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Standard N.Y.B.T.U. Fann 8002 -Bargain and Sale Deed. with Covenant against Grantor's Acts.- Unifonn Acknowledgment
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE
USED BY LAWYERS ONLY
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B,ETWEEN THE SECOND HARVEY B. POLLAK LIMITED PARTNERSHIP, with an address 675 S.W. 12th
Avenue, Pompano Beach. Florida 33069
THIS INDENTURE, made the 23'"
day of
MARCH
,2001 .
party of the first part, and LAUREL LINKS COUNTRY CLUB, INC., a New York Corporation with offices at
1833 Main Road. Drawer A, Jamesport. New York 11947
party of the second part,
WITNESSETH, that the party of the first part. in consideration of ten ($10.00) 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, with the buildings and improvements thereon erected, situate,
lying and being in the Town of Riverhead, County of Suffolk and State of New York, being more particularly
bounded and described on Schedule "A" annexed hereto and made a part hereof.
BEING AND INTENDED TO BE the same premises as conveyed to the party of the first part by deed dated
February 25,1997 and recorded in the Suffoik County Clerk's Office on February 27,1997 in Libel' 11818 at
Page 333.
TOGETHER with all right, title and interest, if any, of the party of the first part 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 HAVE 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.
AI\JD the party of the first part covenants that the party of the first part has not done or suffered anything
wl1ereby the said premises have been encumbered 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 this 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
sclme first to the payment of the Gost of the improvement before using any part of the total of the same for
any other purpose. The word "party" shall be construed as if it read "parties" when ever the sense of this
in,denture so requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
I!\ PRESENCE OF
THE SECOND HARVEY B. POLLAK LIMITED
PARTNERSHI~, '}..' .
I((v.,....t/ /:) ,Ic;t.{(,,~
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By: ~/M.V.,.,1 < N;:k~.J:i!( fJT1/ ../.., 1(~C't.
HARVEY B, paLLA!<:' /
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PARCEL B
TITLE NUMBER: L-237,934
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SCHEDULE "A" DESCRIPTION
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Re: 5200 Main Road - SCTM #1000-125.00-03.00-015.000 and 017.000
ALL that certain plot, piece or parcel of land, situate, lying and being at Laurel,
Town of Southold, County of Suffolk and State of New York, more particularly
bounded and described as follows:
BEGINNING at a monument set on the southerly side of Main Road, said
monument being located at the northeasterly corner of land of Carlin;
RUNNING THENCE North 77 degrees 02 minutes 50 seconds East, along the
southerly side of Main Road; 86.51 feet;
THENCE North 86 degrees 34 minutes 00 seconds East, along the southerly
side of Main Road, 118.09 feet;
THENCE North 86 degrees 31 minutes 20 seconds East 115.62 feet;
THENCE running along land now or formerly of L.l.R.R. the following (3)
courses and distances:
dOl.
1) South 47 degrees 17 minutes 40 seconds West 122.iIl feet;
2) North 18 degrees 19 minutes 30 seconds West 9.06 feet;
3) South 47 degrees 17 minutes 40 seconds West 220.25 feet to land now or
formerly of Carlin;
THENCE along said land, North 18 degrees 13 minutes 10 seconds West 200.61
feet to the southerly side of Main Road and the point or place of BEGINNING.
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Number of pages
TORRENS
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C,Ci-
F(i i
."'-:1
Serial II
i~'I";:';";
Certlncale /I
.ii..I.
-,'-11-
Prior Clf. "_
Oeed I Mortgage Inslrument
Deed I Mortgogo Tax Stnmp
FEES
Recording I Filing Slomps
:::D
1I0ndllng
TP-Sg4
/1
<
<'
Mortgoge AmI.
I'oge I Filing Fcc
I. Basic Tox
2. Additional Tax
Notation
Sub Totlll
IU'.T.S.A.
(
2S
c2B
Sub Tolal
:J1
Spec.! Asslt.
Or
Spec. I Add. .
EA-S2 17 (County)
EA-S217 (Slale)
Sub Total
TOT. MTO. TAX
Dual Town . puol County
lIe1d Cor Apportionment
dO(J
Tronsrcr Tox
Comlll. oC Ed.
S 01L-
Affidnvit
ORAND TOTAL
-'
Mnn~iol1 Tnx _
The property eovere,i by Ihl. mortgnge i. l:
will be Improved by n one or Iwo C.mi
dwelling only.
YES or NO
ICNO, see .ppropriate tax clause on p.ge
oC thl. Instrument.
Certified Copy
Reg. Copy
Other
Henl Property Tax Service Agency Verilication
lJist. Section II lock
1,01
6 Community Preservation ['"un.
COllsiderntioll ^1l101lnt $ :::"'OL.e'C'i)
~5oo
() 300
0:3.00
Q/Sc.)Ci()
CI'F Tnx Due
$-b
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D81e
Il1Itin/i-tr'
7 Snlisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
GJ{.JO
/::15"00
)/'icYJO
Improved
,/
Vacanl Land
Ie)
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dOO ;VOeTrT~1'1 ~.
"ro 30Y /.;;/ d' /,
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Suffolk Count
8 Title Company Information
Co. N.me . Et:.O/7/C 6.5 77?l1cr .--::z-rJC
Title II &<I/-S-0/..78';)
Recordin & Endorsement Pa e
'Ihis page lill1m part oflhe nttnchcd
lfL?
(SPECIFY TYI'I~ OF I NS-mUMENr )
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The premises herein is situated in
SUFFOLK COUNI"Y, NEW YORK.
In the Towllship of 0~r.J(HOC.')
///<)1<>;:( L,JJ!-s T{:,uN/,cy C-V~
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In the VILLAGE
or HAMLET of
BUXES ~j 111RU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
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111111111111111111111I111111111111111111111111I11I11111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
TRANSFER TAX NUMBER: 00-33957
Recorded:
At:
LIBER:
PAGE:
04/12/2001
02:22:29 PM
D00012113
035
District:
1000
Section:
125.00
EXAMINED .p.ND
$50,000.00
Block:
03.00
CHARGED AS
Lot:
015.000
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 EA-CTY $5.00 NO
EA-STATE $25.00 NO TP-584 $5.00 NO
Cert. Copi,~s $0.00 NO RPT $23.00 NO
SCTM $0.00 NO Transfer tax $200.00 NO
COIllIll.Pres $0.00 NO
Fees Paid $280.00
TRANSFER ~rAX NUMBER: 00-33957
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
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PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS, http:// www.orps-state.ny.us or PHONE (518) 473-7222
~rIt~TY USE
. . +u ~y (.'. "" 0 ...
Gia..'I".... .
REAL PIIIOFISRTY TRANSFER'iREPORT
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STATO OF NEw YORK
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STATE BOIVlP, Q~ ~~ ,fff!~ERTV SERVICES
RP.""-' 5217
RP-5217 Rev 3197
,~ ","oparty L-
Location STRE"T NUMBER
~-
L-
Clry')RTOWN
STREET NAME
- /~-;r/L7T';~JCIL
VillAGE
ZIP CODE
2. Buyer
Name
L-
LAST NAME I COMPANY
lAUREL LINKS COllJllTRY CLUB, INC.
FIRST NAME
L-
LAST NAME I COMPANY
FIRST NAME
3. Tax
Billing
Address
Indicate where future Tax Bills are to be sent
if other than buyer address (at bottom of form)
L-
LAST NAME I COMPANY
FIRST NAME
L-
STAE ,T NUMBER AND STREET NAME
CITY OR TOWN
STATE
ZIP CODE
4. Indicate the numher of Assessment
Roll parcels trans1'erred on the deed
,~I
# of Parcels
OR D
Part of a Parcel
5. Deed
Property
Size
L-
nONTFEET
Ixl
DEPTH
lOR L
'ACRES'
.7~
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists
48. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
D
D
D
6. Seller
Name
L- THE SECOND HARVEY B. POLLAJ( LIMI~ PAJmilERSHIP
LAST NAME I COMPANY FIRST NAME
L-
LAST NAME I COMPANY
FIRST NAME
A~one Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant Land
E ~ Ag,'"It"", I ~
F Commercial J
G Apartment K
H Entertainment I Amusement L
Community Service
Industrial
Public Service
Forest
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
D
D
D
D
J..:-_Check the box below which most accurately describes the Lise of the property at the time of sale:
10A. Property Located within an Agricultural District
108. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
ACl!~ATlON
15. Check one or more of these conditions as applicable to transfer:
12. Date of Sale I Transfer
J / 1~ / 01
Month D', Year
J / 23 / 81
Month D" Year
A
B
C
o
E
F
G
H
I
J
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than Fee Interest (Specify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
11. Sale Contract D~lte
13. Full Sale Price
50 (.) 0 0
; ';"~ 0 , 0 I
(Full Sale Price is the total amount paid for the property includinq 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 wllole dollar amount.
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14. Indicate t~e valu,e .of personal I. I I 0 I 0 I
property Included In the sale,_ , .
fAS~T~.OIIMA'R0N'.~'$il+lN~:~I.l'liJ8!~~IJlQ~.lllld'ra)( Bill I
16. Vear of Ass8ssment Roll from I 00 011 I / ~"" 3
h~ h ~nf at~ t k I 17. Total Assessed Value lof all parcels in transfer) . . , , ,
W IC I orm Ion a en ,
18. Property Class
:// -4s
I -""', t I-U 19. School District Name I
I )
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20. Tax Map Identifil!rfsll Rollldentifier(slllf more than four, attach sheet with additional identifier(sll
t.
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I certify that all of 1tbe items of infonnation entered on this fonn are true and correct (to the best of my knowledge and belief) and I understand that the making
of any willful false !.tatement of material fact herein win subject me to the DrovisioDS of the penal law relative to the making and filing of false instruments.
lAUREL LIl!lKS COO.. ",1l1"'ii..UIlll IRC.
BUYER'S ATTORNEY
By:
""ilJ!}t):::'b.::;;:;::o,
GILHAKTIH
MARTIN
LAST NAME
FIRST NAME
aain Road, Drawer A
631
281-1800
STREET NUMBER
STREET NAME (AFTER SALE)
AREACOOE
TELEPHONE NUMBER
Jamespor::
NY
11947
CITY OR TOWN
STATE
ZIPCOOE
url'~W1\j;~n$$OR
co~
SELLER
THE SECOND HJUlVEY B. l'MlAK LIMITED PAIlTNEII.SHI
By: polJAK FAlULY ., Ge. neral Partne~/ ~
B .' '*/0.1 jj / '''I '1-- '10;;/ 9'&,:B/O!
B. POL1.AXJ' Preli':faent
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