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CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -- THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, made the 12th day of March in the year "I'wo "fhollsand One
BETWEEN KEITH HARRIS
/
/
/
Residing at
265 Freeman Road
~[af(il11Ck, New \'ork, 11952
party of the first part, and
KATHLEEN HARRIS AND KEITH HARRIS (!.f ilJSi)AN!' "
265 Frcf:man Road I
MattitLlck, New Yark, 11952
l/..II,r"e,.-
party of the second p.lr!,
WITNESSETH, that the party of the first part, in consideration ofTen Dollars and other valuable consideration paid by the party
of the ~;ccolld part, docs hereby grant and release unto the rarty of the second part, the heirs or successors and assIgns of the party
or the ~;l'colld 1),ln (orever,
ALL, tlat certain plot, pIece or parcel of land, "vith the buildings and Improvements thereon erected, situate, lying and being in
SEE SCHEDULE 'A' ATTACHED HERETO
District: 1000
Section: ] 39
Block: 03.00
Lot: 037.000
BEING AND INTENDED to be the same premises as conveyed to the parly of the first part by Deed from L. Barron Hill,
Adelaide H. Hill and Hcdvig P. Terry dated December 17, 1969 ,md recorded in the Suffolk County Clerk's Office 011 December
23, 1969 in Liber 6680, Page 128.
TOGETHER '\'lith 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 prcmis~s to the center lines thereof; TOGETHER with the appurtenances and all the estate and righu; of the
party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted lInlo the party of the
second part, the heirs or successors and assigns of the party of the second part forever.
AND tl~c party of the first par,l covenants that the parly of the first has not done or suffered anythmg whereby the said prcnuses have
bccn en':umbered in an~' way whatever, except as aforesaid.
AND tl~e party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of thl' first part will recenT
the comideration for this conveyance and will hold the right to receive such consideration as a trust fund to he applied first for the
pmpose of paying the cost of the improvement and will apply the same first to the paymelH of the cos1 of the improvement bcforc
using any part of the total of the same for any other purpose.
The wOld "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires.
IN WITNESS WHEREOF, the party of the first part has duly executed t~ deed the:la H1d rear first ahove written.
IN PRI':SI':NU': ()I':
KEITH HARRIS
Standard N,'(.B.T.U. Form 8002, Bargain and Sale Deed. with Covenants Against Grantor's Acts __ Indiv,dual or Corporate.
.
Title No. ST-2307-SLJ
SCHEDliLE"A"
ALL. that certain plot, piece or parcel of land. with the buildings and improvements crcckd,
situate, lying and being in the Town or Southold, County or Suffolk and State or New York,
known and designated as and by part of lots 43 and 44 as said lots are shown on a eeliain map
ertitled, "Map or Garden Heights, situated at Mattituek, Long Island" and filed in the Office of
thl' Ckrk or the County or Suffolk on .Jutle 24, 1929 as Map # ')77 which said parlor lo[s, whcll
ta\.cll together, an: bOlllllk:d and described as follows:
I1ECilNNING at a point in the Northerly side or FrCC1l1,11l ^vcrllll' distant 21 X.S6
reet Easterly from the corner I(Jrlllcd by the intersection or the Northcrly side or
Freeman ^VCllUC with the Easterly side of Wickham ^VCtlllC, said point also
marking the division line between lots 42 and 43 011 the allH'l.:said Illap and froJl1
said point of beginning
RUNNING THENCE along said division line North 14 degrees 02 minutes 50 seconds
West, 174.08 reet;
RUNNING THENCE through lots 43 and 44 North 68 degrees 16 minutes 00
seconds East, 100.65 feet;
RUNNING THENCE along the division line between lots 44 and 45 South 14 degrees 02
III inutes 50 seconds East, 180.4 1 feet to the Nnrlhcrl.\' side or Freeman ^ vellue;
RUNNING THENCE along the Northerly side of freeman Avenue South 71 degrees 51
Illinutes 40 sewnds West, 100.0 ICet to the poinl or place orIlL(iINNIN(i.
~2
Number of pages
TORRENS
1<(colWH
WI lilY 12 02. X 40 1'/1
CLE"'-t OF
Serial #
Certificate #_
L 0000 i21l'5
P au
v r4 00-3:>J{.3
Prior Ctf. #
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
~
FEES
Page / filing Fee
If) -=-
Mortgage Amt.
Handling
TP-584
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S' ===-
I. Basic Tax
2. Additional Tax
Notation
Sub Total
EA-52 17 (County)
(1:(" ~
6?J~ -===-
Is
/------
Sub Total
Z1
. --
Spec.! Assit.
Or
Spec. / Add.
EA-5217 (State)
Comm. of Ed.
50~
TOT. MTG. TAX
Dual Town Dual County
Held for Apportiooment
Transfer Tax ~
RP.T.SA
Affidavit
Sub Total
LfO:--
7cP--
Mansion Tax
The property covered by this mortgage 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.
Certified Copy
Reg. Copy
Other
GRAND TOTAL
'.-.'.
Real Property Tax Service Agency Verification
Dist. Section Block
Lot
6 Community Preservation Fund
Consideration Alllount $
IIJOD
03:cu
'r) CPF Tax Due
$ ~....--:c-
Improved
Vacant Land
Satisfactions/Discharges/Releases List Property Owners Mailing Address
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;) (j S~ R ftv77CU7 I2d.
!v1 Ct+h1u ct, ().y /lqS:d-
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nus page forms part of the attached
Title Company Information
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Suffolk County Recording & Endorsement Page
UxQd
(SPECIFY TYPE OF INSTRUMENT)
Title #
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made by:
"to A)-VI
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BOXES 51HRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
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The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the TO'M1Ship 0['- ) /L.{{/c.~:;lf--lc..
In the VILLAGE
or HAMLET of
L_
.
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
TRANSFER TAX NUMBER: 00-33963
Recorded:
At:
LIBER:
PAGE:
04/12/2001
02:36:40 PM
D00012113
042
District:
1000
Section:
139.00
EXAMINED AND
$0.00
Block:
03.00
CHARGED AS
Lot:
037.000
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 $0.00 NO
Comm.Pres $0.00 NO
Fees Paid $72.00
TRANSFER TAX NUMBER: 00-33963
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
~
REAL PROPERTY TRANSFER REPORT
STAtE OF NEW YORK
STATE BOARD OF'AEALmoPERTY SERVICES
'" .
RP.. 5217
liP-sit? Rn- 3I'TI
,. Pmpe... ~ 05
Location STRI,ET NUMBER
( K~f::tJQA~
STREET NAME
L- (VI A--r..-j I -r,.! (, Ie-
COY OR TOWN
{20
VILLAGE
I (i?",-'
I
2. Buyer
Name
L,j-1€l 0. [) . /"
LAS, NAM I COMPANY
i/-I'fll
FI NAME .
, I ~~ c'
L-.3iA I!
LAST fd,ME CO PANY
I:::-A1'u Lr;;i-:::,..,j
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
FIRST NAME
L-
srnE ET NUMBER AND STREET NAME
CITY OR TOWN
STATE
ZIPCQDE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
# of Parcels OR 0 Part of a Parcel
5. Deed
Property
Size
L
fRONT FEET
Ixl
DEPTH
lOR L
, ,o.4.D
ACRES
IOnly if Part of a Parcell Check as they apply:
4A. Planning Board with Subdivision Authority Exists 0
48. Subdivision Approval was Required for Transfer 0
4C. Parcel Approved for Subdivision with Map Provided 0
6. Seller
Name
L-t;},AUJ!
LAS1 N ME f COMPANY
k-e l'fh
FIRST NAME
L- I
LAS1 NAMEi/ZO PANY .. .... '(... I' i FIRST NAME
\ ' , ," , ._, ,",'./ I .
7. CheLk the DC:xberow \Iv ch most ~ccu;;tely describes ~he use of the property at the time of sale:
A~e Famil~ Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant Land
E~ Agricultural
F Commercial
G Apartment
H Entertainment I Amusement
~~
Community SelVice
Industrial
Public Service
Forest
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
lOA. Property Located within an Agricultural District
10B. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
D
D
D
D
IIU~
15. Check one or more of these conditions as applicable to transfer.
11. Sale Contract Dilte
/ /
Month D,y Year
OJ / /2 / DI
Month D,y Year
A
B
C
D
E
F
G
H
I
J
ale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
ne of the Buyers is also a Seller
Buyer or Seller is Government Agency or lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than Fee Interest (Specify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
12. Date of Sale I Transfer
13. Full Sale Price I I I 0 I 0 , 0 I
, , .
(Full Sale Price is the total amount paid for the property inciudinU personal property.
This payment may oe 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.
~,
14. Indicate t~e valUll ~f personal I I I I I I I I 0 , 0 I
property Included In the sale, , .
~'-!_~&:~
16. Year of Assessmunt Roll from I
which information taken
17. Total Assessed Value lof all parcels in transfer) I
131.
,
-,,3,
,
~3J
18. Property Class
12. L ,(\I-U '9. School Di"";ctN.m.I \ 2
tI\ 811 n I)L k.
c. \11' Hl; bL\...E"
, .
i 20. Tax Map Identifierls) I Rollldentifierlsl (If more than four, attach sheet with additional identifier(s)}
{ (ie(,
.
15'1,00
1)'17- 0 "
I
----
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 sltatement of material fact herein will subject me to the provisions of the penal law relative to the making and filing of false instruments.
(]1,O"
BUYER
BUYER'S ATTORNEY
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YB~[~tNi~RE( ( ~
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LAST NAME
FIRST NAME
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STREET NUMBER
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STREET NAME (AFTER SAlEI
AREA CODE
TELEPHONE NUMBER
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STAT12'""" ZIP CODE .
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