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Form 8UU2 t3/UO) - BarKain and Sale ')coed, "'lIh Co\'C'nanlal a.ain.lill O,auh',,'. AlI:liI _ Indlvhlual or CurpOt.liun. (Single Ibeet)
CONSULT 'lOUR LAWYER BEFORE SIGMNG THIS IN~!'M~NT ";" THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
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TillS I"'DE"'TURE.....de .h. I')
BETWEEN
day or AUSU5t
2004
Michael J. Robens
\.II0i>
I residing at
215 Westl18th Street
. New York
, NY. 10024
pan)' of the: nr!it pan, anlo!
I, W!,~_~,i.~7.,~.~a..~~~~.~e,.
.1 residing::-at';"..J .... :'~~, Crescent A venue
",-,!.l;... II. ~L._ ,. ..
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poany'of the'second pan,
\\'ITI\'ESSETII, lhallm: pan)' nflhe fint part.., in oonsidtnllion often uollan; and othcrv81uable consideration paid by the pany
of me second p:u1. docs hereby Krant and release unio the pany of the second pan. the heir. or 5ucceUon and assiGns of the part)' of
lhtl sccol'ki part (on:\,'cr.
ALL that ...~rt.:&irl plot, pict..'1:' or parcel of land, wilh the buill"hnp and improvements thereon ereclcd. sinullc. lying and beinS in the
and
Marlen Bloethe
h;.s. w:l'e
Fishers Island
. NY. 06390
See Schedule "A" Attached Hereto
II
II
The premises being eonvcy"d, being and intended to be the same premises com'eyed by Deed by
Wilfred B. Gilman, Jr. and Kristine B. Gilman to the Pany of the First Pan, dated May I, 1992
and recorded on May 26, 1992 in the Suffolk County Clerk's office in Liber 11471, page 408.
-rOGETIiI:R Width all rietu, tille and hUcr~t, iran)". o(the party or the first plf1, in and 10 any 5U"Cc1~ and roads 3buuing the abo\"e-
dL"S4:rittcd premi.ses En d\c \:l"Jltcr line>> tlu.:reor: TO(iETHr::R with the appurtC'nancll.':i and 0111 the Clilale 3Dd rigbts oflhe pan)" uf1hc first
r>>ut in 3nd to liaid prcrnull:s: TO i,lAVE A~D TO IIOLD the premises'herein granted unto the party orlhe second part, Ihe heirs or
successors and 3uigns of the pany or the second pm forever,
^I't> the pany of the first p3n CO\."efUlIUS that the pllrt}' of lhe firM pan hu 001 done:' or suffered anything wMreb)' the '-Did pl'CmUies
h::J.\"e becn encumbered in 3I\y way \lo"h,ilW\"eI". ex.cept 3' aroresaid.
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II ^ND the P''''Y ~f the firs< part, in oompHan<e wilh Se"';un 13 of the L;en Law, <ovenonls th.. 'he pony fim pan will receive the
considcmlion for Ihis conveyance and will hold the righllo m::eivc such consickration .. a IlU5t fund to be applied firSt ror the purpose
I urpaying the cost oflhe impro\'cmll.'IIt and ";11 appl)'IhC' same fiat to the (1.l~'I11Cnl ofthcr C(hlt oftJu: impro""emcnt before using an)"
pan of the IOUlI of the same for In)' other purpose,
The' ,,"un.l "p:my" shall be consfrUed a,; if it read "panici" whcnc\"cr the scniC ofthili indmture SO requires..
I I~ \\'ITl\'ESS \\'1 IE REO"", thte part)' orlhe finil p.ut ha.s clul)' e~c.:uted Ihis deed the day and ,,'"car first abuvc ..ritlC'n"
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' ael J. Robens
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Acknowledgement taken In New York State
O-.J.I_...
Stete of New York, County of
On the day of , in the year
the undel'1liigrled. personally eppe.red
. before me,
personally known to me or proved to me 011 the basis of
saU.faclOly o>Vidance 10 be lhe IndMdual(a) whoaa nama(a) Is
(are) aubacrU..d 10 '!ha wlthln Instrument and ac:knowladged 10
me that he'8helthey executed the 18me In hiilher/their
capaclty(laa), and that by hll/harllhalr algnaiura(s) on Iha
In8lrumanl, tria Indlvldual(a) or the parson upon I>ehaW of which,
the Indlvidusl(s) aded, executed the Instrument.
.,
Acknowledg.,mant by Subacrlblng Wltna.. IUlIn In N_
York Slate
D Michael J. Robens
State of New York. County of . 88:
On the l::tay of I in the year
the underslgril:Kt. personally appeared
the subscribing witneu to the foregoing Instroment, with whom I
am personall)r acquainted, who being by me d,uly sworn. d!d
depoM and SIIY, that helahelthey re.ide(s) in
. before me.
that halahollht'y know(a)
to be the Indtvklual deScribed In and who 8Xecutecl the
foregoing instrument: thet satet 8ubscriblng wilMa, was
present and SlIW said
execute the SlIme; and that laid witness 8t the Barne time
subscribed hlslher/their name(s) es 8 witness themto.
FiRST MANHATTAN ABSTRACT CORP.
2111 PARK AVENUE SOUTH
NEW YORK, N.Y. 10003
(212) 480-5200
Tille No.: _J 1'" 1..3 VA !
Michael J. Roberts
TO
William R. Bloalha
and
Marlen Bloethe
[[
Distributed by
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Acknowledgement taken In New York State
0- J. Robofla
State of Now York. County of New York
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On lha I~ day of AugUII , in lI1a year 2004 , bafors'me.
the underalgned. personally appeared
Mlchaal J. Robarts
peraon.lly known 10 me or proved to me on the basis of
..Usfactory evidence to be the indivlduar(s) whose name(s) is
(are) lubscrlbed 10 the within instrument and acknowledgad 10
me that hD/shelthey executed the 6ame In his/her/their
capaclty(lea). end that by hl8lharllhalr lign ura(a) on Ihe
Instrument, the indlvlduat(s) or the person upon hair f which
the Indivldual(s) acted. executed the instrumen~
VV\I\~
. ,.r \ MARSIIA HASER
<ollatary......... Slota of IIaw YarIl
No.4I-4llS217S
- . 'Ouollitod In a...... County 1'"1"1
. eom....1on Erp","""" a. 20 ~ /
Acknowledgement taken out. Ide New York State
DM_'J.Rabert.
.State of . County of,
.(or Insert District of Columbia, Territory, PossessIon or
Foreign Country)
ss:
On the day of . in the year
the undersigned, personally appeared
. before me,
personally known to me Or proved to me on the basis of
satisfactory evidence 10 be the Indlvidual(s) whose name(s) is
(are) 8ubecribed to the within Instrument and acknowledged to me
that helBMllhey executed the same In hlslherlthelr capadty(ies).
and thet by hlwlherlthel, eignlture(s) on the instrument, the
individual(a) or the po""," upon behalf of which the (ndMduBI(s)
acted. executed the Instrument, and that such Individual made
such appearance before the undersigned In the
(add the city or poIhlc.. aubdtvlllon and the 8ate or country or
other place the acknowledgement wes laken).
DISTRICT 1000
SECTION 012.00
BLOCK 01.00
LOT 013.001
COUNTY OR TOWN Suffolk
RET\.IRN BY MAIL TO:
Mlcha" J. Robaltl
401 Broadway
New York, NIJW York
Zip No. 10013
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sCl-JIo:m;u: "A"
ALL THAT CERTAIN plot. piece or parcel of land, situate, lying and being at
Fishers Island; Town of Southold, 'County of Sutfol~ and State of New York,
bounded and described as follows:
BEGINNING at a spike on the Northeasterly,.line of Greenwood Road, said spike
being located 230.01 feet South of a point which is 5,890.28 feet West of a
monument marking the United States Cciast and Geodetic Survey Triangulation
Station "PROS"; .'
'RUNNING THENCE North 47 degrees 53 minutes East, 97.34 feet to a point;
THENCE South 43 degrees 06 minutes Ea~, 21.13 feet to a monument;
THENCE South 32 degrees 48 minutes East, 40.30 feet to a point;
THENCE South 18 degree:s 38 minutes West, 104.50 feet to a drill hole on said
road line:
THENCE North 42 degree~i 07 minutes West, 112.00 feet along said road line to
the point of BEGINNING.
Containing 0.19 acres, more or less.
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Numllor of ,*,go.
'rORRENS
,Prio~ar.II:.' '.
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RECORDED
2004 Rug 31 04,15,06 PM
E<t.oard P.Romaine
ClERK OF
5lFFOLK COUNTY
l 000012341
P005
'DTI 04-05210'
Soriolll_
Certificate II
:'.,
Deod / Monpgc In'll'\Imenl
2J
.... .-
.Deed.! MO(fpga Tax .5.omp
,J. _ . .. . .
FEES' ..
Recording' Filing Stamps
Page / filing Fcc ,
Handling
TP-S84
....... ,..
~
Mcinll"l:ci\mt. :
I. DasicTnx "
.' :
.2. A1ldi!ional Tax
..,:.
Sub'To..1 ..
Spcc.lAssil.
'Or
SpCc./Add. "
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Notation
-----
.rt: :
EA-S2 17 (Co.i"'ly)
EA-52I 7..(S!.':e)
'~. SubT~llIl
. ~ :.
R.P. T.S.A.
Comm. of Ed.
~....'
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Other
Sub Tobil
ORAN[r'roTAL
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TOT. MTCl. TA~
Dual Town . Dual Counry_
Ueld for.Apponionmcnl --'-
T~.;"ferTox . //;,,60 - .
Mansion Tax
The propeny cered by Ihi. monsOlc1S or .
will be impro ed by A one or two ram ily
dwelling onlY. .
YES orNO~
(rNO, see nppr priate tax clause on page =
--:oflhls i lrumenl.
S~
Affidayit
.....
Cenilied COP)'
Res-Copy
,...',
,
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Real Property Tax Service Aacncy Verification
- DoL ',. Sectian..:. ..;:""; n I""",,,. , _.
04037190 1000 012CI0 0100 013001
--pTS
(R KTI A
~1-AUG
'110
. Stamp
Dole
CPF Tax Due .. .
Improved V"
Initials
7
SatisfactionslDischargeslReleascs List p";pcrty Owners Mailing Add
RECORD.. RETURN TO: . .
Vncanr Lund
p;. '. '.. ..
, .'.,.... ......., . '. "/lb' :, .....cc:.
;(di~/ .~....., ~~r-/-s" ? .
ClOI lY~~)'" .
..4e,w"~/C,.;Py. /O()/ J
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TO
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'. Suffolk County Recording & Endorsement Page
llili! Jl3lle fonns part OCtllC attached _ . /lPo4. .
/ /. f . ~ (SPEOFY TYPE OF INS11U.lMENT)
dL1.!..d'--'lr:;! J: /t..o~;r:/ r Thcpremiseshcrcinis silualcd in'
SUFFOLK COUNIY,]:laW YORK .
. TO In the Township of ..::nt.-rJI 0 J ;:/
{,(J;II..~.~ fZ, R loeU~ -.I- In lhcVIILAGE,
. /tC..r r/e.v LJ!t;e.)-/!.,orHAMLETof
8
TitIc Company Information
. ...+
....,.......~.
made by:
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BOXES 5 'JHRU.9 MUST BE TYPED OR PIUNmO IN BLACK INK ONLY l'IUOR TO RECORDING OR FILING.
11111111111111111 11I111I11 11111111111111111111 11111111
I111111111111111111111111
SUFFOLK COUNTY CLERIC
RECORDS OPPICE
RECORDING PAGE
(
Type of :[I1Strument: DBEDS/DD[I
Number o:f Pages: 4
Receipt lli'\lmber : 04-0096700
TRANSPE:R TAX NUMBER: 04-(15210
Recorded:
At:
08/31/2004
04:15:06 PM
LIBER:
PAGE:
D00012341
005
District:
1000
Section: Block:
012.00 01.00
UAMINBD AND CHARGED AS FOLLOWS
$400,000.00
Lot:
013.001
Deed Amolmt:
Received the Following Fees For Above Instrument
Exempt
NO
NO
NO
NO
NO
NO
Page/Filing
COB
BA-CTY
TP-584
RPT
Transfelr tax
$12.00
$5.00
$5.00
$5.00
$30.00
$1,600.00
Handling
NYS SRCHG
BA-STATE
Cert.Copies
SCTM
CODD.Pres
Fees Paid
$5.00
$15.00
$50.00
$0.00
$0.00
$5,000.00
$6,727.00
Exempt
NO
NO
NO
NO
NO
NO
TRANSFBR TAX NUMBBR: 04-05210
THIS PAGB IS A PART OF THE INSTROMKNT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk, Suffolk County
a
FOR eO'UNTY USE QNl Y
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (5181 473-7222
^-/'1. ~,g ,6 ,ell
I tJl?!/::J/ i2CtJsf
Month Dily VOlar
ca. Book I I;),. 3 , 4, I I C4. Page I (), 0 /7,
REAL PROPERTY TRANSFER RE'PORT
Cl. SWlS Code
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C2. Date Deed Recorded
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SEIWICES
RP - 5217
RP-S1l7RevJm
PROPERTY INFORMATION
1.property~tf)
Location SIHlET NUMO~R
Greenwood Avenue
___-.J
.. uJ. 06390...J
llPCJDE
STREETNAM~
Hamlet . Or---
Fishl~rs Island
~---~-
Southold
CINOATOWN
VILLAGE
2. Buyer
Name
Bloethe
William R.
IMTNAME:ICOMPA,"Y
FIRST NAME;
Bloethe
Marlen
LAST NAME: ICO~\;;A~Y
FIRST "AME
3. Tax Indicate where future Tax Bills are to be sen:
Billing jfothartharl buyer addre!;s (al bottom "florml
Add~
LAST N.>.ME ICOMPP.'j"
HRSTNAMf
L
-S77iEHNUMBER-ANOSTREETNA~
STATF
ZIP (J)[)F
4. Indicate the number of Assessment
Roll partels transferred on the deed
1 I #ofParcels OR D Part ofa Parcel
rOnly jfPart ofa P<lreel) Che.ck 3S thev apply:
4A.PlanllingBoardw:thSubdivisionAuthorityExists D
4B. SubdivisiOrl Approvai was Required for Trar,s1er 0
4C. Parcel Approved for Subdivisia~ with Map Provided D
5. Deed
Propltrty
Size
IxL___J OR~~.~_"9.J
OEnK A.CRES
FRONT FEET
Robert!'> Michael J. ---.l
.. Seller
Name LASTNAME/CCMP"'NY FIRST NAME
L--. ---.l
LASf NAME I COMPANY FIRST NAME
7. Check the box below which most aecurately describes the use of1he property at 1he time of sale'
Check the boxes below as they apply:
8. Ownership Type is Conriominil;1ll
D
D
D
D
^~OrleFam;iYReSidential
B 2or3 Family Residentiill
C Residential V<L~a!lt land
D Non-Residenti~1 \ia~an1 Lard
I SALE INFORMATION I
11. Sale Contrect Date
E~A9'i",,";o1 I~
F Commclci<ll ]
G Apafirner.l K
H Ente,,~inment { Amuseme'~; L
9. New Construction on V<'lcant land
CcmmunityService
Industrial
Publ:~ Service
Forest
10A. Property located within an AgricL'Itura' District
10B. Buyer received a disclosure not'cE' irldicati~J
that the prope'tyis;n an AgricultlJralLJislrir.t
15. Check orle or more of these conditions lI5 applicable to 1r;,mder;
/. J Sf O,,--.J
Day Year
05
~
Mon~~
-'
8
C
o
E
F
C;
H
[
J
Sale 8etween Relatives or Former Relatives
Sale 8etween Related Companies or Partner.> in 8l.lsin€ss
On.) of the Buyers.s alsoa Seller
Bu\,er or Seller is Governmerl Agency or Lending Institutiol'
Del'd Type not Warranty or Bargain and Sale (Specify !3elow\
Sala of Fractional Gr Less than cee Interest (Spccily Balow)
Significant :hange in Property E3el\lVccn Taxable Stotus and Sale Dates
Sal) of 8usiness is Included in Sale Price
Other Unust;al Factors Affecting Sa'", Pr:ce ISpecify Bebw)
None
12. Date 015a[e I Transfer
LQ.8.
~.~or,ih
l.ED _.M...J
Say Yoar
13. Full Sale Price
L...c......,
4
o
~ 0 0 ,Do, 01
, , a
IFul1 Sale Price is the to~al amo..:nt paid for the propeny including persorta! property
This payment may be irt the form of cash, other property or goods, 0' the assumption c~
mortgages or other obligations.) Please round to the nesrest whole d r mount
14_ Indicate 1he value of personal
property int:luded in the sale
,JL.....jLJ
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ASSESSMENT INFORMATiON - Data should reflect the lateST Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from ~
which information taken
17. Total Assessed Value 101 all parcels in transfer) ~ . L2_,L~~....J
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19 S,hool OJ",J" Noma I C; 73 8'C) Y R.....A W.\ -h~~----.J
18. Property Class
..,< I .Ol---.J
20. Tax Map Identifier(sll Rollldentiflerlsj (If more than four, attach shlHlt with Iddrtionll identifier!sl)
Secti.on 012.00
I Block 01.00
I b;.1jr;d ICVO
un....!
Tnt- n 11 n01
I CERTIFICATION
I certify that all of the itetm uC information entered on this Conn are true and correct (to the 0Cst of m~' knowledge and betief) alld I undcnjtand llrnt the making
of an}' y;illCuJ false statement of lllilterial fact herein will sUbJ!-'ct me to the Pfo,.iJ;iorui of the Denallaw rdarin' to the makiDg and filing of false instruments.
BUYER
BUYER'S ATTORNEY
jJ~ ,Idd;t8/
BUi'EHSIGNATUPf- DATE
12..1...rl
LAS'" NAM~
/04
_---.L.l"VLd,. L.-
F:HSTNAME
(noli)
STREFTNUMBER
1.11_
AREA CCD~
';)..}C''-f ~ ;r
TELEPKOIiE NUMBER
Greenwood Avenue
$TREnNA"'EIA"TERSA~EJ
Southold
NY
06390
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(l_NEW YORK STATE
COPY
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CITY OR TOWN
STATE
liP CODE
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08/ 19 /04
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