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CONSULT YOUR LAWYER BerGRI! SIGNING THIS INSTRUMENT - THU INSTRUMeNT SHOULD 81! USED BY LAWYI!:RS ONLY
THIS 1l'iIlENTURE. made 00.1 VNt. ~ ~ .2004
BETWEF.N Michele dul'ont (joss. residing al2545 Divisadero SII>="., San Francisco, California 94115 and
Jane duPonl Kidd, residing at 4315 (ilenwoud Avenue, 1)~lIas. Texas 75~05
Pany Ilflhc lirst p:u1,
Sandsong LLC. a Delaware Limited Li~bilily Compuny wilh a regislercd office at c/o Corporalion Trust
Center. 120'1 Oninge SIn.>CI. Wilminglon. Delaware 11/801
p::ln)' I)f lh~' ~"\:nnd pan.
WITNt:SS..:TH.lhatthlo' puny uflhe finot part. in lo"IIUli~er-Jlinn ofTL..1 Dull31'S un&! "mer \'DJuablc conllok.h:'rJtinn puid h)'11re rarty of
the K'Cond part. docs hereby granl :mIJ n'ka."C: unto me ('&I1t,., l)fthe $:C'ond ~n. the: heirs ur SUCCCS:KIrs and ltoCj,'ii~:s uflhe ran)' of the
sc.'l:ono p,un fnn:vr..T. lhe thllowing:
See Schedule "A" allached hereto
.;
.
TOGETHF.R with all r~l. litle :lnd inlcr~SI. if any. l)fthc pony of.hc lirst pan}. in and Il' an)' Sln:ct~ anti ruads .bullin, the abO\'C'
dc.."'\lTihctJ premises 10 Ihe cenler lim:s 111r..'I\.'O(; .I'OGETH~R with th(' appuncnam.1:) and alllhe cRaie W1d righlJi uflh&:' part)' urlhe: nn:1
pan in antlln~d pn.-miscs; TO HA VE ANI) TO HOLD th(' p~mL"C:c herein ~runlr..'\1 unlo 1M parii;(iht"":'~~llnd part.lhc hcirsor
SU~1:t:stiUT"5 3ml :1.'isigml "r the' P;Ul~' of the ~QnLl pan r!J~"\.er,
AND the p3.11}. uflhe lirst ('411 ,,~l\'en:lnls 1hiU the J"W1}' ,,{ the Iir!Q. pari has nol tJnnc or suffered anythin~ wh..:reh)' the !C:J.i~ premi:o;es
ha\"e hC'C'n r.."lIcurnhcn.'d in any way whut'~".cr. ~S.CC'pL us af,'rc!MIid,
AN 0 the part}' of the fifSl r:u1. in COml)li;.ln~c with S<<li,," 13 \If the I.h.," l.aw. C'lWtnant:s lhalth.: p.'\ny of the lif':"l (\lln \'o.iU ~'\:'C'I".C: Ihc
consi\k.'n11i,," fnr Ihis convcyant:c anLl \\dll hnld Ihc rightlu rr."\"Ci..'C such t:unswC'T'dlion as illrUSl tUIW lu N: applied firsllor die rul'pl'SC:
ufp:1}in~ lhe' ,",('151 nfthe impm...cmt.-nl and will.."pl}' the $M1e tim II' Lhr ruymcnl orthe t'(l0li:1 llflhr imrnlYCml..'f11 belore using any part
of Ihe Inial "r Ihe S3J11C f,'r an)' Ulher purpuS(', The \!lord -puny" ~all be (on!UnlL'fI noc if il rmu.l "p'lrtic~" \\"hcnevcr the se~' uf Lhi.;
Indenture :so n:qui~.
IS l'kF~olioE""t:1.: ~\lI:
IN WITNESS WHEREOF, the pmrly I,rlhe lirllo1 {'3rt h3.~ duJ)' C'Xl.'C,."UIC'~ Ihis deed the da)' omd Y~':lr liNit i1htn'.: \\Tiucn,
J!t:.,L JlD
MICHELE dUPONT~
n
JA "Ii dul'O:o.IT KIDD
.....
SCHEDULE A
Seven tracts or parcels of land with any buildings thereon located at Fishers Island, Town
of Southold, County of Suffolk and Stale of New Yort, being bounded and described as
follows:
TRACT # I:
Beginning at a point on the Northerly line of the main road to the East End, said
monument heing located 823.08 feet North ofa point which is 2791.61 feet East ofa
monument marking the U.S. Coast and Geodetic Survey Triangulation Station
"CHOCOMOUNT 2", said point also being located North 04 degrees, 5 I minutes and 40
seconds West 5.00 feet from ;8 monument on the original Northerly line of said road that
is 818.10 feet North ofa point which is 2792.04 East of said ''CHOCOMOUNT 2"
monument and running thence Southeastwardly along said road line following the arc of
a curve to the right having a radius 329.44 feet and the direction of whose radius at that
point is South 04 degrees, 53 minutes and 40 seconds East for a distance of 244.22 feet to
a point of curve to the right having a radius of376.15 feet and the direction of whose
radius at that point is South 37 degrees, 34 minutes and SO seconds West; thence
Southeastwardly along said road line following the arc of said curve for a distance of
47.28 feet to a point; thence North 32 degrees, 33 minutes and 00 seconds ElISt 414.70
feet to the shore of Fishers Island Sound; thence following the meanders of said Sound on
the following four courses, Nllrth 66 degrees, 30 minutes and 10 seconds West 50.16 feet;
North 07 degrees 21 minutes and 10 seconds East 31.26 feet; North 33 degrees, 47
minutes and 50 seconds West (>6.10 feet and North 24 degrees. 41 minutes and 30
seconds West 95.00 fect; thence South 61 degrees, 08 minutes and 00 seconds West
286.66 feet to a point; thence South 35 degrees. 37 minutes and 30 seconds West 148.22
feet to a point; thence South 34 degrees, 02 minutes and 40 seconds West 97.39 feet to a
point; thence South 18 degrees, 18 minutes and 40 seconds West 56.52 feet to a point;
thence South 10 degrees, 04 minutes and 00 seconds West 79.87 feet to the Northerly line
of said road; thence north 85 degrees. 06 minutes and 20 seconds East 28.66 feet along
said road line to the point of beginning.
Containing 3.38 acres, more or less.
TRACT#2;
Beginning at a monument on the Northeasterly line of a road, said monument being
located 1061.85 fcet North of;8 point which is 2528.34 fect Bast of a monument marking ",
the U.S. Coasl and Geodetic Survey Triangulation Station "CHOCOMOUNT 2" and
running thence North 48 degrees, 10 minutes and 30 seconds East 153.07 feet to a
monument; thence North 04 degrees, 16 minutes and 30 seconds East 349.72 feet to a
point; thence North 47 degrees, 30 minutes and 10 seconds East 49.71 feet the shore of
Fishers Island Sound; thence following the meanders of said shore line on the following
six courses: South S I degrees, 32 minules and SO seconds East 43.42 feet, South 29
degrees, 33 minules and 10 sel:onds East 111.5 I feet; South 60 degrees 37 minutes and
40 seconds East 228.36 feet; South 77 degrees, 09 minutes and SO seconds East 81.02
-\
/
,',
.. '
fect; North 57"degrees, 05 minutes and 40 seconds East 80.99 feet and South 10 degrees,
29 minutes and 30 seconds East 62.56 fect; Ihence South 61 deb'I'eCS, 08 minutes and 00
seconds Easl 248.66 fecI to il poinl; thence Soulh 35 degrees, 37 minutes and 30 seconds
Wesl 148.22 feel; Ihence North 86 degrees, 49 minutes and 30 seconds Wes1185.82 feel
to a poinl; Ihenee South 42 degrees. 29 minules and 30 seconds West 94.14 fcelto Ihe
Northeaslerly line of said road al a poinl of curve 10 the left having a radius of234.37 feel
and Ihe direclion of whose radius at that point is South 63 degrees. 02 minutes and 52
seconds West; thence Northwestwardly along said road line follOWing the are of said
curve for a distance of75.37 feci; thence North 45 degrees, 22 minutes and 00 seconds
West 17.62 fcet along said mad line to a point of curve to thc right having a radius of
340.13 feet and Ihe direction of whose radius at that point is North 44 degrees, 38
minutes and 00 seconds East; thence Northwestwardly along said road line following the
arc of said curve for a distanl:e of 49.00 fectto the monument Btthe point of beginning.
Conlaining3.264 acres, mon:: or less
TRACT#3;
Beginning BI a monument on the Northerly line of the main road 10 the Easl End, said
monument being located 805.80 fect North of a point which is 2648.40 feet East of a
monument marking Ihe U,S. Coasl and Geodelie Survey Triangulation Slation
"CHOCOMOUNT 2"" and running thence Northwestwardly along a road line following
the arc of a curve 10 the right having a radius of24.82 feet and the direction of whose
radius atlhat point is North 04 degrees, 53 minutes and 40 seconds West for a distancc of ~
43.12 fcelto a point; thence North 04 degrees, 39 minutes and 00 seconds East 17.47 fect
to a point of curve to the left having a radius of234.37.fcet and thc direction of whose
radius at thaI point is North 85 degrees, 21 minutes and 00 seconds West; thence
Northwestwardly along said road line following Ihe arc of said curvc for a distance of
129.27 feet 10 a point; thence North 42 degrees 29 minules and 30 seconds East 94.14
feet 10 a point; thence South 86 degrees 49 minutes and 30 seconds East 185.82 fcetlo a
point; Ihence South 34 degrees 02 minules and 40 seconds West 97.39 feet to a point;
thence South 18 degrces. 18 minutes and 40 seconds West 56.52 feet to a point; thence
South 10 degrees, 04 minutes and 00 seconds West 85.04 fectto a point on thc said
Northcrly line of the main road to the Easl End; thence Soulh 85 degrees, 06 minules and
20 scconds Wesl 114.16 feet along said road line to Ihe poinl of beginning.
/
Containing 0.915 acres, more or less
TRACT#4:
BegiMing at a monumenl on the Southwesterly line ofa road. said monument being
i!ocaled 1044.62 fcet North of a point whieh is 2490.28 feet East of a monument marking
the U.S. Coast and Geodetic Survey Triangulation Slation "CHOCOMOUNT 2" and
running thence South 5 I degree,s. 40 minutes and 30 seconds West 157.55 fcetto a point;
.' .
thenee South 5lJ degrees, II minutes and 30 seconds West 190.41 feet 10 an iron pipe;
thence North] 5 degrees, 03 minutes and 30 seconds Wesl 187.65 feet to an iron pipe;
thence North 26 degrees, 49 minutes and 50 seconds East 233.85 feet to the end oflhe
abo\'e mentioned road at point of curve 10 the righl having a radius of.III.21 feel and the
direclion ofwhosc radius at that point is South 23 degrees, 2] minules and 20 seconds
East; thence Eastwardly along said road line following the arc of said curve for a distance
of ]66.28 feet to a point; thence South 27 degrees, 41 minutes and 20 seconds East 69.39
feel along said road line to a. point of curve 10 the len having a radius of380.1 3 feel and
the direction ofwhosc radius al that point is North 62 degrees, 18 minutes and 40 seconds
East thence Southeastwardly along said road line following the arc of said curve for a
distance of 83.27 feet to the monument althe point of beginning.
I....
Conlaining 1.686 acres, morl~ or less.
TRAC'T#5:
Beginning at a monument set at the end ofa former road, said monument being located
9]0.28 feel North ofa point which is ]774.81 feet East ofa monument the U.S Coast and
Geodetic Survey Triangulation Station "C'HOCOMOUNT 2" and running Ihence North
34 degrees, 00 minules and 00 seconds West 30.00 feet along the end of said road to iron
pipe at a point of curve to the right having a radius of 32.44 feet and Ihe direction of
whose radius at that point is North 56 degrees. 00 minutes and 00 seconds East; thence 11
Northeastwardly along the end of said road following the are of said curve for a distance
of 55.21 fcetto an iron pipe; thence north 63 degrees. 30 minutes and 00 seconds East
70.00 fcetto an iron pipe; thence North 41 degrees. 33 minutes and 30 seconds East
105.80 fcelto an iron pipe; Ihcmce South 73 degrees. 42 minutes and 50 seconds East
271. ] 0 feet to an iron pipe; thence South ] 5 degrees. 03 minutes and 30 seconds Easl
187.65 feet 10 an iron pipe; thence South 51 degrees, 39 minules and 50 seconds West
142.89 feet 10 an iron pipe; Ihence North 48 degrees, 54 minutes and 40 seconds West
274.04 fcclto an iron pipe; thence Soulh 82 degrees. no minules and 00 seconds We..t
120.00 fect 10 the monument althe point of beginning.
Containing 1.886 acres, morc elr less
TRACT#6:
Beginning at a monument on the Northwesterly line of a road, said monument bcing
located 697.53 north ofa point which is 2377.90 fect East ofamonument marking the
U.S Coasl and Geodetic Survey Triangulation Station "CHOCOMOUNT 2" and running
thence South 52 degrees 09 minutes and 40 seconds WCSl 149.25 feet along said road line
110 a point of curve to Ihe right having a radius of273.09 fect and the direclion of whose
radius althat poinl is North 37 degrees. 50 minutes and 20 seconds West; thence
Southwestwardly along said road line following the arc of said curve for a distance of
,/
h
; .
112.07'Cect to 'a point; thence South 75 degrees, 40 minutes and 30 seconds West 14.00
feet along said road line to a poinl; thence NOrlh 13 dcgrees. 28 minutes and 40 seconds
West 198.77 feel 10 a poinl; thencc North 51 degrees. 39 minutes W1d 50 seconds East
142.89 feet 10 a point; thence North 54 degrees, II minutes and 30 seconds East 94.4 I
fectto a point; thence South 24 degrees. 45 minutes 00 seconds East 212.76 feet to the
Northwesterly line of said mad to the point of beginning.
Containing 1.31 acres, more or less
Lot II,
BEGINNING AT THE Southcasterly comer ofland formerly owned by the United Stated
known as the Fort H.G. Wright Military Reservation, Mount Prospect Tract, on the shore
of Block Island Sound or the Atlantic Ocean;
RUNNING THENCE Northc:rly following the East boundary ofsaid land formerly of the
United States to the Southerly line of East End Road (sometimes called Oriental Avenue)
and which point is the Northeasterly comer orJand formerly of the Unitcd States;
THENCE crossing thc East End Road and following the same course lIS thc last 10 the
shore of West Harbor or Fishers Island Sound
SAID lot or parcel of land being bounded and described as follows:
BEGII\'NING at a monument at the approximate center of the Northwesterly terminus of
a road. said monument being twelve hundred and eighty-four and eighty eight
Hundredths feet North of a point, which is twenty-three hundred and one and ninety-
seven hundredths feet East of .mother monument marking the U.S. COllSt and Gcodetic
Survey Triangulation Station "Chocomount 2" (which said "Chocomount 2" monument
is located on the summit of the' highest hill on Fishers Island, N.Y. about two and one-
quarter mill'S Wesl of the Easlt'lll end of Fishers Island and lies South sevCDty-nine
degrees tWCDty-nine minutes and forty-six seconds East or North Dumpling Light in
Fishers Island Sound); and
RUNNING THENCE South twenty-eight degrees fifty-seven minutes twenty seconds
West sixty-seven and ninety-eight hundredtbs rcetto a point on the Southerly side of said
road;
THENCE South twenty-six degrees farly-nine minutes and fifty seconds West two-
hundred and thiny-three and eighty-five hundredths rcetto a point;
THENCE North seventy-three degrees fOrly-two minutes and fifty seconds west two
hundred and seventy-one and te,n-hundredths feel to a point;
THENCE North twt'l1ty degrees twenly-two minutes and forty seconds West on~ hundred
and thirteen and sixty-six hundredths feet to a point;
THENCE North sixty-nine degn."'eS and fotty-onc minutes East two hundred and sixty-
one and thirty six hundredths feet to a monumcnt;
THENCE North eighty-two degrees tiny-two minutes East one hundred and thirty-seven
and four-hundredths feet to Ii monument; and thence South sixty-eight degrees forty-eight
minutcs and thirty seconds East sixty-one and thirty-three hundredths fcetto the
monumen! at the point or plllCe of BEGINNING.
TOGETHER with all right, tille and interest of the party oflhe first part in and to all
casements, rights of way and rights.. privileges and appurtenances whatsoever granted 10
Helen A. Benedict by deed dilled November 4, 1927, made by Fishers Island Corporation
and recorded the Office oEthe Clerk of Suffolk County on November 29, 1927, in Liber
1318 of Deeds, page 223.
BEiNG the sanle premises conveyed to Pierre S. duPontllJ by Helen A. Benedict by
deed dated Augustl, 1968 and recorded in the Office of the Clerk of Suffolk County on
August 12, 1968, in Book 6398 of Deeds, page] 22.
BEING also the same premises conveyed to Michele duPonl Goss and Jane duPonl Kidd
by deed dated January J I, I~J3 and recorded in the Office of the Clerk of Suffolk County
on February 26,1993 in Libet,] 1619 pg 851.
SUBJECT 10 all easements, restrictions and agreements of record.
"
ACKNOWLEDGMENT.otITSID~ NEW YORK STATE (RPL 309....)
Slat. of C"A ,Couaty of.J' ,40,," ...:
". 1=/1 -f'''' ',eJ i
On G;/,? J . 20<y.'befo",' mr, thr undersigned. pe/SC'lnally
appeared MICHELE duPONT GOSS )Kl'Mlnll1y 1.(:ll:I\l"''R 18 R1I or
PRlved to mr on Ihe basi., of satisfaelOry e,ridentc 10 he the
indi,'idual whose namt is subscribed to the wilhin inslrumrnt and
acknowledged 10 l1I<' that she execuled the sa",e in her capacily.
and thaI by hr, 'ignature on the inslrument. Ihr individual, or the
person up,n behalfo f which lhe individualac.ted, execuI.d lhe
instru""'nl~ and lha, sllch individualf<;l made such app.annce
bef".. the und....igned in ...J;jq", F4'_y-._
(illS"" ..*1 ., plllllhl JubtIJ."slM ._ ._ IIr _" pl."
aa........."..MI ",1ft)
''''lUf''tu'....
. c:...........,.I4INII
~_.('o.:---..
Ian "..~ c:o.nr
Ml'Camm. ........16,2lIll1
ACIUlOWLEDGEMENT OUTSDlE New YORK STATE (RPL 3OlI....)
Slatc af ~rx. ,Count}. of lJa/lds s..:
On ~ .z.i1.l.OO+ bef"", OlC, the undersigned.
pcrsonally appeared JANE duPO:o..'T K!DO personally knnwn I"
me or pro,-ed \0 me on the basis of satisfactory evidenc:e to he the
indi\-idual whose name is subscribed to the within inslnlOlent and
acknowledged 10 me that she execub:d the same, in her capacily,
and that by her signalure nn the instlUll10nL the individual, or th.
person upe,n bchalfo f wbich the individualael,ed. executed the
instruRX"Dt. and lhall!iuch individuall11lldr such appearance berLll"e
lheundersi;gnedin_ _ balJd&, .__'
(llUItn C'b.1 lfr JHllilkwJ nllllliriW. IUUI 1IIttII" .,. C"'''II}' ., OIAn "M<<
~.""'''inI} . .
TITI.r.~U.
Michele duPant Goss aDd Jane duPant Kidd
TO
Sandsoni: LLC
ACKNOWU!DGMENT IN NEW YORK STATE (RPL 3011....)
Stale of~ew York. Cuunty of N"'W York 55.:
On . 200 . before n,c, the undorsigncd,
personally appeared personally known 10 me or
proved to me on the basis of Slltisfactory cvid..'IIOe \0 be the
indi\'idu~1I whose IlDll1C i:; subscribed to the ,,;thin inSlrumtnt and
acknowledged \0 nle lhat she extcuted 1lu: ..me in ber capacity,
and lhat by her signature nn the instrument. the indIvidual, or lhe
petOOn Upnll behalfn f which the i ndi,-iduol,clcd, c ..cul.d Ihe
instrument.
(sqq.nrun' ,,,,d ''./Il'''' ullltJiIlidwl'tllIllg llrlclftlk1ec!gIf'II11
ACKNOWLEDGMENT IN NEW YORK STATE (RPL 3011....)
Slate of New York, Count~- of
ss.:
On
personally appeared
bef"", me, the unde..igned.
pcrsanall)' known 10 me or proved to ~ '>0 the bWiis of
satisfactory eviden,.., lu b. lb. individual(s) woosc name(s) is
(are' subscribed 10 the wilhin instrument and aeknowledlled '"
me that he/sbe/they cxcculed lhe same in hislhcr/lbeir
eopacity(ies). and lbat by hislhcrltheir si"natu..(s) un the
instrumcnl. the individualls). nr the ",,'r!lOn UP"II behalf of which
lb. individual(s) .eted. execuled the inSlNmenl.
-. -
(slJU"u"", and ''1Ji'~ (lflNlMdlUJllnking IU'W.,..,tdg"",w,
)ISTRICT
'f:CTION 4 and SJ:CTION 4
lOCK 3 BI.OCK 4
OTS 11,12,13 and 15 I.OTS 2,3 and 4
COUNTY OR TOWN Suffolk Cnunly. Town of Snuthnld
RETliRN' BY MAli. TO:
r=.' -
Eileen Caulfield Schwab. Esq.
Sidley Austin Brown & Wood LLP
787 Seventh A venue
New York, New York
-l
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Zip No. 10019
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Doc 10: I 04045658
Tax Maps
District Seeton Block Lot School District Sub Dlvlalon Name
1000 00400 0300 011000'
1000 00400 0300 012000 FISHERS ISlAND
1000 00400 0300 013000 FISHERS ISlAND
1000 00400 0300 015000 FISHERS ISlAND
1000 00400 0400 002000 FISHERS ISlAND
1000 00400 0400 003000 FISHERS ISLAND
1000 00400 0400 004000 FISHERS ISlAND
c,
.
.. ''''- . .~..r....~ ';:~.~"1____l:lllS~~'"
-"' .--
-.-.- )
_ ....-r-.
",
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........................~
~
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I I
2]
Number of JI'ltlL'S q .
TORRENS
Serial #
Certificate 1~
Priur Of. #
RECORDED
2005 Sep OS 12:35:09 PM
~rd P.ROlIainl>
ClERK OF
SUFFOlJ( COllHV
L 000012408
P 04S3
DU ~686
Dcc:d I Mmtgatte Tax Stamp
I
Rc<:unling I Filing SllImps
Recordin & Endorsement Pa e
bE"eD
(SPECIFY TYPE OF INSTRUMENT!
Deed I Mongage Instnlmenl
::u==
FliES
Page I Filin,g Fee
Handlintl
f)7)
TP-584
5. 00
5
NOlalion
EA-52 J 7 (Cuunty)
EA-5217 (SlllIle)
R.P.T.S.A.
-5
/125
--/5Q ~
-4d.
Sub 10lal
-Coml)l. of Ed.
Allidavil
5. 0(1
Certified Copy
Reg. Cupy
Olher
Suh Tonal
J"fS-
/5
Gnllld To.tal ~_a1
.:is-
~ DiSlriL-l~ Section
.
Real (
PI'tl~rty i
Tux Scrvi~
Agency I
"'fi . I
n:rl Ical10n
~
IBIOCk 9'"'LJ
. __ _a_~._ _
04045658 1000 00400 0300 011000
S 1000 00400 0300 012000
R~SKSA 1000 00400 0300 013000
-8.f)f!.@ ~ ~~~_~.~~~~~
6 I SalisfuclionsIDischall!cslRclca...,s Lis. Property Owners Mailing Addre5li
RECORD & RETl1R..'I/ TO:
.s-.dJoG~ 1J1..J.S1i,../ &ovU'~ ""U)0i>t:/' ~tfJ
c:ttn\.J '. E:; lee...., ~WP> b ~ .
{~BI SeueX\~ ~~
f\h...,..:;, ,-I ~ tv.-(. I DD\ ~
7
8
Suffolk Count
This page fonns pan uf lhe allllehcd
----.H.ie.1.J.e hu Po,;} ~SS
:JiJr/ e Au Ion 7 )!,-d.)
d TO
~~N. SO()j L Le
Murtgage AmI.
I. BllSic Tux
2. Additional Tax
Sub TUIlII
SpecJAssil.
or
Spec./Add.
TOT. MTG. TAX
I?ual Town _ Dual Cuunty _
Held ror Appuintment __
Tl".lIIsfcr T'dX
Mansiun Tax
The pmpcny cuvered by Ihis mUrlgagc is
or will he improvcd hy II unc or two
family dwelling unly.
YES or NO
S Community Preservation J'uDd
Consideration Amount $
CPF Tax Due $
Impro\'cd
Vucanl Land
TD
TD
TO
mnde by:
The premises herein i. situalcd in
SlIFFOl.K COUNTY. NEW YORK.
In the Tllwn.<hip of &I.J'thho \ d.
In the VIl.l.AGE
or IIAMLET of
BOXES.. THRU 8 MUST BE TYPEO OR PRINTED IN 8l.ACK INK ONl.Y PRIOR TO RllCORDING OR riLING.
(over)
IIIIIIIIII~ IIIIIIIIIIIIIIIIIIIIIIIIIIII~ 1111111111111
1111111111111111111111111
SUFFOLK COUNTY CLBRK
RBCORDS OFFICB
RECORDING PAGB
Type of Instrument: DEEDS/DDI)
NUmber c)f Pages: 9
Receipt NUmber I 05-0094176
TRANSFBR TAX NUMBER: 05-05686
Recorded.
At.
09/08/2005
12.35.09 I'M
LIBBR:
PAGB:
D00012408
048
DiBtricl:.
1000
Section. Block:
004.00 03.00
EXAMJ:NED AND CHARGED AS FOLLOWS
$0.00
Lot.
011.000
Deed ADK)unt:
Receiveel the Following rees Iror Above InstrumeDt
EJr""lpt Exempt
Page/rUing $27.00 NO RlIDdling $5.00 NO
COB $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO BA-STATE $75.00 NO
Tp-584 $5.00 NO Cert.Copies $0.00 NO
RPT $150.00 NO SCTM $0.00 NO
TrllDSftlr tax $0.00 NO CODIIIl.Pres $0.00 NO
rees Paid $287.00
TRANSrEJt TAX NUMBBR. 05-05686
THIS PAGE IS A PART or TBB INSTRUMBHT
TRIS IS NOT A BILL
Edward P.Romaine
County Clerk, Suffolk County
PLEASE TYPE IlR PRESS FIRMLY WHEN WRmNG ON FORM
. INSTRUCTIONS: htlp:// www.orps.stale.ny.uB or PHONE (5181 473-7222
FOR COUN1V USE ONL V
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REAL PROPERTY TRANSFER REPORT
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PROPERTVINFOR~nON
STATE OF NEW YORK
ITATE BOARD OF RIAL MOhRI" SERVICES
RP - 5217
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7. ChedI the b1:11. .... which mod DCCUI-.Iy d-'bR the u. at the PI'OI*tr at 1M ..... of lair.
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.. Ownership Tv.- " Condominium
~ Cotnmunlty SwWo 8. New ConItnICtIon an Vacant LIrxl
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_So...... lGI._r_'___1ng
L . Fat... that 1he prOJ*lY is In an AgricUunl ~Icc
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II. a.cIc _. ...... "'..... .......... . ....... to 'Ir8nIfw.;
^ 8M ......, ReIItMs or Fonner Relmlvus
B s... BtI\M!ran RllDIad Carnp.",- or Plnnetllln Bu8intu
C en. af IhI au.,..,.. it .110 . Sea.
D Buyer or SIller II Gawerrmom Agency or LoncIng IMlItution
I! 00Id Typo .... WI"_ or Ilarpln ... Solo ISllooirv 801...,
F Sola of "'......... or..... _ Foa _ (SoKJIy_
G S1g_ Chongo ;,,""'_ _ T_ -. and Solo llIIoo
II _ 01_....10 1_ in _ Prico
I Other UnuaAaI FICIOtI AffectIng s.a. PdllO (Specify Bolowl
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Here "hange of identil:Y or form of
ownership
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I SALE INFORMATION l
n. Sale eomrflel tt.t.
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G Ap.wtmtnt
H Entlrulnmont I AmUlOmDnl
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13. Pul .... Price .
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l.Full Sill Prk:e Is Ihllo1a1 amounI paAcI for the property Including pot'IONIl property.
this paymonl may bo in Ihe Iorm at CUI\. otht'r propIIty or goodI. or IhIr ....mpllon d
mortgag_ 01 other 0bIigI16ona.l I'fNA1UIIIId ro 'HIJlIII'ftf""" doIIIIr 1IfflCJUfIf.
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ASSESSMENT INFORMA1ION - 0...
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houkl reflect the 111..- Ani' .eurnent RoIllnd Tlx Bill
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S~.."lnn & Rln_I.' T^t& 11, 12, 1J aRd is Section 4. 8lo"k 4. Lots 2. 3 and 4
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I Town of Soul:hold. Suffolk Counl:Y
I CERTlRCAlION I
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r Eil~en Caulfield
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NEW YORK STATE
COPY
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