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.. . .nd:rd N. Y.B.T.U. Form 8002 . ~aIn .net"S." o.~ wllh &tyen8nt llglllnat Grantor's Acta _ Unlfonn Ack~ledgm.nt
' Fonn 3280
J CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
I Yo THIS INDENTuRE, made lhe .3..... day of June, 2003 '
<!! BETWEEN
NORA H. L'EPLATTENIER flkla NORA HICKEY
residing at 345 Bartley Road, Maltiluck, New York 11952,
party of the first part, and
DANIEL BASSEY AND ANGELICA BASSEY, hla wlf., residing at 2891 Morgan Drive, Wantagh,
New York 11793, party of the second part,
WITNESSETH, that the party of the first part, In consideration of Ten and 00/100-
($10.00) -------<loll8rs, and other
good and valuable consideration paid by the party of the second part, does hereby grant and ralaase unlo the party
of the second part, the heirs or success"", and essigns 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
baing In th. VIllage of Mettiluck, Southold Town, County of Suffolk and State of N_ York, known and dealgnllled as
LOla Og end 10 on Map of Property of Llda Bartley, Mattituck, L.I., which map is on file in the OffIce of the CIel1c of
Suffolk County, N_ York, under Number 770, and being more particularly bounded and described as followe:
BEGINNING at a point on the southerly side of Bartley Road, distant 280.80 faet westerly from the comer formed by
the Intersection of the said southerly side of Bartley Road and the westerty side of Bay Avenue:
RUNNING THENCE along the westerly side of Loll1, South 19 degrees 40 minutes 30 seconds East, lBO.OO faet:
THENCE parallel with Bartiey Road, South 67 degrees 21 minutes 40 seconds West, 100.00 faet;
THENCE along the easterly side of Lot 8, North 19 degrees 40 minutes 30 seconds West, 180.00 faet;
THENCE along the said southerly side of Bartiay Road, North 67 degrees 21 minutes 40 seconds East, 100.00 fast
10 the point or plllC8 of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated 5111194,
recorded 6/14/94 In Liber 11681 page 145 In the Suffolk County Clerk's Olfice.
TOGETHER with all right, titie and Interest, If any, of the party of the first part in and 10 any streets and I"OIIds abutting
the above described premises 10 the center lines thereof; TOGETHER with the appurtenances and all the es_ end
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 the party of the first part covenants that the party of the first part has not done or suffered anything whareby 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
10 be applied first for the purpose of paying the cost of the improvement and will apply the same first 10 the payment
of the cost of the Improvement before using any part of the total of the &ame for any other purpose. The word "party'
shall be construed as If It read "parties' when ever 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.
m '""":"~ . -t .4 //~ d OJ.-... >I~ .~ a. '
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Nors H. 'Epleuenier (lkIe No e Hickey if
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TO BE USED ONLY WHEN THE AC~II~LEQIUil~NT IS MADE IN NEW YORK STATE
Slate qf New Yotk. Counly of Kings, n.:
On the..3 d8}' of Juna, in the year 2003,
..-. me,the undersigned, pe_nally appeared
NORA H. L'EPlATTENIER FiKlA NORA HICKEY
persoRIIDy known to me or proved to me on the basis of
oeUsfeclory evidence to be the Indlvidual(s) who.. name(o) 10
(are) 0_ to tha withln inoburnenl end acknowledged 10
me that holohelthey executed the oerne In hlolherllhelr
capec:fty(Ieo), and .thet by hlolherllhelr oignalure(s) on the
inolrullW1l. the indivldual(o). or Iha person upon behalf of which
\he ~~' executed \he Insbumant. .
..~
(olgnalure end ~Uallaklng aCknowledgmanl)
Notary Public
Nets CH~RYL KRAUT
ry Public, Stal. at New Yort
No. 41-171IlO4O
~"' Nassau Counly
Elrp/tes Jan. 31. 2007
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STA~
State of New YOrk, County of
.s:
On the day of in the yM'
before ma, the undersigned, pononelly ap_red
personally known to me Dr proved to me on the be... of
oeUofeclory evldenoe 10 be the individual(o) _ nameco) Is
(....) oubOCllbed 10 Iha within Inolnlmenl end _dged to
me \het hoIohellhey axecu\ed the oeme In h101herlllleir
oepeclly(les), and lhel by hlolherllhelr 8ign_(o) on the
inollUmenl, the indivldual(o), or lhe person upon behalf of which
the Indfvldu.f(a) eeled. executed the instrument.
(signalure and office of Indlvlduallaking acknowledgment)
State (or Diatrid of Columbia. Territory, or Forelg" Country) of
n:
On \he
day of
In the yesr
before me, lhe undersigned. peraonaIlyapp&llrlld
peraonaUy known to me or proved to me on the basis of satisfacrory evidence to be the IndlvldualCs) whose name<a) Is (are)
IlUb8Cl1bed to the within Inatrument and acknowledged to me thai helahelthey elCecuted the ..me In hl8lherllheir ~pllcfty(Ie.,), end
thet by hleJherlthelr slgnalure(a) on the Instrument. the Indivldual(s), or the person upon behalf of which the h1d1v1du.I(a) acted,
executed the instrument, and that such individual made such appearance before the underalgned In the
(in.ert the City or other poIdlcal SUbdIVision)
in
(end insert the Slate or Country or other place the acknowledgment was taken)
(.!gnature end otrlCe or indMduel laking lICkr1OUJ1'.id....-nt)
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
Tltla No.
.;l~ S OrliDCo
~c>>cz:Q.. ~:1L\rn JZl',
+\ f'iTh.;>n'1 "O...~;'; I -f?'SQ
s'1sr fY'e(-nCA<, flo.-.. s;J
lY'\os.S<>'pc:.'j'lLOo- "'"1 111~11
NORA H. L'EPLATTENIER F/KJA NORA HICKEY
TO
DANIEL BASSEY AND ANGELICA BASSEY,
his wife
aTAMMRD I'OIUI GP NEWYnIIK RnaIIn t'III.nn ~ I ..NrIltWlUTElts
[.
Stewart TItle Insurance ComP!ll1Y
125 BaylI8 R'oBd ~-SUlte 201 '
MelvUle, N_'Ibrk 11747 .
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Number of .-ges
1"ORllENS
Serial II
. RECORDED
2003 .J"" 16 10,34,31 AM
Edward P.Romaine
ClERI( OF
SUFFOLK COlI-ITI'
L D00012256
. P 198
DIll 02-43247
Certificate ".
Prior or. N
Deed I Mongaae lostrumenl
Deed I Mortgage Tax Slamp
FEES
ReconJina I Filina Slam...
4
Page I Filing Fee
Handling
TP.'84
MOI1&811e Ami.
.1. Basic Tax
2. Addilional Tax
Notalion
Sub Total
EA-'2 17 (Coonty)
EA-'217 (Sla'e)
Sub TOlal
,~
,
Spcc.lAssil.
I A' .
,Spec: IAdd.
.TOT. MTG. TAX _
. Dual Town Dual County_
Held for Apportionmcnl _
Trans'er Tax I 3 fog _
R.PoT.S.A.
Conun. Or Ed.
3D ~.
Affidavit
Certified Copy
Reg. Copy
Other
s
......c...
Mansion Tax .
The property covered by this mortaap is or
will be improved by . one or two ramily
dweUina only.
YES OJ" NO
If NO. lee appropriue tax claule 011 PlICe II
---.: or this instrument.
Sub TOlar
GRAND TOTAL
I~ L(
Stamp
Real Propcny TIlX Service Aaency Verification
pist. A~tipl!. _ _ _ . _ B.lock
1000 14400 0300 025000
Lo'
6 Communit Preservation Fund
Consideration Amount S
03022072
pT s
RMMAA
~ Initials 11~UN
:2) SalisfaciioiislDilcharges/ReIe.ses Lis. Property Owners Mailin~ Addres
" 'RECORD '" RETURN TO:
. l:\~n,-\ "\)c. ~"l '1,0 . ~~.
S"l.il'il ~e.rnc...&l. ~Oa...:Jl"
fY'o..ss.tLf ~ UA I \~ 'l/.;i(j'
"
CPF TaX Due
Osle
$ ~ Br/tJ../JO
Improved
/
Vacant Land
TO IV
TD
TO
9
Suffolk Count Recordin
This poge forms port oflho: ahached ~
(Sl'EClFY lYPE OF INSTRUMENT)
e
8
. I.k,ro- L\ ~\Q.:tI"e."\~or.
f-:'\\<..\~ t-.\om..
msde by:
t.\,~.
The premi.... .herein is silUlllo:d in
SUFFOLK COUNTY, NEW YORK.
.lnlheTownshipof ~ho\ct.
TO
-:tn.f\\U Pro ~<:...., 1 .... In the VILLAGE
~T-"<!A- ..P>-, '!.'S~o or HAMLET of ~~\-\f.rV' (~Il"'c..)
1.l0XES 5 olHRU 9 MUST BE TYPED OR PRINIEO IN nLACK INK ONI.. Y PRIOR TO RECORDING OR FILING.
(OVER) .
.
. .
III~IIIIIII 11111111111111111111 1111111111111111111111
1111111 11111111111111 1111
SUFFOLK COUNTY CLBRK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DBBDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBBR: 02-43247
Recorded:
At:
LIBBR:
PAGE:
06/16/2003
10:34:31 AM
D00012256
198
District:
1000
Section: Block:
144.00 03.00
BXAMINED AND CHARGBD AS FOLLOWS
$342.000.00
Lot:
025.000
Deed Amount:
Page/Filing
COB
IilA-CTY
TP-584
RPT
Transfer tax
Received the Following Fees For Above Instrument
Exempt
NO Handling
NO NYS SORCHG
NO BA-STATE
NO Cart.Copias
NO SCTH
NO Comm.Pres
Fees Paid
$9.00
$5.00
$5.00
$5.00
$30.00
$1.368.00
$5.00
$15.00
$50.00
$0.00
$0.00
$3,840.00
$5,332.00
Exempt
NO
NO.
NO
NO
NO
NO
TRANSFIilR TAX NUMBER: 02-43247
THIS PAGE IS A PART OF THB INSTRtlMBNT
Eclward P.Ro_ine
County Clerk. Suffolk County
FOR COUNTY USE ONLY
C1. SWIS Code
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRU(:TIONS: http://www.orps.state.ny.us or PHONE 15181 473-7222
REAL PROPERTY TRANSFER REPORT
141, ,/, }, IS, $, r I
b / /6 c2J
MOr"llh Day Y,,~r
it
"
'-
C2. Date Deed Recorded
03. Book I 1:;:;;1., ;}."s-;- h I C4. Page I
PROPERTY INFORMATION
I, <1 &'1
,
,. r:~=i: I 345 Bartleo':: Rd.
STRl'nNUMI!l':R SIREn "'ME
Southold
[ITYORTOW~l
2. Buyer Bassey
N.m. l,""<;"-NANl'/COMP...NY
Mattituck
VlllAGF.
Daniel
f'RST'IAME
Bassey
I.A$T N"'MF./COr.lPAN~
Angelica
FRSTN"'ME
3. Tax
Billing
Address
Indicate where futuce Ta)( Bills are to be sent
if other than buyer address lat botto'T1 offorml
lAST ......ME.fCOMP...N~
STP.EET,,"UMBEP.ANOSTP.EHNAME
CITY OR TOWN
4. Indlcllte the number of Assesament
Roll percel, transferred on the deed
11 Ii of Parcels OR D Part of a Parcel
5. D... 100 I X I 180
,",operty
SIze FIIONTFEET OEPTH
.. Seller L'Eplattenier
Neme lAST NAME/COMPANY
lOR I
ACRES
.~
Nora
FIRST NAME
UOSTN....ME/COMPANY
FIRSTI'<AME
7. Check the box below which most Ilccuriltely deBcribes the use of the property at the time of sale:
A~onaFamilYAe5jdential
B 2 or 3 Farrily Residential
C Residentiel Vacant Land
D Non-Residential Vacant Land
E~A9r;CliItUral
F CO"T1mercial
G Apartme'1t
H Entertainment I Amusement
l~ com.munity.scrViOO
J Industrial
K PubhcServlce
L Forest
SALE INFORMATION
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP.SZ17 Rev3/'J'
I 11952
llPCOOE
FlllSTNAME
STATE
ZIP COOl'
lOnly if Part of a Parcel) Check as thlt'f apply:
4A. Planning Boerd with Subdivision Autl10rity E)(ists 0
48. Subdivision Appro....al was Required for Tri/msfar 0
4C. Parcel Approved for Subdivision wilh Map Provided D
Checlc the boxes below as they apply;
8. Ownership Type is Condominium
9. New Construo.:tion on Vacant land
10A. Prope'tY localedwithin an AgricU!tural District
lOB. Buyer received a disclosure notice indicating
that the property is in an Agricultl.lra: District
o
o
o
o
03
Year
15. Cheek one or more of thlllle conditions liS applieable to transfer:
11. Sale Contract Dete
101
M'''''
A
B
C
D
E
F
G
H
I
J X
23
D"
12. Date of Sale I Transfer
I 06
Monll1
03
,~,
03
'"
13. Full Sale Price 3 4 2 ,0 , 0 0 ,0 0 I
, , .
(Full Saie Price isthe total emountpaid for the property including pelsonal proper1y.
This payment may be in the form of cash. other property or goods, or the assumption of
mortgages or other obligations.) Please round ro fh6 nearest whole dol/ar amoun!.
14. Indicate the value of personal
property included In the .ale
,-,0,-,001
, , .
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and TJ'lX Bill
16. :~~~~:=t,:~n~~:~ from ~.-1.J . Total Asussed Value (of all pilrcels in transfer) L-.
18. Property Class
12
1 , 0 I-LJ 19. Scnool Dilltrict Name I Southold
20. Tax Map Identifier(s) I Rollldentifler(s) (If more than four. attach sheet with additional identlfler(s)j
I Dist. 1000
See. 144
Sale Between Reiati\fe$ or Fonner Relatives
Sale Between Related Compar"lies or Partners in Business
One oflhe Buyers is elso a Seller
Buyer or Selier is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or less thal"1 Fee Interest (Specify Below)
Significant Chal"1ge in Property Betwean T<lxabJe Status and Sale Dates
Sale of Business is Included In Sale Price
Other Unusual Factors Affecting Sale Price (Specify Beiow)
None
;-
4 2 0 0 I
,
I Blk. 3
I CERTIFICATION
I certify that aU of the Items of information entered on th.is fornI are true lInd correct (to the hnt of my knowledge and belief) and I understand that the maldng
of any willful false statement of material fact berein ~ill subject me to the provisions of Ihe nenaJ law relative to the making and filing of false in91nunents..
Lot
BUYER
.~, ~~
~ "' Af\\\)
6/3/03
OAH
-k....R.iQ:ii.
LASI NAME
2891 ~ I
ST~EETNUMBEII
Morgan Dr.
STREE~ NAME (AI'TE~ SAl..E1
516
A~EA COllE
Wan tagh
c,'"Y 011 YaWN
NY
11793
STATE
LIPCO[)~
SELLER
g:wJu~JJ! ti;tA~~.J
SlEl;.e~ SIGNATU~<
6/3/03
om
25
BUYER'S ATTORNEY
AnThony
n~STNAM<
799-7380
TElEPHONE NUMeE~
N.EW YORK STA~
COPY _J