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Form 8002 (3100) - Bafpin and Sale Deed, wit~ Covenants a.ainst Granto,', Acu - Individual 01" Corporation. (Sinllc shoet)
CONSULTVOUR LAWYER BEFORE SIGNINO THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, made the
BETWEEN
) 'f .\-",. day of May 2004
Elizabeth W. Furse
and Tamara J. Watson
residing at
Equestrian Avenue
, Fishers Island
, NY, 06390
party of the first part, and
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Elizabeth W. Furse
,.
residing at
Equestrian Avenue
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Fishers Island
'NY, 06390
,
party of the second part,
WITNES SE TH, that the party of the first part, in consideration of ten dollars and odlcr valuable consideration paid by the party
of che second part. docs hereby grant and release unto the party of the second part. the heirs or successors and assigns of the party of
the second part forever,
ALL that ccnain plot, piece or parcel ofland, with the buildinJP and improvements thereon erected, situate, lying and being in the
See Schedule "A" Attached hereto
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The premises being conveyed being and intended to be the same premises conveyed by Deed to
the Grantors, dated the I Ith day of July, 1997, and recorded in the Clerk's Office of Suffolk
County on7'1I-'1' ,in Libert' 8<1' ,page 'f:J'..
TOGETHER with aU right. title and interest. ifany. of the party ofthc,fmt part. in aq.d to any streets and roads abuttinsthe abovc-
described premises to the center lines thereof; TOGETHER with the appuncnances and all the estate and rights of me party of the first
pan in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the pany of the second part. the heirs or
successors and assigns of the party of the second pan forever.
AND the party of the Imt part covenants that the plllty of the first pan has not done or suffered anything when:by the said premises
have been encumbered in any way whatever, except as aforesaid.
AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party first part will receive the
consideration for Ihis conveyance and will hold the right 10 receive such consideration as a trust fund to be applied first for the purpOSe
of paying the cost of the improvement and wiIJ apply the :;ame fint to the p3ymenl of the cost of the improvement before usina ilny
part of the total of the gme for 3ny other purpose.
The word "party" shall be construed as ifit read "panies" whenever the sense Oflhis indenture so requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed Ihe day and year fim above written.
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!N PR,ESENCE OF:
Elizabeth W. Furse
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TamaraJ.~ .
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Acknowledgement taken In NewVork $tate
f!::JElizabethW. Fume o Tamera J. Watson
State of New York, County of .s v f r ,) II(
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On the ;1" day of MIIJ , In the year 2004 , before me,
the undersigned, personally appeared
Elizabeth W. Furse
personally known to me or proved to me on the basis of
satisfactory evidence to be the lndlvldual(s) whose name(s) Is
(are) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in hisJherlthelr
capacity(ies), and that by hls/herlthelr signature(s) on the
instrument. the individual(s) or the person upon behalf of which
the Indlvidual(s) acted, executed tile instrument,.
VERONICA HAMILTON
NuTARY PUBLIC
STI.TE OF NEW YORK
. NO,OlHA6067785
- I ~UP,.L1FIED IN 8U~~
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,':ACknowledgement by SUbSCribing Wtlne.. taken In New
York State
o Elizabeth w. Furse 0 Tamara J. Watson
State of New York, County of , 5S:
On the day of . in the year
the undersigned. personally appeared
. before me,
the subscribing witness to the foregoing Instrument, with whom I
am personally acquaInted, who being by me duly sworn, did
depose and say. that he/she/they residers) In
that halshe/they know(s)
to be the individual described In and who executed the
foregoing Instrument; that said subscrIbing witness was
present and saw said
execute the same; and that said witness at the same Ume
subscribed hislhefltheir name(s) as a witness thereto.
11tle No.:
Elizabeth W. Furse
and
Tamara J. Watson
TO
Elizabeth W. Furse
II
Distributed by
TItItfIfest
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Acknowledgement taken In New Y~rk State.
DEUzabethW. FUf5G I!2JTamara J. Watson
, ss: State of New York, County of
. ,
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On the ~ day of May , in the year 2004 , before me,
the undersigned, personally appeared
Tamara J. Watson
personally known to me or proved to me on the basis of
satisfactory evidence to be the individuBI(s) whose name(s) is
(are) subscribed to the within instrument and acknowledged to
me that he/shefthey executed the same in hisJherflheir
capaclty(ies), and that by hislher/thelr signature(s) on the
Instrument. the Ir\dividual(s) or the person upon behalf of which
the individual(s) acted, executed the instrument.
MARSHA HASER
NOla'll PuIllic, St... 01 N.w Yorl<
No. 41.4882378
au_liNed in QU.lnl County ~
minion ElIpl... Jun. 3, 20 OJ
Ac~9~ no .'de New York State
o Elizabeth W. Furse o Tamara J. Watson
.State of . County of, ss:
.(or insert District of Columbia. Territory, Possession or
Foreign Country)
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 to be the individual(s) WhOSe name(s) is
(are) subsc:ribed to the within instrument and acknowledged to me
that he/she/they executed the same in his/her/their capacity(les),
and that by hislherltheir slgnalure(s) on the instrument. the
indivldual(s) or the person upon behalf of which the indlvidual(s)
acted. executed the Instrument. and that such individual made
such appearance before the undersigned In the
(add the city or political subdivision and the sate or country or
other place the acknowledgement was taken).
DISTRICT
SECTION 9
BLOCK 4
LOT 8.003 and 8,004
COUNTY OR TOWN Suffolk County
RETURN BY MAIL TO:
Glenn Backer, Esq. .
292 Madison Avenue, 22nd Floor -
New York, N.Y. 10017
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Zip No,
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SCHEDULE "A"
"
ALL that certain plot, piece or parcel :of ~and, situate,' lying and being ~n
Fishers Island, Town of Southold, County of Suff~lk and State of'New York,':
'bounded and described as follows:
~EGINNING a~ a 'monUment at ,the intersection of the ,vesterly'line of Equestrian
Avenue with the southerly lin~ of West Street, also knOwn,as Belle Hill Road,
s'aid monument being, located, 261'5.'69 feet, North 'of 'a point wliich is 2330.47 feet
Weat of another monument 'marking tbe 'Unit'ed,' States 'Coast /lnd Geodetic Survey
,Triangulation St,ation "11110S". ' ,
,
RUNNING THxNC~ ~long'said"we8teriy' line of Equestrian Avenue,South 7 degrees 37
minutes 00 seconds Weat 242.59 feet' to'lIn iron pipe, and land 'now or formeily
Hounrures, and PouUos i.
. . . .j .
TllENC! along 1Slld laat mentioned N~rth S2 De~reea 23 'minutes, 'West
iron pipe.
100:46
.
.
feet to ,an
THENCE al~ng lsnd conveyed or about to be cQnveyed to Raymond Doyen, two. (2) courses,
ss follows:
1) North 16 degn"s 49'minutes 24, seconds East 130'.09 feat'to an iron pipe.
2) North 2 degrees 07 minutes 04 seconds last 115.04 feet to an iron pipe on said
'so,utherly l~ne of West Str'!et. ' ' , " '
THENCE along ssid southerly line 'of West Street south
East 90.67 feet to the, p.(!int or plaacs" of BEGl~ING,.
'Al'!p known' es: A Equestrian Avenue,' 'Fishen IsIsnd, New York
SectIon '9, Brock 4, Lot 8.003 and 8.004
g~ 'degrees 09 minut'as 50 seconds
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Number of pages
TORRENS
Deed I Mortgage Instrument
Deed I Mortgage Tax Stamp
RECORDED
2004 Rug 09 10.34.32 RM
Edward P~Romaine
CLERK OF
SUFFOLK COUNTY
L 000012335
P 922
~ DT. 04-01160
Recording I Filing Stamps
Serial #
Certificate #
Prior Clf. #
3
FEES
Page fFiling Fee
~-
Hand)i~g
TP-584
5.~
Mortgage Amt.
1. Basic Tax
2. AdditionaJ Tax
Sub Total
Spec.lAssit.
Notation
Comm. of Ed.
5.~
or
Spec. IAdd.
TOT. MTG. TAX
Dual Town _ Dual County
Held for Appointment
Transfer Tax d dO'.
Mansion Tax
EA-52 17 (County)
EA-5217 (State)
R.P.T.S.A.
Sub Total
0/_
Affidavit
Grand Total
Ie?
The property covered by this mortgage is
or will be impl"oved by a one or two
family dwelling only.
YES or NO
If NO~ see appropriate tax clause on
page # of this instrument.,. i
- '-- ~-.)'1-L)~
Certified Copy
NYS Surcharge
Other
15. ()()
Sub Total
o
4
Disl.
5 Commanity Preservation Fund
Consideration Amount $ S-S ,r"1J .
Section BlOCk Lot
Ic::)(~:v oc<:t..oe-n4j.on - ~ '"'^-
04028027 1000 00900 0400 008005
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7 Satisfactio.__ - ...._.._6""""......::1!O:;:0:I.:..t:.. ....ISt ...roperty Owners Mailing Address
~ RECORD & RETURN TO:
GI.J9W. ~ ~.
&"l&. M~I~;J ~,,",Er, ~/'C -rt..r.:JOe
N~ yoR.t(, Xl' tOOt 7
Real Property
Tax Service
Agency
Verification
CPF Tax Due $
TD
8
Suffolk Count
7
This page forms part of the attached
,
ht R.s~ ~ lA-bow:
Recordin & Endorsement Pa
-:o~'h
(SPECIFY TYPE OF INSTRUMENT)
e
made by:
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO
~ J A~p,
In the Township of
In the VILLAGE
~<;:...~ ~
or HAMLET of h ~c :::[;S, ..&-.or1\.
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
. .
111111111111111111111111111 111111111111111 1111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
Receipt Number : 04-0087811
TRANSFER TAX NUMBER: 04-01160
Recorded:
At:
08/09/2004
10:34:32 AM
LIBER:
PAGE:
D00012335
922
District:
1000
Section:
009.00
EXAMINED AND
$55,000.00
Block:
04.00
CHARGED AS
Lot:
008.005
FOLLOWS
Deed Amount:
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $12.00 NO Handling $5.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $50.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Transfer tax $220.00 NO Comm.Pres $0.00 NO
Fees Paid $347.00
TRANSFER TAX NUMBER: 04-01160
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk, Suffolk County
. .
FOR COUNTY USE ONLY
C1. SWIS Code
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: hllp:11 www.orps.slale.ny.us or PHONE 1518) 473-7222
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C2. Date Deed Recorded
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C3. Book I I I , '"--"' ,
PROPERTY INFORMATION
- /
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'~:~~:;I_____L-b QVEJ1/tIAIV 41/(;
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CITYOAT'.)',,:;
L_f V RSG
LASTNAII-'E.'CG:\iPANY
2. Buver
Name
LAST NIIME i COMPANY
3. Talll
Billing
Address
indicatewhem future Tax Biils Bre to be senl
ifotherthanbuyeraddress(a1bot1or"offDl~l L-
~~ST ";.~.~,,
co...."'\"
S~~N~~~E~O~\~.:.
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4. Indicate the number of Assessment
Roll parcels trsrt,terred on the deed
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REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
1I.1'."~17 \l.e' .\'~'
SOUTH H-V'-O
b'LllA1HTH
o.S-'.':"iE
FIRsTNA,ME
/""IGv1d
;: of Parcel~
OR [] Pano;a""'cei
5. Deed I X I
Property
Size FRO~T FHT ~' .
.. Seller I~ (..u A T'K W\
Name LAsT.'1AME _CQMPA~_V
i OR
LAST NAME .'CQMf'A~'Y
.:,: ,~
4 .-:-
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I H;[1j1,;:A
0' FS - ',':' ..~;:
7. Check the box below which most Iccurately de~cribe~ tha usa of the property at the time of 5111e:
Co~.""'~;'l':" Sec' :Ce
A~oneFamiIYReSide,.,tial
B 20r3 Family R"'sloen\lal
C Residential Vac~n; Lilnd
o Non-ResidelltialVacant land
E~
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H
Agricuiwra! I~
Co~mercial J
Apa~,...~"~ h:.
=ntH1a'~~leN Amwse~,e~~ I.
SALE INFORMATION
b / .:1.5 c "-
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I:; Id'S I o 't I
MC~'.r Day Yea'
SS 0 0 0 0 0
11. Sale Contract Date
12. Date of SlIle I Tran,"fer
13. Full Sale Price
, .
lFull Sale Price is the tctal amOUrl: pa'd fo' :-.1.' ;;'o~er:', '~c ~d;c,g persona; ~'coe'!',
This paymerl( may be 'n :~e form cf ~asr, other pr~Dert'.' or 90::>::I5.::>r :he aSS1,rnp::(lr1 0'
mortgages aralher ool'g,,;:ons. ,",,:Mf ':J",'I~ 'C> :-"e r.eargs' ,','70:" "'",'aca,-',,,.",.,;
14. Indicate the value of personal
property included in the sale
15. Cheek one or mOre of the5e conditions il5 applicilble to trarafer:
.\ n Sale Betwee.., Reiatives O~ Former Relative-&
B
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D
E
F
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H
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I.,c~s;"a:
P,-:l:~ Ser".':e
Fo~~s',
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16. Year of Asse!l5ment ROlli from
which informlltion taken
o
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ASSESSMENT INFORMATION. Data should reflEW: the latest Final Assessment Ro:1 and Tax Sil'
18. Property Cla!:\-s
<<<It..:... .
L d'.;-~
19. School District Name
17. Total Assessed Value lof all parcels in transferl
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<weODe
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!Only if Part of II Parcell Check as they apply,
4A. ?:ar"l;r~ 5~il.~; '...'t~ SlJ~ci",s'c~, ),ulhaci:'( :xist5 0
48 Sui:::li,is'c~ Approval was Required for Transfer 0
4C. P~'ce! :'oproved fa, Subdivision with Map Provided 0
Chl!'Ck the boxeli below as they apply:
8. Owne:sl-.ip Type is Condominium
9. "<,''v Co,",st,uction on Vilcant Land
o
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lOA. ;>rQDer:v Located wi~h:" ~n Agricultural District
lOB. Swyer 'e~":Yec a c:sc:os,;re ,",otice illd,caling
I:-ot:,"a ;lrope.'1Yis in an Agr,clIlturai Districl
Sale Between ,"e[ated Companies or Partners in Business
One of the Buyers is glso a Se[ler
Buyer or Seller is GO'lernment Ageney or lending los\it\ltion
Deed Type not Warranty or Bargain and Sale (Specify Belowl
Sale 0: FractiO'1a: or less than Fee Irteres!(Specify Below)
S'g:-oif:c::ar.t ::'1.';,'1ge in Properly ge;weerl Taxable StlltU5 and Solie Dales
Sa;e 0" S<Jsrress FS Ircl"dej;r Se:e Price
O:"ler U.'1'.sGa Fa~,:::"s Affecr:"g 5.' e Price 'Specify Below~
"-one
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20. Tax Map Identifier(s) I Rollldentifier(s) (If more than four, attach sheet with additional identifierlsll
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I
I CERTIFICATION
I certif~' that all of the items of information entered on this form are true and corn,.t (to the best 01"111,\ kno\\ledj/:e and belief') lInd I Ilnd\'rstilnd tll,ll t]ll- makilll,t
of any willful f'l]se .~ta(elllen( 01" material fad herein will SUbjl'<:( me tu thl" pm,'i~ions of the Dt'nal 1;1\\ relalin to th~' makinj;lllnd mill:: of f.llst' il1~truntent.~.
BUYER
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SELLER
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SELLER IGNATURE
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BUYER'S ATTORNEY
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LAST ""'ME
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