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HomeMy WebLinkAboutL 12248 P 463 '" .."-. " .. ~' N.Y.S. Real Estate Transfer Tax $600.00 }ft-- ili'sr i'P"'i?, .5.~G t?P6.,rp 18....,;. 06. PI? ;l..t/r" p.?(;'".pP \ ,,'j,) Lf S> G- 0-.s- I I , , ~ . , M~C~OI'&'"b5'3-5F- CONSULT YOUR LAWYER BEFORE SII:;NlNG THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY as of THIS INDENTURE, made/the 3xd day of October . 2002 BETWEEN _ F. ~ ~ at 2981 rath Chlrlot:te st., GilI:e:tBlille, RI, am _ M. I~;::;;rg at 234 ~th a:m.. 0:l.glaBv:llle, ll\., '!l?~'1CE5 eX FNfiIE F.II:NL ~.I' J'fIY 1iBlIWV, residing at 101:iD \i'. ~~=~r. an CitY,Ai.....~ F. lXHRIlt~.JIi, lIS JIn::I.llar:y hInisb:aIxr eX tiE ESIME CF Jl:1N PJOG;:1T FJG\IL; latE eX NM iUd:H/u:, ~ aQ'l'id3e st, F.I.EtEDIlS,Ni im _ (FR"1T:rn::, lIS l\rx::i.l.laly JId1lInIsb:alx: eX tiE ESrinE CF SIEHI:N Fm\l:L,1ate of It:I:e S:uxi" FL.~'''''' J~ at 41 S:1lI:h Al}dlr m.'.d., nt,,'""....., BIl. "", 'I :MIr...r~"",,~., tI Jia.tlWllamd 1 h-_--IOIIHIf . llIIlDcAf ode . sreF-":AN' )Q : r . party of the first part. and __:_ SCHIESTL and PATRICIA.. SCIilESTL~~~"'''D _.~ his wife, both rt.siding at Madeline Avenue, Fishers Island, New lc'ork, ~ 'OCOD PEZZOLESI. rl>siding at Fox Avenue, Fishers Island, New York .,c;.3'10 ,. ItS n;NANTS ...' C"^,V1GN party of the second part. WITNESSETH, that the party of the first part. by virtue of the power and authority given in and by said last will and testament. and in consideration of ONE HUNDRED FIFTY THOUSAND and 00/100 (5150 000.001-------------------- doUBrs. paId by t~e 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 p;arcel of land. with the buildings and Improvements thereon erected, situate, lying and being in the SEI~ AT1'ACHED DESCRIPl'ION (SCHEDULE Al *Frank F. Monberger and Frank M. Honberger are the sole heirs-at-law and dictributees of Fannie F~gall Monberger. one of the five (5) children of the g~antee8 in the deed recorded in Liber 1203 Page 310 ineo Mike Fegall and Mary Fegall. now deceased. .1 .- ~..... ""':~:~'~"""'~. -....,........... .', ...............--.......- 1.-'. .i ....-. i . . .. ~~:. '.',1 ,-.). . fl :. ;,:.: \, ~., ,,\ .... 1.;;'1' . ..' I ~ :' '. .. oIt_ ~.,.~.....~_......,._..~or.~~_..,.~...........,~ TOGETHER with all right, title and Interest. ij any, of the party of the first part. in and to any streets and roads abutting tha above descrtbed p",mlses to the center lines thereof; TOGETHER with the appurtenances, and also all the eslale which the said decedent had at the time of decedent's death in said premises, and also the estate therein. which the ps..1y of the first part has or has power to conveyor dispose of, whether individually, or by virtue of said will or otherwise; TO HAVE AND TO HOLD the premises herein granted unto lha 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 c:ovenants 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 Seelion 13 of the Lien Law. covenants that the party of the first part will receive the consider,ation tor this conveyance and will hold the right to receive such consideration as a trust fund to be applied first I'or 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 at 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 p.,rty of the first part has duly executed this deed the day and year first above - ~ ' ATEO~ I IN PENCE OF: ~~P:.A"'/?:.~~~ . , Frank F Mooberger 'll1cmas F. t . . Anci1 9 ..(Af~ FSrATE OF FIGAIL Frank M. ~ '. r{;il SlBndard N.V.B.T.U. Form 8005 - Execulor's Deed -~ Acknowledgment May ~ arc, by Michael Ferraro Fonn 3307 ,-... AttalJ1ey-in-Fact """'~~ ~ "'" o..~~.....G""""''f''<<:;' )"d- <;;,.............,~ ...............- TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS' MADE IN NEW YORK'STATE " State of NB\lV York, County of On the day of m the yeilr before me, the undersigned. personallyappearedl ss: State of New York, County-of S8: On the day of in the year before me, the undersigned. personally appeared personally 1'U"IOWI1 to me or proved to me Ofl the basis of satisfadory evtdence to be the indjyidual(s) whc)S8 name(s) is (are) subscribed to the within Instrument and ac:knowledged to me that heJshehhey executed the same in hislherltheir cap8city(les}, and that by h;slher/lhelr signal,urses)' on" the instrument, the indlvldual(s), or the person upon lbehalf of which the indlvidUlJr(S) acted. executed the instrument. 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 hlslherlthelr capacily(les). and that by hlslherlthelr slgneture(s) on the instrument, the indrvidual(s)~ or Uie penson upon behart' of which the individual(s) acted. executed the instrument. . (SlgnoEItUr& and office of individual taking acknowledgment) (signature and office of individual taking acknowtedgment) TO BE USED ONLY WHEN THE, ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State (or Oii~trict of Columbia. Territory, or Foreign Country) of ARIZONI'. 55: On the J day of 2002 before me, the undersigned. personally appeared October in the year MICHAEL FERRlIRO "'... p8rsonaUy IU10Wn to me or proved 10 me on the basis of satisfactory evidence to be Ihe indivlduat(s) whose name(s) is (are) subscribed to the within instrument and acknowlEtdged to me that heJshellhey executed the same in hlslherAheir capacity(ies), and that by hlsll1ernhelr &Ignsl.ure(s) on the instrument, the individuaf{.). or the person upon behalf of which the individuates) acted, eX80Jted the instrument. and that such individual made such appearance before the undersigned In the c:= -A (inserl"the City or other Iitlcal subdtvislon) in OFFICU'L SEAL JOHN THOMAS NQTARV puIUC - ..R1lQNA MAAICOPA COUNTY My CamnL _ Ja'. 2. 2005 TItle No. ....... . - --.it --.. .. . SECTION BLOCK LOT . COUNTY OR TOWN STREET ADDRESS ExECUTC)R'S DEED F'RAN}i: F. M::tmERGER, FRANK M M:NBE::RGE:R, et aD"O STEPHAN SCHIESTL. et a1 Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY STANDARD IFORM OF NEW YORK BOARD OF TITLE UNDERWRITERS ...l.Jt..-.nA......lCo\.r.tt'IIPA.....y -e.t::- . /.A/~"y-"",/ ~fi...~ r$~ --7"&7/ ;@;e";09.J}~A'r be-a.r r-.~AC-<./:r- /00/ 0' .'.. Distributed by Commonwealth CoNMONWIliALTlllAN'D Trn.IINSURA.NCB CuMPAPf1' w " 0: ~ 0 '" z 15 '" 0 " w '" ~ 0 w !!l ~, ... ~ .. I w ~ ill '" ,,' '-. ... .- '. -~. 'i-I' . SCHEDULE-A- All that certain plol. piece or parcel of land, with the buildings and improvements !hereon erected.' situate. lying and being at Fishers Island, in lhe Town of Southold. County of SUffolk, State of New York. being more particularly bounded and described as follows: BEGINNING at the point on the westerly side of a private road where same is intersected by the northerly line of lands conveyed by J. B. Hartsfield and Audrey Hartsfield. his wife IA:I Todd PezzoJas' by deed dated January 28. 2001 and recorded February 13, 2001 In Llber 12102 Page 284; THENCE along said northerly boundary. South 78. 41' 30" West, 120 feet to the northwest CDmer of said lands conveyed to Pezzolesi and the easterly boundary of lands now ot formerly of King; THENCE In a general Northerly direction along said lands now or formerly of KIng, North 03.4T 3O"West, 58f_, to the saulhwestcomeroflanels conveyed to Kevin P. Lynch and f''alricia A. Lynch by deed dated December 22, 1W2 and recorded April 22. 1993 In Liber 11626 Page SOO; THENCE Inll general Easterly direetlon along said Iand8 conveyed to Lynch, North 83. 2T 59" East.'-119.1 O'feet.. to the westerly line of a private road: . THENCE along thediYision line betWeen said private road ancIlands con\feyed to Lynch. /liorth 03.26' 55. East, 86.79 feet 1Q the sou\l1erly side of Fox Av.enue: THENCE along said side of Fox Avenue. North 88. 24' 46" East. 27.28 feet to the westerly boundlll'y of lands now or formerly of ~y: . . THENCE along said lands now or fonnerly of Casey, South. 03. 26' 55" West, .78.56 feet and North SS. 47' 00" Easl, 28.08 feet to the westerly boundary of lands now or formerly at Canio Toglla; "HENCE along said lanels now or formerly of Canio Toglla. South 03. 4T 29" East.. 60.00 r.iIBt to the northerly boundary of Jands now or formerly of ~e and Bemice Auger; THENCE elong said lands now or fonnarIy of Georue and Bemice Auger, South 87" 18' 314" West. 314.38 feet and South 03. 4.T 30" West, 146.00 feat lD the northerly boundary of . .1;!~J:!OW~,?!.f~rmerlyofThOm.~A..S~~;_ _-.:_~_~.... ..... 1'HENCE along &aid lands now or fonnerly of ThomasA. Sargent. South 77. 22' 20" West, .!2.26 f88t to other lands now or formerly of Thomes A. Sarge~ 1rHENCE along said other land. now or formerly of Thomas A. Sargent, North 03" 4 T SO" \Illest, 84.92 feet to . mel'8stone fourJd at the aouthwest comer of said lands conveyed to 1rodd p..~si; ~rHENCE along the same. North 03. 4T 3D" Weal. 70.00 feel to ~e point or place of 15EGINNING. \ "I. , S~~ATE OF PENNSYLVANIA) COUNTY OF 'foR-K: ss. : rr>U . AJOVe...B~fL- On the 'rr~y of O~LoDer, in the year 2002, before me, the undersigned, personally appeared WAYNE CRECELIUS, personally known to me or proved to me ,on the basis of satisfactory evidence to be ttle individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the pE!rSOn upon behalf of which the individual acted, executed the instrument, and that such individual made such appearance before the undersigned in thl~ County of York and State of PEmnsylvania. ,Uhli',)II I" ". 0,. "';-"1:1" '''0 "'. , .J"Ifo"'" I'''' .' ~'..'..""'.r '. i J.:,r. i.",;"'j/,, ';';~" '.:; ~." ,!:i.'(.!".-:{J-:'.f!l \. ;; Ai., l'i.,,~'wr 'i'....~..... , :r: :1$:1'.' . '; :~': : '.'~ r 0'::' ..cz:'" == ~,,1 .' .. '~"""~:o'; .~....~. A" . ., t.......: .:~. \.f!'I: ~:'{;:;""~';!I'f" '. 4,.". oJ" _,'t'"." '-"'0 .....~' "v.' "",.,. ',..' lit" An. ". ""'1111,111 ~~~ NOIa1iaI Seal Cheryl R. Oowns. NoIary PubUc CilIroU 1lop.. 'Iblk COunty My Commission ExpilBS Feb. 3. 2003 Member, l'eo"ollllllllllll I\ssocialion 01 Ncta"es .. . .. . STATE OF PENNSYLVANIA) - J.) COUNTY OF "/~,Mfft!>'. ~r ) On the 10 day of October, in the year 2002, before me, the undersigned, personally appeared FRANK F. HONBERGER, personally -known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowlEldged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the ins:trument, and that such individual made such appearance before the undersigned in the County of and State of Pennsylvania. ss. : . '" ,,~'r,.'~:d! .4r~ ....'"..,;''.::..'11, :: "0',' ,,......II...V. ..: ," .......~ .. /. .~.' . . ."'..:~...~.. .-:... . ,.. "f or..).. __ . J '1bu,' :.:'..,.;;.~~~; ': ....: ;/ I,Op: .....~ .. f T'" tl....1 /..,:.:.... J " '". :...~ , ,'/", ,,:,., .,' ~":("(;':I"/"~ ......., ..........,"~,'.:,~ . ....- . ~I . -:"_'I7:f:~.u 1 ",....;r ~d lololarit'lSllllI f.n.'wr S. HcmI. UI, Nam, PublIc D"....".T..~ ..........'"','.ryCD\iIi'" :.o~liI.. I......,r........... 'I My Climrioi;lloll Elcpl/aOtt. 12, ~~()oi I!.am~~. PIlo....l.ullAlllIlcl;11iln lIIND1lt.!lI S,!'ATE OF PENNSYLVANIA) 7 ) COUNTY OF J1Io1J 1'Jft~) On the A day of October, in the year 2002, before me, the ul1ldersigned, personally appeared FRANK H. HONBERGER, personally known to me or proved to me on the basis of satisfactory evidence tel be the individual whose name is subscribed to the within instrument and acknowll!dged to me that he executed the same in his ca.pacity. and that by his signature: on tt.e: instrument, the individual, or the person upon behalf of which the individual acted, executed the in!;trument, and that such individual made such appearance before the undersigned in the County of and State of Pennsylvania. 55. : . ~"r.~;. ..-- . ,J/<:"" '><.... ,./ ." ..'...1'.....:;... .':: '.:.. ~~... ~ .. ,,'~ . ~". ..... ~ :. -:'~. (,' :, i . ~. .:::'~'.: . i _ ".(I-"'<I,j" ., .: '. i';"~~"'i I ...'iIt..!.....I'. ". ,.... _-I' - - ~~ . No ~UbliC -- l-lotWl Sed ArllnIr 8. HI:nd. 01, NDliIJ PuIIIc DougIs:a T~..~.. L!XitCdlliJ Countt My CGr.:mbIiDn ElqIlra Del. t2. 2004 l'sn~3r. Peo.~AIllIlCIIIIanCIINIlIEIfSl .. STATE Or NEW ':'ORK: ss" : COUNT':' OF SUF~'OLK: On ;::!1e 15-- day of November, ir: :he year 2002, before ::le, :.t.e unde:-signed, personally appeared THOMAS F. DOH::"T':', .T:\.. personall y k:lOwn ;:0 me or proved co me on ehe basis of satis- factory evidence Lo be the individual whose name is subscribed LO the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instru- :'nem:, the .: nd:.viciua:, or the person upon beha:f of which the i~dividual ac::ed, executed Lhe instrument. -~g~....._"- VERONICA HAMILlON . ... /.,. '.~:;!....."f~'''.'',., ~:orARY PUBLIC f ~:i' ..i'l':oi:,'''.. ~'.i..:!. :--. :. ~.;.TE OF NEW YORK r ;.;~'/ .~~. "" ......:~ \. l.v,OlHA60en85 ;.~.! ",,,,..0 ..J :~ . QUALIFIED IN SUFFOLkCOUIn'Y \~,~...~ :3 .." /,' TERM EXPIRES... IpJ1""f/oS"'. \.,,"': ....; ::J .:,', .. '74 '1 ... ;.:....;. ~,.."';" '%- .:-' l ....... '....... i.-." ~:.~ . I" .,,,,\\ "IfI'::::'I: ,\\'" J G:: ;~ J Number of pages TORRENS 1 RECORDED 2003 Rpr 28 02,06:11 PM Edward P.RoIDaine . CLERK OF SUFFOLK COUNTY 'L 000012248 P463 [in 02-37291 Se~a1 N_ Certllicatc N Prior Ctt: ,# Dc~cd I Mortgage Instrument Deed I Mortpgc Tax S.amp FEES Recording I Filing Stamps ~ P.a&e J ~ilil1g Fee Handling TP-584 Z/ f_ ,;- Mortgage AmI. I. Basic Tax 2. Additional Tax Notation EA-52 17 (County) ./f" = Sub Talal ~~- [;iJ 3? Sub Total 5 <llL- SpecJAssiL Or Spec. f Add. Ell-52 I 7 (Slate) R.P.T.S.A Conun. of lid. TOT. MTG. TAX Dual Town Dual County_ Held for Apportionment Transfer Tax tf,() " Affidavit Ccnified Copy Reg. Copy Other /.j"' Mansion Tax _ The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES or NO UNO. see .ppropriatc lax clause on page # _ oflhis instrument. .e 1>atL 7-~, Real Property Tax Service Agency Verification DisL Section B lock Lot 6 COIllntuni Preserv~ti Consideration Amouncs 03014847 1000 00600 0600 005000W ;::-~ 1000 00600 0600 00900010 \ ~,RSK~A '\ In. --r>L . 17 -APR1>.J It'iilS'C...o" ~ -;1 Salisfa"tionslDlschargcslRelC8SCS List Property Ownen Mailing Addres ....:J RECORD &: RETURN TO: CPF Tax Due $ Improved M;c,y~ -r?O'~. .:2..~ . . -'7'-.?' / LJi-ep".,v,ecr7 .. . A/eLl/~ tJ"'-...,ex,. A/ _~ . /'<:' C.J / ::3> TO 1'0 TO /t!/ 8 Title Company Information c ~ nu. page fOrlm part of the lI11ached c - 6 -$;,- Suffolk County Recording & Endorsement Page /Jec2:> (SPEClFYlYPE OF I~UMENT) ,h~ ...,;p '!be premises herein is situated in tl SUFFOLK OOUNIY, NEW YORK. In the Township of .s Ou rH 0 L../) -Title # ~ made by: <::":'" ~.-' c:::..?'-/"7~""/ 'H-~'~_' e.C ac{? TO .._~__(,.~.-r~~ c k-A J_ ~/-'- &~.::?.P~~'" In the VIllAGE or HAMLET of ;:::=/ SH e;J€. ',S- :z::: S L/9A./j;) BOXES 51HRU 9 MUST BE lYPED OR PRINIED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 1111111111111111111111111111111111111111111111111111111 /111111111111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DBEDS/DD:O Number elf Pages: 7 TRANSFI~R TAX NUMBER: 02-37291 Recorded: At: LIBER: PAGE: 04/28/2003 02:06:11 PM D00012248 463 District: : 1000 Section: 006.00 EXAMINED AND $150,,000.00 Block: 06.00 CHARGED AS Lot: 005.000 FOLLOWS Deed Aml:lunt: Received the Following Fees :For Above Instrument Exempt Exempt Page/Filing $21. 00 NO Handling $5.00 NO COE $5.00 NO NYS SURCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $25.00 NO TP-584 $5.00 NO Cert.Copies $0.00 NO RPT $50.00 NO SCTH $0.00 NO Transfe2: tax $600.00 NO Comm.Pres $0.00 NO Fees Paid $731.00 TRANSFER TAX NUMBER: 02-37291 THIS PAGl~ IS A PART OF THE INSTRUMENT Edward P.Romaine County Clerk, Suffolk County . PLEASE TYPE OR PRESS' FIRMLY WHEN WRITING ON FORM /YJ/lc: 3<,/",,/ 'j'<::S'':f' J;C INSTRUCTIONS; http:// www.orps.state.ny.us or PHONE (518) 473-7222 FOR COUNlY USE ONLY C1. SWIS Code 7' I ?I~'? I g S // J w..... '. II ~'.. :f..~!IJ ___ C2. Date Deed Recorded cr I ;;( S Month Dal' C3Book L/,.;),:;( '-/8'/C4,Pagel PROPERTY INFORMA'IDN 0-3.J Year ,<f,r; ;3 1. Property L- Fhv A\~p Location STREET NUMBER STIlHT NAME L____ Fishers Island :I'-YOR TDWN REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES RP - 5217 KP_:;217 R,,'3f')7 c~~b ~I liP (:ODE ?feFt.4/. ~tel'haI.. and FIRST NAME --.J 2. Buyer L Schiestl Name LAST NAME I COMPANY L-. P~~iiii?' od CAST NAVEl I'N Tnncl FIRST NAME 3 Tax Billing Address lndc~f' where lu~ure Tax Bins are tc os sent ifGt!'1erlhanb(;yeradd~s(atbottomofform) lAST ~'AME I COMPANY I ,~n<t'.cr NUMBER AN:) STRUT "'AME CITY QR TQWN 4. Indicate the number of Asses$lTlent Roll parcels tr<lnsferred on the deed I # of Farcels OR D Part of a Parcel 5. Deed Property Size . 2 I I X 1 IORL L ._--~.- ACRES FRONT FEE- Frank F. Frank M. May""?n~all L Estate of John Pickett Figall I LAST~~Et~r~r of Stephen Figall FIASTNAME 7 Ch.eek the bo)( below which. most accurately describes tht!l use ut the propt!lrty at the time of sale: Monberger Mnnhpr~pr LA5TJ:JI'VE/COMPAN t"erraro 6. SaUer Name ~~eFamiIYReSidential B 20r3 family Residential C Residential Vacant Lane! D' Nan.Residential Vaca:,t Umd E~Agricultural F Commercial G Apartment H E\\tl>rtairme!',i f Am\l!;ement [~ COll1munityService J, Industrial K Public Service L Fo.e"S\ , SALE INFORMATION 11, Sale Contract Date Patricia fl"Sj--UAME STATF. ZIP'COOE ---.J \Onlv if Part of a Parcell Che{:k as they appl~: 4A. Plan~",y Boardwilh Subdivision Authority t:XIStS 48. Sl;bdivision Approval was Required for Transter 4C Parcel Approved for Sur:oiv:Sion with Maq Provided o o o ....-...I Check the boxes below a.s. they apph': 8 Ownership Type is Condominium o o o o 9, New Construction on Vacant Land 10A. Proparty Located within an Agricultural District 108. Buyer received a disclosure notice indicating Ihc.ttnti prope'1:y is ir an AgriCultllraIDistI':c\ 15. Check one or more of these conditions as applicable to transfer: Ll I 27 I 02 Montn Do, Yea, 2 21 03 I I '6-2 Month D., Year A B C o E F G H I J X 12. Date of Sale I Transfer 13. Full Sale Price ~ L' 5 0 0 0 ~ 0 0 I , , . (Full Sale Phce ;,: the total amount pa'd for the pro[.lerty inciuding persorlal propel1y. This payment m.ly be In thefo'm ofC<lsh, other prcperty or goods. orthe assumptiOI1 ul mortgages nr othf!r n!lI;lll'll,ons.) Please euu'IO to the nesrest whole do/18r amount 14. Indicate the "'~Iiue of personal property included in the sale , ASSESSMENT iNFORMATION I. L ,0 ,0 0 I , , . Data should reflect the latest Final Assessment Roll and Tax BII! 16. Year of Asses~,ment Roll from W'hich information taken 01 /011 17 T01al Assessed Value (of ",II parcels in transfer) L., Fishers Island ~-.2_5....JLllL_J , , 18. Property Class ~ o I-U 19, School District Name I 20 T<lx Map Identifierlsl I Rollldeotifier(s) (If mote than fout, attach sheet with additional identifier(s)) 1000-006.00-06.00-005.000 ---.J _.1 L- Sale Between ReiCltives or Former Relatives Sale Between Related Companies or Partners in 3lisi'less One of the Bclyers is also a Seller Buyer or Seiler is GovBmrnent Agency Or Lending lrstitution Deed Type not Warranty or Bargain ,wd Sale ;Specify Below~ Sale of ha<.:tional or Less than Fee interest (Specify Below) Significant Change in Property Between Taxable Staws !Inri Sale Dates Sale of 8usiness is Included in Sale Price Other Unusual Factors Affecting Sale Price lSpocify Below) None I CERTIFICATION..J I certif)' thai all lit' the items of Infonnati/lll entered on this flint] afe lrue and corred ltu the best or Ill}" knowledge and bl.'liet) and I nodcrshlQd thai the maki~ of any willful fahc statem~nt l.r material t'act herein "ill !orl.lbje<:t me to the urovisions or tbe ~nal law relative lo tbe making and min/.: uf ra]~ inslnnnent<;. BUYER ~{C~~~Jlff( ~/ :\TTOR~-El\CT /-"C.K"_d..L.~ /) ./~ ST~~H ",.;.6 ;A'rTER SA;.~I 2/21/03 12cL;-/ DATE LAST N""t~ 2/2 AF~EA CODE STAEl'T NLM~E" h' S '::'/? ?;:/f;4' "Co{ I .A/ ~ c E>3 '7 C CITYOT~~ ' ST.. ,7.'PCODE '~, -- -~';t:~~~~ ..1[[':<='::'''''''' ~:1 -~tY; l;;...:; '~/., v~.... SEcLERSIG"JATU~c .~ DATE BUYER'S ATTORNEY I r/v{lc4 G4:lL...-...-..-_-:....-........ ,~H~T NAM~ ~J ~? <-I '7 MJ HLEPKONE ~'JMeER ~. NEW YORK STATE COPY I j \,