'I::. UH PHt$:i f"IHML Y WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE 1518) 473.7222
.
FOR COUI\TY USE ONLY
C 1: SWIS Code
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RfI_5217 RIo. Yl7
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2. Date Deed Recorded
I/O f t::/'/f .1?s-r
MOllln D~v Yev
RP - 5217
03. Book I/'';<' ~,
,
PROPERTY INFORMATION
<;.( "A C4. Page I
,(::I \-.2
1. ~:~:;i~1
115
Masters Road
STAEET"lUMBER
5TRccTNAME
L- Mattituck
crry o~ TOW.~
V'U....,GE
2. Buyer
Name
Williamson
Russell
~AST NAM[,' COW-PliNY
~IRST NAME
Hilliamson
Eileen
lIll>TNAME/COMPANY
~IRST ~'A.\:E
T..
Billing
Address
Indicate where f.;tureTax Bills are to be sell1
if other than buyeraddress:atbottom o!formlI
lAST~"ME/COM""~Y
FI~ST NAM~
L
STREET NUMBERANO STREET"AM~
CI'lYORTOWN
STATE
4. Indicme the number of Assessment
Roll parcels tnlnsferred on the de.d
OR 0 Part of a Parcel
10nly if Pert of B Parcel] Check a. they apply
4A. Planrting Board with Subdivision Authority Exill\.s
48. Subdivisiort Approval was Required for Transfer
4C. P5rcel Approved for Subdivision willi Map Provided
) #of Percels
5. D..d
Property
Size
ACRES
.3 0 I
I X L..._. ----.J OR I
DEPP!
"R()NTFEET
6. Seller
Name
Coughl in
Regina
LAsrNAM~. COMP.....Y
FIRST~"'ME
~
LA$TNAME COMPANY
F;RST ~A~'E
7. Check the box below which most accuriltely describes the us, of thll property at thll time of IIle:
Check thll boxes below as they Ilpply
8. Ownership Type is Cortdominitlm
9. New Construction on Vacant land
10A.I'lOpertyLocated within an Agricull....ral District
10B, l:luyerreceived a disclosure notice indicating
Ihat tt:e property is in art Agricultural Di$trict
A~OrteFamjlYReSidentilli
B 2or3FamBy Residential
C Resldem:a Vacant Land
D Non-Residential '/acant Land
E~AgriCU)IUral
F Cemmerc'al
G Apar!ment
H ,,"ter:ainment Amusement
:~
K
I.
CommurntvServlce
Industrial
Public Service
Forest
SALE INFORMATION
15. Check one or more of th... conditions as a.pplicabJe to tr.n.t.r:
11, SIl18 Contract Dilte
f
A
B
C
o
E
r
G
H
I
J
Sale Between Rel~lives or Former Relatives
Sale Belwe"m Related Comp/mies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller is Goverrtmertt Agertcy or Lendirtgln$titution
Deed Type not Wl'Irrl'lrlty or Bargain ana Sale ISpeeify Belowl
Sale of Fracljort~1 or less than Fee Interest fSpecify BElIowl
Significam Chartge In Property Betweert TOlxable Status and Sal!! Dirtes
511111 cfBusiness is Included in Sale Price
Other Urlus.;al Factors Affecting Sale Price ISpecify Below)
None
I,'onrh
0"
Veal
12. Date of Sale I Transfer
'=3
M"rtlh
/7 f 01
Day Vea-
13, Full Sale Price 4, 0 ,0 ,0 ,0 0 . 0 0 i
, , .
(Full SlIlePrice ist:'"1otal amount paid for the prop""y includirtg personal property
This payment may be in the form of cash, other property or goods, or the assumpticn 01
mortgages or other obligations_) PleBse round to the nures! whole Gollar ..moum
14.lndicateth. v"lue ofpeo;onal 1
pt"opertyincludad iothe sale
.0 . 0 0 1
, , .
ASSESSMENT INFORMATION. Data should reflect the iatest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from I 03, 041
which information taken
17 Totlll Assessed Valu. (of all pareels intrlln-"er);
5
18. PrQperty Class
2
1 0 I-L.J 19. 5<:hool District Name 1 No. 12
20 Tax M.p Identifier{sll Rollldentifier(s) (If mQre than fOUT, aneen sheet with additional idl!ntifier{ls))
1000-126.00-09.00-023.000
~
CERTIFICATION
I certif'}- fhal all of Ihe items of information l:ntl:red on thi<; form are true and C4lrrect (Io t~ b~t of nl~ knowlt-d~'C and belief) and I understand that the mllklnJ(
of lIn~' willful false ~I.lltemenl of matt'rial fact hcrein ~lll subjff1 me to the oro\lliionli of tht Dellal Ill'" I'l'lati\"C to the nlaking .and tiling of fJll<;l' instl"Uments.
UYER
BUYER'S ATTORNEY
g./~-o'-f
Ruchala
Joseph
~
Mn
LAST 'fAME
"i~ST NAII'<:
115
Masters Raod
516
483-4848
STREET NUM~,R
STR,,;;TNAMj;'AFl1ORSAlE'
AREAeOOE
Tl;lEPlIONENUMBER
Hattituck
11952
r- .....
, NEW YORK STATE
L~OPY
NY
em- O~ ~OWN
STAn
z,peOOE
~
~~J ~~AI
SELLER NATlJRE Regina ughlin
I. %-17-0'/
M"
11952
ZlPCQOE
2lPCOOE
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