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CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the
day of
December 2000,
21st
BETWEEN SCOTT KAUFMAN, residing at 249 East 49th Street, Apt. 4A,
New York, NY 10017
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party of the first part, and SCHEMBRI HOMES, INC., a New York State corporation
with an office at 2~2 North Country Road, Wading River, NY 11792
party of the second part,
WITNESSETH, that the party of the first part, in consideration of TEN and NO/100- _ _ _ _ _ _ _ _ _
- - - -($10.00) and other good and valuable consideration- - - - - - - - - - dollars
paid by the paliy of the second part, does 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 certain plot, piece or parcel of land, with thQ bullClings and improvements thereon erected, situate,
lyingandbeingxlDl1t1eX at Cutchogue, in tht 'town of Southold, County of Suffolk
and State of New York, being more particularly bounded and described
as follows:
BEGINNING at a point on the northerly side of Eugenes Road, distant
184.45 feet westerly along the northerly side of Eugenes Road when
measured from the southwesterly corner of lands now or formerly of
Parker;
RUNNING THENCE South
Eugenes Road, 222.30
THENCE North 070 51'
9350;
THENCE North 810 43'
THENCE South 070 51'
side of Eugenes Road
760 50' 3D" West
feet;
DO" West,
along the northerly side of
370.87 feet to Subdivision Map No.
DO" East, 221.34 feet;
DO" seconds East, 351.98
at the point or pla~f
feet to the northerly
BEGINNING.
BEING AND INTENDED to be part of the same premises deeded to the
Grantor herein by deed dated September 21, 1987 and recorded in the
Office of the Clerk of the County of Suffolk on December 22, 1987
in Liber 10500 cp 384
Also known as:
SCTM #:
2705 Eugene's Road, Cutchogue, NY
1000-097.00-03.00-020.002
TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads
abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all
the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the
premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of
the second part forever.
AND the party of the first part covenants that the party of the first part has not done or suffered anything
whereby 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 of the
first part will receive the consideration for this conveyance and will hold the right to receive such consideration
as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same
first to the payment of the cost of the improvement before using any part of the total of the same for any other
purpose. The word "party" shall be construed as if it read "parties" when ever the sense of this indenture so
requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF
-FAJf~
SCOTT KAUFr.1AN
By:
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attorney in fact
Standard N.Y.B.T,U. Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts - Uniform Acknowledgment
Form 3290-3
~2
Number of page; _3
TORRENS
F~ECOR[)EO
2DOi J.3n 03 03:2'3:54 Pt'l
E,jI;.l.3rd F'. F.:om.::;;ine
CLERK OF
::;UFFOLK COUf-JT\'
L D000120':.Q
F' 31.3
DT# 00-21354
Serial #
Certificate #
Prior Ctf. #
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
4
FEES
Page / Filing Fee
Mortgage Amt.
Handling
TP-584
I. Basic Tax
2. Additional Tax
Notation
Sub Total
EA-52 17 (County)
EA-5217 (State)
Sub Total
Comm. of Ed.
50~
Spec.! Assit.
Or
Spec. / Add.
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
Transfer Tax d- "6C). ---
Mansion Tax
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES or NO
If NO, see appropriate tax clause on page #
of this instrument.
R.P.T.S.A.
r=
Affidavit
Certified Copy
Reg. Copy
Sub Total
Other
GR.AND TOTAL
5
Real Property Tax Service Agency Verification
Dist. Section Block
Lot
6 Community Preservation Fund
Consideration Amount $
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'-Stamp.;: ;'
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Initia0
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO: \
CPF Tax Due
$
o
Improved
Vacant Land
David Prokop, Esq.
131 Rte25A
Rocky Point, NY 11778
TO
TD
TD
8 Title Company Information
Co. Name Nor! Star TItle
Title #
9
Suffolk Count Recordin & Endorsement Pa e
"This page fonns part of the attached
Oppel
made by:
(SPEOFY TYPE OF INSTRUMENf)
TO
The premises herein is situated in
SUFFOLK COUNIY, NEW YORK.
Southampton
In the Township of
In the VILLAGE Cutchogue
or HAMLET of
Scutt K..ufJlldu
Schembri Homes, Inc.
BOXES 5 lliRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 00-21354
Recorded:
At:
LIBER:
PAGE:
01/03/2001
03:29:54 PM
000012094
313
District:
1000
Section:
097.00
EXAMINED AND
$70,000.00
Block:
03.00
CHARGED AS
Lot:
020.002
FOLLOWS
Deed Amount:
Received the Following Fees For
Page/Filing
COE
EA-STATE
Cert.Copies
SCTM
Comm.Pres
$9.00
$5.00
$25.00
$0.00
$0.00
$0.00
Above Instrument
Exempt
NO Handling
NO EA-CTY
NO TP-584
NO RPT
NO Transfer tax
NO
Fees Paid
$5.00
$5.00
$5.00
$15.00
$280.00
Exempt
NO
NO
NO
NO
NO
$349.00
TRANSFER TAX NUMBER: 00-21354
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
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. OIfCOUNTY USE ONLY
.
PLEASE TYPE OR PRESS FIRM-LTWHENWRITINGO'NFORM -~--
INSTRUCTIONS: http://www,c;rps:st1!rte.ny.us or PHONE (518) 473,7222
Cl. SWIS Code
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\ Cl.' Date. Deed Recorded
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PROPERTY INFORMATION
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STREET NUMBER
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(___I..) (~-C
STREET NAME
1. Property I
Location
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2. Buyer
Name
CITY OR TOWN
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LASiN:M~' I COMPA~~ ~
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REAL PR(>PI~R:rv 'TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP-5217 RH3197
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LAST NAME I COMPANY
3. Tax
Billing
Address
Indicate where future Tax Bills are to be sent
if other than buyer address (at bottom of form)
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FIRST NAME
FIRST NAME
LAST NAME I COMPANY
FIRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
ZIP CODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
I I # of Parcels OR
D Part of a Parcel
5. Deed
Property
Size
Ixl
lOR I
ACRES'
FRONT FEET
DEPTH
6. Seller
Name
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LAST NAME I COMPANY
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FIRST NAME
STATE
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists
4B. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
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LAST NAME I COMPANY
7. Check the box below which most accurately describes the use of the property at the time of sale:
FIRST NAME
A~ One Family Residential
B 2 or 3 Family Residential
~.,.~C"" Residential Vacant Land
D Non-Residential Vacant Land
~~
Agricultural
Commercial
Apartment
Entertainment I Amusement
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SALE INFORMATION
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Month
-)/ ;
C. 'I
Year
I
11. Sale Contract Date
D',
12. Date of Sale! Transfer
J~/
Month
II DOl
Year
'---'"
D"
13. Full Sale Price
14. Indicate the value of personal
property included in the sale
Community Service
Industrial
Public Service
Forest
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
10B. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
o
o
o
o
15. Check one or more of these conditions as applicable to transfer:
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'--', _n.}1 17. Total Assessed Value (of all parcels in transfer) 1
A
B
C
D
E
F
G
H
"-.,
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractiona! or Less than Fee Interest (Specify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
LAST NAME
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AREA CODE
20. Tax Map Identifierlsl! Rollldentifjer(sJ (If more than four, attach sheet with additional identifier(sJ)
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16. Year of Assessment Roll from
which information taken
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(Full Sale Price is the total amount paid for the property including personal property.
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Please round to the nearest whole dollar amount.
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ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
18. Property Class
1:4
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I CERTIFICATION
I certify that all of the items of information entered on this fonn are~e and correct (to the best of my knowledge and belieO and I understand that the making
of any willful false state~ent of material fact herein will SU~~ me t th~ provisions of the Denal law relative to the making and filing of false instrument~,
\ \ BUYER ,I, d-fJ-1 V () BUYER'S ATTORNEY
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BUYER SIGNATURE \,
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CITY OR TOW~
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ZIP CODE
SELLER
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SELLER SIGNATURE
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FIRST NAME
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TELEPHONE NUMBER
CITYffOWN ASSESSOR
COpy