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(:ONSUL T YOUR LAWYER BEFORE SIONWG THIS "STRUMENT -THIS .NSTRUMENT SHOULD BE USED BY LAWY&R8 O~L y
lrHIS INDENTURE, made the
IIETWEEN
I~~
day of NOVEMBER . 2002
SYEDA A. HASHMI
. 115 WALNUT PLACE
MATTlTUCK, N.Y. 11952
I"'rty of the first part, and
IlESIDING AT:
IlESIDING AT:
SYEDA A.. HASHMI AND OMER FAROOQI
115 WALlNUT PLACE
MATTITUCK, N.Y. 11952
I'arty of the second part.
IMTNESSETH, that the party of the first part, In consideration of
donars
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,
I'LL thel certain plol. piace or palrcel of land, with the buildings and improvements thereon erected, situate.
lying and being In the
SEE SCHEDULE "A" ATTACHED
I~EING AND INTENDED TO BE THE SAME PREMISES CONVEYED TO THE PARTY OF THE FIRST PART
IN UBER 12009 PAGE 900
TOGETHER with all right, litle and Interest. If any, of the party of the flrsl part in and to any streets and roads
,obultlng the above described premises to the center lines u-eot; TOGETHER with the appurtenances and all
Ithe estate and rights of the part~f of the first part in and to said premises; TO HAVE AND TO HOLD the
I~nomises herein grantad unto the party of Ihe second part, the heirs or successors and assigns of the party of
Ithe second part fonover.
."ND the party of the first part c)venan18 thai the party of the first part has nol done or suffered anything
,.,hereby the said premises have t-.. encumbered in any way whetever, eXcepI as aforesaid.
."-ND the party of the first part, in compliance with SeclIDn 13 of the Lien Law, covenants thelthe party of the
nrst part will recelva the consideration for this conveyance and will hold the right to noceive such consideration
as a trust fund to be applied first for the purpose of paying the cost of Ihe Improvemenl and will apply the same
firslto the payment of the cost of the improvement belona using any part of the total of the same for any 01'-
purpose. The word "party" shall be construed as If It noad "parties" when ever the sense of this indentuno so
requires.
IN WITNESS WHEREOF. the party of the first part has duly executed this deed the dey and year first above
written.
IN P .SENCE
iA~ ~~.
SYE A. HASHMI
standard N. Y .B_T .U. Form 8002 ~ BatgBin and Sale Deed. with CovenlWtt against GrBnlDr'& Acts - Uniform Acknowledgment
Fonn 3290
Schedule A
Title Number 11'650-EX-S
ALL that certain plot, piece or parcel of land, with the buildings and improvements
thereon erected, situate, lying and being at Mallituck, in the Town of Southold,
County of Suffolk and State of New York, bounded and described as follows:
BEGINNING at a point on thai Westerly side of Walnut Avenue, distant 379.74
foet Southerly from the comer formed by the intersection of the Southerly side of
Sound Avenue (North Road) land the Westerly side of Walnut Avenue and from
said point of beginning;
F~UNNING THENCE along the Westerly side of Walnut Avenue South 17 degrees
24 minutes 50 seconds East '75.00 feet to the land now or formerly of Produce
and Fertilizer Co., Inc., of Suffolk County;
THENCE along said land South 77 degrees 26 minutes 50 seconds West, 88.25
ft!et (87.00 feet deed) to land now or formerly of Nine:
THENCE along last,mentioned land North 13 degrees 28 minutes 30 seconds
West, 25.53 feet (25.00 feet deed);
THENCE still along land of Nine South 77 degrees 26 minutes 50 seconds West,
56.00 feet to land now or fomnerly of Peter and Annie Berdinka;
THENCE along last mentioned land North 17 degrees 24 minutes 50 seconds
West, 40.00 feet (42.00 feet deed) to land now or formerly of Berdinka;
THENCE along last mentionod land North 13 degrees 40 minutes 30 seconds
East, 142.00 feet to the Westerly side of Walnut Avenue and the point or place of
ElEGINNING.
, TO BE lI~ ~~ ~ VJ!:fN THE ACKND~DGMENT IA MADE IN NEW YORK STAn;
Slate of N~or1<, Counly ~ SS~ Slala 01 New York. Counly of
Onthe JIIf'd;yOf ~lnlhe)'88r~ Onlhe day of in the year
before mol, the~'~1I- ~'ed before me, lhe undersigned, peIBOnelly eppelll1ld
personaH!, 1m ~~e ~ or proved to me on the basis of personally known to me or proved to me on the basis of
sellelaclory ev oe 10 be the Indlvlduel(s) whoee neme(o) 10 ..lllIlec:tory evidence 10 be \he indivldlUll(o) - neme(s) 10
(ere) oub5cribed 10 the wilhln inobument end ecknowledged 10 (e..) aublla1bed 10 the within Insbumenl end IICknowledged to
me thllt helahellhey executed the same in hlslherltheir me that heIaheIIhey executed the ..me in hilllherlU1eir
cepecily(leo), end lhal by hislherflhelr olgneture(o) on the cepeclly(leo), end \het by h1111hed1he1r olgnature(s) on the
Inow""",I, Ihe IndM a), or the u n behelf of which inslrwnent, the indlvldual(s), or the person upon behelf of which
the indMclual(s) e e. n~ the indlvidual(s) aded, e.eouled the Inslrument.
(olgnetu.. ond _ of individual laking acIu1_gmen1) (olgnolufB and oflloe of Indivlduellaking ecknowledgment)
_A.Le~
NaIIIy....... _"'_V...
No. DlIAm1_
~ ~kl8IlIaIICauIIr .., _AI
. h.. ...... bVUO
5S:
TO AE USED ONLY WHEN THE ACKNOWLEDGMENT 18 MADE OUTSIDE NEW YORK STATE
Stele (or Dialrtct of Columble, TerriIory, or F.....lgn Counlly) 01
ss:
Qnlhe
day of
In the year
before me, tha undersigned. personeUy eppeered
personell~ known 10 me or proved to me on the _ of aeUslaClOly evidence 10 be the Individuel(s) whose name(o) ia (BI8)
suboCribed to the within Inobument eM ecknowledged 10 me lhal helohellh"l' e.....1ad the..me In _rflhalr cepeClly(iea), end
thet by hilIIherflhelr oIgnature(s) on the Instrument, the Indlvldual(s), or the person upon behell of which the Indivlduel(o) -,
executed the inslrUment, and that such Individual made such appearance before the undenllgned In the
In
(insert the City or other politicaleubdivialon)
(end Insert the St... or Country or other place the acknowledgment was taken)
(signature and office of individual taldng ecknowIedgment)
BARGAIN AND SALE DEED
wrnt COVENANT AGAINST GRANTOR'S AC:TS
SECTION /lIJ - ()7J
BLOCK or - (JO
LOT ()r3- oaT>
COUNTY OR TOWN
STREET ADDRESS
TItle No. 11850-EX-S
~ A-5tlM \
TO
~1!11 i A-#D
,
F1I4'47J ~J
Recorded at Request of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
COMMOh'WEALTU l-^hU TIII.I: II'OSWlAfliC"l! COIolPA:oI.Y
~y.(tk A-. H~stJf"';
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STANDARD FORM OF ~W YORK BOARD Of' TInE UNDeRWRIT'EIUI
llIstrIbul8d by
o Commonwe~l~">__,,
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Serial #
RECORDEr'
2003 Jan 15 Q4,05:29 PI1
., -Edward P.RolNine
CLERK OF
SUFFOlK ~OUNT\'
,L DOOOl2230
P 549
on 02-23395
Number or Pages
TOllRENS
CertiCICIl'. #_
Prior Clf. #_
Deed I Mongage InslrUl1)cn'
Deed I Mortpge Tax Stamp
FEES
Recording I Filing Stamps
~
Pagel Filing Fe<'
Handling
1"1'-584
(~
S-
~-
Mortgage AmI.
I. Basic Tax
2. Additional Tax
Notation
Sub Total
R.P.T.S.A.
5
Ol.S-
=1J-
5 <ll2-
Sob Total
a.. 7-
Reg. Copy
rS ~ SubTotal
GRAND TOTAL
7S
ID;;}.-
Spee.! AssiL
Or
Spec. I Add.
TOT. MTG. TAX'
Dual Town Dual County_
Held Cor Apportionment
TllUlsrer Tax .. .~
Mansion Tax _
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YF.8 or NO
If NO. seD appropri.,. tax clause 011 page II
..flhis inslru~t: f f-' /,/-0::1-
!;A-52 17 (Counl:y)
EA-5217 (Slate)
Certified Copy
Comm. of lid.
Affidavit
Other 7
tL
.:.. __ - _. ....1__.-
',at
I
6 Conununity Prcservalion Fund
Consideration Amo.unt $
RcaI Property Tax Service Ajjcncy Verification
Stamp
1000 14201) 0100 013000
,
CPF Tax. I:>ue
$
Improved ~
Dale
Vacanl Land
Initials
1 SalisCactionslDischargeslReleascs Lis. Property Owners Mailing Add
. RECOKl) '" RETURN TO:
5yeda../J. . I/tiSA fH.('
11, /vA./nJf- f!deL
HaJliflJd- I ^1 Jlq~g
TO '0
. TD
TD
~
Suffolk Count Recordin
dorsement Pa e
8
Company Information
5 - 1'10'
'Ibis p.gc ComlS part of the altached
made by:
'I'he premises hen:in is situated in
SUFFOLK COUNlY, NEW YORK.
1'0 In the To\M\5hip of ~ I J..
5y-edA II. 'Htt~hlW' In the VILLAGE
...1JnJ.ff Fa am 11;;:1.: . or HAMLET of
BOXES 51HRU 9 MUST BE TYp/h OR PlUN"IED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
5 ytk 1/-.- H a. ~ j, (I1i /
(SPECIFY lYPE OF INSTRUMENf)
/1d-U--i~
/111111111111111111111111111111111111111111111111111111
I111I1I111111111111111111
SUFPOLK COUNTY CLERK
RECORDS OPPICE
RECORDING PAGE
Type of Instrument. DEEDS/DDD
Number of Pages: 4
TRANSFEFt TAX NUMBER: 02-2:3395
Recorded:
At:
LIBER:
PAGE:
01/15/2003
04:05:29 PM
D00012230
549
Deed Amount:
Section: Block:
142.00 01.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Lot:
013.000
District:
1000
Page!FU:I,ng
COE
EA-CTY
TP-584
RPT
Transfer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$0.00
Fc)r Above Instrument
Exempt
NO Handling
NO NYS SURCHG
NO EA-STATB
NO Cert.Copies
NO SCTH
NO Comm.Pres
Fees Paid
$5.00
$15.00
$25.00
$0.00
$0.00
$0.00
$102.00
Exempt
NO
NO
NO
NO
NO
NO
Received the Following Fees
TRANSFER TAX NUMBER: 02-23395
THIS PAGE IS A PART OF THE INSTROMBNT
Edward P.Romaine
County Clerk, Suffolk County
F.OR COUNTY USE ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://wlII'w.orps.state.ny.us or PHONE 15181 473-7222
REAL PROPERTY TRANSFER REPORT
C1 SWIS Code
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2.
RP - 5217
C3.
IU'..'U17U.c,'3/')7
PROPERTY INFORMATION
1. Prop".rty L-- -,II
Location STRF" ~'UMRFR
~
2. Buyer
N..rne
~~7b ;
, IAS1"AMF:'~
L-__
"A5T OIAM[: (Cll,1P,\NY
FIRST NAII.t~
VILLAGE
Dmlf
fiRST NAME
7IPCQfl;,
3 TilIx IndIcate where fOILlle Tax Bills a e to be sent
Billing IfotherthflnblYl"Ilr1dr<"SSlatbOItOmofformJ~_ ~~__~__ __J
Add,~' c.- '\JCL n lit-- ({C((li:'''''"'''""''"' rf/TV Ct- ",,,,,".
L{j";>,o,,,J4JJ\j"'^M' &WW" 11:11 tl~~
I
4. Indicate the numb,;tr of Assessment
Roll parcels transf,!rred on tl1e delMi
# of Pan;els OR D Pari of a Parcal
(Only if Part of a Parcell Check as they apply:
o
D
D
4A. Plflnning Board with Subdivision Authority Exists
~ D0ed
Property
Size
lOR L.~~ ~~J
'"'' 6.1.ed~
-.--~,.~- ff1S~NAMf.
_.J
48. SLlbdivision Approval was Required for I ransfe'
6 Seller
Name
__ _---.J X ~
, ~;>:a;;/1 ini'
L-_. _"_
LA T "AME;co~r^NY
OUT,"
4C Parcel Approved for Subdivision with Map Provide{,
4-'
_---.J
,A!iT ~AME ("nr/PAN'(
"llS' N^ME
7 Check the box below which most accurately describes tne use of the property at the time of sale
A~onE) Family Residc'lllal E~ Agricultl..ral 1 ~ cornmuniw.service
B : 20" 3 Falni.y Residential P Commercial J IndUSVal
C Residential V~ea,~l Land C; Apartment K PubliC Service
I)' NOll.Re.,idenlialvil~iln~ L<lnd 11 Entertainment! AmUsOlment L Fares:
I SALE I\lFORMATICrr-'
Check the boxes below <15 they apply
8. Ownership Type is Condominium
9. New Construction on Vacant Land
D
D
D
D
10A.
108
Property Lacaledwitnin an AgricUilJral District
Buyer received a disclosure notice indicating
that the property is in an Agricultural District
15. Cheek one or more of these CDl1ditiol1s as applicable to transfer:
11. Sale Contract D~te
;~
Vel"~
, Sale Between Relatives or Former Relatives
Sale Between RelBted Companies or Partners ;'1 BLJ5ine~~
Qne of the SIJYers ;s ..Iso a Seller
BLlyer or Selle' is Goverllment Agem;y or Le"dlng InstItution
D.,
"
C
lJ
b
f'
Deed Type not Warranty or B..rgain and S.,lll lSp"r:ify Below)
Sale of Fractional or less than Fee Interest ISperify 8elowl
Significant Change ill Property Between Taxable Stil':llS and Sale D<lte.~
Sa'€! of BIJSjr.flS~ is Inclucied in Sulc Pric0
Ma"m
12. Date of Sale i Transfer
It
c; J.:--
It;b
Day Yea,
Month
_.J-__...J'_'.J..-6~1L-!U
, , .
(Full Sak PriG" is t 1e tot,,1 amourt paid lor the vopeny indlJd;ng per'sonal VQperty.
This payment Ir,av be in thp fQlfn of cash, OTher [lfClperty 01" goods. 01" the ~ssumptian of
mOltgflges D' '.Jthp" nblj~ilflnns..1 Pie",;" r')U1,d tD !I,u noar",;! whole ,jollar mnOlml.
r'
14,ll1dic"tet~ev"lue~fpE!rsonar, n U ~ --.-~--,".._..--._.~...,--- --.----
propertYlncIUdedmth'''.~~I.e L-i--..L-- ,~ ~ .., ',. . ;:--:-----'".--~~
rASSESSMENT INf~OR~!j-I.?N----~-~~I-d. reflect the latest I:insl Assessment R~~!"..<I;r.illr~~~"'------'-"'--~""'.=~-------' .~~.- ."~"._- '--" .~-~
16. v..; 01 As~,"rr,.ot Roll :,om I C; IJ... L U 5;) 0 I
. h. f . k ______ -gy 1J. Total Assessed Vallue lof all parcels in transfer) ------'----.-'"----'-------'--~----------".------'-.~-------'---..
wh.c In ormatl,m ta en _ -- ~ ",
1SPropertyClass IdJ,DI_U 19.5(:I1(l(lIDistrict~lamal /~ ___.~"~~"____.__.__..J
G
13. full Sale Price
L__
Other U"u~lI<l1 Fm;10r,; Af-fcctin\l S~le P"rico ':Spcc.!y Sc!ovv)
[[
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No,'c
2Q Tax Map Iclentif erb) J Roll tdentifier[sl (If more than four, attach sheet with additionlllldenti(ier(~IJ
:m.strtf _~
1 lhLiLL C/. (J()
.
f:fm / L/d, - tf?J
()r3- cJc?O----.
___._J
I CERTIFICATION J
I (."t'rtifY tlult all (If thl' items of infonllathm ~ntl'red Oil this form :.Ire true and I:orrcd (to the b(.'S1 of tn~' "n\/wlcd~e and belief) anti l \lIIdcNtaud tho'll the makillg
of any willful falsl' statement of material fad: hl'rl'in will subject nil;' to the IlrtlvL'liuns of the m:llulluw rdlltivl' to thl' mllkin~ tllul 'i1iUI!;: l)f false im;lrllluellV;.
'l
--, BUVER
f ./c- d:v ~
~~2'-&7- . / .---;r-:J
</~.//""/Y'
BUYER'S ATTORNEY
J f.- Iq-{[).
lit;
, /~
IV(
__------1...~ ~__"____.___
AREA l.()DE T~L"PHON~ NUMBER
FIR~T NA\1c
uuY~HSIG"'~~
lASTNAMF
DATE
~Ja{ nul- Neece-
--51~E(TNAME'AFT~RSAIFI
Htr tl-i /-v_if-
,.ITV'"O,C-,';/N
5TRFFT NUMRfR
/(ic;r-
SELLER
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STATE
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Nl:W YOKK STATE
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