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C„ ..rz a-4 a,I :tr-a oto s 4c , Indi id sal C , ;orni a (. :vi) CONSULT YOUR LAWYER BEGORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. /� THIS INDENTURE, made the / day of (it j LLS i.e:ee:, h:::.dred and j/) 1$ETW'EEN ' �, JJ J2��e flilO�vfPSo I } per'Sano ll ah�PQS S4rvI\/IYfQ �E'f7a tl � 8/ 7`t3-sy�,Sl�ec _qA_0_ evii,Y e� l�o�^ p-ry aaca� cdD roo (L(,ly",, J/d.ao )tU5jan ,ov L)(3-, P Party of the {first tppart, and —�[,CCIi`r11 1Owl pSOYI JCf(f 1 y( r �eco �cP Plums B� oQk� a-n � � Ila3I party of the second part, - WITNESSETK that the party of the first part, in consideration of ten dollars and other valuable consideration paid by the parry of the second part, does hereby grant and release unto the party of the second part, the heir or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with'vt`he buildings anpd improvements thereon erected, situate, lying and being in the Togo r) O� j.(lGl.-'�'�1 and 5f-0_4e_ 0' �.00 � a� �' �' `:bOLt nd Qd 0`NyL AICA 1/ , a0` __70W<) , 8e 1,Y) n I a+ «- poles+ or) the he> TVfcv25r�-� l� ��he e Albo boVo— 153: £�71 kd h o e�sl�r l� ��ov said v1�5r P�iLr �(ol 1IN" fi^nvy, ( i77 1^sec 1,-on i`I Gf y �e V1 er ecrSJ !� ��he ✓ton A-re V1 Lka r d ru.n n jr a to nSce 1 d ii"wes4e r-(� /0., ,,e 4Y6 0 `� br1NI`e �. 67013 ' 101' la 6, 4l l ei- -14Vf)U 017 a CU r Ue h�c�Ih� a rzidl`as e2 as© �eel� a c�t5fe0co cL10" srual �c�vre s� X7.60 ce q 10 `EGLe toes(e l !� //1 Le eg Gest((s r[19Q Ci S. 1° y/' 10 1 F, aA c r f 6tDn C2 a o fn o e r 1 o er �D�vrte f� kd— �!)o n a / hC a# .t�. 0 n /,e S A0 Sal', lrYtQ (vel/sl Oct Se 88D /F/ , (t�. /?f'�. 9 3 �G:�n� ��) N. 1/ D CIO u� ' 70 ,E Ttoo, O e4(�Lw L17� 4e+a Pri ur/2�e /Yl La/KvnoV� LeT) O Celle a, 'ru r) / det,�� A 7' Ott fetavr9 s 0 ea l(edj Peen co �cuytPct�a h d 2ecy z�c� 1 a w o ve �(��f��.q �t�c�np col a�oo auk test l3/�9a G; - /368e meds F f1 V1_S�v� 0 JS 'I W-q I I. �a fak s� -ceke >,,� a. �'vtntSPS X11 Icvtof:�r� 2s CIA- Shoe GNA a�' s too CL d) /\CLL A Q y 11 �f a)'Id " OSuvnz m(s?�; ulutveyed b o1nzd, d4kd JuhI, c14 196► a � r•iber. SoIH pc,o,Qy9y;}��office9��C�erkoy- Sutsand ur 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 of 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. s)_ 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 consid- eration as a trustfund 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" whenever 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. Ix rResexce oto: f1 2 3 Number of pages 3 RECORDED TORRENS 20Oi W,,j O, 12:55:41 P11 _- EdrF. ,�ard k'rriai.ne Serial# CLERK OF SHFFOLK COOIdTY Certificate# D000121152, P iii? Prior Ctf. # Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 4 1 FEES Page/Filing Fee Mortgage Amt Handling 1. Basic Tax TP-584 2. Additional Tax Notation Sub Total EA-52 17(County) Sub Total Spec./Assit. EA-5217 (State) Or — Spec. /Add. R.P.T.S.A. �7 C� ��fLi TOT. MTG. TAX z _ Dual Town Dual County Comm. of Ed. 5 00 Held for Apportionment Affidavitgti: , • � .' Transfer Tax hO,ryO�� citified Copy S(lO� Mansion Tax The property covered by this mortgage is or - - .Reg. Copy will be improved by a one or two family Sub Total dwelling only. Other YES or NO GRAND TOTAL If NO, see appropriate tax clause on page# of this instrument. 5 Real Property Tax Service Agency Verification 6 Cotmnunity Preservation Fund farLKm ".� Dist. Section B lock Lot Consideration Amount $ ` OCPF Tax Due $ Improved Ini • Vacant Land 'Satisfactions/Discharges/Releases List Property Owners Mailing Address TD �© RECORD &RETURN TO: / TD e-rA rt o b'z Esr�. TD J eppec�n�l ,fJ r o a/ 1 17 �� /11.3 J 8 Title Company Information Co. Name t Title # Suffolk CounRecordin per& Endorsement Page DEThis page forms part of the attached 1� _ made by: p 'N r S o (SPECIFY TYPE OF INSTRUMENT) T"On � The premises herein is situated in SUFFOLK COUNTY,NEW YORY, TO In the Township of :TU_'Ii� 1 1 H T-VV( M P S D N In the VILLAGE or HAMLET of BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (OVER) I IIIIIII IIII VIII VIII VIII (IIII VIII VIII VIII IIII IIII I IIIIII VIII VIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEEDS/DDD Recorded: 11/08/2001 Number of Pages : 3 At: 12 : 55 : 41 PM TRANSFER TAX NUMBER: 01-13968 LIBER: D00012152 PAGE : 012 District: Section: Block: Lot: 1000 126 . 00 08 . 00 021 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $9 . 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 $4 . 00 NO RPT $15 . 00 NO SCTM $0 . 00 NO Transfer tax $0 . 00 NO Comm. Pres $0 . 00 NO Fees Paid $73 . 00 TRANSFER TAX NUMBER: 01-13968 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 FORUSE OINLY , :~ 4 REAL PROPERTY TRANSFER REPORT r - STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES ° R P - 5217 J� )J�'/�)f t, /n( ".5217 Rev 3/9'1 1.Property I (9 75- 0 �. 1(S •`Dad. Location STREET r.SER STRI NAME CITY OR TOWN VILLAGE J ZIP CODE 2.Buyer �'��`}�'V� ('} Judi �u 1 I Name LAST NAME I COMPANYI FIRST NAME L— I I LAST NAME/COMPANY FIRST NAME 3.Tax Indicate where future Tax Bills are to be sent �-+'�1 �q-Vt /)Su `r Billing if other than buyer address(at bottom of form, ) r Address LASTNAME/COMPA V FIRST NAME r+d PJ& .ce bI L/vi A1311 STREET NUMBER AND STREET NAME CITY OR TOWN STATV ZIP CODE 4. Indicate the number of Assessment ❑ (Only K Part of a Parcell Check as they apply: Roll parcels transferred on the deed 4 of Parcels OR Part of a Parcel 4A Planning Board with Subdivision Authority Exists ❑ 5.Deed 4B.Subdivision Approval was Required for Transfer ❑ Property L—� IK OR • 4C.Parcel Approved for Subdivision with Map Provided ❑ Size FRONT FEET DEPTH ACRES 6.Seller I 'I L'4' j 3 CJ t,i U' k- {A XP Name LAST NAME i OMPA V FIRST NAME LAST NAME/COMPANY FIRST NAME 7.Check the box below which most accurately describes the use of the property at the time of sale: Check the boxes below as they apply: 8.Ownership Type is Condominium ❑ A One Family Residential E Agricultural I Community Service 9. New Construction on Vacant Land B 2 si 3 Family Residential F Commercial J Industrial 10A.Property Located Within an Agricultural District ❑ C Residential Vacant Land G Apartment K Public Service 10B.Buyer received a disclosure notice indicating ❑ D Non-Residential Vacant Land H Entertainment/Amusement L Forest that the property is in an Agricultural District SALE I FOA ATION15.Check one or more of the"conditions as applicable to transfer: �11.Sale Contract Date / I / ci A Sale Between Relatives or Former Relatives Month Day Vear B Sale Between Related Companies or Partners in Business C C One of the Buyers is also a Seller 12.Date of Sale/Transfer L / / D Buyer or Seller is Government Agency or Lending Institution Month Day Year E Deed Type not Warranty or Bargain and Sale(Specify Below) F Sale of Fractional or Less than Fee Interest(Specify Below) 0. G Significant Change in Property Between Taxable Status and Sale Dates 13.Full Sale Price �_ 0 Q ,J • H Sale of Business is Included in Sale Price (Full Sale Price is the total amount paid for the property including personal property. I Other Unusual Factors Affecting Sale Price(Specify Below) This payment may be in the form of cash,other property or goods,or the assumption of J None. mortgages or other obligations.) Please round to the nearest whole dollar amount. `. 14.Indicate the value of personal - - V property included in the sale 0 0 I ASS fwowwlorc.t1 e .e Fries' g 1t 16.Year of Assessment Roll from which which information taken � 17.Total Assessed Value(of all parcels in transfer, L ` 7 7 7 18. Property Class _a ICU 19.School District Name 20.Tax Map Identifier(s)/Roll Identifiers)(If more than four,attach sheet with additional ident-dieds)) q -7388q 1x6 .tXOP-1111-mmi"A ' 5 -- � � I certify that all of the items of information entered on this form are true and correct(to the best of my knowledge and belief)and I understand that the making of any wffMd false statement of material fact herein will subject me to the provisions of the penal law relative to the making and filing of false instruments. BUYER BUYER'S ATTORNEY "Be SIGNATURE PATE �T NANIV FIRST NAME f ' STREET NUMBER STREET NAME(AFTER SALE) AREA CODE TELEPHONE NUMBER J✓UO �T1 CITU OR TOWN STATE ZIP LODE 7 { # a SELLER e ca TF SELLER SIGNATUTE GATE l