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... . Staoc1arcl N.V.B.T.U. Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts - Uniform Acknowledgment
Fonn 3290
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
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THIS INDENTURE, made theqvaay of July, 2004
BETWEEN
GEKEE Y. WICKHAM, residing at 28700 Main Road, Cutchogue, New York 11935, party of the first
part, and
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~o a.sjo',,,tk,,,,,,,,,-rs ""Lit. r'1t.<isoF svrvlVovs '('-
WILLIAM F. GRELLAIAND GARY D. OSBORNE, 80<!> Ie-Rents iR BB"''''8F\,
residing at 327 West 30th Street, ApI. #4E, New York. New York 10001, party of the second part,
WITNESSETH,thatlhe party of the first part, in consideration ofTen and 00/100---------------------
---------------------..-----($10.00)----------------------- dollars,
cmd other good and valuable consideration 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,
AU that certain plot, piece or pareE,1 of land, situate, lying and being at New Suffolk, in the Town of Scuthold,
County of Suffolk and State of New York, bounded and described as follows:
BEGINNING at a point on the easterly side of First Street, distant 50.00 feet southerly from the comer formed
by the intersection of the easterly side of First Street and the southerly side of Orchard Street, said point also
being the intersection of the southerly line of land now or formerly of Maxine Kessler and Elaine Romagnoli
imd the easterly side of First StreElt;
RUNNING THENCE South 82 degrees 53 minutes East along said land now or forme~y of Kessler and
Romagnoli, 61.72 feet to Cutchogue Bay;
RUNNING THENCE South 08 de!lreeS 08 minutes 20 seconds West along a tie line along Cutchogue Bay,
50.53 feet to land now or formerly of Anna Loria;
RUNNING THENCE North 82 degrees 53 minutes West along last described land, 61.45 feet to the easterly
side of First Street;
RUNNING THENCE North 07 degrees 50 minutes East along the easterly side of First Street, 50.53 feet to the
point or place of BEGINNING.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated
111/24/00, recorded 12/15/00 in Liber 12090 page 985.
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.
AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the
first part will receive the conSidem,tion for this conveyance and will hold the right to receive such consideration
as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same
first to the payment of the cost of the improvement before using any part of the total of the same for any other
~.urpose. The word "party" shall t>e construed as if it read "parties. when ever the sense of this indenture so
requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF:
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G.J. . ~ 'I 1>>.. ..tel. n hA
Gekee Y. Wickham
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TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
Slate of New York, County of Suffolk, ss:
On the ;{.3.. day of July, in the year 2004
before me, the undersigned. personally appeared
GEKEE Y. WICKHAM
personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) wlhose name(s) is
(are) subscribed to the within instrument and 81cknowledged to
me that he/she/they executed the same in hislherltheir
capacity(ies), and that by hislher/their signature(s) on the
i men. the individu I 5, or the person IlIpon behalf of
the i ivi ua acted. e uled the instmrnent.
State of New York. County of Suffolk
ss:
On the day of . in the year
before me, the undersigned. personally appeared
personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) whose name(s) is
(are) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in hislherltheir
capecity(ies), and that by hislherltheir signature(s) on the
instrument, the individual(s), or the person upon behalf of which
the individual(s) acted, executed the instrument.
(signature and office of individual taking acknowledgment)
(signature and office of individual taking BC wledgment)
Notary Public
DAVID M. PETRIE, JR.
JIOrAJn' ftDIUC, 8rAtB OP HEW YOJUI'
ClUAUFIBlIH SU/TOIJ( CCtJHTY .
NO. O1-1'E47!l.IlB!. nt..
TO B~';S~~~WIl'~ ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State (or Di~strict of Columbia. Territory, or ForellJn Country) of
55:
On the
day of
In the year
before me, the undersigned. personaUy appeared
personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are)
subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in hislherltheir capacity(ies), and
that by hislherltheir signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted,
executed the instrument. and that such individuc:ll made such appearance before the undersigned in the
in
(insert the City or other political subdivision)
(and insert the State or Country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgment)
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
GEKEE Y. WICKHAM
TO
WILLIAM F. GRELLA & GARY D. OSBORNE
SECTION
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS
Title No.
Recorded at Request of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
R URN B
STANDARO FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
DiStributed by
o Common~:~~~'~'m''''''
COMMONwEAL" a LAND TITl.E INSURANCE COMPANY
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Number of page3
TORRENS
Serial #
RECORDED
2004 Rug 09 09:44:24 RM
Edward P.Romaine
CLERK OF
SUFFOLK COUNTI'
L 000012335
p S9S
DT# 04-01139
Certificate #
Prior Of. # _
Deed { Mortgage Instrument
Deed { Mortgage Tax Stamp
FEES
Recording { Filing Stamps
::II
Page { Filing Fee
Handling
TP-584
'1
1
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec.! Assit.
or
5.~
5_
Notation
5=
~--v
3tJ
Sub Total
:y
Spec. {Add.
TOT. MTG. TAX
Dual Town _ Dual County
Held Ii r ointment
ransfer Tax -:2,<Oa:> - _
anSlOn 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.
EA-52 17 (County)
EA-52l7 (State)
R.P.T.S.A.
Comm. of Ed.
5.~
. Affidavit
Certified Copy
. NYS Surcharge
Other
I 5. .QQ....
Sub Total
IOc)
\ 0.'1-
ts
Grand Total
~ IOcx:5-.J III
4 Dist. SectIOn
Real Property
Tax Service
Agency
Verification
00 I Block 01 00 Lo
04032659 1000 11'700 0700 030000
5 Community Preservation Fund
Consideration Amount $ 9cn, COO
5000
Improved ~
Vacant Land
6
SatisfactionslDischargeslReleases List Property Owners Mailing Address
RECORD & RETURN TO:
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7 Title Com an Information
Co. Name C-L'T\ G
Title # 043
Suffolk County Recording & Endorsement Page
This page forms part of the attached _ "De c:d
(SPECIFY TYPE OF INSTRUMENT)
---
made by:
u...:> \ cK 'h n rY"'"\
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the Township of SO\.J-...+ h 01 c\
In the VILLAGE
or HAMLET of Net.. J::::"'f=H;ui
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PJUOR TO RECORDING OR FILING.
/ (over)
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1111111111111111111111111111111111111111111111111111111
11111111111111111I1111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
Receipt Number : 04-0087784
TRANSFER TAX NUMBER: 04-01139
Recorded:
At:
08/09/2004
09:44:24 AM
LIBER:
PAGE:
D00012335
898
District:
1000
Section:
117.00
EXAMINED AND
$900,000.00
Block:
07.00
CHARGED AS
Lot:
030.000
FOLLOWS
Deed Amoun t :
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $9.00 NO Handling $5.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $50.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Transfer tax $3,600.00 NO COIIUII.Pres $15,000.00 NO
Fees Paid $18,724.00
TRANSFER TAX NUMBER: 04-01139
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk, Suffolk County
FOR COUNTY USE ONLY
PL~ASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: Ihtlp:11 www.orps.slate.ny.us or PHONE (518) 473-7222
1'-f,r,J,$,g 11
I :s- 1'1 Pir
Month Oay Year --,
C3. Book I / ,0', 3, 3,~1 Ca. P... Lg ,O/.,,i,; ,
PROPERlY INFORMATION
C1. SWIS Code
*
C2. Date Deed Reco1ded
,. r::I~~ I 1200 First Street
ST~HT"lU"'BE~ 5TRECTNAME
Southold
CITY OR TOWN
Grella ^
2. Buyer 1""
Neme lAST N"'ME I COMI''''NI'
Osborne
LAST NAMffCOMPANI'
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVlCES
RP - 5217
RP.5217 Rev 3197
VilLAGE
New Suffolk
ZIPCOOE
15. Cheek one or mora of these eonditions as applicable to trllnsfer:
A Safe BelWeen Relatives or Former Relatives
B Sale BelWll!ln Related Companies or Partners in Business
C One of the Buyers is also a Seller
D Buyer or Seller is GOVernment Agency or Lending Institution
E Deed Type not Warranty or Bargain and Sale (Specify Below)
F Sale of Fractional or Less than Fee Interest (Specify Below)
G Significant Change in Property Between Taxable Status and Sale Dates
H Sale of Business is Included in Safe Price
r "pth8r Unusual Factors Aff8cting Sale Price (Specify Below)
J . None
William F.
FII\STNAM~
Gary D.
FIRSTNAMf
3. Tax Indicete wher8 future Tax Bills are to be sent
Billing if other then bUY8r 8ddress (at bonom of form] L
Address
LAST NAME tOMPA."Y
STREET NUM8ER AND SlREET NAME
CITY OR TO'."'''
4. Indloeate the num_ of Assessment
Roll parcels transferr-.d on the deed
,1 J # of Parcels OR D Part of a ParC81
5. Deed
Prollerty
Sizt
Ix I
1001
.3
FRONT FEET
oePTM
ACRES
6. Seller
Neme
Wickham
Gekee Y.
LASTN...ME/COMPANY
fiRST "AM.
lAST NAME/COMPANY
FORST NAME
7. Che~k the box below whith most accur't8ly descrlbe:s the use of the property at the time of sale:
A~oneFamilYReSidential
B 20r3FamilyResidenliel
C ResidenlialVacantland
D Non.Residential Vacanl land
E~Agricultuml
F Commercial
G Apartmem
H EntertainrnentlAmusement
I ~ com.munitV Service
J Industrial
K Pubi,cService
L Forest
I SALE INFORMATION I
11. Sale Contract Date
5 124 1 04
Monlt1 D., Yea,
~ 123 1 04
MO<l1h D., V881
12. Oat' of Sale I Transfer
13. Full Sale Price i 9 0, 0 ,0 0 ,0 0 , 0 1
, " .
IFull Sale Price;s thelot81 amount paid for the property including personal property.
This payment may be in the form oi cllsh, other property or goods, or the assumption of
mortgages or ather obligalions.] PJease round fa the neaJ'lIst whole dollar amount.
14. IndIcate th. value of personal
propartylncluded inthe.ale
0,0,0 I
, , e
ASSESSMENT INFORMATION - Data should refJect the latest Final Asse$sment Roll and Tax Bill
16. YelH of Assesament Roll from 103/041 Total ib$8SSed Value 101 all par"f$ in transfer) I
which Information taken 17.
18. Propsrty Class
12
1 , 0 I-U 19. Sehool District Name I New Suf folk
20. Tax Map Identifier!.] I RClllldlntifierlsl fH more then four. attach sheet with addlti01lal idllntifier($)j
L1000-117-7-30
11956
FI~ST NAME
ST~TE
ZlPCODE
31
!Only If Pan of a Paru!! Ch8l;k 1$ they apply;
AA. Planning Board with Subdivision Authority Exists 0
48. Subdivision Approval was Required lor Transfer D
4C. Parcel ApproV8d for Subdivision wilh Map Provided 0
Check the boxes below a. thay apply:
8. Ownership Type is Condominium
9. New Construction on Vacant land
10A. Property local8d within an AgriculturBI Oistrict
10B. Buyer received a disclosure notice indicating
thlltths propettyisinan Agricultural Oistrict
o
o
o
o
7
6 0 0 I
L
I CERTIFICATION
I C1!nify that all of the items of information entered on this form are true and rolTect (to the best of my knowledge and belief) and I undentand that the making
of !lny \\iOful false statement of material fact herein \liU subjf'Ct me to the Drmisiom; of the oenallaw relath-e to the making and nting of false instruments,
BUYER
01.
32~
1(,/ Jo~ .IT 'r-~€.
STAEHN"ME 1....-rER SALE,
631
"'~~A CODe
~nEET"Ul.laER
A/.c..... KJ,L)(-
CITY OR TOWN
/LA(
STATE
/t7()o/
ZIP CODE
~
GJ."" 'I \!.!lJJ.At~
~1.lERSIGNATU~f Gekee Y. Wickham
7(Z.:;(0'(
DATf
EY
Gary F.
~I~ST NAME
734-7666
TELEI'HONE"UMefR
NEW YORK STATE
COPY
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