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CONSULT YOUR LAWYER BEFORE SIGNING ntl~ INSTRUMENT ~ ntlS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
.
THIS INDENTURE, made the 29th day of
July
2002
. .
BElWEEN
JOHN E. McaUAIDE
residing at
1067 Norlhampton St. Holyoke. MA ,01040
party of tha first part. and
KEITH KOPPELMAN
residing at
2 Dune Court. Setauket. NY 11733
party of the second part.
WITNESSETH, that the party of the first part. in consideration of ten dollars and other valuable oonsideralion
paid by the party of the second part. does hereby remise. reI8." and quitclaim unto the p&rty of the 8econd
part. the heirs or successors and ilSSigns of the party of the second part forever.
ALL that certain plot, piece or parcel of land. with the buildings and improvements thereon .raded. situate.
lying and being in the
.. Town of Southolcl..County of Suffolk and Stale of New York.-and olhelWise known a. and by Town of Southold. N-Main
Rd-Ano~ E-Erneat Redford; S-Lake; 1N-Oi..erud-Ano.
~.... -'.
. "--.-:-:--'
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Subject premises are a 6.5 aaa pare:el on the south aide 01 Main Road. East Marion. desaibed as follows:
':BEGINNING al a point 483 reeL mo"e or less. west of Bay Avenue on the south side or Main Road; running thence 80uth
,.;z:i;'ca,greee 37 minute. 00 seconds 88.t1580 ,..t. mote or I.... to Marion Lake; thence weat_tong the north &hore of
: ~ariO;,. Lake 200 feet., more or less; thence north 28 deg..... 08 minutes 00 aeconda west 1280 feet. more or ..... to a
'f'!Onu~nt Ihence north 27 degr._ 49 minute. 30 leoonds west 95.61 feet; thence north 50 degreea 02 mlnutea 50
:: 8,tcond~ east 66 feel; thence north 27 degree. 49 minute. 30 seconds weat 185 feet to the 80uth "de of Main Road:
.~en~. ~rI.h 50 degrees 02 minutel 50 aeconds sast 113.80 feet 10 lhe point or place of BEGINNING.
., -:
"Sub~fto aU covenants. restrictions and eBsements of record. If any.
~.. till ~ 11:1
:. .. .. ~'. ~: i.
....
.~./
TOGETHER w~h all rlghl. titie and interest, if any, of the party of tha first part In and 10 any stnests and roads
abulling the above described premlsas to the canter lines thereof; TOGETHER with Iha appurtanancea and
all the estate and rights of the party of the first part in and 10 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 tha' pariy d the first' part. in compliance with Section 13 of the lien Law. covenants that the party of the
first part will receive the CC\nsideration for this conveyance and will hold the right to receive such consideration
as a trust fund 10 be appliad first for the purpose of paying Iha caet of tha improvement and will apply the same
firet 10 the payment of the cost 01' the improvament bafora using any part of the lotal of the same for any other
purpose. The word 'party" shall ba construad as if it raed "parties" whenever the sense of this indenture &0
requires.
IN WITNESS WHEREOF, the p"rty of the first part has duly executed this dead tha day and year first above
written.
IN PRESENCE OF:
SuQno\ I "Raffil1': r..J2~~lc..
~~nt; ~~~~ ~-:e
Standard N.Y.B.T.U Form 8004 - OuHc:laim Deed - Uniform Acknowledgment (Mgle sheet)
Form 2216
r
TO HI!;' uSl;n DNL V WHEN THE ACKNOWI. I;:ftCMENT IS MADE IN NEW YORK STA~
"
Slate of INew York. County of .s: State of New York. Counly of
ss:
On Ihe daW' of in the year
before rTI8, the undersigned. personally appeared
pel'BOnally known to me or proved to me on the basis of
utiafaclory evidence to be tho Indlvldu.l(s) whoae namo(.) ia
(....) 8ubacrlbed to the within Instrument and acknOWledged to
me thall he/she/they executed the same In his/her/their
capllClty(Ie.). and that by hislhorlthoir slgnatura(s) on tho
Instrument. the Indlvklual(S), or the person upon behalf of which
the IndJvldual(s) acted. executed the inatrumltnt.
On the dey of In the year
before me, the undersigned. personally appeared
.
personally known to me or proved to me on the basis-of
ulilfactory avkienco to be tho individual(s) whose neme(s) i.
(aro) 8ub5Cribod to the within In.trument and acknowledged to
me the,.. he/she/they executod tho same in his/her/their
capacfty(iea). and thai by hlalherllhelr IIlgnalUre(a) on the
Instrument. the Inalvldual(S). or tho parson upon behalf of which
tho Indivldual(a) acted. oxecuted the instrument.
------------
(sigll"lature and office of individual laking acknowledgment)
(signature and office of IndlviduBl taking ..c.mOwledgmenij
_~.!4--Qf____~b.-\li"l<E>_
(Insart the City DI' other paRtical subc:livI"on)
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE N~ YORK STATE
Stale (or Dlslrlcl of Columbia. Tarrltory. or Fo'olgn Country) of !-\"<;:<;C-.c nu<;e..\-lS \-\.0\ m ~de.\\ as:
On the \,1-\0\ day of I;).?cI?robe.r in the ye.r aoo'd-before m",thO uq~~.!lIn'lll. perapnally appeared
.J..l..~ C.,,:..I<:u:.'VM.<:.Cl.?....<t'cl~
peraonaUy known to me or proved to me on the basis of satisfactory .v\dence to be the Indlvldual(a) wh~. name(s) Is (are)
subscribed to lhA within instrument and acknowledged to m. that he/aheM.)' executed the same In hislh_1theIr capaclty(les). and
that by hialherlthoir signature(s) on the Instrument. the indlvidual(s). or the person upon behalf of which the individual(s) acted.
executec:ltho Instrument. and that such individual made such appoarance before the undersigned in tho
in __g(]<::,~ nuWM-S' __ .
(and Insen the State or Country or Olhar~ the acknowl~t ....twron)
/} 17 rJ . . ,.. tJlO ~
-----~ --~~.~~---~
o \.... I (;) (oIgnallM1l and offtca ollndh/ldu..;~~J,'+'ama'l!) ".
..::l\)C:;,'I1.' "'am05 "-<:!"'r._~~ -",
-;: . !:1..,..~, '0. .. ~:
DISTRICT 1000 ~"=!;.;=~ ',;~...~ ::: ~ j
.. ~-...... ...... ... .
~ ~ .,1:.-;; ""- ',y-: ;;
SECTION 031.00 \.':'. "~. .i,.,...<,.:.... i-
f ~I.' (.i. (' ~. .......
....'..'"...'.
BLOCK
07.00
007.00
QUITCI.AIM DeeD
LOT
Tille No.
JOHN E MCQUAIDE
COUNTY OR TOWN SUFFOLK
STREET ADDRESS 8740 Main Rd. E Marion N'
TO
KEITH KOPPELMAN
Recorded al Requesl 01
THE JUDICIAL TITLE INSURANCE AGENCY LLC
RETIJRN BY MAIL TO:
STANDARI) "OItM OF NEW YORK BOARD C>>' TITLE UNDERWRITERS
DbIrfb....d by
TtiIE JUDiCIAL TITLE INSURANce AGENC;Y LLC
550 MAMARONeCK AVENUE
HARRISON, NY 105211
11-4-38'-S7D!!. eoB.:281-TITLE
Keith Koppelman
Dune Court
etauket, NY 11733
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Num~r of page~i
TORRENS
3
R!::(ORPEf.
2003 Mar 21 1~,22,^~ ;M
Edao,Ia,:d P.Ro[;"lai-.~
C!..!;RK OF
5UFF~LY COUNTY
L 000012241
P 5':;4
on 02-!:954
,-
Serial ,,_
Cenificale #1_
Prioretf. #___
~ I Mortgage Instrument
Deed I Mon_. Tax Stamp
nms
Recon1ing I Filing Stumps
::!]
Page I Filing F~:-c
llaodling
TP-584
~.
)
~
Mongas. AmI.
:1
1. Basic Tax
2. Additi(lnal Tax
Notation
R.I':r.S.A.
~
~--r _
..Jo..---
Sub '1'0",1
;2l(
Sub Tolal
EA-52 171Countyl
EA-52 1 7 (Stalt,j
Sub TOllnl
I"?" _
,: GRAND TOTAL
79
/03-
SpccJAssit.
Or
Spec. I Add.
TOT. MTG. TAX
Dual TllwR_DuaJ COUI1l)"_
Held for ^l'l'ortinllment ~
Transtrr Tax :::l:2
Mansion Tax __.___ _
'ot' prorerty c&)vnw:d by this mortgage is or
will be impl"uycd by a (IRe ur two family
dwelling only.
Vr-S or NO_
lfNO. see approprialc lax clause on page /I
_ . __ ofthis instrunlCJ1t.
.l
Cornln. of Ed.
5~
I
;l
Affidavit
~edC~'
Reg. Cupy .
Other
0/_
l
Real Property Tax Service !\gency Verification
DiSI. ~cClion Block
1.01
6 Community PrcscrvaliOll Fund
Consideration Amount $
02050252 1000 03100 0700 007000
;;;JE~
Initials .. \~~
r;: 1 -Salisfacti.,nslDischnrgcslReleases LiS! Pruperty OWners MailinS Add",s
J RECORD or. RRTUIf.N TO,
._.1
Slump
:~. c.;PF Tax ':>Oue
$
Ke ,+h \-409p02..\otnttl'\
~ \~Os' ~.+- :l..SA'*' 1;l..1
NO~i'Dr-r J NY
1\7,,8
,I
Date
8
Title Company Information
Co. Name
Till" #
(=:I ) Suffolk County Recording & Endorsement Page
.j 'Ibis page limn. part of the attached _ 19, L& ,-t c.l a. ~ '"" d.e... Jl
(SPECIFY TYPE OF INSTRIJMENr )
made hy:
~"'''' W...",,\-I.) €..
Me Q"o.,d'"
l..l ~ - C' .
~.~
TO
1-<"',",0"_ \.n-v.>. ...
'Jbc premises """,in is situated in
SUFF01.K COUNIY. NEW YORK.
~v4-\-.o \!
In \he TO\\11Ship or ~. A" 4. l - ... I
~ Ma. r~o '"
BOXES s'n IRLJ 9 MUST BE TYPED OR PRlNfED IN BLACK INK ONLY PRIOR TO RECORDING OR ")LlNU.
(OVERI
In lhe VI1.1.AGE
or HAMLET of
,
.
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Ins~ument: DEEDS/ODD
Number l)f paqes: 3
TRANSFER TAX NUMBER: 02-31954
District:
1000
Section: Block:
031.00 07.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Recorded:
At:
LlBER:
PAGE:
Lot:
007.000
03/21/2003
10:22:45 AN
D00012241
504
Deed Amc)unt:
Received the Followinq Fees
Paqe/FUinq
CO!:
EA-CTY
TP-584
RPT
Transfel~ tax
$9.00
$5.00
$5.00
$5.00
$30.00
$0.00
For Above Instrument
ZX_pt
NO Hancllinq
NO NYS SORCHG
NO EA-STA!rE
NO Cert.Copi.s
NO SCTM
NO Comm. Pres
Fees Paid
$5.00
$15.00
$25.00
$4.00
$0.00
$0.00
$103.00
Exempt
NO
NO
NO
NO
NO
NO
TRANSFER TAX NUMBER: 02-31954
THIS PAGE IS A PA1l.T OF THE INSTRUMENT
Edward P.Ramaine
County Clerk, Suffolk County
.
".
FOR COUNTv USE Ql\lY
PLEASETYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orp5.5tate.ny.u5 or PHONE (5181 473-7222
REAL PROPERTY TRANSFER REPORT
C1. SWIS Code
<.(,7,.},&,~
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
*
C2. Date Deed Recorded
.3/
Montb
RP - 5217
2/ ;' 03 I
Day Year
II CU... L, ,.:$-;-0,;/1
C3. Book I 1..;2. .;2, '><
PROPERTY INFORMATION I
IU'.5217Rl>'.w'
1. Prope.rty L
LOGatlon .. STRHT NUMBER
M""" 1:J..l
STREnNAME
L
Vll...AGE
"peOD,
L-&
CITV OR TOWN
J S0~-+kc t d
"'\G;.r.l();~
,^ it..
.
2. BUY'lr
Nan-Is
KOpc\\"-'\M"'--'
lASTNAM I. MPANY
1-\~'4-\"
FIRST NAME
L
lAST NAME/COMPANY
FIRST NAM~
3. Tax Indica;ewhere1utwsTa)( Bills <lrO to be sent
Billing if other than buyer address 1st bottom of form) L
Address
LAST NAME I COMPANY
FlflSTNAME
L-
STl'HTNUMBE~"'NOSTREETNAME
STAn:
<weo;)];
CITVQRT;:IWN
4. lndi,;ate the number of Assessment
Roll parcels transfillrred on the deed
1 J "of Parcels OR D Parr of a Parcel
(Only if Part of a Parcel) Check as they apply:
lOR I
ACR~S
4A. Planning Board with Subdivision Aulhorlty Exists
4B. Subdivision Approvalw3s Required br l'i1'1sfer
4C. Parcel Approved for Subcivis;on with Map Provideo
D
D
D
5. Dead
Property
Size
4?
F~ONT FEET
1 xi
DePTH
6. Seller
Neme
L-tl (.. rt.,VIf/r7e:
lAST NAME i MP NY
LAST NAME, ~OMPANY
FIR&TNArvE
7. Check the bOl( below which most accurately describe,. the use of the property at the time of sale
Check the boxes below as they apply:
8. Ownership Type is Condominiurr.
9. New Construction on Vacant Land
lOA Property located w~hi" an Agricultural District
10B.6uyerrecllivedadlsclosurenoticeindicating
that the property is In an Agricultural District
D
D
D
D
A~~ One Family Residenl:al
B 20.'3 Family Residential
C " Residel1tial Vacal1tland
D Non-Residential Vacant land
E~AgriCUllUr'll
F Commercial
G Apartmel1:
H !;ntertainn~entl Amusement
l~com.munityserViCe
J Industrial
K PubllcSerllice
L FOreSI
~ INFORMATION I
11. Sale Contrect Date
15. Check one or more of these conditions as epplicable to transfer:
A
8
C
lJ
E
F
G
H
I
J
Sale Between Relatives or Fonner Relatives
Sale 6etween Related Compiilnies or Partners in Business
One oltha Buyers is also a Sell!;)(
Buyer or Seiler is Government Agency 0' lending Instituticn
Deed Type not Warranty or Bargain and Sale (Spedy Below:
Sale of Fractional or less than Fee InterastlSpecify Below)
Significant Change ir Property Between Taxable Status and Sale Dates
Sale of 9usiness is Included in Sale Price
Other Unusual Factors Af<'ecting Sale Price (Specify Beiow,
None
...-J
Yea,
Month
D_,
12. Date of Sale' Transfer
17...
Month
J~ooJ.l.
Year
11
D"
~
~ '
, , .
IF"I Sale Price isthe total "mount paid for the property inclUdil19 personal property
This payment may be in the form of cash, other property ~r goods. or the assumption of
!T1Oftgages or other obligations.) Plellse rOl1nd to the nearest whole dollllr amOI1/lt
13. Full Sale Price
,
L~
(I , (I I
Gl...,<+<;:..\o..\."O"'
u"\y
14. Indicate the value of personal I
property included in the sale
(I
(I I
~
, ,
ASSESSMENT INFORMATION - Data should reflect ':he latest Final Assessment Rolland Tax Bill
16. Vear of Assessment Roll from ~
,<ivhich information taken
17. Total Assessed Value (of aU parcels in transferll
.. 5,ho,,1 01'''''' N.m[('l ~, \f\o m(M
, Q ,
~s.tr:r Q'NQ "
?
is
I ) I Ol_--.J
Pmperty Class
20 Tax Map IdentifiBr!s~ I ftollldentifierlsl (1f more tl1an lour, attach sheet with additional identifier(s))
'-Joe 0 _ 031.0<::'
()7 co n(J7, DO
---.J
L
rcERTlFlCATION
I <:erti(y thai all of rhO" items of illformation elltcn'd on this 10nn are true and corrcd {I.I) the best of m~' knuwlt<lge and belle!) and I under:stalld that tbe making
of an:\ willful false statement 01' material fuet herein will subjl.'C1. me tu the Ilrovisiom of the Dcmd law relative to tbe IlIllking and tiling of false in.'ilrutnenls.
--
BUYER
BUVER'S ATTORNEY
;i,,,~ (;\'~"M"~
~'UY~RS.GN"~URE
I i 1- J:,,,;', J U>o.;l.-
OATE' .
_ASTNAME
fiRST NA '~F
)..
DVNL <:.-t
STRE:ETNJMBER
SlR"HNAME IAfnR SALE'
AREJ\COOC
TEll:PHONENUMBER
,-- . j.-
---.---.S;~'tJ.......t...J-'\L.o{
CTYOR rQWN
11733
lIPCOD~
\
NEW YORK STATEj'
COPY
t"i )'/
, SrAH
SELLER
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