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BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDIVIDUAL OR CORI'ORATION)
I
STANDARD NYBTU FORM 8007
C.r\U.1l0~: TillS A{iREE~tE~T SllOUU> Ilti "REPAREDHY AN A"nOR!'IlI.!Y AND REVIEWED UV A'nOR."EYS FOR SEI.I.ER Aro.;O
PUttClIASER DEFORE SICiNIr-::O.
THIS INDENTURE, made the tJ\0v\..~"'..3.J 2003
between
EMMA R. DOLSON. residing al
975 Rambler Rd..
Soulhold, NY 11971
pany of the first part. and
CATHLEEN H. DOLSON. residing at
975 Rambler Rd.
Soulbold. NY 11971
party ofth~ ~ond part.
JJI'ITNESSETII. that the pany of the first part. in consideration of Tell Dollars and other lawful
f:onsidcfution. luwful InOllr:y ofrhe United Stllles. paid by tht: part}' ofrhc second pan. does hereby grant and
release unto the pany of Ihe second pan, the heirs or Successors and assigns of the part)' of the second pun
forever.
ALL that certain plot. piece or parcel of land. with the buildings and improvements thereon erected.
situate. lying and being at Southold. County of Suffolk and State ofNe,,", York"
SEE SCHEDULE 'A' A1TACHED HERETO AND MADE A PART HEREOF
TOGET/fER with all rig.ht. title and interest, irony. of the p..'uty of the first part in and to an,)' streets and
roads ahutting the above described premiscs to the center lines thereof.
TOGETHER wilh the appurtenances and alllhe es'ale and righls of the part)' oflhe firsl part in and to
said prcmis~s.
TO If A J/E AND TO If OLD the premises herein granted unto the party of the second part~ the heirs or
successors and assigns of the party oCthe second pan tbrev~r.
AND the party of the first part. covenants that the puny of the first part has not done or sutTered a':1ything
whereby the s~lid pr~mises have: been encumbered in any ,\'ay whatever. except as aforesaid.
AND the party of the first part, in compliunc~ with St:'ctllln 13 of the I.ien Law. covenants that the party
of the first pan '....iII rt:ceive the consideration for this ~on\'cyancc and will hold lh~ right to receive such
consideration:lS a trust rund to be upplied firsl for the purpose of paying the cost or the improvement and will
apply the sam~ first to the payment of the cost oflhe improvemt:nt betore using any pan of the total or the same
for any other purpose.
Thc word "fXlny" shall h~ constnJed as if it read "parties" whenever the 5e'nse of this indenture so
requires.
Subject to a mortgage held by \V3shington Mutual in the sum ors 9/D. ~l5P.r::.. OOwhich mortgage the gnmtee
hereby agrees 10 assume llnd pay.
IN JYITNESS WHEREOF. ahe pany of rht:' tirst p:lrt has duly executed this deed the dOl)' and y~tlr first
above written.
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NYSHA Jk"5idc.'ndlLl Ken! l.islatc Fornls un IIl.to..,cs. (~100)
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CIlP)"rilPtl c.psl,n. 1)c""C'lopmcnt
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STATE OF NEW YORK
On the ~ day of ,2003. before me, the undersigned, personally appeared EMMA
R. DOl..sor(lfpersonully ow to me or prov~d to Illt=' on the basis of ~1.1isfaclory evidence to be the
individual(s) whose non (5). lare) sllbscrib~d to the \\tilhin instrument and acknowledged to In!: that he
executcd the same: in 5 CD acity(ics). and that by his signature(s) on the instrument. the individual(s). or the
person upon behalf f w . -h th~ individual(s} acted. executed the instrument.
* ~\e.e..n " . t::>c>\~
DEED
GARY F1.ANNER OLSEN
Notaty Pub~~'!-tp 01 New Vcrtc
No u~959600
f: Qualified In SuffOlk Counl3L ----""ll
Commlaeion 8qXr_ Milich 30. ~ J
Title No.
Section
Block
Lot
County or Town SU~'FOLK
DOLSON
To
I)OLSON
Return 8)' Mail To:
GARY \"LANNER OLSEN, ESQ.
P. O. BOX 706
CUTCHOGUE,NY 11935
Reserve This Splice For Use Of I(ecording Office
NY:C;UA Itcsickntial Rrall?:$UIl<.: Fomu; on.llotDocs" 19/0(1)
-2-
CopyriGht ('apson" rh.."".C'I~pment
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SCHEDULE A
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ALL lhal. ."rIIin' pl~ .pil!l:e. Qr'.P.arcel ,";f,:land...,wilh the buildinp. and improvement. thereon erecled, .ituale,
lyinllanclbelti~liFC at;Sou,tholq./ TQwJ:\ of Southold,County of Suffolk, .
and State of New York'~~~no~~;~nd:designated as rot no.14 on a c~rtain
"Map of Terry waters'.ia:t\ Ba.y.:iri-ew": filed in ihe office of the Clerk of
the County of Suffolk 'on rli1.29Y58 as map no 2901', said lot being
bounded and described is,foflow~:
. "'. '. '.": ~\.:
." ...."i..
BEGINNING at a point on the,1o~therly side of Rambler Road, said point
being the division line D~t~e~n;lots 14 and 15 on said map;
THENcE from said point of 'Q~g~~Ring, along 'said division line south
17 degrees 21 minutes 20 sec~~~~~east,150 feet to a Boat Basin;
THENCE along Boat Basin, on the arc of a curve bearing to the left
having a radius of 175 feet a distance of 61.09 feet. to a point;
THENCE north 37 degrees 21 minutes 20 seconds west, l~O feet to the
southerly side of Rambler Road;
THENCE along the southerlyside of Rambler Road on the arc of a curve
bearing to the right having a radius of 325 feet a distance of 113.45
feet to the point or place of BEGINNING.
TOGETHER with the right to use in common with other lot owners for
bathing and recreational purposes, the area known as lot no.8. and
the are adjoining next southerly. thereto. designated -on the above-
mentioned map as "Park and Beach (Private) ," .' '.'
SUBJECT to the Agreements, regulations and rights as set forth in
Liber 7476 cp 358.
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Number of pages
TORRENS'
RECORDED
2003 M.y 1304:03:12 PM
Edward P.Romain~
CLERK OF
SUFFOLK COUNTV
L DOOOI2250
P 938
DTII 02-39200
Serial #
Certificate #
Prior Clf. #
Deed . Monaaae Instrumenl
Deed I Mortgage Tax Slamp
Recording I Filing Stamps
3
FEES
p."ge I Fi Ii ng Fee
I;).
R.P.T.S.A.
Mortgage AmI.
I. Bnsic Tax
2. Additional Tax
Sub Total
Spec. I Assit.
or
Spec. I Add.
TOT. MTG TAX
Dual Thwn _ DwtI County _
Held for Appoiotment _
Transfer Tax q>
Mansion Tax
The property covered by this motgage 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.
Handling
5 JllL
5
TP-584
Notation
EA-52 17 (County)
EA-5217 (State)
Comm. of Ed.
Affidavit
Certified Copy
Reg, Copy
Other
4
l\lOQ
Dlstnct
t:88.oc>
Section
Communit Preservation Fund
Real
Property
Tax Service
Agency
Verification
,
I
I
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1000 08800 0500 038000
Consideration Amount $
CPF Tax Due Sjp
] mproved
Vacant Land
6
SatisfactionIDischargcsIRelease List Propeny Owners Mailing Address
RECORD & RETURN TO:
TO If)
TD
lII.!!'a OlSEN uP
--"MAIN IlOAD
...~!!X7ClI
-'__1'1 "_
TD
7
Title Company Infonnation
Co. Name F:ldel:l~ lial::I.oual T:l~le
Title # 4q!l..2.4-'1
8 Suffolk County Recording- & Endorsement Page
This page forms part of the attached
Deed
made by:
(SPECIFY TYPE OF INSTRUMENT)
_ R. DOLSOIi
The premisis herein is situated in
TO
CATIILEI!II H. DOLSOII
SUFFOLK COUNTY. NEW YORK.
SOIlTlltlLD
In the Township of
In .he VILLAGE
or HAMLET of
BOXES 6 THROUGH II MUST BE TYPED OR PRINTIID IN BLACK INK Ol'.'LY PRIOR TO RECORDll'.'G OR FILING
'_n__"
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SOFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DBEDS/DDD
Number of Pages: 4
TRANSFER TAX NUMBER: 02-39200
Recorded:
At:
LIBER:
PAGE:
05/13/2003
04:03:12 PM
D00012250
938
Deed Amount:
Section:
OBB.OO
EXAMINED AND
$0.00
Block:
05.00
CHARGED AS
Lot:
038.000
District:
1000
FOLLOWS
Received the Following Fees For Above Instrument
Exempt Ixempt
Page/Filing $12.00 NO Handling $5.00 NO
COB $5.00 NO NYS SURCHG $15.00 NO
]lA-CTY $5.00 NO ]lA-STATE $25.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Transfer tax $0.00 NO C01I1lII.Prss $0.00 NO
Fees Paid $102.00
TRANSFER TAX NUMBER: 02-39200
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk. Suffolk County
FOR COUNTY USE ONLY
C1. SWIS Code
t'Lt:A:::,t: I yt-'t UH t-'RESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473.7222
17<. ?".g &:..c1J
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'f73f'
C2. Data Deed Recorded
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C3. Book I
,('',),. :;L. ,. C1 C4. Page L .
PROPERTY INFORMATION
Property ~
Location ~T';il!\BF"
975 Rambler Rd.
STR!"C T ~JA~"F
~nllrhn 1 (1
CITY Ol'! TOWr.
2. Buyer
Name
nnl~nn .
LASI W,\1<"Cct.~PMJ\'
1___ _
LA5' ,"P,Mc-'CCMPNH
3. Tal( nd,catewnE'e flllUreTax Bills a,e to be sent
Billing il OIher than blly~raddrcss (ilt bonom oflor'Tl)
AddrllSS
Lf,~TI;AM<ico"'r,N~--
~-_._-
$~"[er "I!MBE" AM),.TR[c' r~A"'"
L
--'~Towi,-~-
4. Indicate the number of Asse5smltnt
Roll parcels traflsferrltd on thlt deed L_,
..
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, 'Ii
~
~b'.'..", ~
~9.ut:hold
1,'..~,AGf
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
!<I',:,:n u,,, .'N7
~
.-.l19.IL-J
L,".:ilOE
C~t'h]een H.
'-I~ST NAMF
---.-J
H"~ ~AM~
#ofParcels OR D PilrTofal'arce:
50eed
P~operty
Size
~----.-J X ~__
FAO~ITF[E" lkPTH
JORL-
6, Seller
Name
LE?~_son
_AST NAME iCC',"PANY
~.~--
lAST ~AI,1[.-' CO~'PAN\
ACR,S
..~
Emma R.
FIR~~ "AMf
7. Check thl! box below which most accurately describ~s the use of lhe property at the time 01 sale
-.'-------L--."'R,,-,-~A~'F
A~onei~rriIYReSiderlt'al
B 20r3FamiiV Hesde',tia
C Resident!al VIl(:/lrlt Land
D Non-Resident,al Vacarlt LSrld
E~Ag".'.'","
F Comm8'cial
C, Apartment
1-1 Enta1ainr-er. i A~lUSfjl1'ent
l~com.IllIHlitY.serv:c()
J In<Justroal
K "llblcSarvwe
L Forest
I SALE INFORMATION I
11. Sale Contract Date
l__,..,L.
Mo",!" Ilay
Yea,
12. Date of Sale I T~allsfer
~~_L..Q3n
~'.<>')Ih :'"y Yea,
13,FullSalePrice ~.__...------' -=---~~-----L.....~ j,~
, , .
!Fu'l Sale Price is tlw .(,Utl ,w.u~nt pa'd 10' the p,<!"c't'y in,)"dinc: f.l",'sonal prClJerty
rhis pilyrrenl11ay,",e in the fGrm of cash OthE'properly cru08ds, orrheasSUIl1ptian of
rrortgages 0' othor llb', go:jors,) F'1"ase .'Grmd to rhe l1iJ"lfHI \\.ho'<' dr-,iiM .1m:'(lI>I.
14, Indicate the value of pcr~onal
property included in the s81e
fl~~T NAMF
-__ ____---L-,
.'lA~'
ZIP ,"OOf
iOnly if Part of 11 Pilrelll) Check as they <lpply
4A. Pia'.nirg Buam with Sub[livis 0'1 Authoc;ty exists D
48. SlJlldivisioll ^rl.~rov,,1 'Nas "Qqllirp.rt fo, I 'wlsfe, D
4C."d"ceIAppro\ledtorS"bdivisiollwrh~!""Frovid..d D
.---.1
--.J
Check thp. bOll;ltS below as they apply
:)wrl",~hip Type is Cond::>rlli"illn)
9, \JewCul'struction 0" IjacatllLwd
lOA "rO:Jerty LOC<llf!rlwilhr;; [1'1 Agr:CI..'ILral [}'sl"iCl
lOB Buyer received a dSclosure:lot,ce inrliCill<ng
~h"t the propm1v is In an AfJricultwal t:~:liLt
D
D
D
D
15, Check one or mo~e of these conditions ilS applicable to transfer:
A
"
C
o
E
F
C
II
I
J
L..__n----'--. .' -----'------'-- 1I 0 I
, , .
Data should reflect t~o latest Final ASSC5SIl1<:!l1t Roll and T<lx Bill
ASSESS MEN"'" INFORMATION _
16. Year of Assessment Roll from I 6 fL :
which information taken
1/. Tot~1 A~assed Value (of all parcels in transfer) '----
18 Property CI<lsS
clZ. \1LI- ~ "Sohool D;;,,;o< N'm, L~~)\:~-::>\c\_.
1000-88-5-38
20 Ta>( Map Identifier{sl I Rollldentifillrltilllf more than four, attaeh sheet with additional identifierj::;;))
CERTIFICATION
L....
Sf.;e I:!,,:ween Relatives or lor",,,,. Relolives
Salo Kel'Neon Re'(lIed CQlllpdr.'es o! I'ortni'rs or Business
On" Of the Buyers:s also Il Selic'
Buyer or Soller is Goverrn'ellt Anency or Lel'ding lilstitution
rJa<:d '.ype not Warranty or BMg(lill ;,no: S"lc ISp"cify Below)
Sa,,,, 0' ,~r~Gtional or l.e~s Ir",n FC'l' I"!arest (Specify f3elow:
Sigl.,ifi~"!lc Ct.af!;]8 in F'ropeHy lJ"rNa0!l -axHi)I" Sl~lllS and Sale Dates
S..'e 01 Bustness i,~ Incllluud in Sille Prier,
Oll1er Ur),,~.'iJl h.ClDrs Affect".o SClI" Price ;Spe,;iry Bdow;'
None
'---.,
(9
oos
_..-.J
I certify that all of the itt"m,~ of information entel1'u un thi~ form are true and corn'ct (to the he~l uf my kllo\\lcrl~(' and belief) and fllnderstand thilt thE' maki[J~
Ilf any willful faL\.C statl'ment of lIIate~ial fae! hen'in will suhjt!ct me to the p"m'isions of the 1)I'n;]1 law relative to the m.lking Ilnd tiling uf false instrument".
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3\(S ~.. ~~~uu '\\pC ~
S-:-~I'ET ~UM6E~ HeET' '/,\ME ;4FTfR ~Ml,
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SELLEI3:
~ ~])~crI\..4ffi~ I
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-Ol~~
631
.\llo,4C0JF
BUYER'S ATTORNEY
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734-7666
lE.!"rhO,"" .'UM(lU
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NEW YORK STATE
COPY
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