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CONSULT YOUR LAWYER .'fORE !iIGNIHG THIS IN5TRUAiIN! - THIS INSTRUMUfT SHOUll) BE USED IV LAWYERS ONLY
THlSINDENn./RE, mode on oef. l'f ,2003
~elma Ha Shaw, resld~ng at 27 Forrest Trail, Ridge, NY 11961. and
Richard S. Hedge, resid~ng at 722 Broad Street Extension, Wacerford, Canna
06385, as ~enants in common
party of t),. fin< part, _ad
Henry Silverman. residing at 4654 Sound Avenue, Riverhead, NY
11901
party of tlbe accund par-l,
WITNESSETH. that the parly of the fint part. inQ.,ideration of Ten DoI"n and other valuahle conUdel'lllion
paid by the pIIrt). of the Rcond pul, dON hereb"irarit 'and relellH' unto the party of the second part. the hein
or aucceuora aDd a..igo. of the part). of the aecoiid~fo).eyer.
A.LL thai certain plot. pi~ or 1)8.rr.el of land!' w1tti It.! ....uildinp.. anf'l imprnvemen18 lhereon erected. .ii:uale.
Irin,: and heinIE in Ihe '
SEE SCHEDULE irA"
TOCl:.iHEU wilh ltll rillht. lille nu,t. inlerC's.t. if Dn~'. "t lh.,' IllIrt)" vf Ihe fin.. ~.rl in and tu all~ I-lrt."f!!llS ond
I"u.d~ ahllluin@ the uLmrc deM:rib,ed pl"el1liKS ..., the CC."IIlc:r line~ Iherl!'l)f; TOGETHER "".ith the IIvvurtcllUl1ct:S
anrl .11 thr. P.M.ole ani. ril!hl.lf of Ihe t.arl~ ,..,f the first plll'"t in an.1 Iv 1!-Did I,n:mist$: TO HAVE ANI> TO IIOI..D
Ih(.~ flremi!~l'!!' h"'l",",in g.-anled un I.. lhr. pDrt~' flf the ~~tJlltl llarl. Ihe hcil~ 1\1' F-u,r":e,,s.c,rp;. and u~i@l1l. ,,( Ihe Jlurt~' ('If
the f;~"onll: IlflIll r"l"r"'cl".
"C-U p.::atL'_o::. 'tf":' \ 21", "
~ tU ,1r'i..I........ t:'<<,':"I:~\
ANI) the parh- uf Ihe fir5t pBI.t ctJvC'llllnl!< Ihat Ihe VUrt)" "f 1"1t:(JAtc:ti\iihii~ nqU..1Slne ..r ~uffcrell RIl\thinr whel'eh~'
lhe !Ouid prt"ml~ ha\'lJO hc.-en ~nf:urnhcrc,1 in Hn~. "'.IIY whalC'\o'cr': ex::c.P!......~i,jnretlo.id. .
ANI) the pal"l)' of lhe firlOt p....t. in cODlIIJian"~ ",,'ilh Sectinn 13 'If tt:c' ..:Ten 1..4"". ,:m'~nBnts thld d1C: lJart)" of th.. fint
Ilo.rl will Tef:ei\'c th~ ,:oJll!'if'lcraliun fl")r rhit' C'1h'''CYlIllce ulHI ",'i11 h'lld Ihe right I.. ret~ein: tiuch con.idrr:ati.on us u
tru!'1 fund lu he appHlt'd 6",1 fur Iht: purJl"se uf I'B)'ing the C'V>lt IIf thl! illlpru".~IIt~1lt Hnd ,""ill a.pply Ihe ~ame fll"A" lu
Ihe payment uf the cost nf Ihe implru,,'cmcnt before using un~. part of the 100al of rhe 1'amf:" fur uny uthe-r 'purpose.
. ""ord "party" ,han he cnn~trut:d os if it read "parties" "".hene".er Ih... !OP.ns.e of Ihi!' indenture 50 reqUire!'.
t, r.;,-~' '~=. ."~~~;~~;~~ -,'~ .~
U\lI ~ RICHARD S. E ~ ----.
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SCH~DULE A
TAX LOT 002
All that certain piece or parcel of land known and dcjfribed as Lot 11 A upon a certain map designated
as propmy of Edward P. Chapman ofFishers Island,"New York, surveyed July, 1934 by A,G. Finnie,
which said ~l ofland is more definitively~~ as follows: _ r
-'lawn Of ~tclholcl,c.oo-"\l:.vt 0\ Su,Ho I (.C\r)d Slcde Ut
COMMENCING at the northwest CC:lIIler thereof at a point adjoining the northern boundary line
betweel~ Lot 11A and 12A upon saidl map, which point is distant 148.75 feet from the northwest comer
of the 1:lIIIds shown upon said Map 8l!d adjoining the lands of Fishers Island Farms, Inc.;
THENCE extending South 28 degrclMl, 7 minutes, 30 seconds East the distance of 148.75 feet to the
northwest comer of Lot 11A as sho~m upon said Map;
THENCE easterly from said point, ~1.2S feet to the westerly side of a jog in the street line as slrown on
said Map;
THENCE extending from the easterly side of said jog alOllf, a line South 43 degrees, 54 minutes, 40
seconds East a distance of 63.19 feet as shown on said map to a road designated upon said map as a
private road;
THENCE extending in a generally southerly direction by and with the westerly line of said private road,
the distance of 46.61 feet to a point shown on said map;
THENCE extending westerly by and with said private road, the distance of 54.21 feet to the southeast
comer of Lot 12A as shown on said map;
THENCE extending North 59 degrc:es, 06 minutes, 30 seconds East the distance of 5 1.78 feet to the
point IX place of BEGINNING.
Tbe policy to be Issued under tbui report will Insure tbe titie to sucb buildIngs and buUdiDgs and
impr~lvements erected OD tbe prelmlses wblcb by law constitute real property.
TOGETHER with all the right, titIc and interest of the party of the first party, of, in and to the land
lying lin the street ONLY in front elf and adjoining said premises.
SAID l~reDliseH knovn as and by Ikmtauk AveDue. Lot 2. Fishers Island. NY.
BEING AND INTENDED to be. the same premises conveyed to the party of the first part by
deed d,oted 10/8/02, and recorded in the Suffolk County Clerk's Office on 10/11/02 in
Liber 12214. page 684. .
.
l.~ 2
J
'"
Serial" _
RECOR~E[)
2003 Nov 1708,12,59 AM
~d"'.'ar.j F'. RomainE'
CLERK OF
SUFFOLY- COUNTY
L DOOOI22B4
P 034
DTt 03-15580
Numb~.. of pBUes
TORRENS
Cenificate #
Prior Of. #I.
Deed / Mongage Instrument
Deed' Mortgage Tax Stamp
FEES
Recording I Filing Stamps
2J
Page I Filing Fee
If:)
6
5
Mong_ge Amt.
Handling
TI)-584
I. Basic Tax
2. Additional Tax
Notation
RP.T.S.A.
-~-
--~--
,ED
2l"
Sub Total
!;A-52 17 (Co'only)
J;A-5217 (Stale)
Sub 1'(11.1
Reg. Copy
)!j
Sob Total
Spcc.JAssit.
Or
Spee. 'Add.
TOT. MTG. TAX
Dual Town Dual Cuunly_
IIeld fur-ApI'! rtionmrnt_
Transfer Tax _( O()Q
Mansion '[
The propc covered by this mortgage is or
will be im roved by a one or two family
dwelling 0 y.
Y S or NO
If NO. see prop.-iatc lax clause on page N
of th inslrumen'.
Comm. afEd
5~
Affidavit
Certified Copy
Other
\
21
GRANlD TOTAL
Real Property Tax Service Agency Verilication
[)iSIL _I. s'PC"'.inn I .R.I.--L. I-
03045075 ],000 O].OOCI 0800 002000
Stamp
~Ic ~~~
IniliaJ5 ~~
-;-. Satisfactions/Discharges/Releases List Property Owners Mailing Addrcs
....:J RECORD & RETURN TO:
.1
L.:'t
000.
CPt-" ~I~ax Due
Improved
.....-
Vacanl Land
H u .~ (-a. ..,
), 11 "
11I1'1.10'"
Sc.~ ~eIPS. l?Stj.
"5q LA. a .-.e.
.p oS 0 )C 10 "To
Ai:J...e..loo'3.....-1", JJ'I ,{~3J
TO
TO
TO
Uus pugc forms part orthe attached
~
?
Suffolk Counlty Recording & Endorsement Page
. ~-eJ
(SPECIFY TYPE 01' INS'IRUMENr)
c:....
8
~
Tillett
made by;
J/~ell-tMJ' 1-1. St.M'LI
;c..l-. '" ~--..( S' J..I.eJ'j p_
TO
H~LIIM.f ~ Je~~""'a"",
1he premises herein is situated in
SUFFOLK COUNIY. NEW YORK.
In the TOmlShip of
In the VillAGE
or HJ\l'vILET or
S'~ ....-t:b.aJol
F;' s hE: r:::. 'L I.. ",)
BOXES 51HRU 9 MUST BE lYPEU OR I'R1NfEO IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
.
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
LIBER:
PAGE:
11/17/2003
08:12:59 AM
D00012284
034
Type of Instrument: DEEDS/DOl)
Number of Pages: 4
TRANSFE:R TAX NUMBER: 03-:L5580
Recorded:
At:
RICHARD S HEDGE
HENRY SILVERMAN
District:
1000
Deed Amount:
Section: Block:
010.00 08.00
EXAMINBD AND CHARGED AS FOLLOWS
$150,000.00
Lot:
002.000
Received the Pollowing Pees I~or Above Instrument
Exempt Exempt
Page/Piling $12.00 NO Handling $5.00 NO
COE $5.00 NO NYS SRCEG $15.00 NO
!A-CTY $5.00 NO !A-STATE $50.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTH $0.00 NO
Transfer tax $600.00 NO Co_.pres $0.00 NO
Pees Paid $727.00
TRANS PER TAX NOMBER: 03-15581)
THIS PAGI~ IS A PART OF THE INSTRtlDNT
THIS IS NOT A BILL
Edward P.Ramaine
County Clerk, Suffolk County
.
FOR COUNTY USE ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING'ON FORM
INSTRUCTIONS: http://www.orp!'.state.nv.us or PHONE (518) 473-7222
C1. SWIS Ctlde
I L.{ , '? '-:-;2 ,9: , 'u
;)7
Do,
C2, Date De<Etd Recorded
/I
Month
/ () ') I
Yeer
C3. Book LI ,),,;;;\ ,'3 ,'-I I C4. p... L.i..-, 0 3
PROPERTY INFORMATION
Prope.rtv L ,L<S(
loclltion 'STREET NUMBER
U.
,r
nl14'>
L
CITY OR TOWN
STllEH~ME
Fi~l.!!.i!"B lslaRQ. S-Cj,.4-+~,),~
2. Buyer L SILVERMAN
Name L"ST NAME I COMPANY
L
L."STNAM.,COMP,o,NY
3. Till(
Billing
Address
Indicate where future Tax Bills are to be sent
if other than hlJyeraddress (at bottom offorml
~
LA$TNAMEIOOMPANY
L
STREET NUMBER AND STREET NAME
4. lndiute the number of A5senment
Roll parcels transferred on tne d_d
/ ! # of Parcels
,
OR D
5 Deed
Property
Size
L
xl
10RL
FRONT-EEl
~~"
6. Seller
Name
L SHAW
l.>ST NAME / COMPANY
HEDGE
L . -l.~STNAM:;i'c6MPMY
---.....,
*
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPE::tTV SERVICES
RP - 5217
RP_:S211Ku3l91
F;::,t\"-,..,.,,.,
VllLAGE
HENRY
FII\STNAME
FlIlSTNAME
CITY OR TOWN
Part of a Parcal
'ACIlES
.
21
T-s jOt VI <>f
I 06390
ZIP CODE
FIRST NAME
STATE-
Z1PCOOE
IOnly if Part of . Parcell Check as they apply:
4A. Planning Board with Subdivision Authority Exists
48. Subdivision Approval was Aequi<ed for Transfer
4C. Parcel Approved for Subdivision with Map Provided
o
o
o
'T'HF.T.MA H.
FIRST NAME
7. Check the box below which most accurately describes the us.e of the property !It tha tima of sale:
FIIlSTNAME
A~oneFamilYReSidential
B 20r3F"milyResidential
C Residential Vacant Larld
o Non-Residential Vacant Land
I SALE INFORMATION I
11. Sale Contract Date
~~
Agricultural I~
Commercial J
Apartment K
Entertainment I Amusement L
M!~aY
/os
,~,
12. Date of Sale I Trlln$fer
Ie
Month
III
Do,
Yea,
/
03
13. Full Sale PriCE.
L....
,1 , ,0 ,0 ,n ,0 ,0,0 I
, , .
(Full Sale Price is the total amounl paid for the property including personal property.
This payment may be in the form of cash. other property or goods. or the llSsumption of
mortgages or other obligations.] Please round to the ne~rest whole dollar amount.
Community Service
Industrial
Public Service
Forest
RICHARD S.
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
lOA. Property Located within all Agricultural District
108. Buyer received a disclosure notice indicating
that the property is in an Agriculturlll Distric1:
o
o
o
o
15. Check ona or more of these conditions a$ applicable to transfer.
A
B
C
D
E
F
G
H
I
J
14. Indll:8t1l the II;llue of personal
property inclUded In tile sale
ASSESSMENT INFORMATION
If), D,O 0 , 0 0. 0 0 , 0 I
, .
- Data should reflect thll late~1 Final Assessment Roll and Tax Bill
16. Va.r of Asaessment Roll from I D.? I
which infOf"meltion taken
~ Ol-LJ
19. School D~riC't Name I
17. Total Assessad Value (of all parcels in transferjl
.4f:- '-t-
18. Property Clas~,
20. Tax Map Identifler!s) I Roll Identlfier(s) tlf mOTe than four, attllch sh..t with additional idantlrlerlsll
Dist LOOO
Block 08.00
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also 8 Seller
Buyer or Seller is Govemment Agency or Lending Institution
Deed Type not Warranty or Sargain and Sale (Specify Below)
Sale of Fractional or Less than Fee Interesl ISpecify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Businesli is Included in Sale Price
Other Unusual Factors Affecling Sale Price (Specify Below!
None
,
f7sh?Ys
;2.,6. 0 DI
, ,
rsrlnol,
Section 010.00
Lot 002
CERTIFICATION
I certify that all ,)f the items of Information entered on this form are true and curnd (to the ~t or my knuwledge and belief) and ] understand that the making
of any wDlful fah:e statement of material fact h~rein will subject me to the oruvisllllU; of the oenal law relative to the makJng and tiling of false imUuments.
~ / iff f!i.UVER
~~
Mo)llliltauk Avenue
/<'/.'/"/>3
D"'T~ I
STREET NUMBEII
3TREETNAMElAfTERSAU::;-
Fishers Island
06390
INY
STATE
Z1F'COOE
CITY 011 TOWN
~
~ ~.s\.r...-
-n-te.~)TAW_ S"~
I loly/Cd
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SCHNEPS
LAST NAME
631
AI'lr-Af'[]OE
BUYER'S ATTORNEY
MURRAY
FIPlSTNAME
722-5100
TEl~Pi'lONE NUMBER
NEW YORK STATE
COpy
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