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Form 8002---Bargain and Sale Deed, with Covenant against Grantor's Actsnlndividual or Corporation. (single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT--THIS INSTRUMENT SHOULD BE USED BY LAWYERS
ONLY.
THIS INDENTURE, made the ~~ay ofNov~mber, Two Thousand One
BETWEEN
.,
MARGUERITE WESLEY, residing at 20 West 76th Street, Apt. 4A, New York, New York
10023,
party of the first part, and
~.
MARK MYSLIBORSKI, residing at 49 Sterling Cove, Greenport, New York 11944
party of the second part,
WITNESSETH, that the party of the first part, in consideration ofTen Dollars 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 at East Marion, Town of Southold, County of Suffolk and
State of New York, known and designated as Lot No. 10 on a certain map entitled "Map of
Soundcrest Woods, Section 1" and filed in the office of the Clerk of the County of Suffolk on
June 9, 1969 as Map No. 5315, said lot being more particularly bounded and described as
follows.
BEGINNING at a point on the easterly side of Stars Road distant 1463.03 feet as measured in
a northerly direction from the corner formed by the intersection of the northerly side of Main
Road with the easterly side of Stars Road;
RUNNING THENCE along the easterly side of Stars Road, North 10 degrees 17 minutes 20
seconds West, 105 feet;
THENCE North 79 degrees 42 minutes 40 seconds East, 195.59 feet;
THENCE South 10 degrees 49 minutes 30 seconds East, 105.01 feet;
THENCE South 79 degrees 42 minutes 40 seconds West, 196.54 feet to the point or place of
BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to the party of the fust part by
deed from Raymonde Dowie, dated November 27, 2000, and recorded December 15, 2000, in
the Office of the Suffolk County Clerk in Liber 12090, Page 874.
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.
AND the party of the first part covenants that the party of the first part has not done or suffered
anything whereby 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 same first to the payment of the cost of the
improvement before using any part of the total of the same for any other purpose.
The word "party" shall be construed as ifit read "parties" whenever the sense of this indenture so
requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and
year first above written.
IN PRESENCE OF:
-U-.d~f'~/1" f~
MARGU TE WESLEY
STATE OF NEW YORK)
COUNTY OF ~
On the 0 day of November, 2001, before me, the undersigned, personally appeared
Marguerite Wesley, personally known to me or proved 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/she/they executed the same in his/her/their capacity(ies), and that by
hislher/their signature(s) on the instrument, the individual(s), or the person upon behalf of which
the individual( s) acted, executed the instrument.
~ MLFQ
IlAZIIEIl ADllM
IllIlIIY NIIIc, SlIIII"....
No. oiAll81l625$7
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INTEGRITY ABSTRACTCORPORATION
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Ii:ECORr'ED
2001 [lee 10 02: 17: 56 PI'1
Edw~rd P.Romaine
CLERK OF
SUFFOLK COUHIV
L 000012157
P 535
OT# 01-17'353
TonnENS
SerlnlH
Cerlllicnle n
Prior CI f, H
Deed / Marlgnge IlIslrllmelll
Deed I Morlgnge Tox Stomp
Recordlllg I Flllllg Slnmps
4
FEES
I'oge I Filing Fee
Morlgnge AmI.
Ilnlldllng
TI'-584
-----,
I
I. Uasle Tnx
2. Addlllollnl Tnx
Nolnlllln
Sub Tolal
EA-52 17 (Counly)
EA-5217 (Slole)
Conlin. of Ed.
5~
Spec.! AsslI.
0,
Spec. I Add.
Sub Tolol
lLl'.T.S.A.
i5
01 her
SlIb Tal.,
GRANO TOTi\!.. 1 J.--
TOT. MTG. TAX
DII81 Tow,; 01101 Cllunly
lIeld for Apporllonmenl _~
Trunsfer Tax 7 tf-R-
Monslon To"
TII" property covered by this mortgage Is or
will be Improved by 8 one or two fnmlly
dwelllllg only.
YES or NO
If NO, see Dpp~oprlatc lax clouse on l'nge II
of ,his Instrument.
Afl1davll
Ce,lIl1ed Copy
Reg. Copy
Real Properly Tn" Service Agency Verllicollon
Dlsl. Secllon Illock
Lol
6 COInmunity P.-esel'vodon Fund
Conslderall",,, Amouni $1. 'J ()j()
,
1000
022.00
04,00
014.000
CPr' Tax Due
$ 7rjD ...--.
Improved /....-/"
Snlisfaclions/Dischnrges/Releoses List Property Owners Moiling Address
. nEconu & nETUnN TO:
V Denn' Lond
la5ZT
TO
'I'D
TO
H. Lee Blumberg, Esq.
330 Broadway, SU1te 1
Am~tyville, New York 11701
'.
9
8 Tille COIIIPIlIlY IlIfOl"lllllllOIl
Co,N8me . LawveJ:.JL Ti tIe
Title /I 012372 (Inte rit Abstract)
Suffolk Count Recordin & Endorsement Pa e
'1111s poge forllls pori of the ollothed
deed
(SPECIFY TYPE or INSTRUMENr)
mode by:
MARGUERITE WESLEY
'111e premises herein is slluuled in
SUffOLK COUN'fY, NEW YORK.
TO
In the Township of Southold
Inlhe VILLAGE
or IIAMLETof East Marion
MARK MYSLIBORSKI
BOXES 5 '1'1 mu 9 MUST BE TYPED OR I'IUNrED IN BLACK INK ONLY I'RIOR TO RECORDING OR FILING.
(OVEn)
.
111111111111 1111111111111111111111111 111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/ODD
Number of Pages: 4
TRANSFER TAX NUMBER: 01-17953
Recorded:
At:
LIBER:
PAGE:
12/10/2001
02:17:56 PM
D00012157
535
District:
1000
Section: Block:
022.00 04.00
EXAMINED AND CHARGED AS FOLLOWS
$187,000.00
Lot:
014.000
Deed Amount:
Received the Following
Page/Filing
COE
EA-STATE
Cert.Copies
SCTM
Comm.Pres
$12.00
$5.00
$25.00
$0.00
$0.00
$740.00
Fees For Above Instrument
Exempt
NO Handling
NO EA-CTY
NO TP-584
NO RPT
NO Transfer tax
NO
Fees Paid
$5.00
$5.00
$5.00
$15.00
$748.00
Exempt
NO
NO
NO
NO
NO
$1,560.00
TRANSFER TAX NUMBER: 01-17953
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
. PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
" f INSTRUCTIONS: http:// wwty.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY OSE ONLY"',.
. . " REAL PROPERn liRANSFER REPORT
C1. SWIS Code 41-1 . -~ I
,
--11 !
1 , ;'...
Month Day
(I C4. Page I
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
,
C2. Date Deed Recorded
C3. Book I
RP - 5217
RP-5217 Rev 3197
PROPERTY INFORMATION
1. Prop~rtv I
Location
. .
1500
.stG~:C.s L<.u'Hi
STREET NAME
STREET NUMBER
Soutnold
-
i
.G..,.st""!.1ar ion
11939
2. Buyer
Name
CITY OR TOWN
Ivlysliborski
VilLAGE
i';.iark
FIRST NAME
ZIP CODE
LAST NAME I COMPANY
LAST NAME! COMPANY
FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form) I
Address
LAST NAME I COMPANY
FIRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
ST~TE
ZIP CODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
DEPTH
lOR I
.
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists D
48. Subdivision Approval was Required for Transfer D
4C. Parcel Approved for Subdivision with Map Provided D
11 # of Parcels OR D Part of a Parcel
5. Deed
Property
Size
FRONT FEET
Ixl
'ACRES'
4
71
6. Seller
Name
~:('esley
LAST NAME I COMPANY
Nclr9uerite
FIRST NAME
LAST NAME I COMPANY
FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
A~" One Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant land
E ~ Age',ultu,,' I ~
F Commercial J
G Apartment K
H Entertainment / 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
10A. Property Located within an Agricultural District
10B. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
SALE INFORMATION
15. Check one or more of these conditions as applicable to transfer:
11. Sale Contract Date
8 / ::l / 01
Month D,y Year
/ / 01
Month D,y Year
A
B
C
D
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 Sare Price
Other Unusual Factors Affecting Sale Price (Specify Below)
_None
12. Date of Sallf I Transfer
13. Full Sale Price
18700 0
;' ;' ~ 0 , 0 I
(Full Sale Price is the total amount paid for the property including 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 whole dollar amount.
14. Indicate the value of personal I
property included in the sale
o
, , , 0 , 0 I
, , .
ASSESSMENT INFORMATION. Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from
which information taken
0, 0 I 17. Total Assessed Value lof all parcels in transfer) I
;;( :2 - '-1- 1'1
5 6
, ,
, , ,
o 0
18. Property Class
I .2 ,1 .0 l-LJ 19. School District Name I
O'is-ter Pond
20. Tax Map Identifier(s) I Roll Identifierlsl llf more than four. attach sheet with additional identifier(sll
1000-022.00-04.00-014.000
I
I CERTIFICATION ,I
I certify that all of the items of information 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 statement of material fact herein will subject me to the provisions of the oenallaw relative to the making and filing of false instruments.
BUYER
BUYER'S ATTORNEY
~
Blumberg
.---,
LAST NAME
'1. Lee
FIRST NAME
DATE
718
789-4000
f
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"ro'
I(
STREET NUMBER
STREET NAME (AFTER SALE~
AREA CODE
TELEPHONE NUMBER
East i..iuI.'ion
NY
11939
CITY OR TOWN
STATE
ZIPCOOE
'1
~,"I,.
, /,1
__~ _" - .-1"1
CITY !TOWN ASSESSOR
COPY
SELLER
tb HeGler
1,1jA \
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