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Bargain and Sale Deed with Covenant against Grantor's Acts
CONSULT YOUR LA WYER BEFORE SIGNING THIS INSTRUMENT-- THIS INSTRUMENT
SHOULD BE USED BY LA WYERS ONLY
..:jl THIS INDENTURE, made the3.,f)ay 0~2004
JOHN A. PRIZE MAN and DIANA SHELLEY-PRIZEMAN ) L w'fe
I3 I Hicks Street
Brooklyn, New York
f
AND,
JOSEPH CACIOPPO and KELLY CACIOPPO L W I'fe
125 West 68" Street .)
Apartment IE
New York, New York party ofthe second part,
party of the first part,
WITNESSETH, that the party of the first part, in consideration ofTen Dollars and other valuable
consideration paid by the party of the second 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, all that certain plot,
piece or parcel of land, situate, lying and being
SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF.
DISTRICT: 1000
SECTION: 123
BLOCK: 02
LOT: 034
SAID PREMISES KNOWN AS: 1835 PARK AVENUE, MA TTITUCK, NEW YORK
BEING AND INTENDED TO BE the same premises as acquired by deed dated September 10, 1973
recorded September 13, ]973 in Liber 7489 page 17.
TOGETHER with all right, title and interest, ffany, ofthe party ofthe first part of, 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
HA VE 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.
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 incumbered in any way whatever, except as aforesaid. 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 the 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 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 constructed 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 tbis deed the day and year
first above written.
IN PRESENCE OF:
A. PRIZEMA
, ~l~~
DIANA SHELLEY- lZEMAN
l.
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STATE OF NEW YORK, COUNTY OF k '^"'5 ) ss:
Individual/Corp J
On the ~~ day of June 2004, before me, the undersigned, personally appeared
JOHN A. PRIZEMAN and DIANA SHELLEY-PRIZEMAN
personally known to me or proved to me on the basis of satisfactory evidence to be the
mdividual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me
that he/she/they executed the same in his/her/their capacity(ies), and that by hislher/their
signature(s) on the instrument, the individual(s), or the person on behalf of which the
individual(s) acted, executed the instrument.
~-\r- ~~ s:::-' "' ,
Notary Public
KAMAL P. SONI
Notmy Public, Slate 01 New York
No,OlS06089949
Qualified In Kings County
Commission expires March 3f, 2007
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CONGRESSIONAL ABSTRACT CO., INC.
Title No. CAF-2464S
SCHEDULE A
ALL that certain plot, piece or parcel of land, with the buildings and improvements
thereon erected, situate, lying and beinhg at Mattituck, Town of Southold, County of
Suffolk and State of New York, bounded and described as follows:
BEGINNING at a point on the northerly side of Park Avenue 685 feet east of the
junction of Park Avenue and Marratooka Road;
THENCE north 4 degrees 18 minutes 10 seconds west 250 feet;
THENCE north 85 degrees 41 minutes 50 seconds east 100.00 feet;
THENCE south 4 degrees 18 minutes 10 seconds east 250 feet to the north side of Park
Avenue;
THENCE along the north side of Park Avenue south 85 degrees 41 minutes 50 seconds
west 100 feet to the point or place of BEGINNING.
.n wi 1 ~ a.. t:2-1''tki O-f ~) IV)
~.iI05fe.The-1( '^ I Un ~'
V \~.; I tJ O~ere S) 33 -en P1
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be. \ V1~ 0.. ~Drl -h YJl-l~ -r 0
0+ ~tt ~(/e.
pt
~r'~
FOR
CONVEYANCING
ONLY
The polley to be Issued under this report will insure the title to such buildings end
Improvements erected on the premises which by lew constitute reel property.
TOGETHER with ell the right, title end Interest of the perty of the first pert, of. in end to
the land lying In the street In front of end adjoining seid premises.
Page 2
-- -- .'.~._-
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Number or pap,l's
L(
2
TORRENS
Se.ial #
Certificate #
Prior CI r. II
Deed / Mortgage Instrument
DceLlI fl.'lung.1!;c Tit.\( St3mp
4
FEES
Page / Filing ree
~=
'1 _
Handling
TP-584
NOlallon
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EA-52 17 (CUUllIy)
Sob Tot31
EA-.5217 (StOlte)
R.I'.T.S.A.
COlllm, or Ed
"i Q11_
Arrlduvil
Certified Copy
H.cg. Copy
I~=
Sub Totdl
Other
(;R^ND 1'01',\'-
Keal Property Ta.'\. St:rvit:l" ^gcm;y Vcriliciltinll
Disl
Sectitln
It.I.,,-"
Lot
Stamp
1000 12300 0200 034000
Date
Inilials
~
SalisfaCllons/Oischarges/Releases Li~t Property ()\"'I1~rs Mailing ^ddrcs'i
RECORU & RETURN TO,
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75&:4" H~ T(,J./l/tC~
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RECORDED
2004 ~og II 11:17:34 RM
Edward P.Roroaine
CLERK OF
SUFFOLK COUNTY
L DOOOl2336
P 487
DT# 04-01602
Recording I Filing St:JOIr"s
Q
1\'1orl!!.age AlII!
lIa!.ic "1";0..
2. AdtJiliuna! "fa...
Sub Tolal
Sr~c IAs..it.
("
Spec./AlIt!.
tJ
TOT MTG. TAX
Dual Town Dual Count)_
IlelLl Cm ^r1portionmCIII ~~ 0 _
~,rc,'~ /{ 7Lf _
Mansion Tall,
rhe pl'Ol1l'n:v t.:uvcreLl by thi3 tlIongi\ge is or
will be improved by a (lilt' or two rami!)
dwelling ol1ly
YES orNO_
1 C NO. see appropri3le tax cl.IU$1:: 011 page- h
_ of Ihis instrumenl
6 COIlUlll1llity Preservation Fund
$5~(2dO
Due S_~"t!2~-
Impn."t:d
V:lC<1nt 1.:lIBI
/D
TO
TD
TD
Tille Compauy Information
Co Nann" Congressional Abstract
Tille # CAF - '-I a
Q Suffolk Count Recordin & Endorsement Pa e
"his page lonns part or the ;lu,lo.:h\;d ________ J)O(.(( _ Illade hy
(SI'I:CIFY TYPE Or'INSTRUMENT)
~i 4;~+.:l\I(,ifl\'!:(-
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)
lllc premises herein is ~itLJ.4)ll.:d ill
SUFFOLK COUNrY, NEW YORK
111 the Township or
Illlhe VILLAGE
:-Tfi <.0 rlJ G, r 'ry\Or'l'" * II~Ck'''Pf'?>
IJOXI,S 5 -1l1RU 'J MUSI UF 1)'1'1-1) OR I'IUNTI'I) IN 11I./\CK INK UNI,Y
ur I I Al'vtLLT or
~dkolc{
1j(J f/th/~t
J'J(I(ll{ TO RLCURDING OR FILING,
(OVER)
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
Receipt Number : 04-0088980
TRANSFER TAX NUMBER: 04-01602
Recorded:
At:
08/11/2004
11:17:34 AM
LIBER:
PAGE:
D00012336
487
District:
1000
Section:
123.00
EXAMINED AND
$435,000.00
Block:
02.00
CHARGED AS
Lot:
034.000
FOLLOWS
Deed Amount:
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $12.00 NO Handling $5.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $50.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Transfer tax $1.740.00 NO Comm.Pres $5,700.00 NO
Fees Paid $7,567.00
TRANSFER TAX NUMBER: 04-01602
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk. Suffolk County
~LtA:;t I y~t UK ~HtSS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (5181 473-7222
FOR COUNTY USE ONLY
C1. SWIS Code
y 73,<1 , <t ,r I
REAL PROPERTY TRANSfER REPORT
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STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
cz, Date Deed Recorded I ~q;J (;( I ~
C3. Book I, ~'...2..j ~ , "5 I .6f C4. Page
PROPERTY INFORMATION
RP - 5217
KP-,217 KcvJI'J7
1.Propertvl 1835
location~rNuMBER
Park Avenue
. -.-.---J
S.RHTNA"E
~_ Southold
CIT'f OA TOWN
MattitucJ<::
ll~
ZIP CODE
'.'II\.A!;E
2. Buver ~ Cacioppo
Name LAST ~IAMF I COMPA",Y
Jose);)h
~;RST N:",IE
.._~
~ CacioI-'po
LAST\AME!CQMPA"Y
Kelly
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"RST ~"'~i(
J. Tax IndicatewherBfutlJrBTlllC Bills ilf"tobe senl
Bill1ng ,~o~h",r than buy"" address ':at bottom of forml
Address
FIRsr,'1AMto
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LAST NA~iE CO"P"'~Y
STAH-NUMRERANJSTAHTNAME
j_.~
STATf Z1PCOCE
:ITY o~ TO',';!,;
4_ Indicate the number of Assessment
Roll parcels transferred on the deed
LJ
IOnly If Part of it Parcel) Check as they apply.
4A. Plan ring Board Wil~1 Suodivision Authority Exists 0
4S Subdivision Approval wa~ Required lor Transfer D
4C Parcel Apprcved for Sutdivisio,~ with MalJ Provided D
5 Deed
Property
SIl_e
J # 01 Parcels OR D Pan of a Parcel
L-! UV I X L-o:) ~c::~ OA I
F~ON" rrET DE"TK
.
A:R,S
6. Seller
Name
L Prizeman
lAST NAME I COMPANY
Shelley-
~ prizem~!1
LASl NAME I COMPANY
"RSTNA'.',-
John ~.
"~S~~ ,,;,....t.'
Diana
7_ Check thlt box bellOW which most accurately descrIbe:> the use of the prcperty ~!lf!l~ of sale:
Cheek the bakes below as they awlv.
S_ Owner:>hip Type is Condominiul"'1
o
o
o
o
A~oneFarniIV!1eSidential
B 2or3Farnil\,Resic:enlia'
C Residenlial Vacant land
D Non-ResidenlialVacanl Land
~~ Agricultural ~~ CommunityServrce
Commerci,)1 Industrial
G Apartment Public Se......ice
H Entertainment ' Amusement Forest
9. New Ccnstruction on Va~a'.t uwd
10A, Property located within an AgriclJltlJ.al District
108. Buyer r!O<;elved a disclosUle notice iroicating
thMlhe property i:; in utAgriclJltural District
SALE INFORMATION
15. Check one or more of these conditions as applicable to tran$fer:
11. Sale Contract Date
05 25 I 04....1
1,1o,,,h Day YN.
Z", r I 0 v:
I
CIa\" Yea'
Sale Betvl/een Relatives or For",er Rel"tlvt'~
Sale Bet1....een Re;ated Companies or "'artners in Business
One of the Buyers i~ "Iso il Seller
Buyer or Seller is Government Agency or Lending I~stitution
Deed Type not Warranty Qr Bargain and Sille {Specify Below~
Sale Of Fractional or Ll!~s than Fee Interest (Specify Below)
Significant Change in Prcperty Bel\-'1esn Taxable Status and Sale Dates
Sale of l:Jusiness js Included in Sale Price
Other Unusual Factors Atfecting Sale ?rrcl' :SpecifyBclow)
None
..\
B
C
D
E
12. Date of S~le I Trensfer
4 3 5 O. 0 0
, , .
IFull Sal~ Pri~e is th2 total amOlJnt pa;d 101 the property including personal p'operty.
This pl'lymenl may be in thelorm of cash. Olherprcpertyorgoods. ort he assumption of
mortgages or other cbhgations_1 Please rovnd to rhe nearesfwlloledollaramOu'nt
F
G
H
,
J
13 Full Sale Price
[) , [) I
14. Indicate the value of personal L __-'-- 0
property included in the 5ala, , .
ASSESSMENT INFORMATION - Data sho Id reflect the lat
16 Year cf Assessment Roll from (1- L;l /:/ I
_-=.J~7. Total Assess.ed Value lof all parcels in transfer]
which information taken
tV .Co-.
~.....C.....J
8 / :;;l
v 3'-1 Do () ...J
18. Property Clas.s
I t'1 J C1-L_J 19, Schoo' Dis.trict Name ~_____
-'<
20 T..x Milp Identifier[s) I Rollldentifier[s) !If more than lour, attach sheet with additional identifiarls~)
L
looc)
--r if',;)' 00
/.).3....:...2. 0
L
I CERTIFICATION
L
I c~rtifY thai all of the itt'm.~ of informatiull t'nlt'red.m thi~ roml an' trut' anUrOITL'Ct Ito the])esl of m~ knOll ledge and belief) and I uude,-.;tund that Ihe makiil~
of an~ "illful f~ISI' statement of material fact here-in 11m lubjt-.:t me to the pro\isiolls of Ih., Pl.'nul lUll relatin' Wlhe milking aud filillR of taLle instnlmf'ntl.
~~ BUYEA
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BUYER'S ATTORNEY
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::Lf~HONI'; NUMBE~ (~
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r NEW YORK STATE --\
LeOPY ___J
ZIP coo~
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SELL~RSrGN...TuRE ' _ 8 _ OATE
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