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WARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8007
CAlffION: ll-IIS AGREEMENT SHOULD BE PREPARED BY AN ^ lTORNEY AND REVIEWED RY ^ lTORNl:.'YS FOR SELLER. AND
PURe. lASl:R BEfORE SIGNING.
December c1?:!y"Q
THIS INDENTURE, made the
between
2002
WAYNE J. MOTT aod MARY OLIVIA MOTl', bis wiCe,
residiDII at 1100 SkuDk LaDe
Cutebogue. NY 11935
party oC lhe first part, and
ROBERT'S CUSTOM HOMES,INC.
SO Diaaa Court
WadlulI River, NY 117!1:Z
party of the second part.
WITNESSETH, that the party of the first part, in consideration of Ten Dollars and other lawful
consideration, lawful money of the United States, paid hy thc party of the second part, does hereby grant and
release unto the party oCthe second part. the heirs or successors and ass.igns of the party of the second pal~
forever ~
ALL that certain pJot, piece or parcel of land, with the buildingsl and improvements thereon CrcC.tl:d,
situate, lying and being at East Marion, Town of South old, County of Suffolk and State of New York.
SEE SCHEDULE' A' ATTACHED HERETO AND MADE A IMRT HEREOF
The grantor herein is the same person and the grantee in Deed dated 9/19/01 and recorded I I 123/la I in
Liber 12154 Page 528.
TOGETHER with all right, title and interest, ifany, of the part), of the first part in and to any stn:ets 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 ofthe first part in and to
said premises,
TO HA VE AND TO HOLD the premises herein granted unlo Ihe party oftbe socond part. the heirs or
successors and assigns of the party oflhe second part forever.
AND the party ofthe first part. covenants that the party of the lirsl 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 Seelion 13 of the Li.n Law, covenants lhal thc 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 pay ins, the cost of the improvement and will
apply the same first to the payment of the cost of the improvement befo!'e using any part oflhe total ofth" same
for any other purpose.
The word "party" shall be constnlcd as if it read "parties" whene~ver the sense of this indenture so
requires.
IN WITNESS WHEREOF, the party of the first part has duly ",.."uted this deed the day and year first
OLIVIA MOTT
NYSB Rcsldemllll Rc:.II.:Slatc Forms on HolDucs&o (9100)
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Copyrillh~ Capsoft"lkYelo~rmenl
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,
STATE OF NEW YORK )
) S5.:
COUNTY OF NEW YORK )
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On the pr'3 day or December, 2002, before me, the undersigned. personally appeared WAYNE J.
MOTf' and MARY OLIVIA MOTf'. personally known to me or proved to me on the basis of satisfaelary
evidence to be thc individual(s) whose name(s) is (are) subscribed to the within instrument and acknowl,edged 10
mc that he execuled the same in his capaeity(ies), and that by his signalure(s) on tbe instrument. Ihe
individual(s). or thc person upon behalf of which the individual(s) acted, executed the inslrument.
)L:%~IL-
~RY PUBLI<v.CTORIA CHARCZUI(
_y Publie, State 01 New York
No. 4850488 " I
DEED Qualified In Nassau County tJ \0
Comm188lon Explre. January 20, 20_
Title No.
Section 038.00
Block 03.00
Lot 024.000 & 015.000
County or Town SUFFOLK
MOTT
To
ROBERT'S CUSTOM HOMES
Return By Mall To:
JANET E. CONROY, ESQ.
20 POLK ST.
ROCKY POINT, NY 11778
Reserve Thill Space For Use Of Recording Omee
NYSSA Re5idential Real EaRle forms on tlOl.Drocs& (9100)
-2-
Copyright CapsoR" Ikvclopmlefll
",
Tax MAp
Oui~lWliDn
lis!.
1000
ice.
038.00
!llk.
03.00
LAI{S)
024.000
&
015.000
;. .
.
,
I
,
Schedule A
.
, ALL Ol~l'cc.rtuin 'pi~;;Piecc or parc~1 of lond, '~~tt~~it[;lJilSlA~1AJQliKiIllI&~, shunlc, lying llIld'bl:lllg lIlllIleX
at East Marlon, Town.of Southold, Coun~y of Suffolk and state of New
~ork, known and de9i~,nated as!Plots numbered 36 and 43 on a certain
map entitled "Map of Marion Manor" situate at East Marion, Town of
Southold, SUffOlk"Couhty, New'York, surveyed' November 25, 1952 by
otto W. van Tuyl & Son, li6ensed land surveyors, Greenport, New York.
owned and developed by Peter Blank & Son, East Williston, New York,
and filed in the Office of the Clerk of the County of Suffolk on
March 18i 1953 as Map ~203B.
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Number of pages
TORRENS
1
II 21
Scrial#
Certificate # .
Prior Ctf. #
RECORDED
2003 Jan 03 09:31:59 AM
Edward P.Romain~
CLERK OF
SUFFOLK COUNTI'
L 0000 12228
P 254
DU 02-21599
Deed . Mortgage J nlitru ntcnt
Decd I Mortgage Tax SlUmp
Recording I Filing Stamps
I
2J
/{)....
I'B~S
Suffolk County Recording & Endorsement Page
Page I Filing Fec
H,mJling
S ..QlL
.s-
1'1'-584
Nmation
EA-5217 (County)
S
c?.:J
c?P-
-
~7-
Suh TOluJ
EA-5217 (S.a'<1
R.P.T.S.A.
Comm. of Ed,
5." 00
Affidavit
Ccn}fied C(1PY
Reg. Copy
IJ~-
Sub Totitl
O.hcr
/:>
Grand Total /.
-
-
4
1000
Dis.tril.-t
100;::.
038.00'
Sc~tion
O~C!i'.~
Real
Property
Ta.1( Sc:"rvic:c:
Agency
Vcrificarion
1000 031~00 0300 024000
1000 031~00 0300 015000
~
SalisfaClil)nIDischargcsJReJcasc List Pn)pl::rty Owners Mailing AcJdre~s
RECORD & RETURN TO:
ESQ.
JANET
P. o.
IlOCItY
E., COlOWY.
II(lX 1297
PCtINT. NY
un8
7
.~
Co. Name
Tille #
This pal~C forms pan of lhe auached
IlEKJ)
maue by:
Mortgage Ann.
I. Ba!"ic Tax
2. Additional Tax
Sub TOlal
Spec. / Assit.
or
Spec. I Add.
TOT. MTG TAX
Dual Town Dual County _
J It,6Jd for Appointmenl_
Tr..ms-Icr Tax In ? ~ ~ 0----0-
Mansion Tax
The property co\-'crcd by this motgagc is
or will be impnn'ed hy La one ur lwo
family dwdling only.
YES ur NO
--
If NO. see appropriate lax clause on
page # of this instrurncnc.
5 Communitv Preservation Fund
$ Irs:u.... .<A":)
S ~ !"'n.,.,.":)
CPF Tax Due
Improved
Vacanl Land
.---
ID
TD
TD
TD
Till" Company Information
FIDELITY HATIO!IAL TITLE
45222
(SPECIFY TYPE OF INSTRUMENT)
WAYIIE J. Mll"lT AND MARY OLIVIA MO'tT
The premisjs herein is situated in
SUFFOLK COUNTY. NI;\V YORK.
TO
DnRVIrT . c;: 1'!IJc:."IY"rII'Iil' U'IDIVC;: Tlllr
In the VILLAGE
In the Tllwnship of SOIJTHOI.D
orHA:'1LETof eAS / .m~/nl\.)
BOXES 6 THROUGH K MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING
Invrr\
-
111;11111111 1111111111111111111111111 11111 111111111 1111
1111111 111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
'. Type of Instrument: DEEDS/DDl>
NUmber of Pages: 4
TRANSFER TAX NUMBER: 02-:11599
District:
1000
Recorded:
At:
LIBER:
PAGE:
01/03/2003
09:31:59 AM
D00012228
254
Deed Amount:
Section: Block:
038.00 03.00
BXAMI!iED AND CHARGED AS FOr..r..OWS
$155,000.00
r..ot:
024.000
Received the Following Fees P'or Above Instrument
Exempt Exempt
Page/Fil:lng $12.00 NO Handling $5.00 NO
COE $5.00 NO NYS SORCHG $15.00 NO
EA-CTY $5.00 NO EA-STATB $25.00 NO
TP-584 $5.00. NO Cert.Copies $0.00 NO
RPT $50.00 NO SCTH $0.00 NO
Transfer tax $620.00 NO Comm.Pres $1,600.00 NO
Fees Paid $2,342.00
TRANSFER TAX NUMBER: 02-21599
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
~--PLEASE TYPEOR PHESS-FIRMLY WHEN WRiTING ON FORM
INSTRUCTIONS: http:// www.orps.slale.ny.us or PHONE (518) 473-7222
FOR COUNTY USE DNl Y
C1. SWiS Cod.Et
ILl, 1.3, g 2,9!J
I / 3 d3J
Month Day Yea,
cJ,)]IC4P.gel ~,sY,
C2. Date Deed Recorded
co.
Book Ll. 0/, ~,
PROPERTY INFORMATION
1. Property ~S45
\..o~a1Ion STRoH NUM6ER
~;:n......hnli1
Cln Oft TOWN
Gil1et1:e Dr.
STREETNAM.
2. Buyer
Name
L.....Jl...h"".........' Q ~lIC1..........P Romp,:;:
l"SI~ICOMPANY
Tnt'
~
LA$TNAME COMPANY
3. Tax
BiDing
Address
'ndicate where futureTllx Bills are to /Jasent
if other than buyer address (al bottom of form)
LASTN"ME/COMPANY
I
~
S'rAdTNur.1llEAIl,NOSTAEETNAME
.'
, .-- ..
, .. ,I
~,' '~l,} ,
'F..::llAt: Marion
VILLAGE
FIFtSTNAME
F'RST"JAME
4. Indicate the number of A.$S9SSment
Roll parcels trannferred on the deed
~I tlofPllrcels
C!TYOFtTOWN
OR 0 PartotaPareal
5. Deed
Property
Size
L
'ROr>,>TFEET
I X I
OE"'1H
10Rt-
6. S&lIer
Name
~tt
LAsrNA>t.EiCOMPANI'
L-.Moa- t-
LASrf>AME/COMPANY
I\.CRE$
.
Wayne J.
FIOlST"'AME
7. Check the bOI( billow whictl most accurately describes the use of the property at the time of sale:
Marv O~1.vf.a
FJRSTNAME
A~oneFamil'(ReSjdential
B 2or3FIlITIllyResidenti/ll
C Residenrial Vacant L.,nd
D NQn-Resid,~ntial Vacant land
E ~ A,doclt,," I ~
F Commerci!ll J
G Apartment K
H Erllertoinment I Aml.l~~ement L
I SALE INFORMATION I
11. Sale Contract Date
\) / ';;?{'ilS2-.J
JOr'\lh Day Year
12_ Date of Sule , Tnmsf6t
12
.:2'S
0.,
I~
Year
Month
13. Full SaJe Price
1
550
CI 0
, , .
(Full Sale Price is the tota "mount paid foe the property inCluding pe,sonal proper1Y.
This payment may be in the form of c!lsh, other property or goods, or the assumption of
'TIortgages or other obligations_! Please round to rhe nearest whole dol/ar Bmount.
14. Indicate the v...lue of persomll
property included in the f>8Ie
Community Service
Industrial
Public Service
Foresl
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP.5217 ".,. .\197
11939
~,p COVE
FlliS~NAMo
STAn
liP CODE
150. Check one 01' more of these conditions.. applicable to tr.nsh"":
A Sale Between Ralalives or Former Relatives
B Sale Between Related Companies Or Partners in Business
C One of Ihe Buyers is also a Selier
I) Buyer Of Seller is Gcvernmenl A~ency or Lending Institution
E Deed Type not Warranty or Bargain and Sale (Specify Beiow)
f' Sale of Fractional Or Less ttlan Fee Interest (Specify Belowl
G Significant Change in Propeny Between Taxable Status and Sale Dates
I I Sale of Business is Included in SElie Price
I Other Unusual Factors Affecting Sale PrIce (Specify Below)
J None
o , n I
l , .
ASSESSMENT INf:ORMATION - Data should reflect the latest j;inal Assessment Roll and Tax 8ill
o , 0 I
16. Ye~r of ASl:ins~ent Roll from I r. .?
which InformatIOn taken
18. Property Class
:311---..J-U 19. School District Name L-.17'
17. Total Assassed Value (of all parcels in transfer) I
;z..
1000-038.00-03.00-024.000.+ OIS CJ 0
20. Tax Map ldentifj,er(s) f Rollldentitier(sl (II more than four. attach sheel with additional idenliliertsll
IOnly if Part ot a Parcull Check as they apply:
4A. Planning Board with Subdivision Authority Exists
48. Subdivision Approval was ReCllIired for Transfer
4C. Parcel Approvec', for Suodivisio:l with Map Frovided
o
o
o
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
lOA. Property Located within an Agriculturol District
lOB, Buyer received adlsclosure notice indicating
that the property is in an Agricu1lural District
o
o
o
o
,
.i I
....~
,
D.o I
€AS'I M~{<:>I\. 1
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L.__.
CERTIFICATION J
I certify that all of the items of information eDt~red on this form are true and cQrrect (to the best of my knowledge and belief) and I understand that the making
If any willful falRe ,~talemt'nt of material fact herein will subject mle to the nrQvislon~ of the uenal law relative to the making and filill~ (If false instruments.
BUYER BUYER'S ATTORNEY
,
1::J19~//D
~ATEI ~
'GNATLIRE-
~) (). \.It ~. S7;).
STPEE"NUMSE S.IREETNAME,AFTIORSALEI
~"i I 11]9 d-
sr""E Z1PCCOE
1?-Z3~<L
/:;"'/2-5/02-
om
)lIe 0 t..
LAST NAME
&31
AREA CODE
_pn-e.. r:-
F,RS NAME
2-;(1- &JTcP-
nlE~"'ONENLJMBER
NEW YORK STATEl
COpy I