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,CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
~eed de {(o("'cd
THIS INDENTURE, made the
0(\
M'"-y
1~
I;), c?CD (
day of May,
2001,
BETWEEN
PAUL D. KETTRICK and SARAH E. KETTRICK, his wife, both residing at
472 Claus Avenue, Riverhead, New York 11901,
party of the first part, and
ROBERT F. ANDERSEN and KIM A. ANDERSEN. his wife, both residing at
165 Truberg Avenue, Patchogue, NY 11772
party of the second part,
WITNESSETH, that the party of the first part, in consideration of ---------------TEN AND 00/100------($10.00)-----
------ dollars 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,
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
lying and being at Cutchogue, in the Town of Southold, County of Suffolk and State of New York.
BEGINNING at a point marked by an iron rod set on the southeasterly side of Cutchogue Depot Road
at the northeasterly corner of land now or formerly of George Aldrich and
RUNNING THENCE South 52029' 30" West along said land of Aldrich 180.00 feet;
THENCE North 380 13' 30" West 100.00 feet to land now or formerly of Charles Hanna;
THENCE North 520 29' 30" East along said land of Hanna 180.00 feet to the southwesterly side of
Cutchogue Depot Road;
THENCE along the southwesterly side of Cutchogue Depot Road South 380 13 ; 30" East 100.00 feet
to the point or place of BEGINNING.
BEING and intended to be the same premi~es conveyed to the parties of the first part by Deed dated
9/15/69, recorded 9/24/59 in the Suffolk County Clerk's Office in Liber 6629 page 263.
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" 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:
/dd tJ - \:///~.;.j )
PAUL D. KETTRICK ~
jlL~ l f~U<'A
SARAH E. KETTRICK
Standard N.Y.B.T.U. Form 8002 - Bargain and Sale Deed, with Covenant agaInst Grantor's Acts - Uniform Acknowledgment
Form 3290
~2
Number of pages
J
TORRENS
Serial #
Certificate #
Prior Ctf. #
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
4
FEES
Handling
9~
0--
Mortgage AmI.
Page / Filing Fee
1. Basic Tax
TP-584
6-~
2. Addilional Tax
Notation
Sub Total
R.P.T.SA
3---
%~
--L52llJ
Sub Tolal
02yr-
Spec.! Assit.
Or
Spec. /Add.
EA-52 17 (County)
EA-52l7 (State)
Comm. of Ed.
50~
TOT. MTG. TAX
Dual Town Dual County
lleld for Apportiollment
Transfer Tax -7S1D
.
Affidavit
Sub Total
76/--
69-
Mansion Tax
The property covered by this mortgage is or
will be improved by a one or two ram ily
dwelling only.
YES orNO
If NO, see appropriate tax clause on page fJ
of this instrument.
Certified Copy
Reg. Copy
Other
GRAND TOTAL
L
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d!
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Real Property Tax Service Agency Verification
Dist. Section Block
Lot
6 Community Preservation Fund
Consideration Amount $ / !?') OV/). (,lD
0lJ0
/o;2...(}D
OI-t5D
.{}()V
C~PF Tax Due
$
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Irnpnlycd _L_~
Initi'" S
7 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
Vacant Land
TO
/0
TO
G-eo~\C--r f:, Ser(,.:)er, ESQ. TO
Ol\e ~u.~o\'t- $'bL\..o.-e
'S. t.L"t+<= 5D--o
.\JA \ll-\.J~~ DY .
I (11 ~ 9 8 Title Company Information
Co. Name ;7({..-I=--c tfz......bor !I-tk A-S-e.-<cv
Title # oS ft 10:51( (
9 Suffolk Count Recordin & Endorsement Pa e
"This page fOIDlS part of the attached
'l:l ~e d
(SPEOFY TYPE OF INSTRUMENr)
made by:
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Sctr u.~ E.
K.eif~lcl( ihv(
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I
TO
TIle premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the Township of 30.L +<<"0 [ J
R.~ b erl- \=. I\-^-de r Set\.. ~Q In the VILLAGE
\" ~ (\ I or HAMLET of C u.. +-c.J\-o , (,te'
:-\. Ik. 1!...:-[\ j\;::I.<-r sel't. J {,l)<:. r7
BOXES 5 TIlRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
01
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 00-39254
Recorded:
At:
LIBER:
PAGE:
OS/29/2001
08:19:26 AM
000012120
596
District:
1000
Section: Block:
102.00 01.00
EXAMINED AND CHARGED AS FOLLOWS
$185,000.00
Lot:
008.000
Deed Amount:
Received the Following Fees For
Page/Filing
COE
EA-STATE
Cert.Copies
SCTM
Comm.Pres
$9.00
$5.00
$25.00
$0.00
$0.00
$700.00
Above Instrument
Exempt
NO Handling
NO lEA-CTY
NO TP-584
NO RPT
. NO Transfer tax
NO
Fees Paid
$5.00
$5.00
$5.00
$15.00
$740.00
Exempt
NO
NO
NO
NO
NO
$1,509.00
TRANSFER TAX NUMBER: 00-39254
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.stale.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
or lJ-;~.3, {F5
C2. Date Deed Recorded I .,5: 1 ? 9 10 I
Month. Day Year
I ?1,?,OIC4.pagel~?~qlt
PROPERTY INFORMATION
Cl. SWlS Code
,
C3. Book I
1. Property I
Location
iJ();~)0t La.n(.J.
"STREET NAME
q~f'l
S R NUMBER
CutchO,:::!U8
CITY OR TOWN
VILLAGE
2. Buyer
Name
L1.UOLHSEN
LAST NAME I COMPA Y
R03l~Ri'
FIRST NAME
,~..t~~/.o:~.t~~);,:.d ,
LAST NAME I COMPANY
KIE A.
FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP-5217 R~v3l97
11935
ZIP CODE
i:.~
. .
LAST NAME I COMPANY
FIRST NAME
15. Check one or more of these conditions as applicable to transfer:
A Sale Between Relatives or Former Relatives
B Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seiter
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 Sale Price
I Other Unusual Factors Affecting Sale Price {Specify Below)
J \:.: 'None
STREET NUMBER AND STREET NAME
CITY OR TOWN
4. Indicate the number of Assessment
Roll parcels transferred on the deed
! I D
. # of Parcels OR Part of a Parcel
5. Deed
Property
Size
I X I
ACRES'
.
4 81
lOR I
FRONT FEET
DEPTH
6. Seller
Name
i<.L:I'I;RIC~( .
LAST NAME I COMPANY
PAUL D.
FIRST NAME
j.{.Ll'..1.~ i-{ I C~.;: f
'siU1AH ~~.
FIRST NAME
LAST NAME I COMPANY
7. Check the box below which most accurately describes the use of the property at the time of sale:
A ~- One Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant Land
E ~ Age;,"'"",
F Commercial
G Apartment
H Entertainment / Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
SALE INFORMATION
11. Sale Contract Date
iJt1 1 03 1 01
Month D.y Year
1 1 01
Month D.y Year
12. Date of Sale / Transfer
13. Full Sale Price ~ 1, Q' 5 ,U I i), 0, 0 l 0 I
, , .
(Full Sale Price is the total 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.) Please round to the nearest whole dollar amount.
ST~TE
\
ZIP CODE
(Only if Part of a Parcell Check as they apply:
4A. Planning Board with Subdivision Authority Exists D
48. Subdivision Approval was Required for Transfer D
4C. Parcel Approved for Subdivision with Map Provided D
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. 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
14. Indicate the value of personal
property included in the sale
, , 900 , 0 I
, , .
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from I U" 0, u.' 11 17. T t I A d V I I f II I' t sf II
. . . oa ssesse aue 0 a parcesln ran er
which information taken
;
4,5
,
o ,() I
;
18. Property Class
"", l,t) I-U 19. School District Name 112 l-1attituck-Cutcno::':JUC
IOq-I_?
20. Tax Map Identifier(s) I Rollldentifier(sl (If more than four, attach sheet with additional identifier(sll
lUUQ-lJ2.GU-Ol.OO-UOB.OOO
I
I CERTIFICATION
I certify that aU of the items of information entered on this form are true and correct (to the best of my knowledge and belief) and I understand that the making
of any willful false statement of material fact herein will subject me to the provisions of the penal law relative to the making and rding of false instruments.
BUYER
,
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BUYER SIGNATURE
cl l \ J '----_____
~j
S.c.;R~)8,:\
I '
DATE
BUYER'S ATTORNEY
G.8~)E~FRt:Y
LAST NAME
FIRST NAME
c
(631)
AREA CODE
STREET NUMBER
STREET NAME (AFTER SALEI
'. (
r'~1 'r
II 'I ;:) ~
ZIP CODE
{il(
,
STATE
CITY OR TOWN
SELLER
/L(,~ j), \0~uJL
, SELL S NA'rURE t::-.qL:.
DATI'
3::;1-1500
TELEPHONE NUMBER
CITYfTOWN ASSESSOR
COPY
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