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NYD05 - Bugain and S.1e Deed with Covn.nt ..ainsl Onntor'a Acts Indi,'idual or Corponlion (Sin.le Sheet) (NYB1'U 8002)
CONSCI..l' YOUR LAWYER BEFORE SIGNING THIS INSTRt:MJo:NT - THIS INSTRU="I&'''T SIIOULD BE USED BY LA \\.'YERS ONLY
THIS INDENTURE, made the 1'l;'I-lo day of December . in the year 2003
BETWEEN
Thomas N. Anshutz, Jr. and Pamela L. Anshutz, his wife, both residing at
2305 l.aurel Lane, Laurel, NY 11948
party of the first pan. and
Pamela L. Anshutz. residing at 2305 Laurel Lane, Laurel, NY 11948
party of the second part,
WITNESSETH, 'hat the party ofthe first part, in consideration ofTen Dolla", and other valuable consideration
paid by the party of the second ","rt, does hereby grant and rele..e unto the party of the second part, the heirs or
successors and assigns of the party or the second part forever,
ALL that certain plot, piece orparccl ofland, with the buildings and improvements thereon erected, situa'e,lying
and being in the
Se.a Schedule "All attached hereto and made a part hereof.
Tax Map
Dnignalion
DilL 1000
Sec. 122.00
81k. 06.00
This conveyance is made in consideration of Pamela L. Anshutz a8suming~the debt
secured by a Consolidation and Extension Agreement recorded at Liber 20441 mp 355.
lot(a) 030.001
Being and intended to be the same prcmises convcyed to the party~of the first part
by Deed dated 11/15100 and recorded in ~he Suffolk County Clerk's Office on 11/22/00
in Liber 12086 cp 453.
TOGETHER with all right, 'in. and inlercsl, if any, of the party oflhe firs' part of, in and to any s!reeta and
roads abulting the above-described premises to the center lines thereof; TOGETIIER with the appurtenances
and all the eSlale and righta of the party or,he first part in and 10 said premises; TO HAVE AND TO HOLl:!
the premil'ies herein granted unto the party orthe second pan, the heirs or successors and assigns of the pany of
the second part forever. '.
AND the party of,he Ii"" part covenants thal the party of the lirs' part has no' done or sulTered anything whereby
the said premises have becn incumbered in any way whatevcr, except as aforesaid.
'AND the party oflhe fi"" part, in compliance with Section 13 of the Lien Law, covenants tha'the party of the
first part will receive the consideration for this conveyance and wilt hold the right to receive such consideration
.. a trust fund to be applied firs, for the purpose of paying the cos' of the improvemen' and will apply .'he same
1i""lo 'he paymen' of the cost of the improvemen' before using any part of 'he tOlal of 'he .ame for any other
purpose. C". :.... ...,.... ... -.......
The word "party" shan be construed.as i~ it ~ "parties" whenever the sense of this indcnrure so requires.
1'".- .. . . '. ~'.. (
IN \VITNESS WHEREOF, tho: party of the fi"'t part has duly exeeu'ed 'his deed 'he day and year firslabove
written.
IN PRJo:SENCE OF:
~ ~
~ ~.~ns~a'--:
Pamela L. Anshutz ~
(d~ q '1
6'() (j
( J} -~ - 36 . (
..
."
,--"---F'ilIeliffNatiiiiiiITilIelnsurance Company --.-.. -- _0__.... --
'*' of New York
TITLE NO. 03-3704-54882.SS
LEGAL DESCRIPTION
TAX MAP NO. 1000-122.00-06.00-030.001
ALL that certain plot, piece or parcel of land, lying and being at
Mattituck, Town of Southold, County of Suffolk and State of New
York, bounded and described as follows:
BEGINNING at a point em the northerly side of Main Road distant
507.16 feet westerly all measured along the same, from the point on
the northerly side of Main Road where the same is intersected by
the westerly side of la.nd now or formerly of the State of New York,
said point being also the westerly side of land now or formerly of
TMCK Associates; .
RUNNING THENCE along the northerly side of Main Road, South 51
degrees 58 minutes 50 seconds West, 120.00 feet to the easterly
side of land now or formerly of Sidney and Eleanor Packer,
THENC~;along said land the following two (2) courses'~nd distances,
1. North 37 degrees 57 minutes 50 seconds West, 100.00 'feet;
2. North 23 degrees 103 minutes 00 seconds West, 316.82 feet,
THENCE North 58 degree:s 32 minutes 00 seconds East, 39.12 feet to
the westerly side of l.!nd now or formerly of TMCK Associates;
THENCE along said land, South 37 degrees 51 minutes 20 seconds
East, 401.61 feet to the northerly side of Main Road to the point
or place of BEGINNING.
TOGETHER with all righ't, title and interest, if any. of the party
of the first part in and to any streets and roads abutting the
above described premisl2s 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.
24 Commcrt~ Ori... Rl..~rh..d. NY 11901 . (631) 727-0600. FAX (6JI) 727-1796
Stair or New York, Count)" or su ffolk
Ondtct~dayl)r December inthcyear 2003
before me. Ihc unden;ip1Cd."""""'1y ~ Thomas N.
Anahutz, Jr. and Pamela L. Anshutz .
pcnansIIy Icnoom ID me ... pI"O\'Od ID me on Ihc basi., of ssdsfictory
evidence ID be ~'" incIMduaI(s) ..- nsme(s) is (sn:) s"bsaibod ID !he
within ins1Iumerd snd acknowledged to me lhal _ey execuIlOd !he
..... in hislhc:rl\hcir cspsci'Yf...}. snd _ by hisIheIfIheD. signaluro(s) on
Ihc ins1JumenI. the individusl(s). ...Ihc person upon behzdf of which \he
individual{s) acb!d. executed thr instrument
-Illcl WJI1J1JJt.r'n>-.,
Notary PubllC.. MEUSSA ~ .
NaIarII PublIc. Slate,~' N_ 'lib'"
No._.I.
," ~ In ~ ::aunIlr
CD_ Explr8e" OJ 4, 6
Aa<l\"OltU!DG1I1M" FoRA' FOtr UtE Il177IlN NE"'Y<MK s."AmOl\.." __ FOI/M RlII UtEOtmmE NF.w ItIrlr STAmQv."
(Nrw Yonl; SlIbsrrlbing Wit""' Aclcrrtiwl-'Rmrnl CI~f/IctIl.J (Out ofSIOk 0,. Foreign r;.,,'rtl.1 Acbowl<<lpr~1tl Cet1ifictltr)
Slale of New York. County of } H.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. } S..:
/CoIItpktc "'MIff' wIllr SltJ,., CPRD)'. Prow,,~ DI' Mlllticlptlllty)
US6 ACXNOJJ'U!,fXiMENT JoYJRAt RBLDW WI7lIIN NIn" YORK .$TAJ'Z ONLY:
I a.:
On the dB)' of in the year
before me, the undenigned. personally appeared
Ihe subscribing witnC!l! to the foregoing instlUment, with whom I.~
personally acquainted. who. being by me duty sworn. did depose and
say that helshelthey reside(s) in
(ffll", plaA ofl"f.'.dden~ L,/I'I a city. Include ,"" 6rrcct tuJd jr'~t nrunb~,.. if
aIlY.lhcn:oj); that he/shelthey know(s)
10 be the individual described in and who executed the foregoing
instrument; thllt said subscribinS witness was present and saw .aid
execute the sante; and that said witness at the same time subscribed
hislherltheir name(s) as a witness thereto.
BARGAIN: & SALE DEIE:D
WlTHCQVI::-tA.H'B AOAL'"ST OkAHTOll"s Acn
T111.E NO.
-
Thomas N. Anshutz, Jr. and
I'amela L.. Anshutz
TO
I'amela L.. Anshutz
FIDELITY NATIONAl. TITLE INSURAl\iCE
. COMPAl\"Y OF NEW YORK
1."K'tMI'OItAJ'XD "2'
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UD ACICNOJf'1.IiDGMENT FOIIM IIELOW wmIIN NEw YlMK STAlE OI'lLY:
Sta.. of New York, County of
JIL
On the day of
beron, me, Ihc urxtcmgned. penonaIIy BppOBnld
in the year
.
penonoJJy known ID me IX' proved ID me on the _ of ~
evidonce ID be \he indivicIuaI(s) ..- nsme(s) is <lie) __ to Ihc
within i_ snd ocIa>c>...Iedaod ID me _ ho'!I1o'Ihey execuIlOd 1110:
IIIDIO in hislhen'lhcir CllIl"Ci'YfIOl). snd lhal by I1itrIherMeir ~s) on
1110: ins1nunent. the individusl(s). ...\he person upon bobslf of which \he
indlvidus1(s) 0C1Ild. ex.allecl\he _
On the day of in the year
before me. the unden;igned. personally appeared
personally known to me or proved to me on the basil of satisfactorY
evidence 10 b. tho individusl(s) whose nuno(s) i. (1U'Cl) subscribed to
the within instrument and acknowledged to me that hellhell.hey
executed Ih. same in hislhorltheir capacily(ies). 'ha. by hislhotllh.ir
lignature(s) on the instrument. the individual(s). or the peROn upon
behalfofwhich the individual(s) aetm. executed the instrument, and
that such individual made such .~ance before the undersigned
in the
(Innn ,he city or mlMr polilleal .'fIIbdil1htloll Grid lJr~ slare Dr COU"",. or
orll",. ph:r<< rJre tlClmowlrdg"'M11WU taRn).
DIS'TRIcr 1000
SEcnON 122.00
BLOCK 06.00
LoT 030.001
Cou~_ of Suffolk
RECORDED AT REQUeST OP
F1dollty National TI". fnsunnce Company ofN.w York
REnJIVI IlY MAIL TO
Patricia C.. Moore. Esq..
51020 Main Road.
Southold, NY 11971
.
~2
I
Number of pages
TORRENS
4-
RECORI>EI>
2004 Feb l'6 10.18.28 I'IM
Edward P,Ro~ine
CLERK OF
SUFFOLK COUNTY
L I>OOOI~
P 800
liTl! 03-27863
Serialtl
Certificate "_
Prior Of. N
Deed I Mortgage Instrument
Deed I Mongage Tax Stomp
FEES
ReconJing , Filing Stamps
~
PIIge J Filing Fee
Mongage Aml.
Handling
TP-S84
I. Besie Tax
2. AdditionaL Tax
Nutalion
Sub Total
EA-52 17 (Counlyj
EA-S2\ 7 (SIUI<)
SUb TU'181
Lot
Spec.IAssil.
Or
Spec.IAdd.
TOT. MTG. TAX
Dual Town_ Dual Couney_
Ileld for ^rl'k,nit.H1mrnt _
Transfer Tax ~
Mansion Tax
The propeny covered by this mortgage is or
will be improved by a one or twu family
dwe-lIing only.
VES o,NO
If NO. see apprupl"i.1C' tax clause on page II
_ofthi.s instrument
Comm. of i:d.
S~
R.P.T.S.A.
~
Affidavit ~
C5irlCd C
-.-
g. Copy
I} -
Sub Total
Other
GRAND TOTAL
/3~-
~
Real "ropcrIy Tax Service ^- VCI"ific:alion
DiSl. Se~io,! __ _ _. _.!i_!~k_._
6 Community I'rcscrvation Fund
Consideration ^mount S .
O~2570 1000 12200 0600 030001
Dote (RI-'K~ SA
Initials ~':""AN_
-;1 SatisfaClionslDischargcsIRcleascs List p";;perty Owners Mailing Addres
....:J RECORD & RETURN TO:
Stamp
CI'F Tax Due
S r.I
Improved
Vacant l..and
PatJ:oici.o. Ca Moore, Esq.
51020 Main Road
Southold, NY 11971
TD Ib
TD
TD
~
B Title Company Information
Co. Name Fidelity NationaL Title" Ins. Co.
Tille /I 03-3704-54882.88 --:0
Suffolk County Recording & Endorsement Page
lbi" page fonn.. part of the attached
D@ed
(SPECIFY 'IYPE OF INSlRUMENT )
ml1deb)':
Thomas I~. Anshutz, Jr. and Pamel.!l L. Anshutz "Ihe prenliscs herein is sitUlll.ed in
SUFFOLK COUNIY. NEW YORK
In the Toy,nship of
TO
Southold
Pamela :L. Anahutz.
In the VII.LAGE
or HAML!:.T of
Hattituck
BOXES .5 'Il-IRU 9 MUST BE 'IYPED OR I'RINllID IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
~ .....-.. IOVERl
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1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICB
RBCORDING PAGB'
Type of Instrument: DEEDS/DDIl
Number elf Pages: 4
TRANSFER TAX NUMBER: 03-:!7863
Recorded:
At:
LIBER:
PAGE:
02/06/2004
10:18:28 AM
D00012299
800
PAIIBLA I. ANSHUTZ
PAULA I. ANSHUTZ
District::
1000
Sectio~: Block:
122.00 06.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Lot:
030.001
Deed Amclunt:
Received the Pollowing Pee. For Above Instrument
Exempt Exempt
Page/FHing $12.00 NO Handling $5.00 NO
COB $5.00 NO NYS SRCHG $15.00 NO
BA- CTY $5.00 NO BA-STATE $50.00 NO
TP-584 $5.00 NO Cert.Copie. $5.00 NO
RPT $30.00 NO SCTJI $0.00 NO
Transfllr tax $0.00 NO COlIIIl.Pre. $0.00 NO
Pe.. Paid $132.00
TRANSPER TAX NUMBBR: 03-2786;1
THIS PAGB IS A PART 01' THE INSTRtlMIDlT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk, Suffolk County
. .
~L"A';o I YPO OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
'1 <Joe:;
if, ,3, K,6,tJ
I vo\ I " I? 'i.J
~h O"Y Yur
t(, 7 I co. Page I ~ 6, . t::
FOR COUNTY USE ONLY
Cl. SWIS Code
*
C2. Date [)eed Recorded
C3. Book I), d, <<
PROPERTY INFORMATION
1. Property L 7655
Location STREFT NUMBER
Main Road
STR"ETNA,ME
2. Buyer
Name
L
L
IPamela L.
FIRST NAME
Southold
CITY OR TOWN
Mattituck
VILLAG~
Anshutz
LAST NAUE I COMfI'ANY
L
lAST NAME I COM fl'ANY
,IRSTNAME
3. Tax Indi.;ate wllere hlture Tax Bills af!;! to be sent
Billing if other thiln buyer addr8S$ (at bottom of form)
Address
L----..
LAST NAME I COMPANY
L
STREET NUMBER AND STREET NAME
CITY Oil. TOWN
4. Indiute the lIlumber of Assessment
Roll pareeliS transferred on the deed
1
# of Parcels OR D Part 01 a Pan:el
5. D... L ..J X 1
Property
Size FRONTFEH OEPTH
6. S.ller L Anshutz
Name LAST NAME/COMPANY
L.__Anshutz
LAST NAME I COMPANY
IORL
1 .1
2
'ACRES
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVlCES
RP - 5217
JU'.5217 Jlev3l'l1
11952..J
ZIPCOllf
FIASTNAME
SlATE
-iipCOOE
(Only if Part of a Pan:efl Check as they apply:
4A, Planning Board with Subdivision Authority Exists
48. Subdivision Approval was Requir(ld for Transfer
..c. Percel Approved for Subdivision with Map Provided
o
o
o
lPamela L.
FIRST NAME
IThomas N.. Jr.
FIIISTNAME
7. Check the bo)( below which moat ac:curately de.cribes. the U'I of the property at the time of sala:
A~oneFamilYRe8idential
B 2 or3 Family Rasidential
C Residential Vacant Lsnd
D Non-Residential Vacant Land
E~Agricultural
F Commercial
G Apartment
H Entertainment / Amu$&ment
J ~ community. Service
J Industrial
K PublicSeMce
L Forl;lst
SALE INFORMATION
Check the bo)(.. bMow as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
lOA, Property Located within an Agricultural District
108. Buyer received a disc:losurenotice indicating
that the property is in an Agricultural District
o
o
o
o
'1. S.la Contral:t Date
n/a /
Momh
,~,
15. Cheek onl or morl of thnl conditions as applicable to transfer;
I
12. Date of Sale / Transfer
12
""m"
; S I 03
A X
B
C
D
E
F
G
H
[
J
Do,
0."
'u,
13. Full Sale Pril:1 L. I " 0 , 0 , 0 I
, , .
(Full Salll Price is the total amount paid for the property including personal property.
This payment may be in the form of cash, other property or goods, or the assumption 01
mortgages or other obligations.) Please round to the nearest who'e dollar amount.
14. Indicatl thl '/alue of parsonal I 0 I 0 , 0 I
property includad in thl sale, , .
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax BiH
16. Year of A$$IlSlIment Roll from LQ~ 11. Total Assasse(1 Value (of ail parcels in transfer) I
which Information taken
18. Property Clns
14 ,3
Mattituck
ll-LJ 19. Scnool District Name
ZO. T.. Map Ider,tiflerlsll Rollldentifierlsl {If more than four, attach sha&t with additional idlntifilr{sll
1000-122.00-06.00-030.001
CERTIFICATION
Sale Between AelatlveS or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is 81so a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Barg8in and Sale (Specify Below)
Sale of Fr<lctional or Less than Fee Interest (5p&Cify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factol"3 Affecting Sale Price (Specify Below)
None
5 5
,
o 0 I
I cerUfy that ali of the items of infonnation entered on this form are lroe and correct (to the best of my knowledge and belief) and I unden1.ll.nd thut the making
of an} willful false statement of material fact herein will subject line to the pI"f)visioWl of the oenallaw relative to the maJdna and filiJIK of false instruments.
BUYER BUYER'S ATTORNEY
/,
~:(h~~~):~43
I ..(
tl.. I~,f:?'.
DATE 1 ,
Moore
lAST NAME
Sntn:TNUM8.EI~
P.O. Box 1108
STREET NAME {AFTE~ SAlEI
631
AREACODf
Mattituck ! NY
Clrv OR TOWN STATE
C ~____=-~ . ._~. ER
r.' '_/',~
v"aj~(. J.{. uC'n.H~z;,
SOLLER SIGNATU~E .
11952
Zl~(~.~
f
n 1'I\;,'eb
OAn J
-,.-'"
Patricia C.
flFlSTNAME
765-4330
TH.(PHONENUMBEA
NEW YORK STATE
COPY
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