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S.andllrd N.Y.B.T.U Form 8002 . Bargain and Sale Deed. with Covenant againllt Grantors Ada _ Uniform Acknowledgment
Fonn 3290
CONSULT YOUR LAWYER BEFORE SIIGNING THIS INBTRU.ENT~ THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the 19th day 01 September, 2003
BElWEEN
JAMES BARTLEY GIVEN, III, as surviving tenant by the entirety of Shirley Baxter Given. who died a
resident 01 Hartford County. Connecticut, on June 2, 1985. residing at
1cN1llfllu. Sll~ f)._.~ l)I\l~ loarty 01 the first part. and
JAMES BARTLEY GIVEN, III as Trustee ol.Revocable Inter Vivos Trust. created by James Bartley
Given, III as Grantor. utA datE.d 12120/95, residing atoU,ilditlb6ll1llll Slullll,West Hartford.
Connecticut fllIlkIo8:Il, party of the second part, Z1 ~ l.are
rb1JJl
-.
WITNESSETH, that the party of the first part. in. consideration 01 TEN and 001100----------------
----------------- ($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 01 the second
part, the heirs or successors and assigns of the party of the second part forever,
All that certain Plot. piece or parcel of land, with the buildings and improvements thereon erected, situate, lying
and being In the TOWn of Southol~, at New Suffolk, County of SUffolk State of New York, bounded and
described as follows:
BEGINNING at a point set In the Ilorthwesterly comer of the premises herein described, said point being distant
the following three (3) courses and distances fnom the comer fanned by the intersection of the Easterly Side of
Old Harboc Road with the Northerly side of Old Harbor Road;
1. Southerty along the Easterly side of Old Harbor Road 72.07 feet;
2. South 830 37' 00. East along land now or formerly of Gleason, 6SS.90 feet;
3. South 230 37' East 30.00 feet along land now or fonnerly of William Wickham;
THENCE along said last mentloned land the following two (2) courses and distances:
1. South 230 37' East 291.80 feet;
2. South 710 26' 30. East 370.26 feet to the ordinary high water line of Cutchogue Harbor;
THENCE Southerly along the said omlnary high water line of Cutchogue Harbor, the tie line being South 300 15'
20. West 160.66 feet more or less to land now or fonmerly of Telsey;
THENCE along said land the following two (2) courses and distances:
1.. North 710 26' 30. W"st 39 feet, more or less to the northwesterly comer of land now or fonmerly
of Telsey;
,!. THENCE along said land South 28" 09' 30" West 50 feet to land now or fonneriy of Koehler;
THENCE along said last mentioned land, the following two (2) courses and distances:
1" North 710 26' 30' We" 264.24 feet to a pipe;
2" South 780 39' 30" West 70.0 feet to land now or formerly of James Bartley Given, IV;
THENCE North 210 45' 10" East along said land, 264.0 feet to land now or formerly of William Wickham at the
point Or place of BEGINNING
TOGETHER with accretions and aroy right, title or Interest of the party of the first part to land now or formerly
under high water mark of Peconlc Bay.
TOGETHER with an easement of Ingress and egress In common with others, to and from the above described
premises, over the following described premises:
BEGINNING at a point on the Easterly side of Old Hamor Road distant 72.07 feet Southerly from the comer
fanned by the Intersection of the l:asterly side of Old Harbor Road with the Northerly side of Old Hamor Road;
RUNNING THENCE South 830 37' ClO" East along land now or fonnerty of Gleason, 655.90 feet;
THENCE along land now or formerly of William Wickham South 230 37' East 30.0 feet;
THENCE South 210 45' 10' West 42.16 feet;
THENCE South 230 37' East 42.30 feet;
.' _ TIlENCE North 830 37' 00" West M7.85 feet to the easterly side of Old Harbor Road;
TIlENCE Northerly along the Eastl,rly side of Old Harbor Road South 280 IS' 20" West 36.46 feet to the point or
place of BEGINNING.
5U8lECT TO A Right of Way alon!l the Southerly boundary of said premises, said Right of Way being more
particularly bounded and described as follows:
BEGINNING at a point on the Nor1therly side of land now or formerly of Koehler distant the following four (4)
courses and distance from the point of Intersection of the Northerly side 01 land now or formerly of Telsey with
the Northeasterly side of Old Harbor Road;
1. South 830 22' 10" Ea,:t along the Northerly side of land now or formerly of Telsey, a distance of
156.67 feet to a point: marked by a monument;
2. South 20 56' 30. East along the Easterly side of land now or formerly of Telsey, a distance of
104,65 feet to a point marked by a monument set on the Northerly side 01 land now or formerly of
Koehier;and
3. South 830 32' East ak>ng the Northerly side of land now or formerly of Koehler a distance of 270.68
feet;
4. North 780 39' 30" East 30.0 feet to the southwesterly corner of the premises being con.reyal
herein.
RUNNING THENCE from said point of beginning, along land of Koehler the following two (2) courses and
distances :
1. North 78" 39' 30" East a distance' of 70 feet to a pipe
2. South 710 26' 30" Ea't a distance 01264.24 feet to a point;
RUNNING TIlENCE North 280 09' .30" East a distance of 8.12 feet to a point;
RUNNING THENCE North 710 26' 30" West 267.75 feet to a point;
RUNNING TIlENCE South 780 39' 30" West 70 feet more or less, to land of James Bartley Given, IV;
RUNNING THENCE South 210 45' 10" West 8 feet more or less to the point or place of 8EGINNING
BEING AND INTENDED TO BE a portion of the premises conveyed by deed recorded in the 5u1fo1k County
Clerk's 0IF1ce in Liller 7305 page '190.
TOGETHER with all right, titie and Interest, if eny, of the party of the first part in and to eny streets and roads
abutting Ihe above descr1bed premises to the center lines thereof, TOGETHER with the appurtenances and all
the estete and rights of the party ,>f the firsl part in and to said premises: TO HAVE AND TO HOLD the prlSmises
herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second
part fonsver.
AND the party of the first part ,::ovenants that the parly of the first part has not done or suffensd anything
whereby the said premises have been encumbered in any way whatever. except 8S aforesaK:l.
AND the party of the first part, in '::ompllance with Section 13 of the Lien Law. covenants thet the party of the first
part will receive the consideration for this conveyance and will hold the right to nsceive such consideration as a
trust fund to be applied first for Ihe 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 01 the same for any other
purpose. The weld 'party" shall be construed as if It read "parties' when ever the sense of this indenture so
requires.
IN WrrNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
I~~-
,.~..'Jh Cf{~tE" L j)}!I'\",~ty
~m -~~~
Jnm~y Given. III
SUlte of New York. !County of Suffolk
811:
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
S8;
.,. . .
On the day of in the year 2003.
before "Ie. the unden5igned. personally appel!lll"8d
personally known to me or proved to me on the baais of
uti.factory evidence to be the individual(a) 'fI,ho.e name(.) is
(are) subscribed to the wtthin instrument and acknowledged to
me that he/shelthey executed the same In hialherltheir
capacily(i...), and that by hielherllheir alg"atura(a) on the
instrument. the Individual(s). or the person upon behalf of which
the indivldual(a) acted. executed the Instrument
(slgnatufl8 and office of individual taking ackn~'Il'Iedgment)
Not8ry Public
State _(,'It Ud .1_
~
.........v-u
_ A of Connecticut
aa:
lIBrtfattl
State of New Yor1l. County of Suffolk
On the day of . in the year
before me. the undenMgned. personally appeared
personally known to me or proved to me on the bas4S of
aatlafaclory evidence to be the individual(a) wh080 name(a) la
(are) subscribed to the within inltrUl'l1ll!lnt and acknowledged to
me that he/shelthey executed the same in hislherllheir
capaclty(I...), and Ih8l by hia/herllhelr algnalura(a) on the
instrument. the indlvidual(a). or the peraon upon behatf of which
the indivtdu8l(1) acted. executed the instrument.
(signature and office of indtvidual taking acknowledgment)
On the 19th dey"t SEpt. in the year:.nl3 befo<e me, the underaigned, penIOf1lllly appe_ JsI... IlBrt.lei
.;.. Givm III
personally known to me or proved to me on the basia of 88ti8fac1:ory evidence to be the indivldLlal(B) whose n.me(a) i:J (.re)
sublJalbod to the within instrument and acknowledged to me that helaheIUley executed the same In hiBlherl'thelr CIIp.8dty(ie8). and
thet by hisR1erltheir signatUre{B) on the instrument. the IndividUIII(a). or the person upon behBlf of which the individual(s) acted.
executed the instrument. and that such indlvlduBI made such appearance before the undersigned In the City of
H"rtfarl in n.
(Insert the City or other political .ubcfivision) (end insert the ry or r place nD'4'J!edg"'!6'1t \fta taken)
BARGAIN AND SALE DEED
WITH COVE!lANT AGAINST GRANTOR'S AC:TS
Title He"
JAMES BARTLEY GIVEN, III, _ .urvlvlrlg tenant be
the entirety
TO
JAMES BARTLEY GIVEN, III _ Tru.tee of
RlIYOClIlbe Inter Vlvoe Tru.t
STANDARD PO"" 01" NeW YORK BOARD OF 1l'II.:E UNOERWIVTI!!RS
Distributed by
o Common~:~,I~.~..".,,,..,
1;.,"I"I\IlI'l:~I.AlllI Lo\'l:IITn l~ 1:-.....I;kO\...CI. \..'C'''''I".\..a''
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KATHRYN ~ HERBST
NOTARf PUBUC
M'I COMMISSlOII EXl'IRES APRIL 20, 2OD7
SECTION
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS
Recorded at Request,Of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
2 I
l
Serial'
?Ef"JR['lE[;
~OO4 ~pr 2& 03:55::6 ?~
Ed~ar~ P.R~n~i~
CL!;:'l'< CF
SUt:P)'-~: COuNT';
L P"OOOl~31~
P }.::~
Dut -:'I!-40:>t.5
Nu~';" of PlI8es
'TORRENS
Cenlfic:ale ~,
Prior Of. '.
Deed I Mong_le Instrument
Deed I MortJiqa 'T"" Sl8mp
FEES
Recording I Filing Stamps
:rr::
Pagel Filinll Fcc
Mortgage AmI.
Handling
TP-SB4
I. BuicTax
2. Additional T""
Notation
Sub Totel
EA-S2 17 (County)
EA-S217 (State)
Sub Total
S~
SpecJ AsaiL
Or
Spec. IAdd.
TOT. MTO. TAX
Dual Town Dual County_
Held for Apportionment _
Tnan.lfel' Tax 6-
Manalon To. _
Th. property covcnd by thr. mortpge is or
will be Improved by . one or two family
dwelling only. I
YES orNO_
If NO, Ice approprlalc tax cIa Ie on page'
_oftbr.lnmumcnL
und
RP.T.SA
Comm. of Ed.
3:'U-
Affidavit
Certified a.py
Reg. Copy
Other
Sub TOtal
ORA:NDTOTAL~ .
\
6. Communi Preservation
Consideration Amount $_ t:"
JI:::
1
it)4015769 1000 11700 03100 004001
'P~~
Date (R SFL ""A
Initial! .~~......
~tisf..ctionsIDilChargcsIRcICllSeS List Property Own.", Mailing A
....:.J -- RECORD" RETURN TO:
RaI Property Tax Service Aa<zq Verification
Dist. I Section B lock
Lot
SlaJni:
CPF Tax Due
$
Improved
Vacant L.and
W~ekham. Bressler. Gordon & Geasa. p.e.
P.O. Box 1424f
Hattituck. New York 11952
TO
TO
TO
3:=
B Title Company InformatiOn
Co. Name
Titletl
Suffolk COilllty Recording & Eridorsement Page
This page forms part of the attached
BARGAIN AND SALE DEED WITH COVENANT
(SPECIFY TYPE OF 1NS1lUJMEtoIT)
made by:
.;JAMES BARTLEY G.1VEN. III I' as Burviv1.na 1bc praniscs herein is situated in
tenant: by the entirety of Shirllty Baxter Given SUFFOLKCOUNIY, NEWYOR.K..
TO
In the Township of
In the VIllAGE'
or HAMLET of
SOUTHOLD
JAMES BARTLEY GI.VEN. III. as Tr,l\1Bt:ee of
Revocabl:e Inter Vi.vos Trust crejl.ted by
James Bartlev Gi.ven. III _ SA GT'lIntoT.
ViA dated 12/20/95. .
BOXES 5 TIiRU 9 MUST BE n'PED OR PRINI'ED IN BLACK INK ON!.. Y PRIOR TO RECORDING OR FILING.
NEW SUFFOI.K
11111111111111111 11111 11111111111111111I111111111111111
111111111111111111111 I111
SUFFOLK COUNTY CLBRK
RECORDS OFFICE
RBCORDING PAGB
Type of Instrument I DBEDS/DDI)
Number elf Page. 1 4
Receipt HUmber : 04-0049349
TRAHSFBR TAX NOMBBR: 03-40365
Recorded 1
Atl
04/28/2004
03155126 PM
LIBBR:
PAGE:
D00012316
123
JAMBS" B GIVEN
.
RBVOCABLB INTBR VIVOS TROS~~
District: Section I Block I
1000 117.00 03.00
1l!y"mNED"AND CHARGED AS "I'OLLOWS
Deed Amclunt: $0.00
Loti
004.001
Received the I'ollowing Pee. Iror Above Instrument
Exempt Exempt
Pege/PHing $12.00 1110 Handling $5.00 NO
COB $5.00 NO lIIYS SRCHG $15.00 NO "
BA-CTY $5.00 NO BA-STATB $50.00 NQ
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
TransfElr tax $0.00 NO COIIIIB.Prell $0.00 NO
Fees Paid $127.00
TRAlIISFIU! TAX NUMBER I 03 -4036!i
THIS PAGE IS A PART OF THB: I1IISTRUJIBHT
THIS IS NOT A BILL
Edward P. Romaine
County Clerk. Suffolk County
FOR COUNTY USE OI\iLY
Cl. SWIS Code
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
>-<;-'73, <?,~,'l.J
,
C2. Date Deed Recorded //{/I a2!;; I C? c;::~
\JIonlh Day Yfe,
C3.Book I ~~ "?, /, CIC4.Page~I,/~
PROPERTY 11\ FORMATION I
1, Prope.rtv L 19 -cr
location -~Bi;'R--
Old Har_l;l~'r RORd
SlAHTNAME
Southald
'-----CIT'i OR TOWN
2 Buyor
Name
James Bartley Given,
-lASTN^-M~PANY-
III as
L___
,ASTNAMf/COI""ANY
J. Tax
Billing
AddrfOS!I
IndiC;lle wnerefulure Tax Bids are 10 be sen1
if other than buyer addross (at bottom offorrr:) ~:;jV8:1
LAST NAM~ {COMPANY
-?JEE~~~j,1t~~ ~
4 Indicate the number of Asse!lsment
Roll porcols tTflllsferred on the deed
~~ I/o' Parcels
5 Deed
Property
Sizo
L___J X I
~R:)N"""FHT
nE"TH
~oRL
6. Seller
Name
L_.'James Ba~~__~ey Given.
LAST NAM~ I rOMr'ANY
III as h: surviviuK ;:enant by t~}e_entiret;y_Q.L.J)hirlev .Jtaxter daven
FIASTNAME
L
I.ASTNAM,/COMPIINY
,"5
*,
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REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD 01' REAL PROPERTY SERVICES
RP - 5217
R:P.52I1R...JI'J7
~~
I New Suffolk
Revocable \/ILlAG<
Trustee of/lrter VivoSTrust
FIFlSlNAMF
111956
liP CODE
-.-J
'IFlSlfjll\olE
._--~
Jalffi.!l3rt~I~.
H"STNAMC
.~
\-est Hartford
Cm'ORTOW~--
__I~J COlO7
Sf ATE ZIP COllE
OR D Part of 11 Parcel
(Only if Part of a Parcell Chllck a$ they apply
4A. Planning Board with Subdivision Amhorily Lxists 0
48. Subdivision Approval was Required lor T'ansfer 0
4C. Parcel Approved for Subdivision with Mafl "'rcvirled 0
IICilES'
.
_J
Check the box below which most accurately describes ths USE' of the property at the time of sole:
FIA$TNAME
^ ~ One Family R,,~id9ntial
B 2or3FamilyRasitll!lltial
C Residential Vacant land
D NOr! Rc:;irl..ntra; Vacant Land
E~AgriC1Jltural
F Comm':Ul,;iel
G Apartment
H Fntertalnmantl Amllsement
I SALE INFOAM.A~
11. Sale Contract Date
'--- I L-~
MUfltll Do, Yea,
L2.... (1 I 03
M()(l~~ D.y Year
12. Date ot Sale: Transfer
13. Full Sale Pric",
l~communitY.service
J Industrial
K Publlc Service
L Forest
Check th8 bnxes below as they apply:
8, Ownership 1ype is Condominium
9 New Construction un v.'cllnt Land
10A. Property Located wilhin an AgriC<.Jltural District
108. Buyer receved a disclosure notice indicating
thlltthll propl;lrty is in an Agricultural DistriCI
D
D
D
D
15 Check one or more crt these conditions IS applicoble to traflsfor:
o
^
B
C
D
E
F
G
II
I
J
Sal" B"tweell Relativas or Former Relalives
Sale Between Related Companies or Partners in Business
One of the l:Juyers is aloo e Sellnr
Buyer or Seller is Govarnment Agency or Lending Institution
Deed Type not Warranty or BarUain and Salo (Specify Below)
Sale of Fractional or les,g than Fee Interest (Specify Below)
Significant Change in Property Between f0xable Status and Sale Dates
Sale of Business is Includod in SOlie Price
Olher UnuslJ'" Factors Affecting 5/11", Prico (Spl!cify ijelow)
None
~--L----l.......-.J.__--l...--J..
, ,
iF...11 Sale Price is the total amount paid for the property including pl;lrsonal property
I his payment may be h the form of cash. other property or goods. or the ass'Jmption of
mortgages Or nthllr obligations.) Please round to rhe nearest whol" dollar amount
0,01
14. Indicate tha v,~lue 01 person;~1 , 0 , 0 I
proparty included in the salE!, , e
I ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill I
.-'} ,.;7
16 Year o~ AsseS!;~ent Roll horn (L l:-22J 17 Total AsseSSed Value (of all parcels in tran:Jfer) I
which Informetion taken-
t8. PropartyClas!
2
~~
~-u t9. SGhool District IName I
20, Tax Map Idantifier(s) I Rollldentlfler(s) III more than lour, attac;h sheet with additional identifier!s))
Mattituck-Cutchogue
1000-117-3-4.1
'---'---- ; -
,
~
"I
,
(.;0
L-..
----l
L-_
I CERTlFICATION..J
I certify thaI all (If the items of infonnalinn entered nn this form are troe and correct (to the be.~t of my knowledge and belief) IInd .r underst.md thut the making
of any willful false statement of material fact herein will subject me to the provisions of the penlll law rclative to the making and flIing <Jf false inMrument!i.
BUYER
~ /\- ~ c,~7 I ,,'1"1/.:>3
~0'BlSJ!SI!irIl:\t~~n,~. l~rustaeT~
:n<?J ~~
STRfO ~- STR~ET N^ME1AFTERSAlEI
West Hartford
CI1VOATOWr>.
---I
CT
--Si'tiTf
I :oe<N~ (El07
ZIPC:)OE:
SELLER
r\'"",~ffJ. 2..~.-z
ames ~ar~ven. III
9/19A~
DATE
__.J
BUYER'S ATTORN~
~0'rn fl.O\A
LASTNAMo \
rl~
---.l;~jhd ,I, ;,
rrRSTNAME
c..
_ ?,~0
AAfACOor.
,9<+0 -(QCCD
TElEP><ONENllMII[R
~YORKSTATE]
l COpy
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