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Standard N. Y .B.T.U. Form 8002 - Bargain and Sale Deed. WIth Covenant agAlnaI Grantor'. Acts - Umform Acknowtedgment
Form 3290
CONSULT YOUR LAWYER BEFORE SI9JtING THIS INSTRUMENT-THiS I~MENT SHOULD BE USED BY LAWYERS ONi. Y
. ~~ ~~
THIS INDENTURE, made the ("L day o~ 03
BETWEEN
MARIANNE COLLINS and PAUL SCHULZE, residing at 6660 New Suffolk Road, New Suffolk, New
York 11956 and 8415 Skunk Lane. Cutchogue. New York 11935, respectively, party of the first part,
and
MARIANNE COLLINS, residing at 6660 New Suffolk Road, New Suffolk, New York 11956. party of
the second part,
WITNESSETH, that the party of the first part, in consideration of TEN and 00/100----------
----------------------------------------($10.00) ----
dollars, and 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 fO,rever,
All that certain plot. piece or parcel of land with the buildings and improvements thereon
erected, situate, lying and being in New Suffolk. in the Town of Southold, Suffolk County.
New York bounded as follows:
BEGINNING at a point on the westerty side of New Suffolk Road distant 155.00 feet northerly
from the comer formed by the intersection of the' westerly side of New Suffolk Road wi1h the
northerly side of Fanning Road;
RUNNING THENCE along land of Ekstar North 82 degrees 12 minutes 10 seconds West
144.78 feet to land of Tuthill;
THENCE along said land North 4 degrees 59 minutes 00 seconds East 100.21 feet to land of
Horton;
THENCE along said last mentioned land South 82 degrees 06 minutes East 148.40 feet to
westerly side of New Suffolk Road;
RUNNING THENCE along the westerly side of New Suffolk Road South 7 degrees 05
minutes 20 seconds West 100.00 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 12/15/94, recorded in Liber 11706 page 897 in the office of the Suffolk County
Clerk.
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 consideration 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 purpose. The word
"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 this deed the day and
year first above written.
IN PRESENCE OF:
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TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York, County of Suffolk 55:
On thel 2. day of ~ha yaar 2003.
before me, the undersigned. personally appeared
MARIANNE COLLINS
personally known to me or proved to me on the basi. of
satisfactory evidence to be the individualCs) whose name(s) Is
(are) subscribed to the within instrument and acknowledged to
me that helshefthey executed the same In hisJhernhelr
capaCity(iel), and that by hi8lherlthell signs ure(s) on the
instrument. the indlvldual(s). or the pe behatf of whk:h
the individual(s) acted
(signature and ofl'i
Notary Public
owladgmam)
Slale of New York. County of Suffolk 8S:
On lha "Z 1.... day of ~~I.;r;:;-yaar 2003.
before me, the undersigned. personally appeared
PAUL SCHULZE
personally known to me or proved to me on the basis of
satisfaclOlY evidence 10 be tha indlvidual(s) whose nama(s) is
(are) sublcribed to the within Instrument and acknaNledged to
me that helshelthey executed the same in hialherltheir
capacjty(iea). and that by hislherllheir signature(s) on the
ins... ment. the individual(s). or the peraen upon behalf of which
the Ivld I(s) a 'Gad e inllru t.
!gnature and office 01 individual taking ack ment)
ry Public
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IDEN
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:krl"''t(\
-OMA!I P ,'IlRMVN
In T TKOfNR\\'YORl
ROTA"" P1JB1.1C. ~ .\ . PiiY co,
'1111011\.1001-'\08. qll.\L. I~ .
IlOMMISSION Jo:XPIRES dAN. 3.2
ONL V WHEN
State (or District of Columbia, Territory. or Foreign Country) of
. Sl:
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 nameCs) is (are)
aubsCllbed 10 the within instrument and acknowtedged to me that helaheJthey executed the same in hiBlherlthear capaclty(ie.), and
that by hi&lherltheir signature(l) on 1he instrument. the indlvlduales), or the person upon behatf of which the indlvidual(l) acted.
executed the instrument. and that such individual made .udl appearance before the underligned in the
(Insert the City or other political subdivision)
in Florida
(and insert the Slate or COuntry or other place the acknowledgment was taken)
(signature and office of individual "king acknowledgement)
Notary Public
TO
MARIANNE COLLINS
SECTION 117.00
BLOCK 04.00
LOT 032.000
COUNTY OR TOWN Suffolk
STREET ADDRESS 6340 New Suffolk Rd
New Suffolk, New York 11956
Recorded at Request of
COMMONWEALTH LANO TITLE INSURANCE COMPANY
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
TitleNo.
MARIANNE COLLINS AND PAUL
SCHULZE
l."tl~I~MI~\\"E.-\I. nll..'\:-.uTI1I.1: 1-':~'RAsr'l:l.II'II'.-'\'"
STANDARD FORM OF NEW YORK BOARD OF mLE lJNDERWRITER8
Oittf'l)uted by
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~umberofpaaes L\
TORRENS
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RECOR~ED
2004 ~..ay Z7 02: 12:35 PM
Ed~~~d P.Roroaine
CLERJ<OF
SlFFOLr. COUNTY
!.. DOoo12321
P 802
Dn 03'.44650
Serial##.
Certificate #
Prior Ctf. #
Deed I Mortaaae Instrument
Deed I Mortpae TIX St8mp
FEES
Recording I Filina Stamps
4
Pagel Filing Fee
Handlina
Tp.~84
Mortpae Am1.
I, BOIie Tax
2. Additional Tax.
Notation
Sub Totel
EA-~2 17 (County)
EA-~217 (State)
R.P.T.S.A.
Sub Total
Cornm. of Ed.
5 QQ.....-.
Spoc.l Assi1.
Or
Spee./Add
TOT. MTG. TAX
Dual Town Dual County_
Held for Apportionment :::;r--
TnnoforTax ~
Mansion Tax _
The property covered by this monplo is or
will be improved. by a one or two ram ily
dwelling only.
YES orNO_
If NO. see approprialc laX clause OD page tf
_ of this inatrumelU.
:;JJ-
Affidavit
Certified Copy
Rea. Copy
Other
Sub Total
ORANDTOTAL_Ia./.--
u
s
RcaI Property Tax Servioe A&r:ooY VerifiClltion
0101. Section B lock _
~OOO ~~700 0400 032000
Lot
6 COlDDluni Preservation Fund
Consideration Amount $
Stamp 04021080
~ ~~~ '
Inillala \~1-MA:';)
-------
3 SatisfactlonslUisehargesIReleaaes List-J>foperty Owners Mailing Addres
.' RECORD .. RETURN To:
WICKHA.'1. BRESSLER. GORDON & GEASA. P.C.
13015 Main Road. P.O. Box 1424
Mattituek. New Y~k 119~~
" .
CPF Tax Due
s
e--
Improved
"
Vacant Land
TO ...).0
TD
TO
.,
B Title Company Information
Co. Name
9
Suffolk Coun
Title"
Recordin
;1.,- -
& Endorsement Pa e
Ths page fonns pert of the attached
DEED
(SPEaFY lYPE OF INSnUJMENr)
made by:
Marianne Collins and Paul St"}'IIIl p.~
The ptemises hclcin is situalal in
SUFFOLK COUNTY. NEW YORK.
TO
In the Township of
In the VIU.AGE
or HAMLET of
Southold
Marianne Col1inR
New Suffolk
BOXES 5 11ffi.U 9 MUST BE lYPED OR PRIN1ED IN BLACK INK ON!.. Y PRIOR TO RECORDING OR FILING.
.,
111111111111 1111111111111111111111111111111111111111111
I111I11111111111111111111
SOFFOLK COUNTY CLERK
RECORDS OPFICE
RECORDING PAGE
Type of Instrument: DBEDS/DDD
Number of Pages: 4
Receipt Number : 04-0061199
TRANSFER TAX NUMBER: 03-44660
Recorded:
At:
OS/27/2004 "
02:12:35 PM
LIBER:
PAGE:
D00012321
802
MARIANNE COLLINS
MARIANNE COLLINS
District:
1000
Section: Block:
117.00 04.00
BXAMINBD AND CHARGED AS FOLLOWS
$0.00
Lot:
032.000
"Deed Amount:
Received the Following Pees For Above Instrument
Exempt EX8IIIpt"
Page/Filing $12.00 NO Handling $5.00 NO
COB $5.00 NO NYS SRCHG $15.00 NO
BA-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 $0.00 NO Comm..Pres $0.00 NO
Pees Paid $127.00
TRANSFER TAX NUMBER: 03-44660
THIS PAGE IS A PART OP THE INSTROMBNT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk, Suffolk County
FOR COUNTY USE ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE 1518; 473-7222
C3.
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(}'5 1.:2;7 .2m<h
Month Day YeM
Book I /,)., 3, ~ / I C4. P'go I p;.() .:L....
C1. SWIS Code
C2. Date Deed Recorded
PROPERTY INFORMATION
~~~::~ I
Ne.w Suffolk Road
nhhO
STRFFTNUMeER
STFlEEi--NAME
SOllt"hnlti
C1IYORTOW'<
2 Buver
Name
COLLINS
LASTN^M.,COMrA~--~-
L__ ___
It.STNAMEfCOMPANY
3. Tax.
Billing
Address
Ind:l'8tc Where ~uture Tax 8ills arc to be sant
if other than bUVl!! address(atbotto."lofforml L
lASTNANI</COMPA"';;.-
L-_
STREET NUMRFR ANO S'-REH NAME
4 Ifldicale the number of Assessment
ROll parcels transferred on the deed ~_
W.....,
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REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP.5l17 R.,. _V~.
MB:t, Sdfslk
MARIfu'lNE
~5~
ZIPCOJF
FmST"AMt
~..J
'1RSTNAME
__J
~-~
HRSr\A.ME
___I
CITYOlll0WN
---L_ .
SH,eE
ZIPCO[)l'
1
#ofParcels OR 0 l'artofoParcel
5 Deed ~.~Ixl ..J OR 1
Prop$1y
Size FRONI-Hr DEPTH
. Seller L COLLINS
!\lame IA:-;TNAM(IOOMPANY
Sr.l1T1T 7F
~ST~AMcICOM"I\NV
/l,CR~S
.
---.-J
lOnly if Part of a Parcel) Check al; they apply
4A, PlaOl1ing Board with Subdivision AUlhJrity Exists 0
4B. SUbdivision Approval was Required lor Transfcr 0
4C. Parwl ApproYed lor Subciv:sion wth Map PI~viue(; 0
MARIANNE
nRsr NA"'~ --
. _.~:uru..
HRST NAM~
__I
7. Check the box below which most accurately des(:rib&& the use of the property at the time of sale:
ChllCk the boxes below as they apply:
8. Ownership Type is Condominiurr
9. New Construction on Vacant Land
o
o
o
o
A~OneFa'11iIYlleSidential
H 2or3FarnilyResidentidl
C ResidontialVaCilnt lanrJ
D Non-Res:dential Vac<l111land
I SALE INFORMATION I
11 Sale Contract Datil
E~A9riCIJIIUral
F Commercial
C; Aparll1ent
H E"leltajnrnr.ntlA,"'-'usement
I ~ com.m unity. Service
J Industrial
K PubhcSerYlce
L Foresl
lOA. Property located withi~ RO Agrl(:UitllcHI District
108. Buycr received R disclosur!l not'ce i~dicating
thatthepropcrty isin anAgrCllltural)istr'ct
L-..I .N/A /
Month Day
y"ar
12. Dilte of Sale I Transfer
Jl.. / /2..
Monte Day
Ye..1f
03
. II. .0 01
, , .
IfullS<lle Price ist~e total amount paid for the property including personal property.
This payment may be in the form of cash, other p'oparty or goods, Of the assumption of
."ortgag6S or othAr obligat:onsJ Please round 10 the nearest whole dOllar amount.
13_ Full Sale Price
L_
14. Indleate the valull of personal
property included in the sale
15. Check one or more of th_ conditions as applicllble to 1ransftll'"
A
B
C
D
E
F
G
H
I
J
Sale BlItWeen Relatives or Former Relatives
Sale Between Related Companios or f'artners in 8usinp.ss
One of the Duyers is also II SRllor
Buyer or Seller is Government Agenc'I or Ll'ndill!jlnstitutiol"
Deed Type not Warranty or Bargain <l1d Sale (Specify Below)
Sale of fractional or Less thar Foe Intcwst (Specify BelQwi
Signl~icant Change in Property Helwet,n T,1xable STl'llus <.Ind Sale Dates
Sale of Business is Included in Sale PricR
Other Unusual Fadms Affecting Sale Price ISJJccify Belvwl
None
o . 0 I
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, , .
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
~ Pu~~uant to marital a~~ement~_
18. Property Class
~___l~J-U 19. School Dlslrict Name L
16. Year of Assessment Roll from L 'Total Assessed Value (of all parcels in transferl I
which information taken --'----l 17.
,------.------'-..,----'-------'--
1000-117.00-04.00-032.000
20_ TaK Map Identifierhll Rollldentifier(s) lIf more than four, attach sheet with additional idenllfierls)J
Cutchogu~_ ____~
.~-.__~-----.J
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L--_~ ~__ -______.J
I CERTIFICATION
I certify that all of the items of information enterl'd on this fonn are true and correct (to the best of my knowledJ:e and belief) and r IInrl~n;talld thai the making
of any willful false- stafement of material fact herein will subject me to the provisions of the Denal law relative to the making and filing of false instrument~.
BUVER
(j{
CA
NATURF
DAn
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STfI.HNUMBEII
N".., '''fC~i\k Road--
STflEHNAMEIA ~RSA~.I
New Suffolk
NY __J 1]956
STAT! ZIP CODE
CIT'fOATQWN
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BUYER'S ATTORNEY
GEASA Jfu~ET
-.~--~
LAST NAME rrR~T N'\MI
631
298-8353
AAEACOOE
TEU,PHONE NUM~ER
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