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day of
October
2001
THIS INDENTURE, made the
BETWEEN
EILEEN BERGEN TALBOT, f/k/a Eileen
Mattituck, New York 11952,
Bergen, residing at 540 East Legion Avenue,
It! 3- t/ - / (} ,I
party of tt;P first part, and
GARY~. EISENBERG, residing at 3 South Road, Oyster Bay Cove, New York 11771,
party of the second part,
WITNESSETH, that the party of the first part, in consideration of TEN ($10.00) ------------________
----------------------------.-----------------------------------------------------
dollars paid by the party of the second part, does hereby grant and release unto the party of the second part,
the heirs or successors and assigns 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 being in the
SEE SCHEDULE A ANNEXED HERETO AND MADE A PART HEREOF.
TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets 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 of the first part in and to 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
whereby the said premises have been encumbered in any way whatever, except as aforesaid.
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AND the party of the....'"' 1'1/1111 J~~'tIl'1,i.aR.~i /.::'L\\'uj,>,ecrron 13 of the Lien Law, covenants that the party of the
first part will receive the co i~1l!ipQst()r this conveyance and will hold the right to receive such
consideration as a trust fMC\llllll ~~plleIHrrst'fd' fI\'f!lpurpose of paying the cost of the imprpvement and will
apply the same first to the pa~HfbfMeGfiist'~f the improvement befpre using any part of the tptal of the
same 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 pf the first part has duly executed this deed the day and year first above
IN PRESENCE OF:
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written.
Standard N.Y.B.T.U. Form 6002 ~ Bargain and Sale Deed, with Covenant against Grantor's Acts - Uniform Acknowledgment
Form 3290
SCHEDULE A
ALL that certain plot, piece or parcel ofland, with the buildings and improvements thereon erected,
situate, lying and being in the Village of Matti tuck, Town of Southold, County of Suffolk and State
of New York, bounded and described as follows:
BEGINNING at a point on the southerly side of East Legion Avenue, distance 240.00 feet westerly
from the corner formed by the intersection of the westerly side of North Riley Avenue with the
southerly side of East Legion Avenue, said point also being at the northwest corner ofland now or
formerly of James M. O'Brien;
RUNNING THENCE along land now or formerly ofJames M. O'Brien, South 06 degrees 45 minutes
00 seconds East, 192.21 feet to land on subdivision, "George II, William T. and D.T. Riley", filed
Map No. 186;
THENCE along said land on said subdivision North 65 degrees 41 minutes 30 seconds West, 132.32
feet to land now or formerly of Wallace S. Field;
THENCE along said land North 06 degrees 45 minutes 00 seconds West, 163.35 feet to the southerly
side of East Legion Avenue;
THENCE along the southerly side of East Legion Avenue, South 77 degrees 35 minutes 00 seconds
East, 120.00 feet to land now or formerly ofJames M. O'Brien at the point or place of BEGINNING.
BEING AND INTENDED TO BE premises conveyed to grantor herein by deed dated May 5, 1986;
recorded May 23, 1986 in Liber 10044 cp 176.
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TORRENS
RECOk:E>E[:>
2001 Oct 30 01:30:09 PM
Ed!;J.3 rd F'. Poma i ne
CLERK OF
5UFFOLV COUHTt,_1
L [.100012150
Number of pages
Serial #
Certificate #
P 2t,3
DT# 01-12707
Prior Ctf. #
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
4
FEES
Page / Filing Fee
5'
Mortgage Am!.
Handling
1. Basic Tax
TP-584
2. Additional Tax
Notation
Sub Total
EA-52 17 (County)
Sub Total
R.PTS.A.
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Spec.! Assi!.
Or
Spec. / Add.
EA-5217 (State)
Affidavit
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
Transfer Tax / ~ "'2-b
---
Comm. of Ed.
Certified Copy
GRAND TOTAL
1;;r /
Mansion Tax
The property covered by this mOl1gage 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.
Reg. Copy
Other
Sub Total
4;- '0"
Real Property Tax Service Agency Verification
Dis!. Section Block
Lot
6 Community Preservation Fund
Consideration Amount $ 3?, q 00.0 iJ
1000
143.00
04.00
010.001
CPF Tax Due
$
Improved
Vacant Land /tl c d
7 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
Nancy Tainiter, Esq.
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TD
TD
TD
8 Title Company Information
Co. Name Atlantic Abstract LLC
Title #
9
Suffolk Count Recordin & Endorsement Pa e
'Ibis page fonns part of the attached
deed
(SPECIFY TYPE OF INSTRUMENT)
made by:
Eileen Bergen Talbot
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO
In the Township of
In the VILLAGE
or HAMLET of
Southold
,
Gary S. Eisenberg
Mattituck
BOXES 5 TIIRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVERI
. ..
111111111111111111111111111111111111111111111I111111111
1111111111111111111I11111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
TRANSFER TAX NUMBER: 01-12707
Recorded:
At:
LIBER:
PAGE:
10/30/2001
01:30:09 PM
D00012150
263
District:
1000
Section:
143.00
EXAMINED AND
$329,900.00
Block:
04.00
CHARGED AS
Lot:
010.001
FOLLOWS
Deed Amount:
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $12.00 NO Handling $5.00 NO
COE $5.00 NO EA-CTY $5.00 NO
EA-STATE $25.00 NO TP-584 $5.00 NO
Cert.Copies $0.00 NO RPT $15.00 NO
SCTM $0.00 NO Transfer tax $1,320.00 NO
Comm.Pres $3,598.00 NO
Fees Paid $4,990.00
TRANSFER TAX NUMBER: 01-12707
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
/
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222
FOR COF,1i/5 ONLY
C1. "'ClIde
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1. Prope.rtv I
locatIon
540
. STREET NUMBER
East LeQion Avenue
STREET NAME
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES'
RP - 5217
RP-5217 Rev 3197
~outhol<J
CITY OR TOWN
VilLAGE
Mattituck
111952
ZIP CODE
2. Buyer
Name
Ei senbelog
LAST NAME j COMPANY
Gary S.
FIRST NAME
L--
LAST NAME I COMPANY
FIRST NAME
3. Tax
Billing
Address
Indicate where future Tax Bills are to be sent
if other than buyer address (at bottom of form)
L-
LAST NAME I COMPANY
STREET NUMBER ANI) STREET NAME
CITY OR TOWN
4. Indicate the number of Assessment
Roll parcels transferred on the deed
1 I # of Parcels OR D Part of a Parcel
5. Deed
Property
Size
Jxl
ACRES'
. 5 , 0 1
lOR L
I'RONT FEET
DEPTH
FIRST NAME
STATE
ZIPCOOE
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists D
48. Subdivision Approval was Required for Transfer D
4C. Parcel Approved for Subdivision with Map Provided D
6. Seller
Name
~lbot
LAST NAME i COMPANY
Eileen Bergen
FIRST NAME
15. Check one or more of these condifiy~~ as apPI~e to transfer:
A Sale Between Relatives or Fo~r Relatives
Bl Sale Between Related Compa~i~s or Pa~ in Business
C One of the Buyers is also a S,*!er
D Buyer or Seller is Government ,Agency orLending Institution
E Deed Type not Warranty or Bargain an~le (Specify Below)
F Sale of Fractional or Less than Fee Int~ (Specify Below)
G Significant Change in Proper.tf Betwee~xable Status and Sale Dates
H Sale of Business is Incl~p,ed in Sale PrCi)
I Other Unusual Factors Affecting Sale P'rICe (Specify Below)
J None
L-
LAST NAME i COMPANY
FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
A ~ One Family Residential
B 2 or 3 Family Residentiel
C Residential Vacant Land
D Non-Residential Vacant Land
E~ Agricultural
F Commercial
G Apartment
H Entertainment / Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
I SALE INFORMATION I
11. Sale Contract Date
07 / 16 / 01
Month D,y Year
10 l \ k, / 01
Month D,y Year
12. Date of Sale / Transfer
13. Full Sale Pdoe ~ ' 3 , 2 , 9 , 9 , 0 , 0 , 0 , 0 1
, , .
(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.
, /8~ ,0,01
, , .
ASSESSMENT INFORMATION - Oat$ should refleot,lh. latest Final Assessment Roll and "fax Bill
14. Indicate the value of persomll I
property included in the sale
16. Year of Assessment Roll from I 00 011 Total Assessed Value (of all parcels in transfer) I
which information taken 17.
Check the boxes below as they apply~
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
108. Buyer received a disclosure notice indicating
that the property is inpn Agricultural District
o
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,
18. Property Class
~~-u 19. School District Name I
Mattituck-Cutchogue
20. Tax Map Identifier(s) I Rollldentifier(s) (If more than four, i~ttach sheet with additional identifier(s))
1000-1~3.00-04.00-010.001
1
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I certify that all of the-items of infonnation entered on this form are troe and correct (to the best of my knowledge and belief) and I understand that the making
of any willful false statement of material fact herein will subject me to the provisions of the penal law relative to the making and filing of false instruments.
BUYER
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Tainiter
LAST NAME
BUYER SIGNATURE
DATE
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STREET NUMBER
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ct"~] "je4; f-....-
STREET NAME {AFTER~ALEI
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AREACOOE
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CITY OR TOWN
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ST"tTE
ZIP CODE
SELLER
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SELLER SIGNATURE
OATE
BUYER'S ATTORNEY
Nancv
FIRST NAME
537-2200
TELEPHONE NUMBER
CITYIYOWN ASSESOOR
corY