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fOl'Dll B01l2 (3/OD) ':- B....i~ aDd &lIe I:lcccI. with COVCRaDb ..aioal O...Dlur', Acta - ladlvid.at DI' CorpclII'llioa. (~;jD.lc ,IN:et>>
CON$UII..TYOUR LAWYER BEFORE BIGNlNG TIt" INSTRUMENT - THIS INSTRUIIENT 8HOUUll BE USED BY LAWYERB ONLY.
THIS INDENTURE,modcthe fa doyof _be, 2004_
BET~'EEN
ROMlU.D GEORGE Mil\SSAB. 9 MaIn Strw8I. SouIh8mpton. New York 11988
~'
pari)' of. first.-rt..oo
DAVID SHAMCON. 17.4 MIIIlIIlIln<. Roed. BrIdg_ - Yen
"''''D .h.... J. SHAM...W , 1'10 Hw",.AN'b
.::1'. &.&.
11932
* ~,I'E
pm'Iy of' the KCODCl ~
WlTl'llESSETR, thDt the ~ of the tint part. in considcrakm of la1. dollaR and other valuable oonsidcnwlIII Jaid by the perty
ofthc: ..~ ~ docs halteby pam_ad release unIo the ~rty of the MEODd pan. the hdn 01' mD::caon and B5f.lgns of die part)' of
the .eelltld pan fornu.
ALL. lhat certain plot, pica: or.-eel oflud. with the buildinp.... ;.u......._........tbercon CI'CCl:cd..IiIUatc. tyj:ll8and beiDA ill the
SEE ATTACHED SOiEOULE -A-
BEING AND INTENDED TO BE lhe SIIII1It PIIem-,,,, c;on4llwlld to the per1yofthe HrBt ~il by deed d8iledJufy 13, 2000
and I1l!lCOf'ded In th& of'Nce oflhe SuIfoIt Counly Cer1l on July 31, 2000 In Uber 12059 Algi_ 604.
TOOmrnBR willi aU riaht.. litlc: and interal" if m"IY. of Ihe s-rtY of the first put. iD IU1d to any ..eelS aDd raMI: abuttina the .bow-
dacribed pr1lI1IiKlIlO &be ccnln lme. Ilhacof, TOOBTHBR willi lite IIppUrIICIIancca and... the allil:C and ri&bU of'me party orb fi....
part in IInd to IllLid pIaIIia::a; TO HA"EAND TO IIOW diD pnmilCS hemin gn:nrcd WIlD the piny ofthc xcoad put. the hcin or
.UCCC:SlIIOf1I and aalgD!I ofltbc party of'the second put ~.
AND II~ party of Ihc first: pan coveo;lI1Ia that the party of the rim put '-.5 DOl dooc: or sutrcn:d .nythins wbcn:ltJy the IlIid prani..-
t..w bl::cn encmnbcrcd in lUIY ...y wi_lEVer. acqJt as _r~.
AND the..-nY ofthc finI part. in CClmplianoc with Scc:tioIlI3 olthe Lien uw. CU'w___.~ that 't!ac puty tint ,pc1. willl'ClCCive the
c::amidl::nlion fur this COIln:ymEC and wil hold dzc ri&Jd to 1'CICCiw- such c:oGSidr:mdon as _ trusI fWld to be applied rtn1 tor Ihe JJUrJK*
ofpayina Ihe COlli of the ill1p~1l and will apply the.me fif'lllO IIK:.-ymcnl orlbe cma oflbe impl'O'VClll<cnt bcforcuina aby
.-.. of the toeaI of tho .ulC fix any alba" pwpoec.
The Wind ~ shall be cxmstrued Its if II read ""pm1ics" whcncva' tbc -=wlC of &his iaOcntulll .:JI requires.
IN ",rITNESS W OF, the ~ny olthe first put has duly CDU'JeUtcd dli. deaS the dB'J, and)":Al" fiJS~ IIbove written.
~-
~~C)i~
;. ~.AMl81.~nt...iIuIn in .... VorIl: 8Ute
AdL._~11. --.. .-nt"'n In N...Ybrk.....
State 01 Nc!1W York. County d Suffolk
. "'" S- 01_ _. County 01
. ..:
.. .
Dn_/a~ _or -"be' ....U.._'2004.__.
the -9-d. ~'nally a_
RONALD GEORGE .olASSAB
perwonalty known to me or prcwed 10 I1W on the basis of
BatisfBc:Ior'lt evidence to be the Ind~I(.) wtJQee ....me(..) 18
(are) aublla1bed 10 itle wtthln InslnJrnent .00 .~_...I18t1ged to
me that hellIheIlhe~ eXIIaJted the same ,In hi8lhernhelr
Qlpec::ity(los). and Uwt by htsIher/thelr .ign8f.ure(.) on the
1nstn..nMHrt. the lndlvlclu8l(s) or the pel1IOn upon behalf of which
the IndMdILJal(s) adad. executed 1hIt In'llrument..
~.-O---Z~
.<ARY 2EZlMA
Notary PublIc, __ 01 New YM
No. 012EflO48847 SUffdk ~
Tonn e.,_ 0aI<It.- Zl.
Ack.to...dg.....nt ItIV Subecrlblng WI" -- talwn In ....
-_.
Sta1It of Naw York. O:)Unty of
On the day of , lIl.he yeer
the unden~ned. penonally IIppeared
. before me.
"'" subaclibing wi",..... to _ IonIgoIng InsIrum.nl. wtIh whom I
am penlOl'I8l1y acquIIlnled. who being by mil duly awom. did
_and oay.___o) In
_--_0)
to be the IndIvIdI.AIl ~bed in end who 8X8CI118d the
foregoing inIIrurnent; that said aubM:rtblng wttnese was
PfD88nt ..td 88W aakI
execut. the...... _lid thIIl _iet wnne.a _ the ..nw time
....becrlbed hlalhedlhrl,ir nalBl(s} .. a wIlne8a 'thltr8lo.
l1tte No.:
RONALD GEORGE MASSIOB
TO
DAVID SHAMOON
.......
3",...... "-.lit"".."""
[ Disbibutsd by """"'"""""lI
~ChicalO TItle losuranee CO~
~
l!;
I
R
~
l!;
~
~
i
~
I
-~ -..-----.---.--
On the dIIy of . In the yesr
_ unda.-lgned. ..._Iy ap_red
, tIefore me,
....~...uy kncMn to me or prowed to me on the ball. of
....,~., evMIMIce to be the IndlYldual(s) who8e ....me(.) Is
(are) aubecrlbed to the within Ins1trument and acknowledged to
me thet helMWthey executed the same In hlalherlthelr
CllpIICIty(l_). and that by hlllllt....ltheir stgn.ure(a) on the
Instrument. the IndivlduIIl(.) or hI pe~ upon beh8tr or whk:h
the IndMd~.) acted. ell8CUled the Instrument.
~......-m....n outsIdllt "-Yon 8....
. _: -S1at8 of , County IJl.
-(or InMft DiBtt10t of CoIumbIe. Tenttory, P
Foreign Country)
as:
J~nor
On the day or , In Ule V-' the uncIerwlgned, peIBOft81ty appeIlred
.. before fII8.
perwonaUy Itr.-n to me or pn:NIMI to me on the b8sba 01
~ __ to be 1he 1r1dIvtdua~o) _ name(o) ..
(are) RIbeCribed to the wI1hIn InBtrument and acknowledged to ~
..... ~ executed .. ..me In hIIlIh8rlthMr capllClty(lu.).
end UwI: by hilIIherllheir Signab..-e(B) on thtI Instrument, the
Indlvidual(o) or tho parson upon .......K 01 which _ Indhlld..,Co)
acted. -......... the lna1rumenl, IIAd 1hat such Individual made
auch eppeerunoe betIore the undBlralgned in Ihl;~
(add the city or political eubdtvtelon and the ..... or country or
oIher place the 8c1u~ was taken).
DISTRlCT 1000
SECTION 122.00
BLOCK 09.00
LOT OD7.020
COUNlY OR TOWN ~
RETURN BY MAIL m:
Roy c;r..-g, Esq.
1 MaIn Sbwet
P.O. Box 731
E..t Hempmll. NY 11937
Zip No.
..
-
.. - ,-
',"
:'.1."- :..','
Fidelity National Title Insurance Company
:. ..:.:: .,J': .:': ".:':>:rITLE-NO;,O"'7uq~7.437-SUFI" ,~.';)....... _'. '.: "'. .
'. '. .. . ~.' . '-.. ...... ~ ~ .. . . .... .. . ..
-..
'.~ .
_....:..
SCHEDULE A-I (DtfCripllol/>
AMENDED 8/10/04
ALL that certain plot" piece or pareel of land. situate. lying and being in the Town of Southold, County of Suffolk and
Slate of New York, bounded and described as: follows:
BEGINNING at a point on the westerly line of a 50 foot right of way at the southeasterly comei' of land of Strong being
the northerly comer of the premises herein described; .
RUNNING THENCE along said westerly Jine of a 50 fool right of way South 04 degn:es 34 lIIinutcs 20 seconds West
305.40 feet;
THENCE aloOng other land ofthe part of the first part of the following TWO courses:
I. South 84 degrees 50 minutes 50 seconds West 130.00 feet;
2. North 42 degrees 19 minutes 20 seconds 130.16 feet toO said land of Strong;
THENCE along said land of Strong North 47 degrees 40 minul!lS 40 seconds East 326.57 fcetta the point or pla<:e of
BEGINNING.
TOGETHER with inglCSs and egtcss over said 50 foot right ofw~y to Krauss Road.
TilE POuc:r TO BE ISSUED WIIie, Ihil commitment will insll'" the Iille 10 IlICh bllllding! and improvemenll olllhe premilu which
by law consli/llle real properly.
FOR CONJll,YANCING ONLY: Togelll"r willi alllhe righI, litle and illl/!TUI oflhe porly aflhe Jim part, of in and /0 tilt! land lying
in ,he.,reel ulfranr of and adjoining laid premile..
SCHf:JJUf.E .4../ (Ducript,ion)
Rev. (0JJ04)
RECORDE!'
~004 Sop 20 05: 22: 42 PM
Number of :pages Edw3t":a r,:;: RoiJit Ui;'U
TORRENS CLERK OF
'.',. -.."1' ~ "j.....l ...' ...JIll ...}HU '0" ".. ::11# ! !lr.ll :):.il1~ '(m Uf t.~~wi iU:.j =!oMt :'~':;;&I'il;.rr,'I6UfiffilKl.oI9U).lT!i..;(
Serial # L D.0.Q;;U.U44...",
r 4CQ .
CCrtificale 4t.l.l'i&,,_:/J..t.:..w..U _ ~ ,"'"",1.7 ~I ....IllY:,: ',Ot.."! !.:..=.iJl.i1;-ni h'..I!I":"l~ '''!4l1::!.;hi!.1 (Iriltr:::r" lh~.lf!.q'~9.?~?:~-.. -~!
Prior Clf. II :.I11~UCflrJ '':r':;:1.111;.,,: '!f~'-'U;Jj( hl!iollf;!";. ~!_ '.:.:.:fili'C!..{ h:lt.l.!!t _lJ"L! J~~.JJ 111 .T._li:.......i..r..k..J.!.'Il.~JI..:l~. ):,,~.;'il!.t.~!tl
..11...;",..-
-;-r-3 O..ed~..~.~,lns~~_:. '_' ,...... ..~.'.~.~~.~!'. ).,.... _..~~~~.~~I~ng.S_~s
~ .I1!"f1'JI r....: i..... ~ hll'II'~ ..~) ..,I'.r..', J. II. ~.ttl..n''''r='' ".~'1'H'" '.i1I;....: .. 't
Page / Pili". F....
Yocl ~J.!~cr...J'1.!J llniinc;.!"n ..J"I...';i .,":tf\' ..t;,:.r: .i:,j":" '1';'\~.'")H
Handling. 5 .JXL
'J'P..584
NOl8.lion
"..ubi ".'; .I'I'J.)I r.~".f;! 1.:.:.":.,:,:_.~t11
.,':w.o/,U'_.l/nn 0:-':
1(h!I"1 f.~ Ji....:I.:.r."i>l
EA-S217 (County)
I!A-S217 (State)
:I~~ Subl.Total (. ,.
R.P.T.S.A.
~7.JI ,""rT 1,;,;ll'j :....1.
,..::&"'71'...: 'Jr...I.: .
Comm. of lEd.
Affidavit
. ".~. I_I
1~.l:""'I~n."....r'I.''''}:'
Certified Copy
Re..Copy
'l;!~t: .G.;~" t :;,\1
SubTobiI .
OtIu:r
.;.'J-,,:I" ::, I...........).;;.; .lwl"rGrii.ii'TbtiJ.~
. ---U;;...t:~ 1I'.''1:'.I~h ,.1:
111.00r;I:':'~ '; 1"".~.j;Q):::'t.
~Oi.trict~on
Real
Property
1&x Service
A/lCfWY
Verification
007.01
1000 12200 01100 007020
61 SatidlctionIDiscbargalReleue US( 1'roi""'Y Ownc:rs Mailin. Address
RECORD '" RETURN TO: Q
ROlf E GREENBERC.'EsQ~~ "~;"\J=>'~)~
I MAIN ST .,. .." I. ., _I ..,
POJIIOX731 . ~"II;oIoI.". iI.'_ 10..
EAS;r HAMPTON, NY 1l937'."!:) .J.,"..; ,!hi'l..!.
Mortpp AmL
J.v"'~ no,,, ~I.IBui'c Tai' br::rw? .:~fl.,j'.(
2. Additional"Jlp; _)n~ln ':.f::~
Sub Total
:S~~EI ~~"':~ ~I'I:- ': 1~I.I~v....J.:.;:.!
OrY.':',~'H :.-n;lU.. Ir:..3 I....:~
:;r-' /~.-:. ,!.;n::fi.I'Jl,,!t::: It.l.v"';
Spc:c./Add. '-(": .._.;. .. .....
TOT. MI'Cl. TAX
,.:'kl : ."lrQuaI.~P..,...;, :t_.D,;Ia~l~pty_
Held tor..Appoiiltmont:i...!.f..:.
Transf';r TU. 1 ;", .,".. ,(.,"0:(3) .
MansionYax 6'.::::-'-;' ~!'..}"
.~...;..;r ~IP~.~V!~;.I?YI,~,.rnoIpJe is
or will be i~~t:IJ.Y.CI8:.<:JIlC or two
ramily':d~11i4R8 ~':'11'.~1 r ...::~
YES fit-or. NO ." .'..
If NO. """ _ropriare laX clause on
J...' '.. #' "".1 ".fntJj. .....:..,;,o~11
- ..page . ._~", . 0 IS.UlSuulllellt.
: ':. ...;.. l::' . ... ; I,~i
5
rt'll
Communi
Consi~'1n....!",!u'!.l. ..
.. PFTuDuc ::an-,':
LS....':
~.~.~~.....,
Vacant Land
......-
TO
1t'J
.
TO
TO
7 ntle ComplUly lDfonDadOD
Co.. NIUIIIl FIDELITY NATIONAL TITLE
TItle # 04-3704-57437
~uffolk .County Recording.& Endorsement Page
TIti., page forms pan of !he attached ...JI!EED made by:
(SPECIFY TYPE OF INSTR1JMI!NT)
IInNAII'l~ G~nRC:Jr. M"S.~AR
The pn::misis herein is situaled in
TO
SUFFOLK COUNTY; NEW YORK.
In the: 1bwnIhip of SOIITHOLD
DA VID SlfAMMON AND .III.'. SHAM(~ In the VILLAGE
... HAMLET of MA TrITUCK
BOXES 611ffROUGH 8 MUST BE TYPED OR PRJN'1E) IN BLACK INK ONLY PRIOR TO RECORDING OR ALlNG
(over)
r
1111111111111111111111111111111111111111111111 1I11I111
1111111111111111111111111
j
SUFFOLK COON'lY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/OD'D
NWllber c)f Pages: 4
Receipt NWllber : 04-0104053
TRANSn~R TAX NUMBER: 04-07771
Recorded:
At:
09/20/2004
05:22:42 PMt:.
Distric1::
1000
Section: Block:
122.00 09.00
EXAMINED AND CIfARGED AS
$150,000.00
LIBER:
PAGE:
Lot:
007.020
D00012344
400
FOLLOWS
Deed Amclunt:
Received the Following Fees For Above Instrument
Exempt Exempt
Page/I'i.ling $12.00 NO Handling $5.00 NO
COE $5.00 NO NYS SElCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $165.00 HO
TP-584 $5.00 HO Cert.Copies $0.00 HO
RPT $30.00 HO SCTM $0.00 HO r.
TransfElr tax $600.00 NO Comm.Pres $1,500.00 HO
Fees Paid $2,342.00
TRANS~l TAX NUMBER: 04-07771
THIS PAGE IS A PART OF THE IHSTRUMEN'r
THIS IS NOT A BILL
Edward P.R.oma~ne
County Clerk, Suffolk County
, .
"LoA>;" I YPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (5181 473.7222
fOR COUNTY USE ONLY
,L(j ;~P58 ~11
C2 Date Deed Re,o,ded I 3 / :1.0 ~
, ~nl Day Year
CJ. Book 1 j :2,?; \i 1 C4 P_._~. 0
REAL PROPERTY TRANSFER REPORT
C1 SWIS Code
*
. . j
~, !'
~ ',,~..
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
kl'.~~17 Rt.,- .V'f1
PROFERTY INFORMATION
1. ~:~~i: l
:<,/0'1 C/lMI'
STREH'-UMBER STREETNA""E
<:: D(...c. T7-I () '- 'l>
CITY~lOWN
11124
jtA I N€ {)L.II t€d
M >1-77 I /Z.(fA<..
V'l,AGE
Z. BUY'!II"
Nanle
~J.fftMOo"-l
I_ASTN"..,EICOMMNY
I LAST~Ettfi~oO~
~,LL
<::>AVID
FIRST NAME
L,l,..
FrRSTNAME
3, TalC
Billing
Address
Indicale where fulure Tax Bills are 10 be sent
ifotherthanbuyeraddrBss(atbottomofformJ L
lASTNAME!COM~ANY
FIRSTNAMt
S~REET NUMBER ANO STRFfT NA~E
CITY OR TOWN
STAT<,
ZlPCOOEo
4. Indil:ate the numbftr of ASlInsnTent
Roll parcels transferred on the deed
, J # of Parcels OR 0 Part of a Parcel
(Only If Part ofa Parcel) Chsck as they apply:
4A. Planning Board with Subdivision Authority Exists D
48 Subdivision Approval was Required for Trans1er D
4C. Parcel Approved fOr Subdivision with Map Provided D
L
5. Deed
Property
Size
lOR ,
....CR.S
. l' If I
~__..Jxl
FRONTFHT
DFPTH
6 Sellllr
Name
L_..M ,+S;S .+-:&
lASTNAMfiCOMP...NY
4€<>~
t:nA~ A Lb
L-
LASfNAM.;COMPANY
FrRST NAM~
7. Chc<:k the bOll below whieh most aceurateJy dBscribes thB use of the property lit the time of sale
Check the bOlles below as they applv:
8. Ownership Type is Condominium
9. New Construction on Vacant land
10A, Property located within an Agricultural District
10B, Buverreceivedadisclo5urenoliceindicatirg
that Ihe property is in ar Agricultur~1 DislriCl
o
o
o
o
A~oneFamiIYAeSidenti"l
B 2or3FamilyResidential
C ResidentialVacanl Laud
o Non.Residen:ial Vacant lano
~NFORMAT10N I
11. Sal,! Contract DatI!
E~A9ricultural
F Commerci"J
G Apartment
H Entllrtairlm,rlt ,,' Amusement
I~COmmUnityService
J Industrial
K Public Service
L Forest
15. ChllCk one or more of these conditions as applicable to transfer:
/
Month 0" Year
'9 1.0 / 0'(-1
MOfllh D., Yea,
A
B
C
D
E
F
G
H
I
J
Sale Betweefl Relatives or Formar Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also 11 Seller
Buyer or Seller is Governrnent Agency or LF!nding Institution
Deed Type not Warranty or 8argain and Sale {Specify Below)
Sale 01 Fractional or less than Fee interest (Specify Below)
Significant Change in Property Between Taxablo Status and Sale Dates
Sale of Business Is InclUded ir Sale Price
Other Unusual Fal:tors Affectins Sale Prico ISpecify Belowl
None
12. Date of Sale I Transfer
,1,5:0,00 <=> 0 0 1
l l .
{Fuil Sale Price is the total amoUnJ paid forthe property in(:luding personal property
This payment may rnl in the form 01 cash, other properly or goods, or the assumption of
mortuages or other obligations.) Please round 10 the neal'~st whOle dollar amoum.
13. Full Sale Price
14.lndfcatethe value of personal
pro)lertyfncludedinthes,lIle
o
o 1
, l .
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of A.ssessment Roll from I 0 ~ J 17. Total Assessed Value (of all parcel.. in transfer) ~,.
which information taken
I .;2., t) 01
l
18 PrOllerty Class
I ~ (~-LJ 19. SChool District NlIme I
~ {I(IV u::..
PI Sr t&/2.
20. Tall Map Identifier]sll Roll Identifierlsl (If more thlln fc.ur. i1ttllch sheet with additional identifierlsJI
I.LPOC> - /2.2.. <> C>
0'7. 00 - 007..,0"2.0
L
~'ICATION
I certif:\" that all of the item<~ of infonnlltlon ('nt..red on this fonn are true and correct (to the best of my knowledge and bcliel) and I unden;land that the ma"ing
01" :m)" willful false statement of mlllerial filet herein ~ill !iubject me to tbe provisions of the oenallaw relatiw to the making and filing of false instrumenh.
BUYER
vl -
(,~....:c(/A' ~th-- I
~. /J/ ..cU~.,~~u / q//O!,'/
-W~~ATI.JRE lOAn
;J{'?i /J ~~~
.11L /jnx:
STroH NI.JMa.ER s EE AME (AFTER SAlE!
1,. / I _/ .
4:{,o//'~71(1f"/7 ri~.r "" "
\j / SELLER
BUYER'S ATTORNEY
B!;~M~"BU'. c.~ J~~M~
~".:.I
~'2.-1"- Sl2.-o:J
rHEPHONfNI.JMBER
AIlEACODE
r---'~
' NEW YORK STATE
I COpy
~.._~-~
~r.~c~~l)n....-\..
'i'f/l){ol.(
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