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CONBULTYOUR LAWYER BEFORE _THIS -.no-TIt. ~ENT lIHOII..D.E USED.Y LAWYERS ONLY.
THIS IND.:NTURE, made rhe
"" ~ day of November
. in the year 2004
BETWEEN
CLIFF'S ELBOW ROOM, INC.. hav:f..ng ita offices at No' Main Road" Jamssport" Wew York.
11947
pany of the Ii.... pan. and
JOAN A. SAUNDERS residing et. NoI Bunglelow Lane. Kattituck. New York 11952
par.y of rhe _and pan.
WITNE....'lJ,;TH. tIuu ,he puny of <he lirs. pan. in ""...iderat;on of
No Cons1derat:f..on ..
dollan
puid by the pany or the second part. dOCK hc~hy gnant and rclclllC unln the party of Ihe second part. the hcin; or SIA."CC12KlI'K wu:I.
auisns of the' pany of the second pan fUlever.
ALL thai L"L-rta.in plOL piece or parc:cl of land. ""ith Ihc buildings and imprc.wt'menI5 thereon cn:cted. sirualC. Iyinl and being
in the
SEE.::Scheilule A. attached hereto and. ....de a part hereof.
BEING AND INTENDED to be the a.me pre.i... conv.yed to the party of the first
part by deed deted November 17. 1986 and filed in the Office of the Clerk of
the....CObnty..of.JSuffolk on February 26. 1987 und.ri~liber 10258 of deeds at pass
172.
THE GRANTOR Corporation approves this Confirmation Deed bYi.IUnanimouB Conaent
of the Board of Directors.
THIS DEED 1s made to confirm the 10t ltne chang_ approved by ~he Planning
Board of the Town of Southold sdopted September 13. 2004 and dated September
14. 2004;: and pursuant. to Survey of John C. EMers Land Surveyor surveyed
02-26-03. revised 0403-03 add further revised 06-26-04
TOOETHER with all right. titlc and inteftsC. ifWl)'.1.1rthe party of the firKt part in and 10 any Sllftlsand R18dsabullina the ubove
de5cribed premise!!: 10 the center linea then:or: TOGETHER wilh lhc appunc:nanccs and aU the estate and ri&his of the pany of
.he Ii.... pan in and '"",,;d premi"".:TO IIAVF.ANDTO HOI.D.... pn:mi5CS herein pnled un,o.'" panyofthe second pun.
the hc:iB or lWccessors and a..'isiallS of the p:lny ur me second pan forever.
AND the party of the: first pm1. COYerIunlS thai the pliny of me first pan bas not done or suffered anythina whereby the Wd
prcmillCS have been encumbeRd in any way whatever. eJlCCf'l as afon:liaid.
AND the party ''If the fint pan. in L'Ompliance "..im Sc.-ction I J of the Lien Law. cavenanb that the party of Ihc first pan will
receive the con,ideration fur this c:onveyuna: iIDd will hold the ri&hl In receive SUC'h consideratinn u a U'USI fund "' he applied
first (OT the pul"pC'lR o( paylna the ('O$t or the improvement and wiIJ apply lhe IWDe fint 10 the payment of the C05l of the
improvement before using any pan of Ihe lOIal of Ihe same for any DItter purpctJ'C. 1l1r word "party" shall he consll1led ~ if it
n:ad "parties.' whenever the 'ien5C o( this indenture 10 n:quirn.
IN WITNESS WHJ,;REOF.the pany of.he Ii... pan has duly cueoled Ibis deed the day IInd ycar Ii.... above wrillen.
CLIFF'S ELBOW ROOM. INC.
BY:~"a,..1~
t/.fOAN A. SAUNDERS
IN PRESF.NCE OF:
iCNEUYU: :t
ALL that certain plot piece or parcel of land, with the buildings and
improvements thereon erected, situate, lying and being at Bayview, in the
Town of South old, County of Suffolk 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 corner of.Lot B as Shown on a
Lot-Line Change Map prepared by John C. Ehlers Land Surveyor Dated
February 26, 2003, said Point of Beginning being distant 657 feet
Southwesterly, measured along the Northwesterly line of Old Main Road
(Franklinville Road) from its intersection with the Westerly line of Aldrich
Lane and !Tom said Point of Beginning:
RUNNING thence South 20 degrees 44'50" West, a distance of 80.64
feet along the Northwesterly line of Old Main Road (Franklinville Road) to
the land now or formerly of Edward J. and Sophie D. Scholtz thence North
51 degrees 51 '20" West, along said last mentioned land a distance of 186.71
feet; to the land now or formerly of Joseph P. Lebkuecher III thence North
30 degrees 36'00" East along said last mentioned land a distance of 45.00
feet to previously mentioned Lot B; thence South 62 degrees 43 '00" East
along Lot B, a distance of 171.59 feet to the northerly side of Old Main
Road (Franklinville Road) and the Point or Place of BEGINNING.
Nunlberofp..ges
TORRENS
Serial II
Certificale 4f
Prior C,f. II
3
Deed 1 Mort_ InsltUmen'
Page 1 Filing Fee
Handling
TP-584
Notalion
EA-52 17 (Coun'y)
EA-S2J7 (Slnle)
R.P.T.S.A.
Cnmm. of Ed.
Aflidovil
Certilied Copy
NYS Surcharge
Oilier
4
Real Property
Thx Service
Agency
Vcrificalilln
5. J!!L
.30=
5. J!!L
15. 00 Sub Thlal
<:'_....:..._ _,...r
Sub Tow
Orand TOIa!
Deed"' Mortguge T..x SllUnp
FEES
~52889 1000 12500 0200 004003
~~FB5
6
Sa'israelionsIDi!IChal'gCSlRclCll.'ICll Lis' PnIJlO'rty OWIICnI Muiling Address
RECORD .. RETURN TO:
W~ll1am C. Gogg~o.
P.O. Box 65
Hatt~tuck. New York 11952
8
Suffolk Count
This page forms part of ,he attached
CLIFF'S ELBOW ROOM INC
.JOAN A _ SAUNDRRS
TO
7
Co.N
TI'lcll
Recordin
RECORDED
2004 DK 14 12.47.45 PI!
Edward P.-.t""
a.ERK OF
SUFFQlJ( C(UffiO
L 000012360
P 316
1)11 04-20023
Rerordiogl Filing SllUnps
MortglIgC Am..
I. BIISic Tax
2. Addi,ionaJ Tax
Sub Towl
Spee.lAlISi..
or
Spec./Add.
TOT. MTG. TAX
Dual Thwn _ Dual Coun,y _
Held for APpoinuncn~
TmnsferTax ~ _
Mansion Tax _
1be property covered by Ibis lI1OI1il1lIe i.
or will he improved by .. one or .wu
f..mily dwelling only.
YES or NO
If NO. """ ..ppropri..... "'" clause on
pal!" II of Ib~ 'n.
1
5
Consideration Amount $
CPF Tax Due $
."
Improved
Vaean' Land
TO /u-d
TO
TD
Title Com
Information
& Endorsement Pa
Confirma~1on Deed
(SPECIFY TYPE OF INSTRUMENT)
made by:
1be pn=mik."S herein is siwated in
SUFFOLK COUNTY. NEW YORK.
In IIIe Township of
In ,he VILLAGE
or HAMLET of
s'nu..hnld
Laur.~
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(o,'er)
1111111111 11111 11_1111 III IIIU 1111111111111 III
111111111111111111111
SOPPOLIC COmrrY CLERK
RECORDS OPPICE
RECORDING PM!
Type of Inst~tl DBBDS/DDD
lfulllber of Pagesl 4
Reeeipt Number I 04-013&288
TRANSFER rAX RUMBER: 04-20023
Reeorded.:
Atl
12/14/2004
12147145 PM
LIBER:
PM! :
D00012360
316
Distrietl
1000
SeetiOl1: B10ekl
125.00 02.00 .
I!YlUIINBD AND CKARGID AS I'OLLOWS
$0.00
LotI
004.003
Deed. AmowI.tl
Reeeived. the Following Fees Por Abov. Instrument
.....-.pt Bx8lllpt
Page/Filing $12.00 NO Handling $5.00 NO
COE $5.00 NO lIYS SRCHQ $15.00 NO
BA-C'TY $5.00 NO BA-STATE $1&5.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Transfer tax $0.00 NO Comm.pre. $0.00 NO
Fe.. Paid. $242.00
TRANSPER TAX HUMBER: 04-20023
THIS PAGE IS A PART OF TBB INSTRUMBHT
THIS IS NOT A BILL
Edward. P.Romaine
County Clerk, Suffolk County
.
.
FOR COUN-fy USE ONLY
C1. swrs Code
eLtA:;t I Vet UH PHESS FIRML V WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.slate.ny.us or PHONE (518) 473-7222
I . ;'6 ('
1-1,1 ,?, ,x" 7
Ic~1
Month
I C(
Oay
('!-(
Veer
C2. Dete Deed Recorded
C3. Book f I ,;;L.,?" Co ,() I 04. P... f
PROPERTY INFORMATION
,~,l
,.Property~
Location STR~~T NUMBER
Franklinville Road
STflEn_
I.
CITY OR TQ'oM<
Laurel
SAUNDERS
2. Buyer
Name
LASTNAMf/COMPANY
L--
LAST "AMf I COMPANY
3. 1M Indicate where future Tax Bills lire to be sent
Billing if other thlln bUY1lr address {st bottom of form)
Address
lAST tlAMEICO"lPANY
SIREETP,UM8EIl ANIl5TREET NAME
4. Indicate the number of Asaanment
Roll parcels trensferred on the deed
I #ofP8rCElls OR
5. Deed
Property
Size
L-_--.--I X I
"AIlNTFUT
DEP~
lOR I
6. Seller
Name
~IFF'S ELBOW ROOM INC.
LAST NAME/COMPANY
I.ASTIIiAtoIE,COMf'ANY
G
w.,....
-
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAl PROPERTY SERVICES
RP - 5217
RP.nI7Re.3/'J'1
New York
~"'"
JOAN A.
119481
ZWCODE;
MSTN...r.I.
FIFtSTNAAlE
~IIlSTNAME
ClTV 011 TOWN
STATE
ZIP CODE
Ill. Part of a P.arcal
(Only if P.rt of a P.rc:ell Chec:t II thlllY lIIlPIy;
4A Planning Soard wilhSubdivision Authority Exists
48. Subdivision Approvol was Required for Trllnsfer
4C. Parcel Approved for Subdivision with Map Provided
o
o
o
ACRES'
.
FfFl$TNAME
7. Check the bOl( below which most aecur.tely describes the 11ft 01 the propmy at the time of ..I.:
FIlSTNA"'.
...-..--J
, , 0 , 0 I
, , .
(Full SalePricB is the tOlal amount paid fortha property including personal prop.rty.
This paymenl ml!lY be in the form of cash, other property or good., or the 811umption of
mortgages or other obligations.l Please round IC rhe n.l!I!iJst whole dolla, ,mount.
A~ One Family Residential
B 2 or~FBmily Rllsimmtia)
C Residantial Vacant Land
D Non-Residential VacarlLand
I SALE INFORMATION I
11. Sale Contract Cete
E~Agricultural
F Commercial
G Apartment
H Entertainment I Amusement
11 3D I 04
""e. D.' Year
I
Month Do, Year
12. Date ofSalej Transt'er
13. FuUSale Prillll
14. Indin8te the valu. 0' personal
property inc:fuded In the ....
ASSESSMENT INFORMATION
I ~ Community Service
J Industri.l
K Public Service
L Forest
Check the box.. b41'ow as they epply:
8. Ownership Type ill Condominium
9, New Construction on Vacant Land
1OA. Property Loceted within an Agricultural District
101. Buyer received a disclOllure notice indicating
that ll'le property is in an AgrictJlturai District
o
o
o
o
15. Chel:k on. or mOl9 of ~ condltlol'l8" appliCllbIe to traoefer:
A Sale B8tWflen Relatives or Former RelativO$
B Sale Between Relatlild Companies or Partners in Business
C X One of the Buyers is also III 581111r
D Buyer or Sillier ill Government Agency or Lending Institution
E Deed Type not Warranty or Bargain and Sale {Specify Belowl
F Sale of Fradkmal Of Less than Fee tnterest (Specify Below)
G Significant Change in Property Between Taxable Statusllnd Sale Dates
H Sale of Business ill Included in Sale Price
I Other Unusual Fectors Affecting Salll' PriCl;l (Spet'ITy Below)
J None
, ~ 0 , 0 I
Data should reflect the latest Final Assessment Roll and Tax Bill
16. YlII8r of As_ment Roll ,,"om ~
whlehlnforrmrtionteken
~~-LJ
19. School District: Name I
17. TotIll~edV.lu.lof all percell In transfer})
,
Mattituck-Cutchogue
18. Property Class
,
20. Tax Map Identifler!lI) .' Rollldentifier{lIJ (ft mQre than four, athleh Ma.!: with addltlonel identifier!s))
1000
02.00
125.00
004.001
I CERTIFICATION
I certify lhat Idl of the items of Lnformatiol'l entered on this fOnn are troe and correct (to the best of my knowledge and belief) and I understand that the making
of any willful false statement of material fact herein wiD 5Ilbject me to the orovisions of the oenallaw relali~ ro the makinllUld filing of false Instnaments.
BUYER BUYER'S ATTORNEY
~ 7'
. U),/?' :::.r~u..-'./I,-d-<-,{/), 11-
JoAlr'J.~~'~'XfumERS ""
Noll
$TllEETNuMIlER
:Bungalow Lane
STREET NAME!AFT~ SALE]
Mattituck
NY
11952
ClTYOR TOW'I
STATE
lIPCOOE
SELLER
F'S ELBOW)ROOM lNC.
BY:. L U. ~ 1:-Ui..~.'-<J14-6l-
C1A'fifR 1t.<:.NATSM.UNDERS DATE
---
-04
GogJ1,;ins William C.
LAST N,",,~E FIRSTJllAME
;"3/ ..J'i8'-'-f';;lfIJ
AAEACOOE TELEPHONE NUMIIER
[W
YORK STATE
COPY