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Slanaard N.V.B.T.U. Form 8002.Bargain and Sale Deed with Coven8l1l8 against Grantor's AcIs-UniforiTl
Ac:knowl8llgment
Form 3290
CONSULT YOUR LAWYER BEFORE SIGl'IING THIS DOCUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS
OIILY .
TlilS INDENTURE, made this II!. day of OS'
BI:TWEEN
, in the year 2006
KIMICA LEVINS,
residing at 260 Third Street Laurel, New York 1194B
pMy of the first part and
ALISON ADAMS-LARSEN,
residing at 97 High Meadow Lane, Riverheaa, New Vork 11901
party of the second part
WITNESSETH, that the party of the first part In consideration often and 00/100 ($10.00) dollars,
paid by the party of the &econd part, does hereby grant and release unto the party of the second part, the heirs
or successors and assigns of the party of the second part forever,
AI.L that certain plot, piece or parcEll of land, with the buildings and improvements thereon erected,
situate, lying and being In the
See attached Sche~ule "A" attached hereto and made a part hereof.
TCIGETHER with all right title and Illterest if any, of the party of the first part in and to any streats and
I'Ollds abutting the above described premises to the center line thereof; TOGETHER with the
appurtenances and all the estate and rjghts of the party of the first part in and to said premises; TO HAVE
AND TO HOLD the premlsea herein granted unto the party of the second part the heirs or suocessors
and a&Signs of the party of the second pert forever.
AND the party of the first part covenants that the party of the first part has not done or suffered anything
whereby the said premises have been encumbered in any way whatever, except es aforesaid.
AND the party of the first part in compliance with Section 13 of the Lien Law, covenants that the party of
thel first part will receive the consideration for this conveyance and will hold the right to receive such
consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and
willi 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.
Th<~ word :party" shall be construed as if to ~ "parties" whenever the sense of this indenture so
reclluires.
IN 'WITNESS WHEREOF, the party of the first part hes duly executed this dead the day and year first
abllVe written.
IN PRESENCE OF
Jt:ns
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I'oliey'No.: 0 8831 .326100
SCHF.UULE A
LJo:GAL DESCRIPTION
All that eertain plot, pic.:" or parcel ofland, with the buildings and improvemonts thereon
erel:ted, situate, lying and being in the Town of Southold, County of Suftolk and Stale of New
York, know and designated as Lois 73 allll 74 011 a ~ain map entitled, "Subdivision;Map
Seclion One of Property orGeorg,c L Tutbill and others, siluate at Laurel, Town of South old,
N,Y." surveyed March 28,1928 by Otto Van Tuyl, Grcenport, New York. Surveyor, and filed in
the Omee oflhc Clerk of the County of Suffolk on the 15th day of J,lInuary, 1929, a.~ Map No.
86 I, said lols when laklln logether being bounded and described as follows: -
BEGINNING at a mOllument on the northerly side of Third Street distant 250.00 feet westerly
from Lbe comcr f,)rnled by Ihe wcslerly side of Bray A v.mue and the northerly side of Third
Stre:et;
RU:\'NING THENCE SOutll 69 d'~grees 13 minutes 10 seconds West along the northerly side of
'l1li:rd Street 103,97 feel to a monument;
THENCE North 13 degrees 54 minutes 30 seconds Wcs1151.08 fcct to a monumenl;
THIENCE North 69 degrees 13 minutes 10 seconds East 85.87 feet to a 111ollu111cnl;
THENCE Soulh 20 degrecs 46 minutes 50 seconds Easl 150.00 feet to the North side ornlird
Street, Ihe point or place of BEG TiNNING.
SAID PREMISES also being knowlI as 260 3n1 Slret't
Laurel, New "urk
4612 tll93) Pogo 2
NY Alia O"'.Dcn
.
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York, County of Suffolk as.:
On the Ui day of OS~ In the year 2006
befora IT", the undersigned, peraonelly appelred
KIMICA LEVINS
personelly known to me or proved to me on U,e basil of
_tiafacloly evidence to be the Indivldual(s) whose name(s) Is
(era) subscribed to the within instrument end acknowledged to me
that helsheJlhey executed the same In h1s/herltheir capecily(I8S).
and thel by hl8lherllheir signalul1l{s) on the Inslrumenl, the
individuI.I(s) or the person upon behelf of which the Individual(s)
Ided,~~~~nt~~}
(signature Ind 0 of indlvidull ~ 1Ckn000000ment)
SlIle of New Yori<, County of
8$.:
On the day of In the yaIr
bBfore me, the undersigned, personaDy eppeared
personally known to me or proved to me on the blSis of
8Iliaf8cloly evidence to be the Individual(s) whose nlme(l) la
(ere) su~bed 10 Ihe within in8lrumenllnd 8Gknowledged to
me thl! helshelthay exlICUled Ihe __ In hislherllheir
cepec:lly(lea), Ind that by hlslherllheir slgnllure(s) on the
inatrument, the indlvidual(s) or Ihe person upon behllf of which
Ihe Individual(s) acted, exllCUled Ihe InstrumOln1,
(slgnelure Ind office of individulll8lcing the Icknowledgment
NANCY L. BAGSHAW
Notary Public. Slala 01 New York
No.01BA6129145
Qu8llfted in Suffolk County
Commlsston ExpIres 07lO5l2OO9
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
SlIte (or IDlstricl of Columbia, Territory, or IForelgn Country) 01
On the day of
undersignled, personally appeared
personal~, known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s)
is
(are) subllCribed 10 the within instrument and acknowledged to me that heJahe/lheyexecuted the same In hislherllheir
capacity(ies) and that by hialherllheir signallJre(s) on the Inslrumen~ the individual(s) or person upon behalf of which
the Indivklual(s) acted, executed the insbumen~ and that such Individual made such appearance before the
undersigned
In the
In the year
before me, the
- - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -
i n
(inseft the City or other poIIlJcol aubdlvlolon)
taken)
(and inoerllhe Sla,," or Cclunlry or Diller place lhe ~mont was
(Iignoture and .mOl 01 indlvlduallalclng acknowledgment)
BARGAIN AND SALE DEED
WITH COVENANTS AGAINST
GRANTOR'S ACTS
Title Noo_
SECTION
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS
TO
RETURN BY MAIL TO:
SAFE HARBOR TITLE
AGENCY
1529 Main Street
Port Jefferson, NY 11777
1 2]
KECOl<C'E('
Number of Jt;lges 2fJQ6 H"'J Uil 04.0(': II PM
TORRENS ,TWOl ~h ~. P~';C!I~
CLE::RK OF
Serial # SLlFFOLK COUIlr'l
~ ()O(JOI:l449
Cenilicate # P 23.5
uTi O!;-3783B
Prior Clf. #
Deed .I Mortgage Instrument
Deed I Mongage Tax Slllmp
"1;1:5
Recording I filing Slamps
2J
Gnlnd TOIllI
\~--
Ml'nllallC Aml.
I. Basie Tax
2. Additional Tax
Sub TOIllI
SpecJA..,it.
or
Spcc./Add.
TOT. MTG. TAX
Dual Town _ Dual Coumy
Held fnr Appninl~ _
Transfer Tax ,&::T_
Mansion Tax
;tn., pn'pcny covcred by this OIongage is
or will he improvL"lI hy a one or lwo
family dwelling only.
YES or NO
I f NO. sec approprialc IllX clause on
of this instrumcnl.
P.dge I FiJin~: Fee
Handling
5. ..!!L
This document will be public
reoord. Please remove aU
Social Security Numbers
prior to re<X)rding.
TP-584
Notation
EA-52 17 (County>
Sub TOlal
EA.5217 (Slate)
R.P.T.SA
D..c .- =
Comm. of E,l.
5. (Xl
Affidavit
Cenificd Cnl~y
NYS Surcharge
Othcr
15. J!!L
Sub Total
~ Dist. ~ SL"Ction
Real Pnlpen: 06016059
." S. "'-.........
,ax, erv,ce ~'~T S
Agency A
Verification ~WH
MAY
G!;
1000 12600 0700
010000
I
s
Improved
/J.J'-SOf'l Ada..~ - Lo..r Stn
q '1 \-h~h Meo.dOt-U Lo..Y\~
~~I~(~ N'lo.
1\'-10\
v
Vacant L:tnd _ ."_
TD~tJ7J
6 S'lIisfuctinnsIDischalgeslReleases List Pmpcny Owners Mailing Ad.Jn:ss
IU:CORD &: IU:TURN TO:
TO
TO
7
Title Com an Information
~
Co. Name
Title #
This page forms pan of Ihe "lIaehed _
Suffolk County~Recordine & Endorsement Paee
'""Dee. J..
(SPECIFY TYPE OF I~STRUMENTl
made hy:
_fulV' \ c 0..
l-e. V I'~~
---.illl ~
Tbe premises herein is shuated in
SUFFOLK COUNTY, NEW YORK. c1
In the Township or SOlA- ~ () l
In the VILLAGE
IIr IIAMLET or
BOXES 6 THRU 8 MUST 8E TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
lt~OJY\S- L.OJSea.
(over)
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OPPICB
RECORDING PAGB
Type of Instrument. DElmS/DrlD
Number of Pages. 4
Receipt Number . 06-0045952
TRANS PER TAX NUMBBR: 05-37838
Recorded,
At.
05/08/2006
04.00.11 PM
LIBBR:
PAGE:
D00012449
235
District::
1000
Section:
126.00
EXAMINED AND
$0.00
Block:
07.00
CHARGED AS
Lot.
010.000
FOLLOWS
Deed Amclunt:
Received the Following'Fees For Above Instrument
Exempt Exempt
Page/l1tling $12 .OCI NO Handling $5.00 NO
COE $5.0CI NO NYS SRCHG $15.00 NO
BA-CTY $5.0(1 NO BA-STATB $75.00 NO
TP-584 $5.0(1 NO Cert.Copies $0.00 NO
RPT $30.0CI NO SCTM $0.00 NO
Transfe,r tax $O.OC' NO COIIIIII.Pres $0.00 NO
Fe.s Paid $152.00
TRANSI1Ei: TAX NUMBER. 05-37838
THIS PAGE IS A PART OF THE INSTRtJMENT
THIS IS NOT A BILL
Judith A. Pascale
County Clerk. Suffolk County
FOR COUI/TV USE ONLY
c,. 6Wlli Code 1M J; J.: 2"l..i..!.3
C2..Dm'__d I .:; I 0 .lJ/-.
M~ Efly ~
C3. _k I I. r1. Y. I.i, f.J C4. p_" II. ..3. $',
PROPERTY INFORMAnON
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: hltp:ll www.orps.state.nV.UI or PHONE {51BI 473-7222
REAL PAOP.ERTV lHANSFt;R REPORT
BrAlE OF NEW YOIlIC
BrATE BOARD OF _ PIIOPEIlTY IERI/ICiS
RP . 5217
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aDIHr ~
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LA8T NAIIII!" I CDM..........
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mlIUT _I MID nlItD NAIll
Clrt' 01 TOWN
ITArt
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4. ........... number at .&_--...... I '0 C)
RoII~I...........4ontM... .
r . of Percell OR 0 PIIrt of . Parcel
5.:::... I
....
MONTfUT
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cr."H
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. .0.3 .2.,
.....
IllnIr._"'.___Ihor_
.... Plonn;ng Booid - ~ Au1horily ExII1s 0
CB. SUbdMIion ApprOVII-. Requll'lCl far Transfer 0
4C. .....1 Appro,.d lor Sobd_ _ Map_ 0
....... L ....r~ltJ~
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1~NAM[,c:DIU'Nn'
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1. ChMk the 110. Wow wllloh mott ....r.aely ......1tM UN of 1M property at IhII II... of ....:
,,. Full I... Prlco
.. .. ,0.0, III
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(FuU Silt Prlc, i. l/'Ie IatIII amount PIid lor 1M prgptl'ty Indudlng J*-- property.
ThiI PI'/IIIMI mIy be In Ihe form of..... ClIIhIr property or llood1. or.. BUIlpIIon 01
morI~ Dr othIr obJipdora.' ",.... rountllD IM,.,.r wholtl doIIM MIOUtIt
-...-----
.. 0wneNNp ~ fa Condominlwn
E~ ... IcuIIunoJ I ~ Commwut Servlcl I. N8W' Con.truction on VllClnI L..nd
1" c:o:._ . 1. _rtoI' 1M. p....... Uocolod wt... on AgrtcuJ..,oI Dillricl
G ",,"rim"'" . K Public _ ''''1lu'flIO' __ ._.. _ ;nclCIOIng
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11. CIIacII: _.. maN ................. _...... ... ~
A SoJo _ RoI_.. Fonner_
R S8III ......." Related ~ or Partne... In BuaI.....
C One 0I1ho -.-. .. .110 . SaIlor
D IIuyor or SoIIor Ia ~rnonr.....CV .. !.ondlng I_
I! Dood Typo _ W........ or IIorgoin .od SoJo lSpoc;1y Below'
F _ of __ or ~ Ihon foe _lSpoc;1y Below.
o SIgniflcom ~ In "'- _ T_ SIot...nd Sala Dall
II Solool_..fncludadInSoIaPrico
I OIhor U_ _.. 10-'" Sola Prico ISpocIfr_'
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I SAlE INFOR~
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AS6ES6MEt.rT INFORMAnoN - OOla ohould reIIocllho ,._ Fine! ""...m.nl Roll .nd Tox Bill
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I CERnFICATION I
I -aI) - 01 at Il1o - or Inr........... ......... ... .... rorm ""' lnIe .... __ ,.. .... ... '" "'l' IuIowIedjlt .... bdloIl_ I __ _ .... .......
'''1IlI1_1101oo - '" _rtoI... ....... .... oooItJo.... _Ill'" Dnnlld.._ at tile .....Iow _ "1Ilo -.... ....181.. er_..............
!1m!! BUYEIrS ATTORNEY
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NEW YORK STATE
COpy
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