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Sr.1nd.1rd N. Y. B.T. U. Form 8002.
-Bug.1io .1od S.1le Deed. wilh Covenant a8ain$! Guntor's Acu-lndi\'idu.11 or Corpoulion (siosle sbeet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENlURE, made the I I ~ day of September ,R~~_ 2000
BElWEEN
BENNET J. HESS, residing at 69 Berkshire Road, Rockville Centre, NY 11570
/1/5'-/-':;-
party of the first part, and
ALICE S. POWERS, residing at 219-31 74th Avenue, Bayside, NY 11364
party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten Dollars and other valuable considerati!,n
paid by the party of the second part, does hereby grant and release unto the party of the second part, the heus
or successors and assigns of the party of the second part forever,
AU. that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
Iyinrand being i~ at Laurel, Town of Southhold, Suffolk County, New York,
known and designated as Lot No. twenty-three (23) on a certain Map entitled,
"Map of Laurel Park, property of Ravatone Realty Corporation, Laurel, L.r.,
N. Y.", surveyed and subdivided by Daniel R. Young, Engineer and Land Surveyor,
Riverhead, L.I., N.Y., August 17, 1925, which said Map was filed in the Office
of the Clerk of the County of Suffolk on the 5th day of October, 1925 as Map
,Number 212.
SAID PREMISES being the same conveyed to the party of the first part
deed dated 8/15/95, recorded 8/22/95 in Liber 1173tage 388.
SAID PREMISES having a street addredd of 1675VPecon c Bay Boulevard,
c............+- '
by
Laurel, NY.
TOGETH~R with all right, t!t1e and i~terest, if any, of t~e party of the first part in and to any streets and
roads ahullmg the above, described premIses to the center hnes thereof; TOGETHER with the appurtenances
and all the estat~ and rlg,hts of the party of the first part in and to said premises; TO HAVE AND TO
HOLD the prem,ses herem granted unto the party of the second part, the heirs or successors and assigns of
the party of the second part forever,
AND the part~ of the, first part covenants that th~ party of the first part has not done or suffered anything
whereby the sa,d pretmses have ~een enc~mbered, m any, way whatever, except as aforesaid,
AND the party, of the, first part, I~ comphance w!th Secllon 13 of the Lien Law, covenants that the party of
the ,first part w,lI receIve the con,S1deratlOn for thIS conveyance and will hold the right to receive such consid-
erallon as a trust fund to be apphed first for the purpose of paying the ,cost of the improvetnent and will apply
the same first to the payment of the cost of the Improvetnent before usmg any part of the total of the same for
any other purpose.
The worn "party" shall be construed as if it 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 PRESEN"CE OF:
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B~et ~ Hess -~
IJ011/- foc(V
State of New York )
County of A/t( 5 5~ ) ss.:
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On the -1L day of in the year 2dvu before me, the
undersigned, personally appeared t1 f/7/lf r- J. IVt'_Lf
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 his/her their
signature(s) on the instrument, the individual(s), or the person upon
behalf of which the individual(s) acted, executed the instrument.
L BRC HICK
R1Cr:pc State 0 New York
NoIarY UN~ '4777529 '~...
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12074PC690
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Number of pages
TORRENS
RECEIVED"" ..
$ A-tJ/l ~
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o'lr; . ;";' ".~ ~~. "'1'-"
. .....1,.,;.-.. .".
~~~ED
Serial #
SEP 29 Z~OO I
TAM';,.: ,C, . .AX
SU""~ ",. .,
!~.~ '(...l~... \
COUNTY
Prior Clf, #
, -' 8853
00 SEP 29 PI; I: 5 I
""J"" '." f'jMAlt'E.
tl ~,r-\, ,..' j", \.1. 1
CLEH\ OF
SUFFOLl~ COUNTY
Certificate #
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
FEES
Recording / Filing Stamps
4
Page / Filing Fee
/J
.s
3
Mortgage Amt.
Handling
TP-584
L Basic Tax
2. Additional Tax
\
Notation
Sub Total
RP. T,S.A.
.-.r
..u
/5
EA-52 17 (County)
_ Sub Total
.2.7
Other
Sub Total
V-.J
7~
'iL-
Spec./ Assit.
Or
Spec. / Add.
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
Transfer Tax ~ ,) D
Mansion Tax _
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES or NO
If NO, see appropriate tax clause on page #
_of this instrument.
EA-5217 (State)
Comm. of Ed,
50~
Affidavit
Certified Copy
Reg, Copy
GRAND TOTAL
Real Property Tax Service Agency Verification
Dist. Section Block
Lot
6 Community Preservation Fund
Consideration Amount $ 'i , t.lW
.
Stamp
01JV
.-
(Lf->
o I t.ge>
c)vs
CPF Tax Due $ 0-
RWIVED proved
$ acant Land K
SEP 29 2000 D If)
(
COMMUNITY D
PRESERVATION D
FUND
7 Satisfactions/Discharges/Releases List Property Owners Mailing Addr s
RECORD & RETURN TO:
C-l Yfl t1 -+ fJ1 Uc efJ I Crrs
Po 0dY 7/?-
~ ~ grtJ1J I< / ;tJ '(
/ (770
Suffolk Count Recordin
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Title Company Information
e CdV\ S rf-t"~t- J..n L
I - .s - () 8'(" If
& Endorsement Pa e
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H (SPECIFY TYPE OF INSTRUMENT)
(Sj
The premises herein is situated in
SUFFOLK COUNlY, NEW YORK.
In the TO'M1Ship of --s ()uj-{ () ( c/
8
Co. Name
Title #
9
This page fonns part of the attached
lttln.er
made by:
A \ lC-e
TO
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f UW tr~
In the VILLAGE
or HAMLET of
t- c( fA/ej
BOXES 5 THRU 9 MUST BE TYPED OR PRINrED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
I
.
...--
-~--~ ---PLEASE TYPTClF!-PRESS-FIRMLY WHEN WRITING- ClNFORI'Xc--~-----~'
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222
1!ClA ~NTY USE ONlY
411~_
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REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP.5217 Rev 3!'J7
1. Property
Location
l:::>.rQ.c.~ p"c.o....., c..
STREET NAME
Be...... \~"CloJ'd
Sc>'--'~a\~
CITY OR TOWN
VilLAGE
I 1'1<+81
ZIP CODE
2. Buyer
Name
POlL>~"S
LAST NAME I COMPANY
A\\c."
FIRST NAME
LAST NAME I 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! COMPANY
FIRST NAME
i'
STREET NUMBER AND STREET NAME
CITY OR TOWN
STATE
ZIP CODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
t I
# of Parcels
OR D
Part of a Parcel
5. Deed
Property
Size
FRONT FEET
Ixl
DEPTH
lOR I
'ACRES'
.3,
(Only .if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists
48. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
o
o
o
6. Seller
Name
\4."s~
LAST NAME I COMPANY
BQ...,..........<2. +-
FIASTNAME
LAST NAME I COMPANY
FIRST NAME
-~
:7. Check the box below which most accurately describes the use of the property at the time of sate:
A~one Family Residential
B 2 or 3 Family Residential
C. Residential Vacant Land
D .Non-Residential Vacant Land
E ~ Ag,;cultu,"1 I ~
F Commercial J
G Apartment K
H Entertainment / Amusement L '
Community Service
Industrial
Public Service
Forest
Check the boxes b&low as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant land
lOA. Property Located within an Agricultural District
lOB. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
o
o
o
o
11. Sale Cont~Nt Date 3 I z.") 1001
Month Doy Year
12, Date of Sale I Transfer L3 I 1/ 1001
Month Doy Year
15. Check one or more of these conditions as applicable to transfer:
13. Full Sale Price
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 SeUer
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 Sale Price
, ,~, ~, 0, 0,0, 0 , 0 I
, , e
(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 velue m personel I , ,~O, N. ~ ,0, 0 I
1:~~;;;;I;,~~rOll\i!:l~l_'~;"~$$~Il<iII1J11d"ax9ial
ther Unusual Factors Affecting Sale Price (Specify Below)
None
16. Vear of Assessment Roll from I' ~ I 17. Total Assessed Value (of all parcels in transfer) I
which information taken '
18. Property Class
I 3, I ,I I-U 19, School D;s1rlc! Neme I
L-O'-A ......<01... \
. , , , , , ,1,0,01
, , ,
/L/s-~ / -s
20. Tax Map Identifier(sl I Rollldentifier(sl IN more than four, attach sheet wkh additional identifier{sll
I Sczc.+
\ <+.!.Oo
6Ioe-"_ 01-00
.J... C>O~_OOO
Lo. I I
I
~H'
I certify that aU of the items of information entered on this fonn are tnJe and correct (to the best of my knowledge and belief) and I understand that the making
of any wiUfuI false statement of material fact herein will subject me to the provisions of the penal law relative to the making and filing of false instnunents.
BUYER
BUYER'S ATTORNEY
* WbU ,Sf:'!. .~~
BUYER SIGNATURE
;j; ( /100
DATE
t'Y"\ <<. .,.. <"-.Q.. ~
LAST NAME
A....... tt-..c +-J
FIRST NAME
~,q -"3 I
STREET NUMBER
l'+~ Avo
. -..s:l ,
STREET NAME (AFTER SALEl
,.
<.t;.~\
AREA CODE
~lo" - O~O\d.
TELEPHONE NUMBER
~';~ S \ c:k-
~AI
\ \ "3<.oi:-
ZIP CODE
li/ll/ut)
DAl>
CITyrrOWN ASSES~
COPY
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"~~-'~~
",.SE~ASIGN;U~ ~
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SELLER
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