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CON8UL.TYOUR LAWYER BEFORE IIICININCI T1II8 INSTRUMENT-ntIa 1N8TRUMI!NT 8HCMA.D.. USED BY LAWYER. ONLY.
THIS INDENTURE, made !he 3f) ~ day of November
. in the year 2004
BETWF.EN
JOAN A. SAUNDERS, ree~d~ns at No' Bunsa10w Lane, Katt~tuck, New York 11952
pany ur!he lirst pan. and
CLIFF'S ELBOW ROOM, INC., hqvinS office. at No' HA~n Road, Jamesport, New York
11947
puny or.he ....'Ond pan.
i, WITNESS.:TII. ,hat !he pany or.he Ii..t pan. in canside..,i,.. nr NO CONSIDERATION
dolllUll
pnid by the pany oflhe second pan. duel hereby grant mxI ~leasc unto the pany uribe second pan. the heir,; or SUCC.-cSSOl'S and
ossigns of the party of the !Ilecond pan foreve.'1',
AI~L tbul certain plO1. piece or pucel of lund. with lhc huildinp and improveJ'Dc::nlS thereon erec1ed. situate. Iyina and beina
intlu:
SEE, Schedule A attached hereto and made a part hereof
BEING AND INTENDED TO BE the eema pre~aee conveyed to the party of the f~ret part
by deed dated Karch II, 1994 and filed ~n the Off~ce of the C1erk of Suffo1k County
on Kerch II, 1994 under 11ber 11668 et pase 204.
THIS DEED is made to confirm the lot l~ne chaDse approved by the Planning Board of
ehe Town of Southold, adopted September 13, 2004 and elated September 14. 2004; and 'lil1"l:F"\1..L
. pursuant: to survey of John C. Ehlers Land Surveyor. surveyed 02-26-03. revised
04-03-03 and further rev~.ed 06-26-04.
TOGETHER wimall righl.lilleand interest. ifaRY.oClhc pany"Cthe first pan in and 10 any 5lI'ftIS and rauds abu1ting the above
drscrib....d premises 10 thr eenler lines thereof: TOGETtU:R with the appurllmances and alll.he estIllC and rilblS of lhe puny of
tm: first pan in and Iu said premisa: TO HAVE AND ro HOLD If1co prcmi.lel hen:in smnled unto the pany of the M."cand part.
the heirs or SUC<<SSGni and assiSRI of too pany DC the 5eC'OIId pari foreYet.
AND !he parly or !he lirs' pan covenants tha..he pany ur the lin' pan .... IKH done or ""lTered anything whe"'by .he 5lIid
premise5 bow: been encumbered in any way whulC."Yel'. uccpl lIS aforeKaid.
AND the pan)' of the lil'Sl pan. in c;ompliunce witb Seelion 13 ",f the Lien Luw. covenants thai IhC' pony oC the first pwt will
receive the cansidftnliun for lhis "-'"Um-eyance and will hold lhe richtto n:aoive such considenuian. as a trust fund lO be appliftl
first COI' the purpose or pAyinllhc cost of the improvement and will apply the same first to the payment af the C05t of the
improvement beC"", ooing Wly pan or.he IOIaI ohhc ....... ror any oIher pu~. The _"pany. .hAlI be COIIllInled as in.
read '.panies'. whenever lite ~nR of thili indenture M) requi~.
IN WITNESS WHt:REOF, the:: JXUly of the first pan haw duly ..."..:cuted Ihis deed the day and year finu: alx)\"e' written.
IN PRI'.SEI'CE OF:
~ 4 ~J:ak.A,,{}
JOAN A. SAUNDERS
"
i,
iiCNEgyU ^
ALL that certain plot piece or parcel ofland, with the buildings and
improvements thereon erected, siluate, lying and being at Bayview, in the
Town of South old, County ofSutfolk and State of New York bounded and
described as follows:
BEGINNING at a point on the Northwesterly side of Old Main Road
(Franklinville Road) at the Southwesterly comer of the land now or fonnerly
of Joseph P. Lebkuecher HI, said Point of Beginning being distant 526 fl:ct
Southwesterly, measured along the Northwesterly line of Old Main Road
(Franklinville Road) from its intersection with the Westerly line of Aldrich
Lane and from said Point of Beginning:
Running thence South 35 degrees 00'00" West along the
Northwesterly line of Old Main Road (Franklinville Road), a distance of
24.90 feet: thence still along the Northwesterly line of Old Main Road
(Franklinville Road It South 20 degrees 44'50" West, a distance of 106.07
feet to the Southeasterly comer of Lot A as Shown on a Lot-Line Change
Map prepared by John C. Ehlers Land Surveyor Dated February 26, 2003;
thcnce North 62 degrees 43 '00" West along said Lot A distance of 171.59
feet to the land now or fonnerly of Joseph P. Lebkuecher III: thence along
the lands of Joseph P. Lebkuccher III the following three (3 I course and
distances:
I. North 30 degrees 36'00" East a distance of 50.00 teet: thence
2. North 44 degrees 54 '50" East ] 39.98 feet; thence
3. South 38 degrees 20'00" East, a distance of 129.11 feet to the
Northerly side of Old Main Road (Franklinville Road) and the Point
or Plac~ ofBEGINNING.
1
J
Num""r of pages
TORRI!NS
s"rial #
C~niticak' #
Prior Ctf. #
o..ed, Mongnge IRlIb1Imen.
3
Page' Filing Fcc
Handling
TP-584
Notation
EA-52 17 (County)
EA-52 17 (Slo.e)
R.P.T.S.A.
Comm. of Ed.
Affidavit
C.nified Copy
NYS SurchllJ1!e
Other
4 DiMt. 1000 ~.
R.aJPropeIt}'
T-01X Service
Agency
Verification
Deed, Munlloge Toll SiamI'
!'Ims
5. Oil
Sub Total
.:so_
5. ..!!!....
IS. 00 Sub lbtal
Grand Totol
125.00 .n.__..02.oo . _. 003.001
1000 12500 0200 003003
fIBS
6 Sati.foc.ion.tDi""hnrgesIR.I......... List Propeny Owne", Moiling Address
RECORD '" RETURN TO:
. William C. Goggins,PC
P.O. Box 65
Msttituck, New York 11952
RECOROED
2004 Ilec 14 12,47,~ Pl'1
Ea..rd P.RoM.ino
CLERK OF
SlJFF(U( COlHTV
L oooo12J60
P 315
DTI 04-20022
Recording' Filing SIDmp5
Mongage Amt.
I. Bosic Toll
2. Additional Toll
Sub 1btaI
SpeeJAssit.
or
Spec. 'Add.
TOT. MTG. TAX
Dual Town _ Dual CoURlY _
Held for Appointment r r
TranKr.:r nuc. ~ _
Munsion Tax
The propeny covered by this mnrtgage i.
or will be impmved by a one or two
family dwelling only.
YIlS or NO
If NO. """ appropriate "'" clause on
JlGl!. # of this i I.
5
Consideration Amount $
CPF Tax Due $
/
Impro"'-'"
""ani Land
TD I J.-t)?J
TO
TO
7 Title Com D Information
Co N me
Title #
Suffolk Count
Recordin
& Endorsement Pa e
Thi. page fnnns pan of the attached
~oan A. Saundera
Conf~rmat~oD Deed
(SPECIFY TYPE 01' INSTRUMENT)
mlIde by:
The premises herein is situated in
SUFFOLK COUNTY. NEW YORK.
TO
In the Townsbip of
In tbe VILLAGE
or IIAMU-:r of
BOXES 6 TIiRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RllCORDING OR FILING.
<O.ilhall
taw.t4
Cliff's Elbow Inc.
(over)
~
1111111111111111111111111111111111
I miD ~IIIIIIIIIIIII
StJlI'POLIC COlDITY CLERIC
UCORDS OPPICI
UCORDDlG PAGE
Type of Inet~t: DBBDS/DDD
Number of Pagesl 4
Receipt Number I 04-0136288
TRANSFBR TAX NUMBBR: 04-20022
Recordeel.
Atl
12/14/2004
12147145 PM
LIBIR:
PAGE:
D00012360
3lS
District I
1000
Section I Block I
125.00 02.00
BlWIIIIBD AND CBARGBD AS roLLOWS
$0.00
Loti
003.003
Deeel Amountl
Received the Pollowing Pees por Above Instrument
b'""lpt
NO
NO
NO
NO
NO
NO
Page/Piling
COB
BA- C'l'Y
TP-584
RPT
Tr8llsfer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$0.00
Henclling
NYS SRCHG
BA-STA'l'B
Cert.Copies
SCTM
COIIID\.Pres
Pees Paiel
$5.00
$15.00
$165.00
$0.00
$0.00
$0.00
$242 . 00
bempt
NO
NO
NO
NO
NO
NO
TRANSFER TAX NUMBER: 04-20022
THIS PAGB IS A PART OJ' THB INSTR1JJII1fT
THIS IS NOT A BILL
BeI.ard P.Romaine
County Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WH~N WHlllNli UN eUHM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
!',- ')?'UC
Ii , I ,,", , 15 ,[ I
REAL PROPERTY TRANSFER REPORT
Cl. SWIS Code
*
RP-SZI7 Rev 3/97
STATE OF NeW YORK
STATE BOARD OF REAL PROPERTY SERVICES
1 ()Cil
'Y1l.,
,3,}
} '-I
Day
C2. Date Deed Recorded
),.--;;,,/
Month
RP - 5217
C3.Book I I ;).?, ,(~, 0IC4.P...1
PROPERTY INFORMATION
s
1'~::1
No #
Franklinville Road
S~rETNU"'BEA
STAEHNIIM(
L
-ClrrOATQVffl
lIPCOO(
.~,
2. Buyer
Nom.
CLIFF'S ELBOW ROOM, INC.
lAST NAME ICOMPANY
AflSTNAME
L__
lAST N"'ME I COMPANY
~IItSTNAME
3. Tax IndicalewhereflltlJreTlIx Billsareta DlISflnl
Billing if otller than buyer address 1M bottom of fonn)
Addreas
lAST NAME I COIllPANV
FlflSTNAME
ST~TE
STREB ~~UMHER "'NOSTREET NAME
CITY Ofl TOWN
~paltofaparcel
ZlPCOIJE
4. Indicate thll numbel of Assessment
Roll poreels transf.rred on the deed
(Onlv If PlIrt of. hrc:el) Check.s they ~Iy.
4A. Planning Board with Subdivision Authority Exisl"
48. Subdivision ApprovMI was Required for Transfer
4C.Parcel Approved for Subdivision with MapPrvvided
#01 Parcels OR
o
o
o
5, Deed
""'pony
Sb:e
L_.
. X I
lOR I
"'""
.
FIIONTFEET
~~"
JOAN A.
6. Seller
Nlllme
SAUNDERS
L-
lAST NAME I COMPANY
flflSTNAMe
1_
lASTI\IAM~ICOMPANY
FllISTNAMf
7. Check the bOll: below whleh most accurately describes tlw UN of the property at the time of nle:
a-k the boxlK below 1111 thr( apply:
8. Owne...hip Type is Condominium
9. New Conctruction on Vecant Land
lOA. Property Located within an ~ricullural District
lOB. Buyer received a discloevra notic(l indicating
that the property is in an AgrKiultural District
o
o
o
o
A~oneFamiIYR!lSidential
B 20r3FamilyResidential
C Reeidentiel VeC<lntLand
D Non-Residenti,li Vacant Land
I SALE INFORMATION I
11. Sale Contraet Olte
E~A9';"""'" ~
F Commercial J
G Aplrtment
H Entertainment I Amusement L
Community Service
Industrial
PubncService
Forest
15. Q,eck one or morfI of th_ conditt_ as IIppli~1e to transfer:
IY
V'ar
I J..Y/
.. Month
A
B
C
D
E
F
G
H
I
J
Sale Between R.latives or Former Relatives
Sale Between Relat8d 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 Belowl
Sale of Fractional or Leas than Fee Interest ISpecify Belowl
Significllnt Change in Property Between Taxable Status and Sale Datt
Sale of BusineM i. Included in Sale Price
Other Un1l5uill FactOl"s Affecting Sale Price (Specify Belew)
None
0"
l,jD
0"
II
""""
104
Yn'
12. Dete of Sale I Tran$fer
~
13. Full SalePrk::e
0,01
, ,
(F;.;II Sale Price is the totllf IImount paid for tha property inCluding personal property.
This payment may be In the form of cash, other proparty or good" or the lIuumption of
mortgages or othaf obligations,) Please rOl./nd to the ntlll"'sr whole doll/l( IImount
14, Indk:ate the value of personal
property Included in the Nle
, , ~ .. , 0 I
- Data should reflect the latest Final Assessment Roll and Tax Bill
ASSESSMENT INFORMATION
16. Year of Asaenm.nt Roll from ~ Total A.-aBed VaJue lof aU pan:e1. in transfer) I
which information 'tolken 17_
I t..f D~ IJ-LJ 19. School Dfltrict Name I
~
Mattituck-Cutchogue
18. PropertyClaS5
~
20. Tax Map Identlfier(sl I Aotlldentifier(s) (If more than four, attach sheet with .dditional idoentlflar{ell
1000
125.00
02.00
003.001
I CERTIFICATION
I certify lhat allot the Hems of infonmation entered on this I"orm are true and correa (to the best of m)' knowledge and belief) and I understand that the making
of any wiHful false statement of material facl herelD will subject me to the provisions of the uenall8w reJlltlve to the maJdDg and ftliDg of raise instruments.
BUYER BUYER'S ATTORNEY
1'IFF'S ELBOW R90M, INC. "
,".I'"'' " ~u.-<./f~L41-3D-04
~roan A. Saunders DAn:
Goggins
William C.
LA$TNAME
FllISTI'lAMo
No# ~ain Road
smEET NUMBEII smUT "lAME lAFnR SAlEI
631
298-4200
AlleACODE
Tuep~ONf '1UMee~
11947
Jamesport
--'CITYORTOWN
NY
[~~
YORK STATE
COPY
ST"'Tf
Zll'CODE
~
a3.' 1
t2t.L/y,-"L.L.u..j>
..:ft#H1s'~"'TS~unders
(/,
ll-So.04
OAT~