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PECOJIQCLAIIID TRUST, DiCOl!lJlO8;ATED. 3M If....._ Acmt. ~iI
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THOMAS J. HUIJ8ARD. "....... RoIId. ........ NY 1117t1
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.. Pecolllk. kI the '1lnm of SndIoId, Collltty Glfhflblll... ..lit IIIflW YllI'k, !aI ~ .lI,..'"
r"11.!IRcl u LotI I CG6_,"k ulll10wa olucmablmap eadIIId. ..MapolNIc:.....
Alllmo. .. tiled la Ihe hfIbII& Cll~ CIat.'J 0fIl'ft rq O~ I. 1993 IIIIlbp "Ie. !NI'
BEING AND INTENDED TO BI: ... __ fPI'lIIIIlltIa C1Onv.e;cd m"'""" of... ..,.,..11,.
... Ulied A.:quI" ,2182 IOIlc:ReOC"ded: )_~ prim'1O thIiI deed lla tiIMI aftIft ofdle
SlIflllk Cou." Clerk.
1"IIIe pnm_ dOll. ~liIIk' d or_bstullaly III of~ UMtI of~ l'U'tY ofthfinl pull.
Subject to Deed of CO"",,...._tlol1 ea..nt dllibtd August n. 2002 bet!iNllm
PIilaInlc land Trust. ll'l(:orpo".ted. as Grantor and Town of Southold.
11$ Grl!Jntee to be ttl(;On:fed lllUllOdlatelv prIor to this: dilled In the office of
the Suffolk County Clerk.
l'oc;,t:1'~ "'llII.hjpMidl:~ ._. ij llil>Y. ofkpilll)'utlbt (m>lpI01l'iff. In !lAd Il:I-Y~-"""~llIllict
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p!m,! "'tllc """PM ill 11IIlIIl1iu....... P"""'""'" '1'0 11" VE AND 1'0 HOUl> (Ilio ..... """'fA ~ IlIlGll_~ 1I1j_
~"""" titc.....i....'" __ _...........rllle ~ lItllle .-'~ r_,
AND""pIII'I:)''ltlhr h l"""~y_ltIaIllht l'<'"Yutlht Ill'loll*'llw. !ll(Iit~<lf.~B1I__ ~1I...b}' IIIogld
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AND.w...,. .,flht rIn.l pm.lltCOo1lpl~ willi ~ 13 'It lhr UlIlIl..iIW. ~ _lht 1*'1, tIIlhr "'-IIM will
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r.~_lht pol1Ipi- ..r """IIM tf:llot 01' lilt iPltj/o..."'....,!I1111<1 wIIllIppiy 'Iihc_ II.... Ibt ~'" u.., _ <!If !lilt
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ALL'" CI!IUIn pklt. picccor fI'1I'Ilel or '-1 ...idlbuildinp and itIa,....~.dM~ ~'!IHIII:c. ~am:I boina...
~1\11,. '" .. T_ or~. COIInf)' uf Suffolk and St:IU or ~ Yctk. ~ _claw nd ItI LOlli 1(1 ,
~"Iliiw:, _shewn Ofl · ~ ... ~od, "MllfI Q(N~ ^~. fliled in rlIc 511rroOi: ~y C~l> otr~ 00
~ .. 199]. Map 'No. ~11. ~ lUlCIdcrlhltdQ follows:
8J!liGl')INING III II poiIlI on rlIc ~ sirdc or MicJdlcll._ CJl 48 (NonlI. RI'lIMf) 4iMl1l tn2ll fotl "'.01"1, .
III ..a .... dlo .. -Jlfly .. or Middl: lkwI from lJm .~ ro.mlld by lJm illllt\,~ or lJm southmy sl* Qr
~ Ro.d and lJm "'-ICy ~ of lnI'ill.allle:
lW'NNING 1'HENcn SoWl21 ~ 4lmioi:dlt$ 20 ~ e. 6s.o1 f=.:.
mBNCiB ~PRI:fI)' ~ rlIc on: or. ClI.M: ~ (0 lJm~fl bartllla ndIllil or 2:9119.19 reel . 4~" aid ~
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f1fDK:"E ~ 29d1:lulA 36 minllle$20 ~ e.r 421.05 teelll'lllle~' ,ide of~ Isbtld Rail fl~
mENCE Soulh 5. ....._29 ntm1llla IO<<<Onds Wl$lbtJ tbc ftIlI\Ihaiy side: nflJllIll JlbtId RaiIIlolid'J:O.OO r-t
IlUlNCB HOdIlr 4Il*ptd t S llllinTllla 00 ~ W_ 691.72 bt II) Jbo: JOlOllbo:d~' Ii. or~ ROoId;:
1iIJolC8 Nord> 6J ~ 18mitwtH 40 ~ r;l$t. aIonllllie ~ lIid.to(Middle Iiload 70327 _
'HBt<<;:& P.'~11 It.dJ llIoQs - ~ _orMiddle a_ aIooa.. arc: or II curve...... 10 lJm left lWrin'll_iDs
11924.19 he II dbtalwc 11_ SIIid Clum:ot 45.00 feet Il'IlIk poinl or plC. of~,
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~ S llDW9 MUS'r Be: TYPED OR PRINrED IN BLACK INK. 0Nl. Y PRIOR 1'0 RB':'ORnINn nIir "'1 tNt',
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QCiOllDS 0I"i'ICit
DCiOllDDIG PAGE
.",. Of XftilJ:b"'!' 1-1:: tmlDS/DPIl
.,ul.~ of .I'agee.: (
'I!RA1IIIkJUC. "!AX NCIMBI:R: 02-05421
Diatrlct:
1000
~:;
At:
LI:BEa:
PAGE :
09/05/2002
04 : 12 dO iil'N
000012207
425
D..s AIIlow:lI::
Sec:rt:iCUI : 8lQCllr. :
0'4 . 00 04. DiD
UAlalmD Q'D ("~I\PI'JII) AS Jl'011.LOIilB
$134.000.00
l4t;:
ON .001
IP'iI98/FiUftg
c:::ca
JIIA-C'1'Y
U-584
IitPl'
~ftlZ' bix
.......*'-WId the 1'o1l0ld.ng P.-For Atlowt Ina~t
I'!~t
NO Buld1.lrtg
NO Nl'iS SORCIiG
NO EA-S'fA'R
NO Cort . COp1..
NO SCl'.M
NO ~.Pree
F... JI'a1d
$12.00
$5.00
$5.00
$5.00
$130.00
$536..00
$5..00
$15 .00
$25.00
$0.00
$0.00
$0.00
"'8.00
Ix P
NO
NO
NO
NO
NO
NO
'l'IINISJ'ER '!AX tmM!ilUI: :0'2-05421
THIS PAGE IS A PARTOP mE I_~
Zd:wa.J:'d. P. -. mt
Co1l;mt:y Clerk t SI:1f'fo1Jc Count:y
I"'LI::ASE TYPE UR I"'RI::::i::i t-IHML:Y WHI::N WHIIIN(j UN t-UHM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222
'1 ~'o:>
C2; ~.. beetfR.co- I Lt. I
..... ..... .,' ...... ..... ..... ..... "..Mqrittl':'.^^-:--..:...yiJar._...
.'<*~IlIlk... ~:;;.,O .7JJ)I,~~:j'f.~5
REAL: PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVlCES
RP - 5217
RP-S217 Rev 3197
1. Prop8.rtv I
1ocatlon
'~
STRj;jN~~BER~
Soutnold
Koute 46
STREET NAME
Pe CCj\J/~
V\LLAGE
ZIP CODE
CITY all TOWN
2. Buyer
Name
Hubba rd
LAST NAME I COMPANY
Thom~:q ,T_
FlRSTNAME
LAST NAME! COMPAN'v
FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent
'billing if other than buyer address {at bottom of form)
Address
LAST NAME I COMPANY
FIRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
STATE
ZIP CODE
5. Deed
Property
Size
L-
FR::JNTFEET
I X I
IORL
ACRES'
.
(Only if Part of a Parcell Check as they apply:
4A. Planning Board with Subdivision Authority Exists
48. Subdivision Approval was Required for Transfer
4C. Parr.el Approved for Subdivision with Map Provided
D
D
D
4. Indicate the number of Assessment
Roll parcels transfElrred on the deed
o 0,6 I #ofParcels OR
D Part of a Parcel
DEPTH
6. Seller
Name
I Peconic Land Trust IncorPOrati!d
lAST NAME,' COMPANY r
FIRST NAME
L-.
LAST NAME COMPANY
FIRST NAME
A ~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant Llnd
E ~ Agricultural
F Commercial
G Apartment
H Entertainment / Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
108. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
D
D
D
D
7. Check the box below which most accurately describes the use of the property at the time of sale:
15. Check one or more of these conditions as applicable to transfer:
13. Full Sale Price
1. :iI. 4. O. 0.0 ,0.0 I
, , .
(Full Sale Price is the total amoul1t paid for the property including personal property.
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Please round to the nearest whole dollar amount.
~
A Sale Between Relatives or Former Relatives
B Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seller
D Buyer or Seller is Government Agency or Lending Institution
E Deed Type not Warranty or Bargain and Sale (Specify Be[ow)
F Sale of Fractional or Less than Fee Interest (Specify Below)
G Significant Change in Property Between Taxable Status and Sale Dates
H Sale of Business is Included in Sale Price
I Other Unusual Factors Affecting Sale Price (Specify Below)
J None
Propert/ subiect to Conservation EaS6nenc
11. Sale Contract Date 07 / 17 I 02
Month Day Year
12. Date of Sale I Tr;!lnsfer nA. I ;.;)- I {)')
Month Day Year
14. Indicate t~e value ~f personal I I N( A I I I 0 I 0 1
property Included In the sale, , .
~~
18. Property Class
t-1 , I lJ-LJ
19. School District Name
;
50 Ji 1\0 L- b
;
I ;
,; Cn)
L-
16. Year of Assessment Roll from I 0 I
which 'information taken '
17. Total Assessed Value (of all parcels in transfer) I
20. Tax Map Identitier{sll Rollldentitier(s) (If more than four, attach sheet with additional identifier(sll
1000-074-4-4.1, 4.2, 4.3, 4.4, 4.5, 4.6
'lLf-Lf-4.1 -4-. 0
I
.....
I certify that all of the items of infonnation entered on this fonn are true and correct (to the best of my knowledge and be~ef) and I understand that the making
of any willful false statement of material fact herein will subject me to the provisions of the penal law relative to the making and fiIin~ of falSe instnuhents.
BUYER BUYER'S A TTORNEY.'---...,
\, . \ \
YTh~;~~~~;l:;;~al\-\' .
..-"'""'-.,
\ --~
DATE
-;J i
,! .
if";
t, /-"\
I.J /\'f,'N'l.\ r,
LAST NAME ./ '
\; " '" \... \.-,,~,--\
\
~::::"IRST.NAME
q
STREET NUMBER
r _-::>.~~p.r Rri,~ii
EET NAME (AfTER SALE)
AREA CODE
TELEPHONE NUMBER
Bronxville
NY
10708
CITY OR TOWN
STATE
ZIP CODE
Peconic Land
---~-
BY: "
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SELLERSIGN~':rqR"
SELLER
Trust Incor:JOrated
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