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Stand.rd N Y,B.T..'J Form eOO2 ~ BIIrg.ln .net S111e Deed. Wlh Ccven.nt .g.lnst Grantor's Acts - Uniform ~now\edgment
Form 3280
CONSULT YOUR LAWYER BEFORE SIGNING THI8INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the ~y of December. 2003
BETWEEN
THOMAS H. WICKHAM, residing at 28770 Main Road. Cutchogue. New York 11935
party of the first part. and
JOHN I.. WICKHAM, residing at 11752 Harford Road. Glen Arm, Maryland 21057
party of the second part,
WITNESSETH, that the party of tha 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 succesoors and assigns of the party of the second part
rorever, a!LbilumlliWllldJD.I@!III11a
ALL that certain plot, piece or parcel of land, with the buildings and Improvements thereon erected, sltuate,
lying and being at New Suffolk, Town of Southold, County of Suffolk and Stale of New York, bounded and
descJ1bed as follows:
BEGINNING at a pipe on the easterly line of New Suffolk Road, 323.74 feet northerly along said easterly
line from the point where said easter1y line Is Intersected by the direct extension easterly of the center line of
Wk:k's Road;
Running thence North 9 degrees 03' 20 . West along the easterly ,side of New Suffolk Road, 1201.42 feet
to a pipe and land now or formerly of Wickham's Fruit Farm;
1'11ence South 90 degrees 00 minutes 00 seconds East (due~) along the last mentioned land, 1200.48
feet to ill monument;
1'11ence South 35 degrees 46' 40" East, 219.19 feet to a monument;
1'11ence south 18 degrees 33 minutes 25' West 432.40 feet to a monument;
Tbence South 2 degrees 01' IS" West 621.77 feet to a monument
Tbence North 77 degrees 02' 30" West 214.87 feet;
Tbence South 60 degrees 27 20" West 355.54 feet to a pl~ and land now or formerty of the Estate of
Margaret L. Breaker and James Parker W~ckham. Jr.;
Tbence ~orth72 degrees 00 minutes 30" West along the last mentloned land 48S.OO feet to the pipe on
the easterly line of New Suffolk Road at the potnt or place of BEGINNING.
1'11e development rtghts to the entire parcel desa1bed above have been conveyed to the County of Suffolk.
TOGETHER with all right. titie and Interest, if any, of the party of the first part in and to any streels and roads
abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all
the eslate 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 succesoors and assigns of the party of
the second part forever,
AND the party of the first part covenanls that the party of the first part has not done or sullered 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 coat of the Improvement and will apply the same
first to the payment of the coal 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 executedll eed the day and year first above
written.
IN PRl'SU,CEOI', _u , ~ {;/:~
Thomas II. \\' ickham
,
I
Serial ##
~ECOP.Li:D
2:)(14 =11=';" ~a O~:~5:2b P~l
~o.l3Ir.::! ~.Ro.11::!ir€'
CLE~l< OF
S1.~;)U~ COtl!'lH"
l )(IC01231E
P lLI
[;.-;~ :):::-~O::'f.:-!
Number of p~
TORRENS
Certificate #
Prior Of. #
Doed / Mortaaao Inl1nlmenl
Deed / Mortp&e Tel< StOmp
PBBS
t:
Rec:ordina / Filing Stamp.
1 r- ^--
4
Page / Filing Fee
Handling
TP-S84
Mortg..e AmI.
1. Bulo Tel<
2. Additional Tax
Notation
Sub Total
EA-S2 17 (County)
EA-S217 (State)
R.P.T.S.A.
Comm. of Ed.
S Cln-
Spec.lAaait.
Or
Spec,/AJJd.
TOT. Ml'G. TAX
Dual Town
Duel County_
onment _
? Lifo -
Sub Total
3000
Certified Copy
Rea. 90PY
Other
The property cov_ by Ibl. mortPII" Is or
will be lI11prt>ved by a one or two fam II
dwelling <H:IIY.
YES or NO
If NO, .ee approp~ taX clau.e on paae .
_ofthlslnltru~1 },.- Or-O.3
6' Communi Preservation Fund
Conaideration Amount S .f
Affidavit
Sub Total
Id-i-
ORAND TOTAL
J
Real Property Tax Service Aplcy Verifieatlon
~IR" 0_1..... R I.B Lot
04005893 ~ooo ~1000 0800 032004
CPF Tax Due
$
Stamp
"..----.......
, ~ T c-"'~
Ip DTY-A\
\ )
"l3-MAR-QoO
~.
Improved
Vacant Land ~
TD (~
TO
TO
Dole
Initials
"7I Satl.ractionslDischUJlOll'R<lleueo List Property Ownen Mailing Ad
..:.J . RECORD .. RETURN 1'0:
---"-EII,lIOIlIlOIIl~ ~c:.
JIW ____. 1ICIl1424 ;;',
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8 Title Company Information
Co.NameS,'f<w<Lr Tifle.. fide",.
TitJe"" I ~.3 - ..:3 $" ..3'lr
Recordin & Endorsement Pa e
9
Suffolk. Coun
This page fbnns part oftbe _h...d
Bargain Dnd Sale Oeed
made b:
Thomas H. Wic.khAm
(SPBCIFYTYPE OF INS'IRUMENI')
The premises herein is situated in
SUFFOLK COUNIY, NEW YORK.
TO
In the Township of
In the VIlLAGE
or HAMLET of.
Southold
.J()hn L. W1.c:kham
CutchoRue
BOXES 5 TIlRU 9 MUST BE TYPED OR PRn-l'TED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
1111111111111111111111111111111111111111111111111111111
11111111111111111 11111111
SUFFOLK COUNTY CLERK
RECORDS OFFICI
RECORDING PAGE
Type of Instrument: DBBDS/DDD
Number of Pages: 3
Receipt Number : 04-0049349
TRANSFER TAX NUMBIR: 03-40363
Recorded:
At:
04/28/2004"
03:55:26 PM
LIBBR:
PAGB:
D00012316
121
THOMAS H WICKHAM
JOHN L WICXMAN
District: Section: Block: Lot:
1000 110.00 08.00 032.004
BXAMINKI)' AND CHARGED AS FOLLOWS
Deed Amount: $186.136.00
Received the Following Fees For Above Instrument
EX8IIIpt Exempt
Page/Filing $9.00 NO Handling $5.00 NO
COB $5.00 NO NYS SRCHG $15.00 NO
BA-CTY $5.00 NO BA-STATE $50.00 NO
TP-584 $5.00 NO Cert.Copie. $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Transfer tax $0.00 NO COIIIIII.Pre. $0.00 NO
Fees Paid $124.00
TRANSFER TAX NUMBER: 03-40363
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk. Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: htlp:// www.orps.slale.ny.us or PHONE (5'18) 473.7222
FOR COUNTY USE ONLY
C1. SWIS Code
REAL PROPERTY TRANSFER REPORT
y,"/, ? fl:~' rl
I /)' /! o<..i? / c7fZ I
MOr'lth7' Day Year
*
Rf'-5217Rev 3f<:I7
cz. Date Deed Recorded
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
C3. Book
/,.,2 ,/
C4. Page I
PROPERTY INFORMATION
"r~:i:l srR;!1~;; ~~~E._~.?tr2,k K::,d
Cuki..~~,.. .'
CITY OR TOWN ...:: -!l---- VIli.AGE
h'vll~~
"lPeDDE
2. Buyer
Name
Wickham
lASTNAME/CQMPI\NV
..1
John L.
-~IIIST NAM~
Wickham
Mary Lou
LAST NAME /COMPANV
flASTNAME
3. Tax
Billing
Address
IndiC!lTewherefuIuraTa)( Bills arato be sent
it other than buyer addrtl$S lat bottom of form)
LAST NAME/COMPANY
FIRST NAME
STRFH NUMBER ANOSTREE"-NAME
.1..
CITVOflTOWN
LIP CODE
SIAIf
4. Indicate tn. number of A$ses$lTlent
Roll parcels transferred on the deed
I I 1# of Parcels OR 0 Part of a Parcel
IOnly If Part of a Parcell Cheek as they apply:
4A. Plannin!! Board with Subdivision Authority Exists D
4B. Subdivi!~ion Approval was Required for Transfer 0
4C. Parcel Approved fOf Subdivision with Map Provided 0
5. Deed
Property
Size
.,3/.9
ACRES
Jxl
nFPT..
..J OR L~
~AONT ~.~T
6. Seller
Name
Wickham
LAS1 "lAM. I COMPAJ'H
Thomas H.
Fll'ISTNAMf
LA&T NAMEICOMPAN'~
FIIlSTNAME
7 Check the box below whil:h most al:l:urately desl:ribe. the u.e of the property at the time of SlIle:
Check the bOlees below as they apply:
8. Ownership Type i9 Condominium
9. New Construction on Vacant land
10A,I'roperty Located within an Agri~ultural District
108. Buyer '-eceived a disclosure notice indil:ating
that thE! property is in an AgriC\lltural District
o
o
.J8t
i8J
A ~ One Family Residential
B 2 or3 Family Residential
C Residential Vacant Land
D Non.Residential Vacant Llmd
E~Agricuitur!11
F Commercial
G Apartment
H Entertainment / Amusement
[ ~ Community Servica
J Industrial
K Public Service
L Forest
SALE INFORMATION
15. Cheek one 01'" more '00 th8lle conditions al applicable to transfer:
Ii'. / ? / c:.;,
<J
Monlh Do, Year
Id.. g / 03 I
"""- D" Vl,Ia,
Sale Between "Ielatives or Former Relatives
Sale Between ~elBted Companies or I'artners in Business
One of the BU\Iers is also a Seller
Buyer or Sellel' is Govemment Agency or Lending lnstitutjon
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than F(NI Intarest (Specify Below)
Significant Change in Property Batween Taxable Status and Sa:lll Dates
SlIle 01 Business is Included in Sale Price
X: Other Unusual Factors Affecting Sale,l'rice ISpecify Below)
A
B
C
D
E
F
G
H
1
J
sold
11. Sale Contract Date
12. Date of Sale I Transf.
n.~ ' I, g,C, I, ~ ,h , 0 0 I
, , .
(Full Sale Price is the lotal amount paid for the property including personal property
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Pleas6 rovnd to the nearest whole dollar amount.
13. Full Sale Price
I.
,,,_ Indicate the value of per.ronal
property inl:luded in the sale
"OC' f\ " 1-
Vfi l( ;"1-'''' 'Ji(T l 'jL 16
, I
,0,0,0 I
, , .
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Y.ar of Asussment Roil from 1/),2 I 17. Total Assessad ValUe (of all parcels in transfer) I
lNhich informatlontakan
.4 0.0 0
,
~,-
18 Property Class
Il~2J-LJ 19.5choolDistril:tNamel/S-
7J?c<~:i""~;;,,.,~Lj
(~) ft: /, :>';;1''''''-
20. TalC Map Identlfler(5) , RollldetntifilMis) (If more than four, attach sheet with additional identifier!$ll
,DOO
It.-;L- g. 32, 'I
Ln.
----.J
CEATIFICA TION
I certify that all of the Items of information enterro on this fonn are true and I.:orrecl (00 the best of my knowll.'dg,e and belleO and I understand that the makinJ;
of any willful false statt'ment of mattrial fact herein will subject roe to the provisions of the oellal law relath'e to nte making ltnd filing of false Instrument...
~~
John L. Wickham
I::l 11\/0 l
Date '
BUVER'S ATTORNE'::
aUYERSIGNA1Ljilin-
II T
II 76-2
SfflEHNUMlIl'1l
MCKH/M?
LAST NAME
#'6 I~ /L
F1RSTAAME
DATE
I lIar/-;"r<{ /Cd.
STREETNAMElAFfE~SALEI
651
AAEACOOE
2'1(;;- {'5~3
TELEptjONENUMaER
Cieri Ar-rr)
Z/()S7
ZIP CODE
[ NeWYORKm~
COpy
I>>"P
STATE
CITYORTOWfli
"
t
SnL[~SIGNATURE
SELLER
(f !vti/L
Thomas H. Wickham
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OAT~
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