HomeMy WebLinkAboutL 12248 P 66
L
f
DISTRICT
1000
SECTION
136
BLOCK
2
LOT
11
I;k) if 6>
Dee
!3fo - 2-1/
N"'up~ - Uilq,::un i.l1II! Silll'l.l(-l~ ....ilh Ot~""n.lnlllll,)ilh' 00,nll""' A,"t...lnoll\'iduoll nrC."pur~I"'IIISjnl.'rcShL"l'tllfl,;ytf;Tl" lotllfl~l
CU~Sllf.T YUI!R I..\WYF.R IJF.FURF. SU;/'IlIN<<;' TillS ISSTRUMF.:'II'T -TillS INSTRlIME.ST SIlOL"l.n III': USI-:IJ In'I.'\Wn:K".. O:'lr.I.\"
THIS INU(;:,,"l"UKI::. rmllll' Ihc
IIEnvn:1>;
~17t
. in Ihl' Yc.:.u 2003
d~IY uf March
FI.ORENCE M. KENNEY. Individually and as sun-ivlng
trnant by thr rntirrty, residing al 3655 Stillwater Avenue, Cutchogue. :'-Iew York 11935
puny tlf the tin.t (Jan. and
ROBERT J. O'BRIEN, n,siding at 8957 Bay Breeze Lane.
Indianapolis. Indiana 46:!36
puny III' Ihe ......':om.t p~rt.
,\"ITSF_'tiSt:TII. fhallh..:- puny I,.,f Ihl'lir~1 pun. in l".'on:<lidc-r"..Itum 11fTcn l)"lIur.; :md ~llhC'r \'alllahl.: cllnsidcT.;uhlrl paic..l hy th~
part)' c.rth.... :'l'':IJO~1 pal"L. Joe:. hcrc-hy ~mnlllnc.l rdc:I'M: Unl~1 th~" purt)" oflhc ..............,IICJ p;ln. Ih.... heir' .'rNllt'''''l'~'''''~ and il'Ni~nN "f
lhc puny \If th.... sCI..'un,j pari l~m..'\"cr.
AI.I. Ihall"Crt.ailll,lnl. pic......... ,If ('.a1\:d of land. wilh Ih..... nuildjn~~ and il1lprm.'cnlcnts Ihcr\..'tJn Cfl,;'1,,:lcd. sinmh.'. Iyin~ and being in th...~
at CUlchogu..:. Town of South old. Suffulk County, New York. being lmown and designated as Lot Nos. 21. 22 and
13 on a t:crtain rn:Ip(,"ntitlcd. "~:;tpofProperty ofM. S. Hand. Cutchogue. Long Island. :\Iew York. dated :\1arch4.
1930. Daniel G. Young. Surveyor. Riverhead. Xew York". and filed in thl,,' officI,,' of the Clerk of (hI,,' County of
Suffolk on September IS. 1930 us Map NC1. 730. which s.:Jid lots whcn t:1ken to~clher ace bounded and "'C's~rib~1 as
fC.lllows: BE(~I~~ING at u point on the n,)rlh(,'Q,.s1 sidc ufStillwal~c A"'enuc:. wht'rt' the dh;ision line between I",...t
10 and 21 on the aforc5ajd nmp intC'r5Cet~ suid nonhcilst side ufSlillwatcc A,,'cnuL'; running Ihen.;e Nunh 41" 00'
West along the nurtheost side of Still\\:ater Avenue IJ~.QO feel 10 the di\"ision line between Ihe Lot 23 and 24. 011
the afuresaid map; running then.:-e North ~20 30' .lO" East along the lasl mentioned dh"ision line 324 ti.'CI. muf\.' or
le.ss. 10 the walers uf Eu..:ene Creek. running thence southeasterly in a general dirc'cotion of the waters of Eugene
Crrek. I ~O feet. 10 the di,,"jsion line hctwcen Lots 20and 21 un the afor....sui... mup; cunning Ihence South 54"44' 50"
West along the Iasl rncnliC1ncd division line J50 feci. moce or k-ss. 10 the nurtheast side uf Stillwater ^H'lIU~ .11 the
point ur place of beginning..
TOGf:TIIER with all the right. title and interesl oflhe pan)' ufthc.' firs! pari. of. in and to land belC1w the highw3rC'r
mark. and undec the waters of Eugene CrcL'k. 3djac~nl 10 said prcmi.ses.
THIS 01::1<:1) IS Sl1RJE(-.' TO the party of the lirst part rctalninR II. Ufc eltallte.
SI'ID premises hein!:!. known as .~65S Slillwaler Avcnue. Cuh:hucue. ~ew York 119.J~.
III-:I~G ANI) I~TE1"iDF.D TO BE TIlE same premises conn'ycd tu thc parly oflhe first part and Raymond J('l5cph
Kenney hy dc..-cd d:1tcd Sc..-plcmbcl!' I. 1965. reconJed in Liber 582~ Page 540 on Septemt'e'r 17. 1965. in th\,.' ()flkc..'
of the- ("Jerk oflhe County ofSullolk.
T()(;.~TIIEK with all righl. lill..: anll inl....resl. if ~m:~:. Ilfthe party "f tll.... firsl parll..ll~ in ~Uld 10 any slre~'ls un'" w..l(.l... ahuniot,! the
ah'I'\'c-...h..'s..'ri~tI pr~mi1ic~ 1\. the ....t.mer lin~s theT'\.'\lf; TOG..:TII.:R wirh lh...' :lppLln("o;.\nl'c~ :.mu all the est:ne and rights ur"lhc
p.UTy ofthC' tirst pari ill auc..lln sai,J prcl11i!Joco,;; TO H,\ "F. A:'IiO '1'0 IIOI.D the rn'rniSl,,'s herein gr.1nlc\luntn (he p:'ln).' .,ttllL'
!Jo.\.'....un...1 pan. the heirs ...lr S\lI,:eCSS('I:-- .1lIc..1 al'osifn~ llr th..: pany \If Ihe sC<:l'nd pOlrt fnn,"'cr.
,\!"4U Ih(" 1'li.In.y of Ihl' lirsl pan elWenilnto,; thai Ih.... IXlny nf lh~' linit pHrl h:.Jo,; nOl d~lnl,,' ~lr !\out"fcn't.I anythin~ ""hl.:'n:ny Ihe said
prcmi.~c.. hil"'C tx'CII inl"umtx:rud in ~,n)' war wh;,He,',.'r. ....X....Cpl 01:-. :.Jlcln..'said.
ANJ) Ihe pany vflhc fir't pan. ill \,..('mplian....l. wilh Se":liull I J \,If the Licn Law. ...."Vl".mmt=- Ihallhc- p:my u((h.... fir.!ollliln will
rc'eci,,"t:' lhe ....llll.sic..leratiun for this ....~)I1\'"cyan....e .md ~'ill h",Jld Ihe ri~hlll' l"Cl'd,,'e .'lUI,,'h ....,'o~ic.lcra[illh aN a lrusl fumllO be applied
fir.sl rur Ihe pl1rp(l~' ,...f payiw_~ the L'uo,;l \If lhe impr'I"'C'llIent ilnd '"'-'i11 aplJI:y the :;alUc firsl Iu Ihe p.lyrn.;nt vf the rost ul" the
impro"'L'menl ~ti.,n..' using any pari uf Ihe IL'I:'II .)rlhC SUIIIC' f(lr any "lht.'r pur])l,.,......._
111.... w\lre..! "pany" shall bL' ..:vnstrllcJ ~IS if il n'all "panics" whC'llc\'cr Ih.... .....:nsc or this inJ\""mun.' ~" rC4uiCCN.
1!Irl; WITN..:SS \VHRRF.OF. rh(" purry of Ih.... fir:--t pun ha.. duly e.'f\;el.ut....d Ihis \Ae,.J The t.I:,~ all'" year fir-.r ah..wc wrillen.
IN I~HK~I;~(~..: UI-:
J-
'j ....
-' " \
.oX...,,_ a_ ! ~1~~
FLORENCE M. .
U.V:A.C:,,^.()1t'/,EJ)(;A~T "'ORoU HliUJW U"/.,.",..., Nliw )'URA': Sr~\n'(J....',.)":
,
StutcorfliewYork,Countyuf Suffo1k J~:
: '10111 ch . d 2003
:Onlhcd.D,ja~'of Mar In lC)'car
:br.:f()n.~ me, thr undcmgncd. pcn;onally appc"olred.
, I!'LORBNCE Mo KENNEY "
'IJJCr,;ouallyk.nown tn me ur I"N\'cd 10 me' on the basis of sutisflK"llll'}'
=\:vidcn..'c In ht.. the individual($) whu!<oC n;,lmc(s) is (111'lJ)~ubSl,,'riboJ 10 Ihe
'\r,.'ithin instlument und acknowlcd"...'\I 10 me Ihat he/she/llley exc..'ulOO
'.Ihe :tame ill his/herhhcir l,,;'ur-u:ityfiC's). und Ih::Ir by hi:ilhcr/lhcir
"SigNlllIrC'lS} tUI the instrument, the indivit.lual(s), or thc IJCI'N.... Up""
};IC:ilalr Ilr which Ihc indh.-idu::lI(S) ncu:d. executed th~ in5.lIUUlt.'nl.
~'A.IcJu1.t<.. {1Ja.C/Lan.b~
..ICHELLE BLACK~~Pub1~ Il
Nary~f'~-
~..::..~~O("
. ACA'^'()WI..I."JJG.\fF.Nrl-'tNlM FOR U,'tF. WITIJIN N,.:w YORK sr"TI-:O''I:'.'':
/"'..I4....ort...Idn...,.,I>InIlWi""..u,'..lilltoll./,.,,iJlJr,,.II'C,:rrjfit.d'r'/
. St;)le ofNt"W York. Count".. of } ss.:
: On lhe day elf in the year
: ~torc me. I he unc.L:",igncd. pcr,.;onally .tLppcaroJ
; the suh.""-'riNng wilncfo.'i to the foregoing instnullCnL. with wtunn I .an;
: jX'rsonally ::Jt:quwntcd, whu. Ocing by me duly sw(,~rn, did dcpc._' al'ld
':';;,1).' thai hc:l..hclthC'y n:side(:i) in
~ (iftht" p/urro ,un'sid~/IC.,,(,;s ;11(1 dt\.. ;nr.:"uJ~tht!.\Irf!C"dlld .It;lrwtrl JUlmber.
:~~( U:IIY. thf!'t"I!(ifJ", th.ll he/shc/lhcy kn~-'w(s)
)0 be the: i:l1di\o'ilJ~1 dc~..:~i~-d in. "nd who excculcd the f,",regain!.!
~:lll5trumcnl: that s.:ud liubscnbmg wllness ",",Wi pn:scmt anJ :,:,aw suiu
,. O:-XC'(:U1C Ihe s:ame; w,.J tbat said witnc.:ss at th.... si1ln.... Lim..: suh",,:rihcd
hislherhhe:ir mmll,'(s) a... a wilness therelo.
:.
.i T"LE NQ.
IJAR(.AJ:S &: S.\I..E DEEn
Willi ~':<I\'I'_"ASI ~ At....I!,o,'i r (ill"!o.1UK'S I\,C:U
:: PLORBlfCE No KElllllEY, individua1~y
and al' surviving tenant by the
entirll!ty
ROBBR~r J_
TO
O'BRIEN
:~
Fm.:I.IITV NATIONAL l'IT!.E INSURANCE
~ CO~lI'AN\' 00' NEW YOKK
V' ,.\....lM,...IC,Ulilllv:!x
b~~--...."",," Fidelity ..i<)je;"'_" 0
..,......Nr"'l'i....."--L.lllllIi.,..,..~..,......
rl
II:
...
0
'"
i!:
f ~
..
a:
~ ...
0
..
'!l
a:
2
..
li
..
Ul
Ul
~
..
ffi
III
a:
,.
.' ,
~....
.
U!iIiA(.Aj"'f)WJ.F..IJG""~T I-YJIt." IIEU}M/ W'1TIII..... NI-:w }'(J/(K STA. 'n~rJ.\l:f:
SlMW' ..r)'\!je", York. Cuunty ur
On 1m: day uf in the year
bcfure me. lhc lInt.lcr.o:i~ncd pC'l1iI.lRally appcan.-d
}ss.:
(X.'nOI.mally knuwn III me ur I"rm;cd 10 me ('In the hu,.is uf !lali:ifaCl\'I')'
c,,-iwmct'" 10 be the indi....irJl.lw(s) WOOsc II."UTlc(S) is: larc) subscribed 10 1he
wilhin instrumenl:md :J.t:koowlcdg.ed to mt th:J.I be/shclthe). L"XCC'utcd
the same ill his/hcrlthcir .:al"acily<icSJ. 300 t11:.lt by his/hcrlrhcir
siYllatun.:ls) on th&: ins-lrunlCn1. lhe: indh.-idual.(s), or me pcrwn upon
hchalf or whk'h the indi....idual(s) at:1l..'I.I. c:xt.'C.'utt.-d the ill.'l;uumL'IIl"
A("KNOWJ~;:na."I-:.\.r FtJR." ""ON USI-:OUf!iJIJE NEW )'ORK .\'1it, lU O"'U'; .
I( lu/l'{ St&II~ "" 1'("-':;",11 Ci.',I.!ful AI.'''",m1rYlJ:IQ.I.'nl C,;rljfklll.,/ 11III
..................................................1....:
IC""'''"''~ \Inner 1I';lh SI.III'. C'...IIU)'. I'ro..'R<Lr url-lrum:1pulil)"
On (hI.:' t.lav of in the "cur
hefolC llIe, thC undcnoigncd. pcOO(mally uPIJe'.JI"Cd .
pt.'fSunully knc)Wn 10 me t.lt' proved 10 me on the: bol,S:i", of !COIrisfactlll')o:
t..','i.Jc:nt.'c III bt..tlle inc.livillu.alls) "..tx..ooc nailld's) i", (are, suhsLTiht."CJ lu thc
wirhin in.~tnlmCnl and acknu\\'ledgcd tt' me th:at hd.dlCllhey ('XCCUtLu
the s:mle in hisJhcrhhrir capacily(ics). thai tly hislhcrllheir signaturc(s)
on the instrument. thc individuaU:-,). (lr the ~n;('ln Up"1I hehalf "r which
the indh'iduuUo;" acted. eXL'etltro the in...tRlmenl. und Ihat.such indivi.Ju:d
rTU1dc sUt.'h appcUJ'".u",'e before .hc uncJclSi~nt:d in lhe
(hu..-,., tile' ':;/)' fir fI,IIf!'T /kJliliC.'tll .'l:j,bJo.;.\';1I1J tllld III..' .\'IU1~ ,., l.'oull/n'lIr
ol/I("r pluCci 11If! uckll(.wle'JJ(m"'nI W(l'S If.lk...II}. "
DISTIller ~OOO
SEC"1101'oO' 136
BLOCK 2
l.OT 11
COU:'\l1'V OM TOWN Suffo1k
fUoXllROHD ..,.,. REQlI/::.fOJ" OF
Fidelit). )'\!juoonul Title Intiunma: Company or N'C\1r" 'Fork
RATURNBYMAII. TO
Davidow, Da."idow, Siegel & Stern, LLP
One Suffolk Square - Suite 330
Islandja, New York t 1749
jmf
~"
\.
-!".
r~ 2
J
Number or .'"SCOS
'J"l:JRRENS
3
RECORDED
2003 Rpr 25 08: 25: 17 RPI
Edward P.Romaine
CLERK OF
SUFFOLK COUNTY
L 000012248
P 066
uT# 02-36976
Serial n
Certifiente "_
1'rlorOr. "
o.:ed I' MarlgRaB Inshumcnl
llftd I MOl1811ge Tax Sial lilt
I'HES
Recording I Flllug SIII.IIII...
2]
Puge 11:lling Fee
c;-
S-
l)_
Mortgage ^1I11.
11...dUII.
n'-S84
I. URsie 'fox
2, AddiUullal Tax
NolaUulI
It I', T,S,A,
s-
..~
~ -
/1.., _
-.-:f4J_
Sub l'ul81
E,A,S2 17 (Co""ly)
EA-S217 (Sial'"
Sob Tolol
Certified eVil)'
Reg. Cupy
Olher
I ) - SubTul.1
OIlANV TOTAL
Spec.lAs.il.
Or
Spec, {Add,
TOT, MTO, TAX
UURI Town (Junl Cuunty _
Ileld fur ^,JpurUOllll1enl __
Trall.sfer Tax
MaluiulI Tax
The Pfoperty CUYeled by tliis IlIa.lgnge i5 ur
will be 11II1'toved by II olle (II'" two fumlly
dwelling only.
VES vr NU.____
If NO, set' 81'pulnlate lnx clouse un poge II
_0[tlII5 Jnstrumenl
CUIIIIII. or Ed.
S~
Amdavil
J
Real J'ruJ>erty Tax Service Agehey "alDenI/o"
Dill. Sedlun' D lock
LoI
6 C01ll1llun11 "I..,sel'volion Fund
Conslderatlun Arlluunl $ -0-
Stamp
03015158 1000 :13600 0200 011000
~
RDHOA
18-APR-G
CI'F Tax Due
s .-0-
IJule
Impruved
Initials
1
SatisfRcliu;;;;oischRrgesJlleleases List IJwperty Owners Mailing Addle!.
IlECUIU' '" RE...UIlN '1'0:
Vacant Loud
UAVUIOlI, DAVJ.IlOII, SJ.EGKL & S'!'KIlR. LI..P
One Bul:ful.lt Square
SuJ.tl!l J13U
1s1..lIdJ.a. Ifew York. 11749
'I'D
'I'D
TV
'l1us 11Illge f0l111s part of Ihe 8\1uclnJ
8 Tille COllljtnllY lufUl'lIIl1UOU
Co. Name
Tftlell
Suflolk County Recording & Endorsement l>age
~
Deed
(SPECIFY TYPE OF INSTRUMENT)
mntle by:
F~oreru=e M. Kenney, individua11y
and as surv1vinq tenant by the
ent:.ire1:v
'l1,e 1""lIuses herein is siluoletl ill
SUFFOLK C.'OUNIY, NEW YORK,
TO
In UIe Towllship of
IlIlhe VILLAGE
or HAMLET <if
Southo1d
Robert: J.. 0' Brien
, Cutchoquo..
'" lVI:C;:' C .111UII () It.,n 1f;;!"'III~'rVIJI.I'nl1 IJI)ltl..TI"I-:n II\.] 1.1.' AI...... INJ{ (")M' V IIIIIC)II 'In 111-;C"r'UnINn nlll:IIINr:
111111111111111111111I111111111111111111111111111111111
111111I111111111111111111
SOFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number ()f Pages: 3
TRANSFER TAX NUMBER: 02-36976
Recorded:
At:
LIBER:
PAGE:
04/25/2003
08:25:17 AM
D00012248
066
District:
1000
Section:
136.00
EL"\MINED AND
$0.00
Block:
02.00
CHARGED AS
Lot:
011.000
Deed Amc'unt:
FOLLOWS
Receivedl the Following Fees
Page/Filing
COE
EA-CTY
TP-584
RPT
Transfer tax
$9.00
$5.00
$5.00
$5.00
$30.00
$0.00
For Above Instrument
Exempt
NO Handling
NO NYS SURCHG
NO EA-STATE
NO Cert.Copies
NO SC'I'M
NO CODIDI.Pres
Fees Paid
$5.00
$15.00
$25.00
$0.00
$0.00
$0.00
$99.00
Exempt
NO
NO
NO
NO
NO
NO
TRANSFER TAX NUMBER: 02-36976
THIS PAGE IS A PART OF THE INSTROMENT
Edward P.Romaine
County Clerk, Suffolk County
.
PUiAS.E TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state,ny,us or PHONE 1518) 473-7222
FOR COUNTY USE ONLY
C,: SWIS Code
ft l~'i\ l\ :1
1 Lj 12..';; 03>
Month :;'"y V~"' (
Book L Il. 2. Ljc3J C4 Page 10,( {I, Q
C2. Date De.ed Recorded
C3.
PROPERTY INI"ORMATJON
1 Propertv' 3655
location -;T"~"i'T NU\.1E!~R
Stillwater Avenue
5TRE[TNA.WE
L
southo1d
r:I~-------
2_ Buyer
Name
O.Brien
'-----<~Nt;i~iF:7'OM;::iiNY-
1-
.,\~TNAM[ I ,OMPAI,-,
3. Tax
Billing
Addrosl5
Indic1.'l:ewhereflJture Tax BlIs are to be sent
if other Iran buye' Jodr$SS (;'11 bottom of formi ~AST NAME, COI\,IPAN"
*"'.
"
, ,
~l ""C '
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
Rf'.S2J7 Rc~ .wn
._J
"'Lll<C;"
Cutchoque
119351
"I~ CUDE
___.1
Robert J.
FIRS-NAME
_I
FIRST NAME
_J
-'~I-i1STNAME
~TAUT-."UMBFIlA>l[)STR(E-NA~11'
-1-_ ___
CTYORTOWN
I___J
STATE ZIP CCD~
4. Indicate the mlmber of Anessment
Roll parcels tn,nsfened on the deed
L_~ __~ # of Parcels OR 0 Part of II Parcel
5. Deed
Property
Size
-, ~___i X l~__.--.J OR
~mH"EET f'E'TH
6. Seller
Name
Kenney
l.'~f NAME .. COMP.'~NY
1___-
L"S,NAME,COMPAf,JY
ACR~S
1 ..JL2J
(Only if Part of II ParcDI) Check as they apply:
4A Piallrling Board wi;h Subdivis:PrI AuH,ority E.~;sls 0
4B Sllbdivision Approval was Raq(J"l'u lor Trdl1$:er 0
4C. Parcel Approved far Subdivision with M<lp Pr::wid8d 0
Florence M.
FIRST NAME
'1RsrNAMc
I
-~
7. Cl1eck the bOl< helow Which most accurately describes the L1SIt of the pmperty at the time of Side:
Check the bO>le~ below as they apply:
8, Ownership fype is Condominiun"
9. New Construction on Vacan\ Lil"d
o
o
o
o
A~OnaFarrrl'>'Residentjal
B 2or3FcmilyResidentiol
C Residential Vacant [,mu
D Non "lesCartt;iil V<lcan~ land
I SALE INFORMA'~
11. Sale Contract Date
E~A':.lriclllt'Jral
F Commerc:,,1
G Apartment
H Entertainment I Amusement
I ~ commullitY. S"wol{'.f)
J Industrial
K Pl,.lblic Service
L Forest
Prap~rty Located within an AgriCultural District
Suyerreceived a disclosu,e "oticEI Irtdicating
that the property is ina,1 Agncul,ural District
In/a
Pay
L_
Mo,th
1
Year
12. Date of Sale f Transfer
L1-
Vorth
).lJ 120031
1
D.,
Year
n/a
1_.-"--___1 --------L-....L 1 ~
, , .
IFul1 Sale Price is ;he tmal amOLJtt pa;c for t'w property inclJding p,~rSOnal :)ro:)erty.
T'"s payment may be in the farrn of cash, other .orooerly Or goods. :)r the assumorion of
mortgages or ol1er obl'gations.1 Please round to tile nearest whole dollar amount.
13. FlJlJ Sale Price
0,01
lOA.
lOB.
15. Check one or more of these conditions as applicable 10 transfer:
A
8
C
D
E
F
G
H
I
J
SaID Between Relatives or Former Relat'ves
Sale Between Related Companies or Parlne's i'l Busoness
O:"'le or the 3L.Ve,s il> also a Seiter
Buyer or Seller is Government Ager1r:y vr lending Institl.Jtion
Deed Type not Warranty or Bargain and Sale (Spec:fy Below)
Sale of Fractional or Less than Fee Interest (Specify Below)
Significant Change in Property Between taxabie Status and Sale Dates
Sale of 31;siness is Included in Sale Price
Oth",r -Jnusual F",ctors Affecting Sille Price fSpQ<.;ify 3elow)
None
14_ Indicate the va'ue of personal
propertv included in the !Isle
n/a
I-~ ~(t--l--&J
, , .
I ASSESSMENT :r,FORMATlON - Data should reflect the latest Final Assessment Roll and Tax BiIf
retaininq a ~ife estate
18. Property elas!>
~l__LI-11 uJ 19,5choolDistrlctName I
16 Year of AssessrnentRoll fronlI 200~ I
which information t..ken - 17. Total Assessed Value (of all parcels in transfer) ~ _-----,-
6 7 0 0'
'-------'--, ---'---'--
20. Tax Map Idenli/ier[sl/ Rollldentjfjer(s} (If more lhan f(,o,Jr, attach sheet with additional identifier(SIf
Mattituck Schoo1s
L-.10~}~6. -2--1L-~
-.J
L___
CERTIFICATION J
I cl:'rti(v that all or the ill"ms of information entcn:d fll1 Ihis form are Irue nod correct (to the best of Ill}' knOWledge and belie!) and I undl"rstand that the making
of '"II.' willful t:llw statement of JI1atl"rial filct hcrcill will subject me to the Pl"llvi~inns of the oenallaw relative to the making aud filing nf' falsl" instruments.
BUYER
~~!- ~X . I:~, ,)..'1
~'Brien
I
1200b
8957
Bay Breeze Lane
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STRHT NAM"\"FT~RSALE]
Indianapolis
IN
46236
<':IN O~ TOWN
STATF.
<::lPCODf
, SELLER
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,-j lev._ ih f): ,31 ,? ,/
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<;WFA S'GNA1IJRE FLORENCE M....~NNEi'ATE
1200
BUYER'S ATTORNEY
Davidow
Lawrence Eric
LAsrNAMl'
'1RS".'-J,.M,
631
234-3030
AREACODf
TELEPHON~ NUM8loR
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COpy
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NEW YORK STATE
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