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S"ndlln:I N.,V.8.T.U. Form 8002 - Sarvel"l and s... Dud. wIIh Co\Mn8nt -0...... Gr.ntor'. Acta - Uniform A.cknowIedgment
Fonn 3280
CONSULT YOuR LAWYER BEFORE SIGNING THIS INSTRUlleNT. THIS INSTRUMENT SHOULD BE USeD BY LAWYIiAS ON1- Y
THIS INDENTURE, made lt1e'ct:'ay of SeplBmber. 2004
BETWEEN
GEORGE SWIERBUTOWlCZ AND CHRISTINE SWlERBUTOWlCZ, his wife, residing at 1000 Mill
Lane. Peconic, New York 11958, party of the fi..t part, and
WALTER COLE BRIGHAM, III AND SONYA KING BRIGHAM, his wife, residing at 151 Nassau
Avenue. Manhasset. New Yor1~ 11030. party of the second part,
!
I
WITNESSETH, It1atltle party of the first part, in consideration of Ten and 00/100-----------
($10.00) dollatll.
and oIt1ar good and valuable ""nsideration paiel by lt1e party of lt1e second part. does hereby grant and
i release unto lt1e party of the second part, the heirs or euCCllSllOrs and assigns of the party of the second part
, fol'8llllr.
A1llt1at certain pIol. piece or parcel 01 land. &iluate. lying and being in the hamlet of Peconic, Town of
Soult101d. Suffolk County, New Yen. bounded and described 8S follows:
BEGINNI NG at a point on the noIlheas18r!y siele 01 Mill Road dislant 878.85 feet northwesterly from the comer
formed by the intersection of It1a northeasterly side 01 Mill Road and the norIhwe8terly siela of Mieldle Roed:
RUNNING THENCE North 49 degraea 48 minutes 20 seconds west. along It1e northeasterly side of Mill Road.
87.58 feet to a monument set at the Inte..-n of lt1e northealllerly side of Mill Road and the southWesterly
boundary line 01 the lands now or fonnerIy of Ronald & Sheila Ricca:
THENCE' North 42 deg.-s 56 minutes 40 seconds EaBl. along said lands, 339.86 feet 10 a monument;
THENCE South 50 degrees 35 minutes 50 seconds East. 87.58 feet
THENCE South 42 degrees 56 minutes 00 seconds West. 341.06 feet 10 the point or place of BEGINNING.
BEING AND INTENDED TO BE Ihe same premises convayad 10 It1e party of the first part by deed dated
4/21"1, recorded 4126171 in Libsr 6920 page 285. The 9ranlors herein being the same parties _the
grantees and the premises same as descr1bed In deed recorded in Uber 6920 page 285.
....
"
TOGETHER with all righl. title and Interesl. if any. of the poIrty of lt1e first poIrt in and 10 any slreelB and roads
abutting the above descr1bed premises 10 It1e center lines thereof; TOGETHER with the appurtenances and all
lt1e es_ and rights of lt1e party of the first pert in and 10 said premises: TO HAVE AND TO HOLD the
premises herein granted unlo Ih<l party of the second part, the heirs or SUCC8S8Of1l and assigns ollt1e poIrty 01
the second part forever.
AND the party 01 lt1e first part OO\I8nan18 lt1at It1e party 01 the first poIn has not done or suffered anything
whereby the saiel premises have been encumbered in any way whatever, except as aforesaid.
AND lt1e party of the first part. i., compliance with Section 13 of the Usn Law. covenants lt1attha poIrty of the
first part will receive the consideration for this conveyance and will hold the rlghtlo _ such consideration
as a trust fund 10 be applied firslfor the purpose 01 paying lt1e cost of the improvement and will epply the same
first to the payment 01 the cost 01 the Improvement before using any poIrt of the IoIaI of the same for any 01t1er
purpose. The word .perty" shall be construed as if K reac:I "parties" when ever the sense ollhis Indenture 80
requires.
IN WITNESS WHEREOF. lt1e pl.rty of the first part has duly executed lt1is deed lt1e day and year first above
_iI1en.
IN PRESENCE OF:
-i:td./4,.~
a L"\:'lJ7
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d ~~.~~
Christine Swiertl
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS ....a.DE IN NEW YORK STATE
State oll~ew York. COUnty 01 Suffolk. as:
On the l 4' day of September. In the ye.r 2004
before me, the underoIgned, pe"""",Uy _..red
GEORGE SWIERBlITOWICZ
AND CHRISTINE SWIERBIJTOWITZ
personally known to me or proved Iu m~ t.'fl the basis of
satisfacttlf)' ~vi~nce 10 bc= the: individuul(s) ~,,'hose namC($) is
(are) subscribed It.' the within instrument Hnd acknl.>>Wh..-c.lgcd to
me- Ihot he/:!d'tC/th~>. CXL-CUl...-d the same in hislhcrllheir
capacity(icsJ. and that by hislhft"l1:h~ir signatu~s) on th('
inslrum~1rI1. Ih~ indh..idual(!O). or lhe person upon hehlllf of
which thl~ indi\,'iduu.l(s) QCted. CXL"CutL"d the iruolnlrt1Cl1t..
~ 7AcjJ Irr. 0
(1Ignatun. and office of individual taking acknowtiagment)
MAFIY E. MoDONALD
Nolary Public. Stam of _ Yolk
OUalnted In Sullol~ County
No. 01 MC4734856 ,,/
~ml88lon ExpI/8S 1D-31-20~
TO BE USED ONL EN THE ACKNOWLEDGMENT IS IlIADE OUTSIDE NEW YORK STATE
Stale 01 New York. County of SufIoIk
as:
On the day of . in the year 2004-
_ me, the undersigned, personally eppeared
personally known to me or proved to me on the basis of
IIIIlislaclory evidence 10 be the Indlviduel(s) wh.... name(s) is
(8Ie) subocrlbed 10 the within instrument end ecknowledged to
me that helahellhey ex.cuted the ..me In hiaJherllheir
C8pecity(i.). end IhlIt by hh!/herllhelr signalure(s) on the
instrument, the indlvidual(s). or the person upon behelf of which
the individual(s) ected, executed the instrument.
(signelure end office of individual taking ack.-clgment)
State (or District of C'..olumbia, Territory, or FOI1I,lgn Country) of
as:
On the
day of
in the year
before me, the underaigned. pensonBllyappeared
personaR~ known to me or proved '0 me on Ihe basis of aetislaclory evidence 10 be lhe Individuel(s) whose name(s) is (ere)
subscribed 10 the within instrument end -..owtedged 10 me IhaI helahellhey __ the ..me in hlllherllheir cepeclty(ieIl), and
thet by hislherllheir slgnalure(e) on the Instrument. the Indlvlduel(s). or the peraon upon _II 01 which the Indlvidual(s) ecIAtd.
executed the Instrument" and that such individual made such appearance before the uncleraigned in the
(In1iet't the City or other politicaleubdivillion)
in
land inleft the State or Country or other place the ecknowtedgnwnt was taken)
(-.ignature .nd offtce of IndMdu11I t8klrlg 8cknoMedglTlllnl)
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S AClrs
Title No. --1... - '1, ").. 8 "I
George' Swierbutowicz and
Christine Swierbutowicz, his wife
TO
Walter Cole Brigham. III and
Sonya King Brigham, his wife
SECTION
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS
Recorded at Request of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
STANQII\RD FORM OF .w YORK IIOMD OF 1IIU! UNDeIl\_.... ~
DistrtbulBd by
o Common~~~!!.~"".,,,.
6 '~~T"'^CTB.
~INCORPOAATEC'"
(5D!!5Scewa.rt;~.Gq"c1u"OCy.N"'" -; '~3CJ
5'1 B.B83.1 000
l"U\l~Ic)'\.~1-',U I H I..\SI) '.111.... h.St.iRA'C" ('~.II'^S"
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Number of I'agcs
TORRENS
:?
RECORDED
2004 0<:. 07 Oil 15.25 PH
Edward P.Roooaine
CLERK OF
SUFFOL.K COUIITV
l 000012347
P 859
DTi 04-10449
Serial #
Certificate M'
Prior CIf. #
Deed I Mortgage Instrument
Notation
~
5. 00
,~
':>
&-
7~
Deed I Mortgage Talt Stamp
FEES
Recording I Filing Stamps
JJ
Page I Filinll!''''' "
Handling
TP-584
I
Mortgaae Ami.
I, Basic Talt
2. Additional Talt
Sub Total
SpccJAssit.
or
Spec. IAdd.
TOT. MTG. TAX
Dual Thwn _ Dual County _
Held for Appoinunenl
Tnmafer Talt 6( l. '&? -==
MBWlion Tax
EA-52 17 (County)
SA-52 17 (Slate)
R.P.T.S.A,
Sub Total
Ji----
Comm. of Ed.
5. J!!L
Affidavit
Certified Ccl.py
NYS Sun:h."1l"
Gn"" Tola!
The property covered by Ibi. mortgage i.
or will be improved by .. one or lwo
family dwelling only.
YES or NO
If NO. """ appropriate: IlI!l clause on
page # _ of Ibi. instrument.
15, J!!L S..bTola! /:2)"
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Qlhcr
-:-, / D oC'ld"'"1 0 ~ ~ ~ Iff> 0
..!J Oi_t. -' S,:,,"on
Real Propc:
Tux Servic.
Agency
Verificatior:
~."'...
07400 0200 014001
5 CommUDlty Preaervation I'aiuI
-
Consideration Amount $
CPF Tax Due S
Improved ./
6 I Salisf..ctionsIDi.chargeslRclenses List Property Ownen Mailina Address
RECORD ... KE'ItJKN TO.
VUCanl Land
TO
If)
,
a~dhc
.58'S ~(.~
/?t?:~" .28""
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TD
TO
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7 Title Com Information
Co. Nome
TItIe'# /2- - 712-8
Suffolk CountJ. Recordinl & Endorsement Paae
~
(SPECIFY TYPE OF INSTRUMENT)
~~p'
TO . In !he Township of .I.,..~ - ~.J .
''U/~~ ~ ~_ ~ In !he VILLAGE "
~. or HAMLET of ~~
"BOXES ~~ 8' MUS E TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
Thi.. P"lle fonns part of Ibe auacbcd _
maiIe by:
The ptemdes herein i. situated in
SUFFOLK COUNTY, NEW YORK.
,
,
"
(over)
111111111111 111111111111111 11111 11111 111111111111111111
11111111111111111111 111I
SUPPOLIC COUNTY CLERIC
RECORDS OPPICE
RECORDING PAGE
.Type of: Instrument: DEIDS/DIID
NUmber of Pages: 3
,Receipt: Number : 04-0111412
TRAllSP'ER TAX NUMBER: 04-10449
Recorded:
At:
10/07/2004
01:15:25 PM
District: Section: Block: Lot:
1000 074.00 02.00 014.001
EXAImfBD AND CBARGBD AS 'OLLOWS
Deed Amount: $545,000.00
Received the 'ollowing 'ees 'or Above Instrument
Bxltlllpt Bxltlllpt
page/'.iling $9.00 NO H&Dciling $5.00 NO
COE $5.00 NO NYS SRCBG $15.00 NO
BA-CTY $5.00 NO BA-STATE $75.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
TriUlsf'lr tax $2,180.00 NO COIIIIII.Pres $7,900.00 NO
'ees Paid $10,229.00
LIBBR:
PAGB:
D00012347
859
TRANB'Bll TAX NtlHBER: 04-1044:~
TBIS PAGE IS A PART 0' THE INSTRtlMDT
THIS IS NOT A BILL
Eciward P. ao-iDe
County Clerk, Suffolk County
FOR COUNTY USE ONI.Y
l-'Lt:A;:jt:. I Yt't:. UH t'Ht:.;:j;:j rlHIVIL Y WHt:.1'Il VVHllINb UN t-UHIVI
INSTRUCTIONS: http://www.orps.stale.ny.us or PHONE (518) 473,7222
Cl, SWIS Code
7"", 7' ~, ,;-, 'i191
/
C2. DilIte Deed Rei;:orded
/,01 O~7 I.::7VI
Mo~th Day Yrir
C3. Book
C4. Page I
PROPERTY INFORMATION
1. F'rolHlrtVIIOOO
Location SlllEElNU\1B.R
Mill Road (a/k/a Mill Lane)
STR~El N/lME
L_~outhold
CITY O~ rOWN
2. Buyer ~..i.~)~C"~\~
I\lame "AS,NAME'..CoM~"NY
~,:')~
,M,rNAMf/COMP/l,.,Y
3. Tax
Billing
Address
Indir.arew~ereluTure Ta)( Bills are 10 be sem
'othe'lhiln buy"r3ddress(atbcttom of form)
W"
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I,
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REAL PROPERTY TRANSFER REPORT
,-.J
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
l(J'.52I1lW,'.1!97
Peconic
---,--~
11958
~(X)O /-i,I.I.LANE
STF(ElNIJMBH'AN[]STFEETNA"~
,AST NAME IOOMPANY
VillAGE
ZI"COOE
VJ c'""--l,-,,-, (., l '"
FIRST NAME
~- 'rL7)
FI~STN""Mr
flRSTNAMto
11:'ONIc..
CrrI'OATOWN
4 Indicate the number of Asse$Sment
R':lll parcels tran$ferred on the deed
LYIIJ9S8-1
STATE ZIP CODE
J:J /I of Parcels OR 0 Part of a Parcel
5,O,aed
PIQperty
Si:l:e
L
fAO~'1 ."El
I X!
J OR I
DEPTH
6. Sllll8l"
Nllme
~wierbutowicz
Il\s-rNAMEfCOMI'ANY
Swierbutowicz
L/lS"NAMEIOOMI'ANY
I\~ES
.
7
IOnly if Part of . Pucflll ChiKk as they apply;
4A_ Planning Board with SubdiVision Authority Exists 0
4B. Subdivision Approvill was Required for 1 ransfer D
4C ParCEll Approved for Subdivision with Map Provided 0
OJ
George
FIRSTN....ME
Christine
fiRST NAME
7 Cl,eck thEl box be,low which most accurately describos the use of the property at the time of sale:
Check the boxes below as they apply
B Ownership Type it; Condominium
9. New Construction on Vacant Land
A ~ One Fam"~1 Residenti~1
B 20r3 "emilyResidemial
C Rp-sidential Vacant Land
D Non-R",sidl~ntial V<lcam Land
I SAlL INFORMATION I
11. Sale Contract 01lte
E~Agr;cult"ral
F CommerCial
G Apartment
H EnJertainment/Amusement
I~COmmUnityServjCe
] Industrl~1
K PublicSe."Vce
L Forest
lOA. Property located within an Agricultural District
lOB. B\Jver received a dillcloBure notice indiceting
that the property is in an Agricultural Dimrict
17_ Oate Of SilJe I TI'IInster
8 I 14 I 04
M"nlh D., Ye91
9 f!4 04
Monlh 0., Year
1_ ,_,----2_,61,5,00,,0,0,01
, , .
(Full Sale P'lce is the total amoum paid for the ptDperty irocluding personal propeny.
This payment may be in the form of cash, other property <Jr goods. or the a~sumption of
mortgages or other ooiigatio'ls_) Please round to the nBarest whole dollar amount.
13_ Full Sale Price
14.1ndicatethevalutl of person III
property included in the511fe
I ASSESSMENT INFORMATION
15 Check one or more of these eondlticms no "pp'icab'e to tran.ter:
A
B
C
D
E
F
G
H
I
J
Sale Between Relatives or Former R&llItives
Sale Between Related COrl"panies or Pertners in Business
One 01 the Buyers is al50 01 Sell",r
Buyer or Seller is Government Agency Dr Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale 01 Fractional or less tMan Fee Interest (Specify Below)
SignlfiQnt Chi!lnga in Prop'lrty BetWeen Taxable Stetus and Sale Dates
Sale of Business is Included In Safe Pr:ce
ther Unusual Factors Affecting Sale Price iSpecify Belowl
None
~ ,0 0,01
, , .
Data should reflect the latest Final Assessment Roll and Tax Bill
16 YE'ar of AS'5Msmetnt Roll from
whic:hinformatiOl1tilken
103(04..1
3
18 Pr':lpertyClass
2
I
o I-U 19. Schooll District Name I Southold
17. Totlll ASseillli.ed Value (of aU parcels in transfer) ,
7
,
o ,0 I
20. Tax Map Identifierls) I RoJlldentifierls) IIf mo.e than f,our, attach eheet with additional identifier(sl)
I CER-"-IFICA"':'ION
I certi(v that all of the item" of infflrmalion entered on This form are true and correct (to the be",t of my knowledge and bcJicf) lilnd I understand thlll the making
of any willful fal~e slalemenl of malerial fact herein will ~ubject me to the pro\isions of the penallav. relative to the maJdnjl 3Ild filing of f1l.lse iJl~lrumenl.s.
BUYER'S ATT~
1000-74-2-14,1
~
BUYER q
". j/ 0 rfCf--Q
rlgh~~O a I~igham
_L ;t1~ 1-
STREErNA\1Er EAS/llEI
JJ/-I IL2SF?J'
SELLER
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,t ',~~'-..4ll-<"
C rist Il.~18wl.erbuto icz
H'g
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Si'RE~i--NuMiiEA
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DeMayo Thomas J.
LASTNI\ME F'RSTNAME
---!>~~ 728-7306
AAEA COOt HUPIlON~ NUMllEA
r
L __ COpy
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NEW YORK STATE
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