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BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8007
CAolTrtON; TillS ACiKF.f.MF.N'I' SIIOUW DE PREPARED UY AN A"m>RNF.Y ANI) REVIEWED BY AlTORNEYS FOR SELLER AND
PURCHASER UEI:oRI~ SIGNING
THIS INDENTURE. made the October ~J 2003
belween VERONICA DELFINO, AS SURVIVING TENANT, rnldiDI III 31 Pllrk Avenue, Wllile Plllin.,
NY 10603
party or the fin;t pan. and
THEODORE MARTZ, JR., raldlnl"I 145 ReyenoD Ave" Mnnorville. NY 11949
party of the second part,
WITNESSETH, thlll the party of the first part, in eonside"'tion of Ten Dollan; and other IlIwful
consideration, lawful money oflhe United States.. paid by the pany of the second part, docs hereby grant and
release unto the pllrty of tbe second pllrt.. Ihe heirs or successors .nd assigns ofthe 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 Laurel, in the Town orSouthold. Counly of Suffolk and State of New York.
SEE SCHEDULE 'A' A1TAC~IED HERETO AND MADE A PART HEREOF
Premises are the same as deed dated 11/8/57 and recorded on 10115159 in Liber 4708 Pagc 564.
TOGETHER with all righl. .ille and inlerest, ifany. oflhe 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 alllhe eslDte and rights of the party of the firsl part in and to
said prem ises,.
TO HA YE AND TO HOLD the premises herein granted unto the party of the second part, Ihe 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 sutTered anything
whereby the said premises have been encumbered in 8ny way whatever, except as aforesaid.
AND the party of the firsl part. in compliance with Section 13 of the Lien Law, covenants that the party
of the first part will receive the consideration for this conwyance 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 5am~ tirst to the payment of the cost orthe improvement hefun: using any part of the total of the same
ror any other purpose.
The word "party" shall be construed as if it read "parties" whenever the sense afthis indenture so
requin~s.
IN WITNESS WHEREOF, the party of the first part has duly e"ecuted this deed the day and )'ear first
above wrilltm.
; L_~;., M,,-/~
VERONICA DELFINO
NYSllA Rcsidl:nlial Rl.'Il1 E5111lC Fnnns nn IlcItI>ocs. ('11001
.,.
Cup)riMhl ciIplKIn" lle\.clopmenl
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STATE OF NEW YORK
COUNTY OF \.1bS7<:"I:e.sNA.
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On thec51t ~day of October, 2003, before me. the undersigned, personally appeared VERONICA
DELFINO, personnlly known to me or I,roved to me on the basis of satisfactory evidence to be the individual(s)
whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he ex.ccutcd the same in
his capacity(ies), and that by his signatore(s) on the instrument. the individual(s}, or the person opon behalf of
which the individual(s) acted. "" uted nstrum t.
NOTARY PUBLIC
JOIIEl'!'llIeH1<:o ...
NoIoly p.- -.t_ Va'"
No.""'~/a
""""""~~.~~
DELFINO
To
MARTZ
Section 126.00
Block 0 1.00
Lot 018.000
County or Town
....Jooo;qh fYlof'"c.o ,Tr
\\_\/.,-Q.b t--..t:-I
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DEED
Title No.
SUFFOLK
Return Bv Mail To:
JOSEPH MCHEFFEY. ESQ..
5 CROSBY ST.
CENTER MORlCHES, NY 11934
Reaerve This Space Fur Use Of Reeordln Office
NYSDA Raikk:aual Real t-:m.tc Fanns on IlotOucs" (9/00,
.2.
Cnpyri8hl cGpSan" DL."\"dapmem
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SCHEDULE A - DESCRIPTION
ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, ~uffolk County,
New York, known and designated as Lot No. 28 on a certain map entitled, "Map Section One of Property of
George J. Tuthill and others, situate at Laurel, Town of Southord, N. Y.", surveyed March 28, 1928 by Otto W.
Van Tuyl, Greenport N. Y., Surveyor, and filed in the Office of the Clerk of the County of Suffolk on the 15th
day of January, 1929 as Map No. 861.
TItle Report
'.
Number of poges 4
TORRENS
RECORDED
2003 """ 03 10, g,51 All
Edr..J.ard P.Roaaine
CLERr. OF
SUFFOLK COIJI,'T'I
L 0000122tl 1
P 614
DTI 03-13658
Serial #
CenificDtc #
Prior Ctf. II
Deed. Mortgage Instrument
Deed I Mortgage Tax Stamp
FEES
Recording I Filing Stomps
2J
Page I Filing Fee
EA-S2l7 (Stale)
Mortgage Amt.
I. Basic Tax
2. Additional To.
Sub Tot~ll
Spec. I Assit.
. or
Spec. I Add.
TOT. MTG. TAX
Dual Town _ DU91 Coun,y _
Held for Appointment _
Transfer Tax ..;l30, -- _
Mansion Tax
The property covc''ed by lhis motgage is
or will be" improved by i1 one or twO
family dwelling only.
YES or NO
If NO. see appropriate t~x clause on
if page # of this instrument.
Handling
s. .!XL
TP-S84
""alation
EA-S217 (County)
Sub Total
R.P.T.S.A.
Comm. of Ed.
Affidavit
Certified Copy
Reg. Copy
Sub Totol
Grand TOlal _\c)1 -
Other
~ d'OOO
4 ISttlct
Real
Property
Tnx Service
Agency
Verification
] 126..00
Secuon
03043487
I 01. 00
Block
1.000 1.2600
018.00.
LoI
01.00 018000
5 Community Preservation Fund
COllsider:uion Amount
:;; ~'1.stnl. 0lJ
S d
~
CPF Tax Due
,
Improved
Vuc~mt Land L
SatisfactionlDischargeslRclea!\c List Properly Owners Mailing Address
RECORD & RETURN TO:
TO _
JOSEPH MeHEFFEY, ESQ.
5 CTROSBY ST.
CENTER MORICHES, NY 11934
TO
TO
~
7 Tille Company Information
Co. Nome TK LAND TITLE
Tille II RH80032241
Suffolk County Recording & Endorsement Page
This page forms part of Ihe attached
DEED
(SPECIFY TYPE OF INSTRUMENT)
made by:
VERONICA DELFINO
The premiRis herein if;, situDted in
SUFFOLK COUKTY. NEW YORK.
TO
THEODORE MARTZ. JR.
In the Township of
SOUTH OLD
In the VILLAGE
or HAMLET of
111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
TYPe of Instrument: DEZDS/DD~
Number of Pages: 4
TRANSRR TAX NUMBER: 03-13658
Recorded:
At:
LIBER:
PAGE:
11/03/2003
10:14:51 AM
D00012281
614
CARL J DELPINO
THEODORE ImRTZ
Di.trict:
1000
Deed Amount:
Section: Block:
126.00 01.00
BXAMIHBD AND CBARGBD AS FOLLOWS
$57,500.00
Lot:
018.000
Received the 1'0110wing 1'... I'or Above In.trwaent
ExAlllpt
NO
NO
NO
NO
NO
NO
Page/Filing
COE
EA-CTY
TP-584
RPT
Transfer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$230.00
Handling
NYS SRCRG
EA-STA'1'E
Cert.Copies
SC'l'M
Comm.Pre.
1'_. Paid
$5.00
$15.00
$50.00
$0.00
$0.00
$0.00
$357.00
&"'Alllpt
NO
NO
NO
NO
NO
NO
TRANSFER TAX NUMBER: 03-13658
TRIS PAGE IS A PART 01' THE INSTRUMENT
THIS IS NOT A BILL
Bdward P.Ramaine
County Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
.INSTRUCTIONS: http:// www.orps.slale.ny.us or PHONE 15181 473.7222
FOR CQUNTY USE ONLY
C1. SWIS Code
1'7< ,?,?, ~~ ,9'1
//i C3 I /.~
MoJ'i,h Day Yea,
RP - 5217
REAL PROPERTY TRANSFER REPORT
*
.
.~ co - II
\; m. "
C2. Date Deed Recorded
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C3. Boote
C4. Page ~
RP.52li R... JN7
PROPERTY INFORMATION
1. r~::~ 1
~<;
S~Rcll N(jM~ER
7th Str~et
ST'lEETNAME
om,,~.lEl
2. Buyer L....Mar~-1.LL
N.me LAST NAME I C::lMPANY
J,aurel
VillAGE
11948
lWCOlJ1;
Theodore
~IRSTNAME
_.-J
L
LASTNAME/CJMPiIN"
FIRST NAME
3. Tax
Billing
Address
Indjcate where future Tax Bills are to basen!
if<ltherthanbLJye,.adnrassl8Ibotlomofforml
L
lJ',ST NAMl' !CO'v1PAJ';Y
FIRSi N"M~
L
---L~ i
STATE
STP.F.ET NUMBER AND STREET NAME
UCITYCR10WN
Z'PCOOE
A.. Indicate thll number of Assessment
Roll parcels transferred OQ'1 the deed
G{l
I # IJf Parcels OR 0 Part af a Parcel
IOnly If Part of II P8rCal} Check as they apply:
<IA. Planning Boord with Subdivision Authar"ty Exists 0
4B.Sl,bdivisionApprovalw3sR9q\.iredforfransfar 0
4C. Parcel Approved for Subdiv;sion with Map Provided 0
5. Deed
Property
Size
lOR L
(). i 61
L..-...._.-J X I...
fllNnrUT
OEPTH
ACIlES
6. Seller
Name
L~ l..f..i=
l.AST NAME ICC>M~Ar.V
m-.-J
Veronica
FlIISTNAMf
L
LASTNAME/C(lMI'ANY
~llIsr NAME
7. Check the box below which most aecurately describeli the use of the property lit th" time of sale:
Check the boxes below as they apply:
8. Own9rship Type is Cllndominium
9. New Construction on Vac!lnl land
lOA. Pmperty Located withir' an Agrieultural District
108. Buyar received a disclOilUre t'otice ind;cating
that the property is in iH1Agricullural District
o
o
o
o
A~ One Family Residen::al
D 20r:3 fomilyResi(jenlilll
C Rflsi<lential Vacant '_and
D Non-Residemial Vac,mt Land
E~A9riCUltUral
F Commercial
G Apllrtm\Il1t
H Entertainmentj,o,musement
I~ com.lTlunityservice
J Induslrial
K PubliC Service
L Fo'est
I SALE INFORMATION I
11. SlIle Contr;u:t Date
15. Check one or more of these conditions as applicable to transfer;
8 I
M,,,,,
5
,.,
I 03
Yaar
A
B
C
D
E
F
G
H
I
J
Sale Between RelaVves 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 lendl."g Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale 01 Fractionai or lp"ssthan Fee Interest lSpElCify Below)
Significant Change in Property Between Ta>:able Status and Sale Oates
Sale of Business is Included in Sale PriCII
Other Unusual Factors Affecting Safe Price (Specify Below)
None
12. Date of Sale I Transfer
~'
Ll.lL.... j -rlJ3
l.Ionth Oav YM'
13. Full Sale Price
5
5
7
o 0 0, 0 I
, , .
IFull Sale Price is the total amount paid for the property including personal property.
This payment mllY be in the form of cash. other pn;perty or goods. or the lissumptjon of
mortgages or other obligations.) Please round to tn" nearest whole dollar amoum
14. Indicate the vlllua of personal
property Im:ludlKl in the sale
, ,~,.-J,O Ol~
, , .
ASSESSMENT INFORMATION - Data should reflect the late,st Final Assessment Roll and Tax Bill
18. Year of Assessment Roll f,.om I 040:3.,
which inrormilltion takan
17. Total Assessfld Value (of all parcels In transfer) L",
3 0 ~
,
18. Property Class
~~-LJ 19, School Distrk:t Name I .#);i..,
,
-me<. tt 1&0.L
20. Tax Map Idrmtlfier(s) I ROil Identifier(sl IIf more than four. attach sheet with additional Identlfier(ls;lI
1000-J.26.00-0J..00-018.000
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I CERTIFICATION
I certify that all of the items of Infonnadon entered on this fonn are true and correct (to the best of my knowledge and belief) and I understand that the makinx
of any wnIJid flllse statement of material fact herein will subject me to the Drovislons of the oensl law reJlltive tu the making and filing of false InstnIments.
BUYER'S ATTORNEY
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HIISTIIlAME
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LASTNA'I'IE
STAfONU"'9EA
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AFlEACOa.E
THEPHONENUMBEA
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STREETNM"'E IAFTEII SAlE I
CITYOATOWN
NeW YORK ""IT J
COpy
STATE
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SEU.ERSIGNATUIIE
SEllER
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