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S..ndud:o.;'. Y.B.T.L". Foun lDOl-
-Ihr,'ill ..nd S..1r OeN. wilh c...ltnanl .1..ilUl Cran1or'. Acu_lndi"idu,1 or Co<porll'Oan ("Ell_ .....1)
COIGUI.T YO" LA..,.. .-0_ ..ON.... 'filiI ".TIIUMaNT_TNIS _11IUMIN1' aMOULD _ __ .Y LAWY'" OI&Y~
THIS INDEN'I'URE, made the .,2.(,,- day of .J.. '4
BE"IWEEN
, in the year
2004
Francis Doyen and Christens Doyen, hia wife, both residing at
(no-#) Hedge Street, Fishers Island, NY 06390
party 01 the lint part. and
Franci.8 Doyen and Christens Doyen, his wife, both residing at
(nof) Hedge Street. Fishers Island, NY 06390
party 01 the oec:ond part.
wrrNESSEI'II.that the party 01 the lirlt part, in eonaideration 01 Ten Dollar. and other valuable conai~
paid by the party of the second part, does hereby llraat and reI.... unto the party 01 the aeamd part, th. heirs
or lUC'CCIsora and assigns of the party of the HCODd put forever,
AU. that certain plot, piece or parcel ollaDd, with the buiJdinl(a and improvements thereon erected, aituste,
lyi... and beinc In the
See Schedule '"An attached hereto and made 8 part hereof.
TOGETHER with.1I righl. Lille and interest. if any. of the party of the fint part in and to any streets and.
ru,ads abuuionl' the above ~lCribed premises to the center lines thereof: TOGETHER with the appurtenances
nnd ..II the: cstate and rights of the party of the first part in and to _id premises; TO HAVE AND TO
HOLO the Im:miscs ht"rein granted unto the party of the second part, the heirs or successors and "sieaa of
the part,y of the second part forevu.
AND the party of the fint part covenants t~t"':thlfrii.:t1i"of""fhe first Pan has not done or suffered anything
whereby the said rremises have been encumbere4jl(;il.ny~WaY whatever. except as aforesaid.
A:tI;'D the p;1rty 0 the first part. in comp1iance.""tlt..sed.iOnnJ.tif.~tlie-";'l:.ien Law. covenants that the pany of
the fint part will receive the con..ideration for~\~il ~YII.J~c;eCi('nd will hold the richt to receive such consid-
eration as a trust fund to be applied fint for the purpose of paying ,he coat of the imfroyement and will apply
the same first io Ihe pcL)"mcnt of the cost of the improvement before usine any part 0 the total of the same for
any other purpoK.
The w'Ord '"part}''' shall be <'Onstrued as if it read ..panic.... whenever the lense of this indenture so requires.
IN wrrNESS WHEREOF, the party of the lirlt part has duly .xecuted this deed the day and year lirst above
writtcn.
he ..UEHCE 0..:
/
p
Sebedule "A"
All, that certain plot, piece or parcel of land, with the buildings and improvements thereon
erected, situate, lying and being at Fishers Island, in the Town of South old, County of Suffolk,
State of New York, being bounded and described as follows:
BEGINNING at an iron pin set in the C8sterly line of Hedge Street, said iron pin being located
2150.02 feet North ofapoint which is 414.89 feet West ofa monument marking the United
States Coast and Geodetic Survey Triangulation Station "PROS" and thence running along said
street line North 01 degrees 27 minutes 10 seconds East 10.00 fect to a point; thence North 76
degrees 58 minutes 00 seconds East 134.15 feet to a point; thence South 06 degrees 15 minutes
32 seconds East 9.75 feet to a point; thence South 76 degrees 58 minutes 00 seconds West
135.50 feet to the point or place of BEGINNING.
Containing] .305 square feet, more or less.
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Number of pngrs
TORRENS
PriUl'" Clf. U
//
RECOR[>E['
2004 ~U9 1302:31:05 PM
Edward P~ROiil-=-ir,e
CLERK GF
SUFFOLK COUrl~'1
L 000012337
P 255
or. 04-02211
~riDlf#
Certificate It
Deed I Mong.le Instrument
Deed I Mortgage Tax Slamp
FEES
Rccol'ding I Filing Stamp.IIi
~
Page I Filing Fcc
Mortpgc Ami.
Handling
TI)~S84
I. It.sic Tax
2. Additional Tax
Notation
Sub Total
EA-52 17 (County)
Sub Total
Camm. of Ed.
5~.
SptcJAssit.
Or
Spcc./Add.
TOT. MTG. TAX
Dual Town Dual County_
1'{C'ld fur Appunionmcnt _
Transfer"Tax -1!:r
EA-5217 (Stale)
R.I).T.S.A.
-~_.
-~-
Affidavit
Sub Total
/,(! 7 .-:~
Mansion Tax
The property covered by this mortgage is or
will be impruved hy a one or two family
dwelling only.
YES orNO_
If NO. sce appn)priatc tax. clause on page II
of this im~lrumenl.
7-"'.0-1'
Ccrtilicd Copy
Keg. Copy
Other
GRAN,) TOTAL
04034464
Date "'pTS
Initi.ls (~3:~ A cJ 'OS
"--- - -
7 Salisfactioll:;lulscllsrgeSlKeleases List Pruperty Owners Mailing Addrc
R.:CORD &. RETURN TO:
01
Preservation Fund
j
Real I'ro!""1y Tax Service Agency V...ification
Disl. Section Block
1000 01000 0700 027007
Lot
Stamp
$ III
7
Improved
Vacant ta.nd /'
Patricia Ca Moore, Esqa
51020 Main Road
Southold, NY 11971
'I'D IV
TD
TO
8
Title Company Information
nla
nla
Co. Name
Tille II
9
Suffolk Count Recordin
& Endorsement Pa e
'Illis p"ge forn~. part of the attached
Deed
(SPECIFY TYI'EOF INSnUJMENr )
made by:
Francis Doven and Christens Dov~n
'Ihe premises herein is situnlcd in
SUr'TOLK COUNIT, NEW YORK.
TO
In lhe TO\\nship of
In It.: VILLAGE
or IIAMLET of
Southold
Francis Doven and Christens DOYen
Fishers INland
BUXES 5 THRU 9 MUST BE lYPED OR PRINTED IN BLACK INJo.: ONLY PRIOR'm RECORDING OR FILING.
(OVER)
I
I
,
L
1111111111111111111111111111111111111111111111I11111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DBBDS/DDD
Number of Pages: 4
Receipt Number : 04-0090190
TRANSFER TAX NUMBER: 04-02211
Recorded:
At:
08/13/2004
02131:05 PH
LIBER:
PAGE:
D00012337
255
District:
1000
Section: Block:
010.00 07.00
BXAHINED AND CHARGED AS POLLOWS
$0.00
Lot:
027.007
Deed Amount:
Received the Po11owing Pees Por Above Instrument
Exempt Exempt
Page/Piling $12.00 NO Handling $5.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
IA-CTY $5.00 NO lA-STATE $50.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM: $0.00 NO
Transfer tax $0.00 NO CODIII\.Pres $0.00 NO
Pees Paid $127.00
TRANS PER TAX NUMBER: 04-02211
THIS PAGB IS A PART OP THE INSTRUMENT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk. Suffolk County
L-..
FOR COUNTY USE ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: hltp:/I www.orps.state.ny.us or PHONE (518) 473.7222
C1. SWlS Code
7', '/~, 8', g/ll
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C2. Date Deed Recorded
10'11/3
Month Oay
1 ?'VI
Year
C3. Book
C4, Page I
,.i?, r-; n
PROPERTY INFORMATION
1. Property I
loclItion
STREfTJo;UMBER
Hed$!;e Street
STRU;T"AM:
Fishers Island
CITYORToY.'N
VIU.AG~
2. Buyer L Doyen
Name LASTNA'.:, 'CO~:?A"V
FoRSTN....ME
~ Doyen
LAS~ N"'~.~E 'COMPA~Y
FIRST NAME
3. Tax
BilHng
Address
Indicate where future Tax Bills are to be sent
if other than buyer ~ddress lat bottom offorml
lAST NAME I COMPANY
L..
STREElI'jU~18ERANDS;REET NAME
Cl'N OR TOWN
4. Indicate the number of AKelSSment
Roll parcels tranlderred on the deed
1i0lPijrcels OR 0 PanofaParce:
5. Deed
Property
Sbe
'x i
lOR I
AC~~S
.2
1
,;;c,. ~ ". T
6 Seller
Nllme
Doyen
LAS, ~Ar.:f. COMPA'<V
;:RSTNA'.:,
Doyen
LASTNAME.-COMPANV
!=,"S~ ~A'.'.
7. Check the box below which most accurately describes the use 01 the property at the time of 581e:
A~oneFarni:VReSldentlal
8 2 or3 Family Residential
C Residential Vacant lill~ci
D Non.Residentia! Vacaf1tLand
E~Agric"ltura]
F Commercial
G Apa.-tnler'Ll
H Entertainment Amusement
I ~ Community Service
J Industrial
K Public Service
! Forest
SALE INFORMATION
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RI>-nI7a~v3f91
06390
21!'CODE
Francis
-----.J
Christena
FIR$TNAMt
~-----.J
STAn ZIPCOOE
(Only if Part of II Parcltll Check as they apply:
4APlann:ngBoardwithSubclivisionAuthorityExists 0
4B. So;o~;vis;on Approval was Required for Trllnsfer D
4C Parcel Approved for Subdivision With Map Provided D
Francis
Christena
Check the boxes below a$ they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant land
10A. Propel'T'l located within an Agficulturaf District
10B. Buye' ~eceived a disclosure notice indicating
that the property is in an Agricultural District
D
D
D
D
15. Check one or more of these conditions as applicable to transfer:
11. Sale Contract Date
n/a 1 1
l.1~n'~ ::)ay Yea"
I ;)<'- 1 t:;-I
I.'C~'" Oil., Ye~.
A
B
C
D
E
F
G
H
I
J
12. Date of Sale I Trilnsfltr
13. FuJI Sale Priee , 0,0,01
, , .
(FuliSale Price is the ,otal amountpa:d for the property including personal property
This payment may oe in the !orrn Of cash. Olhcr property or goods. orlh eassumpt'lonof
mortgages or other obligations' Please round Ir:i the nearest whole dO!l&r amount
14. Indicate the value 01 personal
property included in the sale
0. 0 () I
, , .
ASSESSMENT INFORMATION. Data should reflect the latest Final Assessment RoB and Tax Bill
16. Ye.!lr of A5Susment Roll from ~ 17. Total Assessed Value 101 all piueels in transfer) I
whiehinformationtaken
18. Property Class
I 2
Fishers Island
1, Oi.. Ll 19. School District Name I
20. Tal( Map Identmer(sJ I Roll ldentifier(sl lit more than four, anaeh sheet with additional identmerlsll
D;O 1000-010.0007.00-027.001
Sale Ber....een Relatives or Former Relatives
Saie Belween Related Companies or Panners in Business
One oflhe Buyers;s alao a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Tvpe not Warranty or Bargain and Sale {Specify Below}
Sale of ~ractional or Less than Fee Interest (Specify Below)
$ign,f'cant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other UnusL>al FaCIOrS Affecting Sale Price (Specify Belowl
None
8 700
,
I CERTIFICATION
I certify that all of the items of infonnalion entered on tlUs fonn are true and correct (to the best of my knowll'dp:e and belief) ltnd I understand that the making
of aoy willful false stntement of matcri:1.! fad herein will subject me to the Drovisions of the oenal law relative to the makin~ and filing of fal~c in~trumenL,>.
BUYER
f~
///--
#&
BuH~SIGNA URE.
Moore
lA.~T NAME
631
AREACOOE
S~~ET .,.),:8.0
STREETNAAlErAFTERSAl'J
Fishers Island
OTVOR i"OWN
NY
06390
STArE
ZIP CODE
SELLER
3t..,<..-v~~
SEllER SIG.~ATURE
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,
BUYER'S ATTORNEY
Patricia C.
FIRS'".....'.',
765 4330
~,IEPHO\;~ ~UMBER
I"EW YORK STATE l
COpy