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BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS (INDlVlDUAL OR CORPORATION)
STA:'<IDARU NYBTU FORM 8007
("A'''flllS: TillS AI;KF.F.MF.NT SIIlJUI.D DF. PKKPARF.D B\' AN AmJRI'OF.\' A....D RF.\'IF.WI!:II B" ATIORi'it:\'S FlIR
SHI.F.II AND PIIR('Il,\,~KR BF.FORE SIGNINI;.
THIS INDI::NTURE, made the 3 ~ day of JUI.Y two thousand and four.
between ARNOLD A.IlOCKSEL, residing at 711 Miller Boule\'lIrd. Syosset, New York 11791
parly of the first part. and
JAMES A.IIINES. 26 Prince Street, New York, New Yurk 10012
party of the second part,
WITNI::SSETII, that the parly of the firsl part, in consideration ofTcn (S I 0) dollars, lawful
money of the Uniled States. paid by the parly of the second part, dlles hereby grant and rclC'dse unlo lhe
party of the second pari. lhc heirs or successors and assigns of the party of the second part tbre\'cr,
A/.L thal certain plot. piece or parcel ofland, with the buildings and impro\'ements lhereon
erected. siluate, lying and being in the Town IIfSouthoJ.\. County of Suffolk and SIale of New york,
known and designated as and by Plots Nos. 12 and 13 on a eerlllin amp enlitlcd,"AmcndL'lI Map of
Mauiluck "ark Prupcrlies Inc., Mallituck, New York," said map being I11lIde by Daniel R. Young,I'.E. &
L.S. fomt actual sur\'ey complcted July II. 1924. and tiled in lbe Office of the Clerk of the Counly of
Suffolk on the 12111 day of Januray, 1926 as and by Map No. SOl ;said lot when taken logethcr are
bounded and described as follows:
BEGINNING al a point on the westerly side of Sigsbce Road distanl southerly 564,40 feet from the
comer fonned by the intersection of the soulherly side of Main Road. N. Y.S. Roule 25 and the westerly
side of Sigsbcc Road;
RUNNING THENCE Soulh 20 degrees 38 minutes 00 seconds East aJon!! the westerly side of Si!!sbcc
Road, 100.00 fecI;
THENCE South 69 dcgrees 22 minutL'S 00 seconds Wl'St. 141.31 li:et;
THENCE l':1Ir1h 20 degrees 24 minutes 00 seconds West, 100.00 leet;
THENCE North 69 degrees 22 minutes 00 seconds East, 141.03 feel 10 the westcrly side ofSig.~bee Road
and Ihe point or place of BEGINNING.
The premises being eonwyed arc the same as the premises dCtiCribed in the deed to the grantor rec('lrded
in I.iber 7780 Page 233.
SYSIlA "MAlIICE mRMS )IOJ
Ki:TUl>7.1~
I
I
TOGETHI:R wilh all right, title amI inlerc:;I, if any. oflhe party ofthe firsl part in and 10 any
streets and roods ahuuing the above deserihed premisL'S IU the center lines thereof.
TOGETIIER with the appurtenances and IIlllhe estate and rillhL~ of the party ofthe firsl part in
and to said premises.
TO HA VE AND TO HOI.D Ihc premises herein grunted unto the party of the see.md part, the
heirs or successors and assigns of the pllrly of the second pari forever.
AND the party oflhe firsl Pllrt, covenants lhat Ihc party oflhe firsl part has nOI done or suffered
any1hinll whereby the said premises hove been encumbered in any way whatever. except as aforesaid.
A.ND the party oflhe firsl pan, in compliance with Section 13 of the Lien Law, covenants that
the parly oflhc first part will rL'Ccivc Ihe eonsidcrati,)n lor this conveyance and will hold Ihe righllo
receive such consideralion as a trust fund 10 he applied first for the purpose of paying the cost of the
improvement and will apply the samc firslto the payment oflhc cost of the improvement before using
any pan of the 101a1 of the same for any other purpose.
The word "party" sholl be construed as ifit read "parties" whenever Ihe sense of this indenture so
rL'quires.
IN WITN,.:SS WHEREOF, the party of the first pan has duly eXL'CUlcd this deed the day and
year firsl above writlen. ~ ~
.. Seller ArN/;d -A. l31J(!../(se /
RI;rI)67.lb
2
NYSRA I'KA(.1"1l'E H)RMS J/03
.
.
State of New York
)
) 5S.:
)
County of Suffolk
On the ;JJ day of JULY in thl: year 2004 ~Io~ me, the undersignL'lI, p.:l'lIonally appellI'Cd
ARNOI.O A HOCKSEL personally known III m.: llr pruwd 10 me on the basis of SlItislilelory e\;denee to
hI: the individual(s) whose name(s) is (arel subs.:rihL'lI to Ihe within instrumenl and acknowledged to me
lhal he/she/they executed the some in hislhl:r/thl:ir eapacily(ies). and that by hi5lher/lhl'ir signature(s) on
thc instrument, the mdividual(s). or the person up"n bchalfofwhich the individuates) acted, executed Ihe
instrument.
IJru.Lu.d t ;1~u.!1_ .
(signature and office of individual laking acknowledb'11lent) rouJt ~LL
dIM"" tllnCEU. No. 01 III HIw_
NOTl.. . ,.rale III -- 'lllIII eom.~ In
ou:;.,,~r<ii~'~" Acknowledgment by a Suhscribing Witness IIan ExphI"1O,
en..,,,,I..lnn ExpIr. ..
State of
)
) 5S.:
)
County of
On the day of __ __ in the year ~tbre me, the undersigned, p.:rsonully
appeared Ihe subscribing wibless 10 the foregoing instrument,
wilh whom I am personally acquainted, who, being by me duly sworn, did depo5c and say that he/she
~sides in (iflhe place of residence is in a city. include
the sITeet and street number. if any, thereon; thai he/she knows ___ to
be the indhidual(s) described in and who executed the foregoing instrument; that said subscribing
witness was prescnt and saw said __ execute the same; and thatlOlid
witness at the same lime suhscrilx.'lI hilllhL'f namo: as wiOless thereto.
(signalure and olliec of individual t:Iking acknowledgmcnll
BLOCK 1
RF.CORD AND RET1:RN TO:
SEe 14
OLSEN & OLSEN, t:SQS.
1.01"8
32495 Maio Road
COUNTY SUFFOLK
CutebollUc, New York 11935
XYSOA PRACTICIl r-ORMS Jill)
Rr:Tlll,7.16
)
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Number of p::I8cs
if
RECOROEO
2004 ~ 04 08.311:42 All
Edward P._ine
CLERK OF
SUFFll.K COUNTY
L 00001=4
P903
DlI 04-00377
TORRENS
Seriul#
Certificale#
Prior Clf. #
Oeed / Mortg'Ie In.olnll""nl
Derd / Mortgale Tax Slamp
ITI,s
R,:curding I Filing Stamps
3
I~..lge I Filing Fee
Handling 5. J1!L
TP-584
NnlalhlD
!;A.S2 17 ,CounIY) SuI> TOlul
EA-52 17 ,State)
R.P.T.S.A. ----#-
Conlm. L)f Ed. 5. OD
Affidavit
Certified Copy
NYS Sureharge 15. ~ Sub Total
Olher
Grund Tutal
Mortgage AmI.
I. 8a.~ic Tax
2. Additional Tax
Sub Total
Spee.lA"i1.
or
Spec./Add.
TOT. MTG. TAX
Dual Town _ Dual CClunty _
Held for Appoinlmenl
runofer Tax L f)}! 0 _
anslOn Ta.,
4
The property covered I>y Il>i, mortgage i,
or will be improved hy a one or lwo
family dwelling only.
YES or NO
If NO. see apPR)prialt: tax clause on
pag~ # of this insuumcnl.
Real Property
Tax Sen.-ice
Agency
Verification
1000 14300 0100 008000
5 CoIDlllUDilJ' Pre_rvatlon Fund
Consideration Amount $ I 0.... --
CP Tax Due
.-
$ /~. tH'X),
Impnlvec.l V
Salisra....linnsIDi!ru...hargr~elease~ Li~l I:tr\Jpeny Owners Mailing Addresl"
6 RECORD & RETURN TO:
v
Vac'nl Land
TD
1000
tJLJ€";.r}. ()LJEJV ~C.
/()~ ? pc,
CVTUfOf.-VE'/ Mf" 1/~.3$'
A-r;rIJ.' l)/9-vD.) 1JJ..J'~/I1 EH..
TO
TO
7
Co. Name
Tille #
8
SutTolk Count
Recordin & Endorsement Pa e
:J)./ul ~jf
ISPECIFY TYPE OF INSTRUMENT)
nmdc by:
Thi, page forms part of lhe attached
.MM/(/') ,4. 60GKfEL
The premises herein is Silualt:u in
SUFFOLK COUNTY. NEW YORK.
In lhe 1i,.wnship or .j-Oe!fTHrJI .n
In Ihc VILLAGE
or HAMLET of _ 11I1/ rnTl/CIIt..
BOXF.s 6 THRU 8 MUST BE TYPL!J) OR PRINTED IN BLACK INK ONLY PRIOR TO RL;cORDING OR FILING.
;:;,19111(;' S
TO
A.
H.uv /if
(UV!l:r)
....
111111I11111 11111111111111111111 11111 11111 ""111111111
1111111111111111111111111
:
SUITOLK COtnft'Y CLERK
RECORDS ORICI
RlCORDING PAGI
Type of In.trument: DBBDS/DDD
Number of Page.: 4
Receipt Number : 04-0086136
'lRANSI'IR !AX NtJMBBR: 04-00377
Reoorded:
At:
08/04/2004
08: 38: 42 AK
Diatriot:
1000
Seotion: Blook:
143.00 01.00
BXAHINBD AND CIlABGBD AS rou.owS
$270,000.00
LIBU:
PAGI:
Lot:
008.000
D00012334
903
:
Deed Amount:
Received the Following 1'_. li'or Above In.trument
Bx-s>t
NO
NO
NO
NO
NO
NO
$12.00
$5.00
$5.00
$5.00
$30.00
$1,080.00
Handling
NYS SRCBG
EA-S~ATE
Cert.Copie.
SCDC
COIIII.Pre.
Fee. Paid
$5.00
$15.00
$50.00
$0.00
$0.00
$2,400.00
$3,607.00
EJr'""lpt
NO
NO
NO
NO
NO
NO
Page/Filing
COB
EA-CTY
~P-584
RP.r
, ~ran.f.r tax
TRANSI'D. ~AX NUMBBR: 04-00377
THIS PAGB IS A PAR~ 01' TBB INST1WHIH'1'
THIS IS NO~ A BILL
Edward P. Remaine
County Clerk, Suffolk County
"
.
FOR COUNTY USE Ot\lL Y
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
'7, 1, ~,s, 6, 'I
:::, / '-I l>( I
Day Ye~r
C3. Book I /, ~ ~ -3, 'lJ C4. .'981 C1,C, J
C1. SWIS Code
C2. Date Deed Recorded
~.',onTh
PROPERTY INFORMATION
"..pertv L l.c I S \ (" 'S fS. c::t::'
Location STROf'l\~R
L'F'iww" Pr If {
2. BoV" Lt1 I r.J E.. <s,
Name l"'STNA~EICOMPANY
gTIlEfTNAM.
TlAC\<"",
L____
LAST NA'-'E..'CQMPANY
3. Tax
Billing
Addre$S
Indicate where luture Tax Bills ace to be sent
ilotherlhan Duyeraddress(albottomdfo',-,,)
lASTNA',TE CO'.'"ANY
L-._
S'-~EET I,UMBER A-'O STREET NAME
4. Indicate the number ot Assessment
Roll parcels tran5f8r~ed on the deed
-~
# of Pa'cels
OR 0
S. Deed
Proparty
Size
L___---.J X L-----.J OR I
rRomlUT ::cP;H .
~CD<:\<" '> E 1-
LAST NAME fCOMPANY
6. Seller
Name
L
CAST NA,1E COM~ANY
*
i ':,
.
- -- .. ..
~ ,,,,,"
((OAP
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RJ'.~!17 MOl 3m
_1
~AM~S
""5T "A~'!
A-
l/1,Sf.-
- ~'~.ST "Ar,,,
FIRST';M,'E
CITY 011 TOWN
STATE
ZIP CODE
(Only if Part of a Parcell Check as they apply:
PartofsPareel
D
D
D
"("0$
4A. Plonni1g Board with Subdivision AuthDfityExists
?J;;;" 4B SUbC'\ISlOn Approval was ReqJlred for Transfer
. ~-rti;~;:;O",d '''SObl:['' M'pPm"'d~
flASTNIl.ME
FIRST NAME
eloll'l which most accurately describes the use of the property at the time of sale: Check the boxes below os they apply:
8, Cwnership Type is Condominiu'T'
9, New Construction 0'1 Vacant land
E~ AgriculTural ~~ CDmmLmily Servic~
F Commercial Industrial
Resident'al Va:anT Land G Apartment PUb'ic Service
Non-Residential Vacant Land H Entertainmer\l Amusement Forest
lOA Property Located within an Agricultural District
lOB Buyer le~e;ved a d,sclosure notice indicating
trlat the property is in an Agricultural District
D
D
D
D
SALE INFORMATION
L (0/
Month
I'-t / C)<j
Day Vear
/"1-....../0lf
Day Vear
'1. Sale Contrect Date
12. Date of Sale I Transfer
7
MO"lh
13. Full Sale Prjce
() (I) 0
lLJLj
t-/.O
, ,
<Full Sale Pricr! is ["'e:ot<ll amount pard fN the p'ope~y inc!uding personal prcperty
This pilyment may be ,n the form of cash, other ;:Jropertyorgoods. or the assu,nption of
mmtgilges or other obligations,) Please round to the nearesr who!e doli", amOllnt
14. Indicate the value 01 personal
property included in the sate
-0
II
, , .
ASSESSMENT INFORMATION. Data should reflect the latest Final Assessment Roll and Tax 8ill
01
16. Year of Assessment Roll from
whjchjnformationtak,m
~17.
15. Chec ne or more of these conditions as appliCtlble to transfer:
A Sale Between Relatives or Former Relatives
B Sale Between Related Companies or P.utners in Business
C One of tha Buyers is aiso a Seller
D Buyer or Seller IS Governme~t Agency (I' Lending Institution
E Deed Type nat Warranty or Bargain and Sale (Specify 8elow)
F Sale of Fractional Or Less than lee Interest (Specify Below)
G SignifiC-3n: Change in Property Bet\...eer Taxable Status and Sale Dates
II Sale 0' BL-'sincss is Included in Sale Price
] Other Lnvsual FaCTOrS AffeCTing Sale Pr;ce (Specify Below)
J r'\o,,()
~,~-a
,
18 Property Class
I a /
OH
j 19. School District Name
TO'II Assessed Value (of aU parcels in transfer) I
11;/ T r -TI/Clt.
20. TOil Map Idantifier[sl/ Roll Identffiar(s) (If mOra than faur, attach sheet with additionalldentifier{slI
/000- 1:i2!J}-OI.QO-
o b J\Q.DD
CERTIFICATION
..J
---.J
.!:1!LYER
I ccr1if~ that all of Ihl' ilems of infom13!ion entl'rl'tl UII Ihis form are true and correct III! Ihe hl",1 uf m~ Imll\lllod~e and heli(-fl and I under;tand that Ihe making
of an~ \\iIIful 1':11* stat.:ment of matl'rial f<Jd ht'rein \\ill SUbjfft m.. 10 thl' pro,ision~ of the Pt'nal [;j" r('lati,\' tn the making and Iilin!.: uf false in'trument.~.
-~;;;V2 (~ /il'-) 12/r~) OLl
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STREET ""ME IAFT~R $AlU
jlvij
S~AT"
/ (flU)
sT;'n,",U'.'BEA
oJd21+rnrv OL
//95(L
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C:lZ"LLp'-UC( I
SELLER r i
~:/r:-~:2~ 2kd-Cf-/i
SELLERSIGNATIJAE ,/
~BUY~.'CY
-----~
~LJ _ V ,j))Jj/)J/
lAST "lAME r'%!"AME
G?;J
1JV 7 (;~&
TELEPHONE NUMBfR
AREACOOE
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NEW YORK STATE
COpy
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