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BARGAIN AND SALE DEED WITH COVENANTS AGAINST GRANTOR'S ACTS
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THIS INDENTURE, made the I dayoroctober, 2003, belween
THEODORE H. WITHUS. SR., residing al 680 Wcstview Drive. Malliluck, New York,
(hereinaner referred to as "Grantor"). and
THEODORE H. WITHUS. JR., residing at 129 Park Avenue, WillislOn Park, NY 11596, as 10 jI
one-half undivided interest, and
KATHLEEN M. BALAS. residing at 32 Darbrook Road. Westport, Connecticul 06880, as to.a
one-half undivided interest, as tenants in common (hcreinaner referred to as "Grantee").
WITNESSETH. that Grantor, in consideration ofTen Dollars and other valuable
consideration. Ihe receipt and sufficiency of which is hereby acknowledged, docs hereby grant
and release unto Grantee and the legal representatives. successors and assigns of Grantee forever,
All thai certain plOl, piece or parcel ofland with the buildings and improvements thereon
erected, situate, lying and being at Mattituek, Town of South old, County ofSutTolk and
State ofNcw York. bounded and described as follows:
BEGINNING at a monument on the Northerly line of the Southerly branch of West view
Drive, 378.24 feel Southerly and Southeaslerly as measured along the Easterly and
Northeasterlyline of said Wcslview Drive from the comer formed by the intersection of the
Easterly line ofWcstvicw Drive with the Southerly side of Brower Road; from said point
of BEGINNING running along land now or formerly of Doherty and land of Paul Murphy
and passing through a monument, North II degrees 17 minutes 20 seconds West, 150.0
feet to land now or formerly of Smith:
THENCE along said last mentioned land North 71 dc:grees 42 minutes 40 seconds East,
100.0 feet 10 a monument and land now or formerly of Fogarty;
THENCE along said last mentioned land South II degrees 17 minutes 20 seconds Easl,
150.0 feet to a monument on said Northerly line of Westview Drive;
THENCE along said Northerly line South 71 degrees 42 minutes 40 seconds West. 100.0
fcetto the point or place ofBEGlNNING.
The grantor herein furtber reserves for blmselftbe rigbt to use aDd occupy tbe
premises for bls Datorallife aDd tbls coDveyaDce is subject thereto.
Said premises known as 680 Westview Drive, MaUituek, New York 11952
District 1000 Section 13900, Block 100, Lot 15000.
Being the same premises conveyed to the grantor herein on Septenlber 7.2002, and
recorded onl\ in Liber '..H" page tvl .
itll~/(}~
TOGETHER with all right. title and interest. if any, of Grantor 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 Grantor in
and to said premises.
TO HAVE AND TO HOLD the premises herein granted unto Gnmtce and the
legal representatives, successors and assigns of Grantee forever.
AND the Grantor covenants that the Grantor has not done or suffered anything
whereby the said premises have been encumbered in any way whatever, except as aforesaid.
Grantor, in compliance with Section 13 of the Lien Law, covenants that Grantor
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 before using any part of the total of the same for any other purpose.
i-
THEODORE H. WITHUS. SR. by THEODORE H. WITH S, JR., his attorney in fact
tu; P&II-tb:U,{,~ :;>6: ;;;'00 2-
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STATE OF NEW YORK )
COUNlY OF NASSAU ) SS.:
On the 1st day ofOetobrr, 2003 before me. the uncIcr-signed, a In...., JlIJWI . 'R~ fer _.:~
~ Personally appeared TIIEODORF. H. WITHUS, JR., personally known to me or proved to me on the basis of
Slltisfuctory evidence to bc the individual, whose name is suhscribcd to the within instrument and acknowledged to
me that THEODORE H. WITHUS, JR., executed the same in their capacity. and thaI by their signaoue on the
instrument, the individual, or the person u n bc If (It' which the individual acted, exccull:d the inslJUllleDL
:-IOtaryPubli~ ~
ElAINE CASEV
Mat", Public, Slatl of New Varlt
No. 4692 I 78
Quelltled In Nusau COI\1ItlI ,
Cotnrn'"ion bpl'I' Jan 31, IUl!b..
.J.
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BARGAIN AND SALK DEED WITH COVENANTS AGAISST GRA~TOR'S ACTS
THEODOIU H. WITHUS, SR,
Gruntors
to
THEODORE H, WITHlIS. JR AND KATHLEES 1\1. BAJ.AS
GrlJllCe
--
-
District: 1000
_Section: 1 3900
Block: 100
_Lot: 15000
_County: Suffolk
Please record Ind return to:
:vJary Ellen Divone
AilOrDe)' at Law
515 IIcrricks Road, Suite 4
New Hyde Park, New York 11040
~2
J
Number of pages
-3
.
RECORDEr,
2004 Ruo 1608,14,51 RM
Ed~aro P.Romaine
CLERK OF
SUFFOL. COUNTY
L 000012337
P 443
DT' 04-02367
TORRENS
Serial"
CcrtiOcnle 1#
Prior ar. N
Deed I Mortgage Instrument
Deed / MOOllage Tux SllImp
fEES
Recordinll/ filillll Stamp.
4
Pale I Filing Fcc
I"andling
TP-51l4
Mongage AmI.
I. Basic Tax
2. Additional Tax
Notatioll
Sub Total
EA-52 17 (County)
EA-5217 (Slute)
GRAND TOTAL
\ a,t\-.
SJ'Cc.lAssit.
Or
Spec./Add.
TOT. MTG. TAX
Dual Town Dual Couruy_
Ileld for Apportionment #--
Transfer Tax ~
Mansion Tn
The propeny c('vered by this RlunlAl&C is or
will be improved by. one: or twu ramil)"
dwelling only.
YES or NO
I r NO. see appropriale lax clause on page"
_ oflhis instrufl1Cnt.
Sub Total
K.I'.T.SA
-~-
Comm. of Cd.
5 <2.!L.-
Affidavit
Certified Copy
Roll. Copy
Sob Tollll
Other
cf
1.01
ConsidcrUlion Anllolllll $
l
Reall'ropc:rty Tox Service Aacncy V""ifi""tion
Dist. Section 8 lock
6 Communit Preservation Fund
04034242 1000 13900 0100 015000
S,amp
Dote (~~S~
lnilials ~~
7 Satisfactiolls/Discharges/Releases List Property Owners Mailing Addres
IlECORD... RETURN TO:
CI:JI'" Tax Due
$
I mpruved
l(
Vacant Land
M 1 [lie.. lJJV~
r ( It Y,I . "Pel. Szt .t/
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Co. Narne
TD
TO
TO
\0
9
Suffolk CoUnt
Titl" "
Title Company Information
/c...o..c. r' rt.l:
Cr< ~~"3
& Endorsement Pa e
s.
11tis polle ron.lS pw1 or Ihe uttuchcd
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S~SPr:-aFV TYPE OF INSIRUMENT )
'llIe pre.nises herein i. .illlllted in
SUFFOLK COUNI"Y, NEW VpRK.
In the Township of ).. ..,.n..
made 1;1)':
~(J ~ye-- tf" Yips
L~~ ~~~~
1- ~Y-L ~ .
/
BOXES 5 TIIRU 9 MUST DE TYPED OR PRImeD IN BLACK INK ONL V PRIOR TO RECOIIDING OR FILING.
COVER)
In the VILLAGE
1./
u;tItld 1 f-VJ
or HAMLET of
II11I1111111111111111111111111111111111111111111111111I
II11I11111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument I DBIDS/DDD
Number of Pages: 3
Receipt NUmber I 04-0090447
TRANSFER TAX NUMBER: 04-02367
Recorded:
At:
08/16/2004
08:14:51 AM
LIBBR:
PAGE:
D00012337
443
Deed Amount:
Section: Block:
139.00 01.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
LotI
015.000
District:
1000
Received the Pollowing Fees For Above Instrument
Exempt Exempt
Page/Filing $9.00 NO Handling $5.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO BA-STATE $50.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Transfer tax $0.00 NO COIIIIII.Pres $0.00 NO
Fees Paid $124.00
TRANSFER TAX NUMBER: 04-02367
THIS PAGE IS A PART or THE INSTRUMENT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
JNSTRUCTIONS: http://www.orps.state.ny.u5 or PHONE (518l 473-7222
FOR COUNTY USE ONLY
CJ.
i-f --I -3 -c s: 9;
I r I 16,. I
I s;. !/b [/il
Mon'h Day Yaa'
Book I / , -f, 3, 3, r I c. p,., 8, '1,.3 ,
RI'-5217 R~y 3^"
REAL PROPERTY TRANSFER REPORT
C1. SWIS Code
8:
" - I]
'. -"'0' _-
C2. Date Deed Roacorded
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
PROPERTY INFORMATION
, P'op.rt, I 0?O WfETVJe/!V
Location STR.n NUMBER STREET ~'''ME
LldlllT/ TU (}.I( '1j~,.
CJl'{ORTOW,,"
L}1/1771Uc\ JI?
LASTN^M"I~OMPA"V
I BItL/fS
LAST N"":E I COMP"';'Ni'
bel jI e
-..J
/i9S21
ZIP CODE
<: '. ;:
-.J:::..jU.-ri'iG;lu
VlLLAGf
17J1FlJ[)()/zE, t(.
""f!in7tuEN,. /.IJ.
flllSTNAME
2. Buyer
Nama
3. Tax IndiC3te where future Tax 13ills arB to besenl
Billing if other than buyer address (at bottom of form)
Address
._L-
f.%TNAM[
J11 ti. If, flu k.
CITYOATOWN
LASTi'iAME CO_YIP,""'"
-..J
II 95J
L'PCODE
L- &3D U'e",rv,t'<J.J
STREH f1UMRf'R AND STREET "AME
Drl
11v) 1"1
STAL
4. lndieata the number of A5MSlment
Roll pereals transferred on the deed
I # DfParcels OR 0 PartofaParcel
(Only jf Part of!l Parcel) Check a8 they apply:
4A. Planning BOMd with Subdivision Aut10rity Exists D
48. Subdivision Approval was Required for Transfer 0
4C. P3rcel Approved for Subdivision with Map Provided D
5. Deed
Property
Size
I DO Ixl
FIlO~1T FE oT
ACRES
/5'0
lOR I
.
0["11<
6. Seller
Name
W 1T71U!:,
LAST "...''.:~ . ee','PA""
SF!..
771GlJ{)JRE
fl'lSlNAME
!l
I
l_._
LAST NAi>'to I:OMPANY
FIRSTN,o.Mi
Cheek the box below which most accurately de9cribes the use of the property at the time of sale:
Check the boxes below as they apply'
8. Ownership Type is Cundominium
9, New Construction or Vaci;lnt Land
10A Property Localed within an A!?ricultural District
108 Buyer received a disclosure nutice indicating
That ,he property is in an Agricullural District
o
o
o
o
A~oneFamiIYReSjden,al
B 2or3FamilyResidenllal
C Residential VaC3nt Land
D Non-Residential Vacant ~and
E~Agricultu-al
F Commercial
G Apartment
H Entertainment; Amuseme.,t
l~ Community Service
1 IndlJstr;al
K PUblic Service
L Forest
SALE INFORMATION
15. Check one or more of these conditions as applicable to transfer.
11. S<lle Contract Date
L IJA
.'.~onth 0,> Yea,
/0 I 0/ ! 0..3
~,.bnth '" Vea,
0 0 () 0 0 I
- ~.---
Sale Between Relatives or Former 'lelatives
Sale Between Related Companies or Partners in Business
One of the BUyElrs is also a Seller
Buyer or Sel'e, is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Spc6fy Below)
Sale of Fract!onal or Less than Fee Interest (Specify Below)
Significant Cha"ge in Property Berw,,,,w Taxable SIRIus and Sale Dlltes
Sale Of Business is Inclo."jeC:" Sale Price
Other unusual Factors Affecting Sale Pr:ce ISpecify Below)
None
A
B
C
D
E
F
G
H
I
J
12. Dllte of Sale f Transfer
13. Full Sale Price L
, .
(full Sale Price is rhc!Otal amoun: paid fO/the property irlcluding personal property.
lhis payrr,erlt may be inthe form of cash. other property or goods. Or the assumption of
mortgages or other ob;;ga,:ons,1 PleJee round to the nearest whole dollar amounr
14. IndiCllte the vBlue of personal 0 0 I
property included in the sale, , .
ASSESSMENT INFORMATION - Data should refl!!ct the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from
whichinformationtilkBn
[ V 3.J
[j I-I /J
19. School District Name ,
,L{ tiHrkc.l
17. To11111 Assessed Value (of "II parcels in transfer} ~,
\":
,
-:;,~
18. Property Class
12/
20. Tax Map Identifier(sll Ron ldentifier(s) (It more than four, attach sheet with additional identifier(s))
I I)"t I ceO
S I';,ScD, 61<..
leD Lh5'c,uu
, ~
I
I CERTIFICA TIQN
I certify that all of the ih'Jru;; of infonnation I!ntered on this Corm are true and correct (to the b~t of ffi)' knowledge and beJicO and I underst.'-md thllt the making
of any willful false ~tatemenl of material fad herein will llubjed me to the Drovisions of the oenallaw relative to the making lIDd filing of false instruml!nts.
BUYER
BUYER'S ATTORNEY
;J11/b'uE fii/i/'y E/i.q?
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10 Of 0 3
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e.
LAST NAME "~ST "A~"
'i7iP -!.fY'?C'/-f;-
..~~... coo~ IEl~P"ONE NUMeEii
f\\..a.\\, \1.lC~
CITY 011 TOWN
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l'PCOOE
((95'2
[,w
YORK ST~J
COpy
7~1/0~ER .
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Sf; El ~
T1,~cdo~e 1+ !<~ f-it", SR.
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