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NY 018 _ Quil.:laim n.....-d ~ ......ivi.su.. 01 C\"1"'II'l'Ilwn 'SinSlr Sheet) C'rf\"wru 8UO~}
CC)~U1.T VOUR I.AWYER B.,.Jo"llllE SIGNI:'liU TIU5IN'~TRU!lo'K.Vr- TillS 1:"\IiS'rRU:\IF.NT HliOVI.lJ lIP.. USII;U BY I.AWYF.R."i OSI.V
TillS INnEN'TUNI.:' mude the. /, day of June . illlhc ~ar 2004
RI;TWEEN
l'lshe.. Island ProperJle,.. LLC. a Connrctleulllmlled lIahUlIy ~ompan~', 1563 POll R....d Easl,
We.lpnrt, Connec:Jlcut D6H80
party or the firA. p3n.;and ~I
151. A. Hartels, liD,.... rr n~-~... \.\T....nn ,...............-lIut
Is-b? fJOCr-Je...(, E.
wes~FO'" t, c.J- O"gg-e>
party or the second pun.
WITNHS:SKI"H.lhal the' part:~ of the nn.r. part. in oonsidcratinn ofTCII DolllIni amfJ Olher valuabl.c considc[Dtilm paid hy lhc.
party of the KCond ['art. doc.. hl::n.-try remiliC. rclru!SIC unci quite-JOlim un'" the pIlny of 1he liceol'd rnrl, the heirs ,)I' succes."'lf'S
ami ussiCns ur the party of tbe liccnncl part f('If'C\"cr.
AI..I~ Ih:Jll..'Crluin phil. piece lH' (lon.:cl of land. with the huildiDg. and hllprovrmcnls IhcR:'on cn:cl~d. situate. lying and being
ill1be
See Sehedllie A-I attueh,.d hereto and made II pari hereor.
Being and Intended 10 h.. Ihe same preml.es eonnyed to the grontor herein b~' deed rec:orded
Mureh 5, 2002 in Uber 112172 Page 578.
Allo heing knowa a. section 10, block 03, lot 010 on the taJ( map oftbc County orSufTolk, State
or New York. I
Said prcml..,. are allo known al Pennlluia Koad, ."l.hen Island, New Yurk
TOGETII..':R wilh 311 right.lille und inlcn..-sl. iran)'.lIflhc panyoflhe linn JXln of. in and 10 allY ~Ireeu and m3.dJ abUl1ing
the ahnvc-ckscrihcd prcmisC5 lotI lhe cenler Iincs Ihcrrnf; TOGeTHER wilh the appurtenances and aU the e!Jtalt! and dahlA of
Lhc pan). of Lhe first parl in and 1:0 Iioaid rrcmi!loCs; TO HA VI:: AN'D TO IIOLD the premises herein granted unlO the purty ofthc
sa:ond part. Ihe heir!" or ~Ul,."CCMion and w;.Signli ()f Ihe par1Y of the Jircond part fOI'Cvcl".
o\oc:
";0;
AND the pa(1)' oflhe fir~ (lOIn. in compliance \lr.ith Scclion 13 uflhc l.icn Law. cOVen3.DlS lhalthe pOlrtyuClhe firs!. p:nt will
receive the: e,;omlidC'ratiun fur LhiiscolI\'c)'lln.:c and will huld the risht to receive ~uch considcrlluon UI a tru51 fund 1("1 be applieLl
fiBt for the purpose of raying Ihe c..'"\'W. or the improvement and will apply the '''llllC first to the pa)'lIleRI uf the c..v!C1 \'1f the
impruvrmcJlt ~forc usinG any part of the 10141 ofLhe .ume tOr an)' other ptlrp'lK. The word "pany'. shull be' CORSlrucd as if il
.rt;iNa::P.L\njc1( ;.whcncvcr Ihe SC'RSe or thill, indenture lOt) rcquirc.".
~CJ.a"J1 'l..I.;.L....::;-
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~... n . ,,,.c,,rU' ,..
IN \VITNE..'iS \VIII':REo,r. UIe: llt.U'ty ('If the fin;t pan bus cJuJ)' C'xccutc..od this I.Iccd the day :101.1 yt:3r first above wriUCII.
'-
I~ 'f"Rnsr~('~ lll':
r)f{u a'~4~ ,#,LN'/b/Y-
~'I.Ii.n 1.lood '="~ ~ ~ _ "-
1$'" :z?#>/~ Xl. " ,.-,1"--
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USSACI{N()WU'IN.;AIF...\TFURJlIIlIU,DW "'71111.V N~)'ORK ~"TAn:ONL":
S'.'eol':r~...wYnrkwCounty.Jf' P/~~ ;c..... )IS.:
On lhe .....y of June Illlhe yc3r 2004
bdoK' I"'~. toc UJldcmgncd, pc:r..on:1l1yappearcaJ
'010 A. B.rtel. .
rcnonal~y known h' me (\I" proved 10 me on the bG!Iis. of ,""isfllC'lnry
C'vidence It' be lhc individu3l(SI ","hotic n:lInc(s) is (:Ille') ,..m~bed 10 ahe
Yo'ilhin iD"Wllmenl ..00 acknowledged 10 me that IlleIsIJdlheoy exa:uLed
the !W11C~ in hislbcrlthc:ir C3pk.ily(il!'5). HrkI lhalt by hiIIhc:1flhcir
I'Ign:ltun:tlS.) on the in~mcnl. ahe indivlduaJ(A). or the person upon
bcholC or whkh '~~r.) ",,'ed. .....'Uted ,he ins,",",cnl.
oM" b.... D."~_.
-. ...... ...... ... ...
o:.~...:...r.4..I.""
Ar~,()M'UJ)(a'HNI'Jo'1H1.l1 Hill Usr. WI77IINA'IlM' )'o.IK STATltOl\'LY:
(New y~,,* Sllhst:,i"'"" WjllN'.J.J Ad_"...II'II" C,"Ufnltc-J
S.aleorf'l'ewYork.COIlIIlyuf )....:
~~ -(~ ~~~
~fure IDI~. 1M: ul'Klen:il:!nC'l.l. p.-n;onally uppcW't'd
me 5ubscribinw, wilnC5S CO the ('-"'Cllling inllllnlmcnl. willi wOOfn 1 al~
potDIUlIl;f acquainkd. whu. PL-inJ!! by rm: duly "~I'Um. diLl dcp~ und
!Qy Ihot hofshclthcy l'C$idris) in
, Ifllff! plUi"f! (If rrsiJntc~ i.It in LI";I)'. ine/lICk lJut ,'.'r~el ,1IId slrrrl II"mb.tr.
if tillY, Illt"rw'Ij); I.hau. hclsheIlhcy km'W(!;)
10 be 1Jx: individual de:cril...-d in and who eJr.ccutcd the fon:o>>'in,
instrumenl; thai staid subAcrihiu8 wilnc5s was pl'CSl:nt ond lIto8W Mid
CJr.ecutc: 11~ same; and thAi a.:lid wiln~1 al the .!Clune lime subkribed.
hirJ1K:rlth,:ir nwnru.) 85 .. U;ilftC:(... L1u,:n,"lO, " I
1"r~NO.
QUrn."IAIM gy.KIJ,~
7?~ ::$1S'7 - .:::.uF--
TO
FIDELITY NA.'flONAI. TITLI!.
i8. INSIJRANCt: COMP,,"PiY
., INCtNI,..MAru> 'Ollt
1-!...w_4I. Fiddil.v~~~."
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U"v: ,4OCJV()WINItC'..U:Nt' FtJlt.\l ltELUn" ""ITltI.V Nl!w !'nRKSl"AmO.'\'I.r.-
Stale oC'N'ew '.ork. Ce...nl)' or
,...:
On Lhe day or in lhe ye-.u-
before mc. the undenlignl.'4.l. ("C'l"!lOnal1y appc:an:d
pcr.&an:a]ly known ll) me or pmVN "' me on lhe h..,.i" of 5:llbcfaclory'
cvkll."1lL"C whc lhe individu.rCsl WOO!lle rulllll."i"s) is Cure) subscribed 10 lbe
wlllrin in5U'Umenl Bn.lacknowlcdgtd 10 nle'that hchchdthcy cxecurod
the some in hWhcrllhcir """'IIpOk:'il)"(i~). 3IkI thai by his/herltlll.-ir
s.i~rn3IUmSI on lhe instrurllCld. lite' indivi,lu:llC,.). or lhe pc:nIlm u('I.Nl
bclt3lt o( which the in","ividual(s) 1k.'1cd. cxcculCd the insuumenl,
AC,,^'OWI.BUGAlliNr "'UNM I'UIl USE OUI'5WB NEW }.IIII" .\"TATHO^,I.r:
{f'h., .f,tUIIW." l"iJr"It" G_ra'....:'buJwlu,_m ern/fln'''''1
.. . .. . . . .... . . ... .. . . .. . .. . -.. - .. .. -- - .. . . . .. . . .. . t...:
f(.....,"~1r "'WII_ ",all SIoJII!, C,'YIII". l'ITT"'lfCr.J' M1111fc'ipdlIlYJ
Olll~ .....y ur in the yt:'1lI"
~rlVl:' me, lhe undrmgnL"CI. pcraonal1y appeared
f'Cn.unaUy knuwn In rne or prn\.-ed 10 me on (Ill: l'<I.'l.i5 uf UilCra."'ItH)'
l.."'Vidcnl.-c 10 be (he indil'idual(,.. whclhe namt'(s) is (are) subscribed 10 lhe
within inscn.uncnt lUld uckn(rwlcdged IU me th:sl hdshc:llhcy cxCC'Ulcd
d1C' IOmc: in hWhcr!lhcir cDpxil)'(ie..). IMl by hisIt1l..../lhcir MInaturc(~1
I'D the inslrunlCftl.lhc indi\;duu.l("l. or lhc penon upon behalf of which
lhe individualCs) BCtCd. cXCC'ulCd Ihe rn51nllllC'nl. and Ih31 f;uch indi,..it.tl.lnl
made lUC'h appc-.u111lC'C her~'re lhe undersigned in the
f In"~'" Ih~ d~' fir OIhrr pcHilir:ttJ J,dltli.'ifim, and Iht* $lUlr ur tX'UIf''Y or
."hrr pld'"r rht' IJt"kntJM'I..-JRIII"'1I1 u"tU" "dum).
DISTRICT
5ECT1UN 10
R..ocK 03
Lar 10
COUNlY OR "row~ Suffolk
RF.("ORl)ED A"" HJ...Qlle~r OF
Ioldtllly N'ullonul Tllle"llUilIrance CCJRlpany
Rl:TUHN BY AfIlIL lU
M..'.'.A. Barte's ,n_ JR-~-I-.r.tE.
18 6...dr._J H",_d V/....l
,,- 'I .,.- ....6!W"~ .c~
I p~rtro
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Fidelity National Title Insurance Company of New York
'. , TITLE NO.04:370S-7S43S~SUFF' .
SCHEDVLE A-I (Dncriplltm)
ALL that l:ertain plot, piece or parcel of land, situate, lying and being on I'ishcrs Island, in the Town of Soulhold, County
of Suffolk and Stale of New York, bounded and described as follows:
BEGINNING at a point localed on the northweslerly line of a 20 fOOl wide Private Road said poinl being at the soulherly
eomLT of the premiscs described herein and located 1,948.62 fect North of a point whieh is 622.95 fect East of a
monument marking the U.S. Coasl and Geodelic Survey Triangulation Slation "PROS"; and
RUNNING THENCE Nonh 51 degrees 37 minules 00 seconds West, 177.0 fect to the shore ofWL'St Harbor;
THENCE Ilorthwestcrly with said shore 51 leet. more or less, to a point:
TIfENCE South 51 degrees 37 minutes 00 seconds East 167 fcello a monument scl on the northW\.'Stem line of said
Private Ro:ad;
TIIENCE Soulh 38 degrc~ 23 minutes 00 s.:conds Wesl50,OO feel 10 the monument allhe point ofBEGlNNlNG.
/
THE POLlcr TO BF. ISSUED IInder thi. <'Ommltmentwilllnsuf"I!lhe litle 10 such building.f and improl'l!menlS on the pf"l!mlses which
II)' ItJII' r.onst.;lutt' real propert)',
FOR CONHi:r ANC/NG ON/.r: Togrther ...llh "lltherlght, lille arulinlrnsl oflhe part)' of the finl pa"', of in anti to the land (I'ing
in Ihe "lffl ill frolll uf /lnd adjoining .faid premls,~.
SCIIEDULF. 1I-ltDr.<rrlp/fCHIJ
..
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Scriall#_
RECORDED
2004 Jul 29 11:59:27 AM
Edward P.RoMaine
CLERK OF
SUFFOLK COUNTY
L DOoo12334
P 016
DTO 03-54292
Number 01" Jli18es
TORRENS
Certificate U
l'tiorCtf./I_
Deed 11\..lurlgagc Inslrumcnl
()eoed J MortpgE Tax Slamp
fEllS
RCL"OJding I Filing StDJnp!ll
~
l'age I Fitilli~ fCl'
o
Mangage Ami.
llandlillg
"11'-584
I. Uasic Tux
2. Additional Tax
Notation
Sub Total
EA-52 17 (COUllt)')
Sub Total
COlnll1. of ELI.
5 lllL..
SpecJAuit.
0,
Spcc.'Add.
EA-$:! 17 (S'late)
IU'.T.SA
~-
TOT. MTG. TAX
Dual Town Dual Count)'_
Held for Apportionlllrnt __
-,.....-
Tnul!1fer Tax 2
Aflidavit
GRAND TOTAl.
Mllnsion To"
"1111: property cuveredby-ihis inOft(P.o"lgC1; or
wiii be improved b)" 8 one or two family
dwelling only.
YES or NO
I f NO. see Bppfopriole tax clouse un p c II
. __ oflhis in_rumel
Ccrtilir-d. Cupy
Reg. Cory
Sub Total
Ulher
~
Reol Propcl1y TD.' ServicE' ^K1:ucy Verification
Di!lt. Sec;:liun 0 lock
ConllTIunil Pr~servation I;'ulld
Considc:nlliun AlllUlIllt S-:D_. .... . .__
Staml'
(
CPP' Tax Due
04031548 1000 C>1000 0300 010000
('~,
IR DTY A)
\27"'UL~
Initials ,-.... _____
-;1 Sati,.lol:.:titlns!UischurgcslRclc8sCS I':'isl P'nJpcity U\vncrs-Mliiling ^ddres.
....:.J IIF.COHD &< RF.TUHN TO:
Date
s-o
Improved ~
V BCBnt L.Bnd
IV
r(}.s. /5/5 A. ?)(')f{Tfl5
f5h3 fbsT !<.c~ b .
. tv QSTpO~ ci
tJ'6g8J
~ Suffolk COWIty Recording & Endors
])P~
(SPECIFY TYPE OF INSl"RUMENr )
TO
TD
TIJ
8
Title Company Information
e. ty
Co. Name
ThieN
"1l.lis JX1g~ lunns pw1l'flhe Hlt::lC'hcll .
l11~de' by:
F(C;'f-IPI5 /'SWND L./f.
__/<-'SIS
.
(( l!X/RTel.-.:s
'Ihe "",mille. herein i. situated in
SUFFOLK OOUN1Y. NEW YORK.
In the TO\\llShip of ,<)nLtI11 Om
III the VILLAGE
or HAMLET of
.,
BUXES 5 TIIRU 9 MUST BE TYPED OR (,RINIH) IN BlACK INK ONLY PRIOR TO RECORDING OR FILlNo.
(OVER)
1111111111111111111111 II~IIIIIIIIIIIIIIIIIIIIIIIIIIIII
1111111111111111111111111
SUFFOLK COUN'l'Y CLBRK
RECORDS OFPICB
RECORDING PAGE
Type of InlltruJl\8nt: DBEDS/DDl>
HUmber of Pagelll 4
Receipt Mumber I 04-0084169
TRANSP'BR TAX NUMBBR: 03-!i4292
Recorded 1
Atl
07/29/2004
11:59127 AM
LIBER:
PAGB:
D00012334
016
Diatrict:
1000
Sectionl Block I
010.00 03.00
BXAXIlllBD AND CHARGED AS pOLLOWS
$0.00
Lot:
010.000
Deed Amo'unt I
Received the Pollowing peea Iror Above Inatrument
Exempt Exempt
Page/Piling $12.00 NO Handling $5.00 NO
COB $5.00 NO NYS SRCHG $15.00 NO
BA-CTY $5.00 NO BA-STATE $50.00 NO
TP-584 $5.00 NO Cert.Copiea $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Tranefe:;: tax $0.00 NO Camm.Pres $0.00 NO
Peell Paid $127.00
TRANSpER TAX NCMBBRI 03-5429~:
THIS PAGE: IS A PART 01' THE INSTRUMDT
THIS IS NOT A BILL
Bdward P.Romaine
County Clerk, Suffolk County
.
FOR COUNTY USE ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE 1518) 473-7222
I-</' 7, '8,f3,f3, 5'.J
I IY7 /;< 9 12a?!/
Month Day Year
C3. Book L/ 7-, ~, =3, '-A C4 Pagel (), I,"',
PROPERTY INFORMATION IJ
,. I. (ft.f\(\II""(""
, STAEerNAM~
::>Cvrt...'J!J
C1. SWIS Code
*
' . i
~ '",. ..
C2. Date Deed Recorded
~OwJ
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RI'-~217 Rev3Jn
L-
ClrvDR TOWN
a>vk,l,
r-~, ~<I'
VIUAGE
7s/1
ZWCODE
2. Buyer
Name
L-
L',$TNAMEjCOMPANY
fl~STNAME
L-
Lt.STNAME/COMPANY
fIRSTI'IAME
3. Tex
Billing
Addres$
Indica!1l where future Tax Bills are to be sent
if other than buyer address (at bottom offorml
L-
LAST NAME/COMPANY
L-
STAHT NUMIlE~ AND STREET NAME
cnVORTOWN
J-.J # of "area Is OR D
4. Lndicate the number of AS$e$$ment
Roll parcels t'8r'1sferred on the deed
Part of a Parcel
5. Deed
Property
Size
6. Seller
Name
-~
U~ Ixl
FRONrFtH
r=-~i ler "
LIL<-
IORL
~"
.&0
OEP'rH
U? r. (W' t, 'U.
~\,...)
L-
LJ,STNAMFI~OMPANY
F'IISTNAME
L-
LJ.ST NAME ICOMPtlNY
FIRST NAME
7. Cheek the bolo! helow which most 8l;:curately de.cribes t~e usn of the property at the time of sale:
A~oneFllrnilYReSidential
B 2 or 3 F~mily Residential
C Residential Vacant Land
D Non-Residential Vacant Land
I SALE INFORMATION I
11. Sale Contract Date
~~
Agricultural
Commercial
Apar1ment
Entetr1ainment/Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
Ssl""J
FIRST NAME
_L
STATE ZIPc;oOE
(Only if P;!lrt of I Pan:el) Check a5 they apply:
4A. Planning Board with Subdivision Authority Exists
48. Subdivision Approval was Required for Transler
4C. Parcel Approved for Subdivision with Map Provided
o
o
o
Check the boxes below as they ;!lpply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
lOA. Property Located within an Agricultural District
lOB. Buyer received a dIsclosure notice indicatirlg
that the property IS in an Agnculluml DistrIct
o
o
o
o
AI'",?",E
M~.
y~,
15. Cneck one or more of these conditions as applicable to transfer:
/
A
B
C
D
E
F
G
H
I
I
Do,
/ /0 ' "p,
DaY~
,Q( ,0 , 0 I
, " a
(Full Sale Price i; the lotal amount paid for the property including I>ersonal property.
This payment may be In the form of cash, other property or goods, or the assumption of
mOr1gages or otoer oblTgations.) Please round to the n88f(jsr whole dollar .,mount.
12. Date of Sale I Transfer
~
Momh
13. Fult Sale PriCE
14. Indicate the value of personal
property included In the sale
~ 0 , 0 I
,
ASSESSMENT I:-JFORMATION - Data should reflect the lates:t Final Assessment Roll and Tax Bill
16. Year of Assesllment Roll from 10 '1 I
which informilltion taken
17. Total Assessed V.lua (0' all parcels In transfer) I
18 Property CllllSl;
'~-LJ
19. School Distric11 Nama I
20 Tal'( Mllp lden':ifierls) I Rollldentifierls' (If mora than four, attllch sheet with additionalldentl'larls)1
1)-
lQ 1) - >
,
L 1,0
vO~
,
s
CERTIFICATION
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partllers in Business
One of the Buyers is elso a Seller
Buyer or Seller is Government Agency or Lending institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sele of Fractional or Less than Fee Interest (Specify Below]
SignifIcant Change in Property Betwean Taxable StahJs and Sale Dates
Sale of Business is Included in Sale Price
Other Unusutll Factors Affecting Sale Price (Specify Below.
None
~
\o~~Acld
5""-
;
D,€"l
~
BUYER
I certity that all '1)( (he Itern~ of infofllUltion entered on this fonn are lrue and correct (to the best of my knowledxe IInd belief) and I under~tund that the making
of ilD~; willful fahe statenn:nt of malerial fact herein will l'ubject me to the oro'.lslon.... of the oenaJ Jaw relath'e to the making Mod tiling of faLw in..tnunents.
BUYER'S ATTORNEY
~.("''''-
aUYE~ S'G"An'''~
,/; ~ 4IzI]
/ ~ /Va~ /'
LAST NAr.,~
~'/k
16-/",L-
DATE /..L-
&tL!.r
lesfO;g,~-;:g.':>7 /24.
STFlEET '<AME <AfTE"-SAL.E;
&l~f:r-- ,(}l: ~~~ggv
SELLER
"'''-EA COD~
STIIEETNUM8E'.
c:;;:La-. (141/~/J/J?~j 6./0-r4-
SELL.ERSlGNAT'JRE 1/ DATf.-j-
FIIIST 1\:11 ..~E
TE~EPHONE "ut.'8"R
NEW YORK STATE
COpy