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CONSULT YOUR LAWYER BEFORE SIGNING lHIS INSTRUIIENT-lHIS SoISlRUMENT sHOULD BE USED SY LAWYERS ONLY
THIS INDENTURE, made th..ort:;" of Oc)oP:t ~, 2003
BETWEEN EDWARD B. ADAMS and ESTELLE E. ADAMS, his wife, both rasiding at 11450 Asbury Circle,
ApI. 325, Solomone, MD 20688
party of \he first part, and DIANA GUBISEH /lj,YALA and NANCY J. ST~MMElll~ r:!'lIldlnll a\628 East 14" ~'
.Straat, Apt. 8, N_ York. NY 10009-3346 hS :J;.h,:f -fe<<tHtTS W,.,...- .LifjA"f r 'P S/u.VIV;>r '/'
party of the second part,
wrrNESSETH, that the party of \he rnt part, in consideration of TEN and n0/100lhs ($10.00) dollars paid by
\he perty of the second part. dollS hereby grant end rele_ unto the party of the second pert, the heirs or
successors and assigns of the party of tha second part foravar,
ALL that cartain plot. piece or parcel of land, wllh the buildings end Improvements thereon erected. situate,
Iytng end being in the
SEE "SCHEDULE A" ANNEXED HERETO
BEING AND INTENDED TO BE e portion of \he premises conveyed to the parties of the IIrst part by d_
mede by Edward B. Adams dated 03124160 and I'8COIded on 04104160 in Uber 4790 at Page 419.
TOGETHER wllh all right. litIa and Interest, W any, of \he party of \he first partin end 10 any stnsats and roads
abutting tha ebove d..,ribed premises to the center Iln. thereof; TOGETHER with the eppurtenencea end all
tha .tete end rights of \he party of tha IIrst part In and to 88ld pramiHS; TO HAVE AND TO HOLD tha
premiBas hersin granted unto the party of tha second part, the heirs or successors and assigns of the party of
the second part forevar.
AND the party of the IIrst part covenants that the party of the lirst part hea not done or suffered anything
whereby the said pramlsas have been encumberad In any way whatever, except as eforasaid.
AND \he party of the IIrst part. In compliance with Section 13 of the Lien Lew, covenents thet the party of the
llrat part will receive the consideration for this conveyance and wUl hold the right to receive such consld_1on
ea a trust fund 10 be appliad first for the purpose of paying the coat of the Improvement and will epply the same
llrat to the payment of the coat of \he Improvement before using any part of the to\el of the 88me for any other
purpo88. The word "party'" shell be construed es If n reed "parties" whenever the nnse of this Indenture so
""lulrell.
IN WITNESS WHEREOF. t~e perty of the first part has duly axacuted this daed the day and year first ebove
wrlUan .
IN PRESENCE OF:
~ ~. ttd4/7??4.,
EDWARD B. ADAMS
1;-1;90. .E. C2dn--rn....,
ESTELLE E. ADAMS
J
,~
No.: RH80032171
SCHEDULE A - DESCRIPTION
ALL that certain plot, piece or parcel of land, situate, in the.Hamlet of Orient, Town of Southold, Suffolk
County. New York bounded and described as follows:
BEGINNING at a concrete monument set on the southe,'y boundary line of land of H. Martyn Bilker at the
northeasterly corner of land of George R. Latham and the rrorthwesterly corner of premises herein described,
being 286 feet, more or less, northerly along the easterly bounllb'Y line of said George R. Latham from its
Intersection with the northerly lien of the Main Road; from said point of beginning running along said land of
H. Martyn Baker 2 courses as follows:
1. South 81 degrees 09 minutes 00 seconds East a distance of 65.48 feet to a
concrete monument;
2. South 72 degrees 25 minutes 00 seconds East a distance of 62.68 feet to a
concrete monument and land of Hortense B. Knox;
THENCE along said land of Hortense B. Knox South 10 degrees 57 minutes 50 seconds West a distance of
104,84 feet; .
THENCE along other land of Harry Adams North 80 degrees 57 minutes 40 seconds West a distance of
128.08 feet to said land of George R. Latham;
THENCE along said land of George R. Latham North 11 degrees 07 minutes 30 seconds East a distance of
114.0 feet to the pOint of BEGINNING.
TOGETHER with II right of way 'rom the premises southerly to the Mllln Road as described In a deed
'rom Mllry A. Putman to Edward B. Adams dated Jllnuary 18, 1949 and Recorded Jllnullry 20,1949
in Liber 2915 page 193.
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TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
Slate of N_ York. COunty of
On the day of in the year
before me, the undersigned, peraonally apP88red
po,,,,,,,,aUy known to ma or prowd to me on the basis of
s8tisr1lClDry evidence 10 be the IndMdual(a) whose nama(s) is
(are) IIUbecrtbed to the wtthln InlsIrument and _Kl..ledged to
me thet he/sheIIhey _ed the same In hiS/_sir
capacl\y(las), and thai by hlalh.-lthelr slgnabJra(s) on the
Instrument. the Indlvtdual(s). or the perean upon behan of which
the IndlYldU8l(s) acted. executed the InBlrument.
88:
Slate of N_ York, COunty of
On the day of In the year
betbre me, the underelgned, pel'8Qtl8/ly a-",d
pen;onaIly known 10 me or proved to me on the b88is of
..Ilafactory avldanca to be the IndIvldual(s) _ namala) Is
(.....) ..._ to the within InlsIrument end acknowledged to
me that heleheIthay ~ the ..me In hlalharlthalr
capaclty(lae), and that by hllllherlthalr slgnabJre(s) on the
1_, "'" IndIvklU8l(a), or the parson upon behalf of which
the IndIvklua~a) acted, executed the Instruman!.
ee:
(signature and aIIica of individual taking acknowledgment)
(signature and ofllce of individual teklng BCknowIedg.....)
TO BE USED ONLY WHEN THE ACKNOWI ~nGMeNT IS ManE OUTSIDE NEW YORK STATE
Stale (or DIstrict of Columbia. Tmrttory, or Fonalgn CO..,try) of Maryland u:
Onthe a-, dlOyof Oc.+o ~ Intheyaar2003 betb18ma.theunderelgned,peraonsllyappeared
EDWARD B. ADAMS and ESTELLE E. ADAMS
personally known to me or prowd to me on the basil of sellalllclory avtdanca to be the Indlv_(s) whose name(s) Is (era)
subocr1bed 10 the wfthln In8lrumant and acknowledged to me thall1eIaheIIhay executed the ..me In hilllha_r capacIty(Iea), and
that by hlslharllhelr a1gnabJra(s) on the Inatrument. 1I1e Indlvldual(a). or the ps""'" ~n behaH of which the Indlvldual(s) acted.
executed the lnetrumant. and thai auch Individual mede such _18nce betb18 the undaraIgned In the
S 0 \0 rn 0 ns In Marviand
(In"'" the City or oIhar poIhlcols_lon) (and I""",, the _ or Country or_ pIaca the ~ __ taken)
()d..21;;tx:>3 ct.J:u I~.A' > rn' ~~"nAl L-
(slgnature.:nc; ~ Ind;;~allaki~ acknowledgmenl)
NOTARY PUBLIC
..... '.' " IOUIIII! M. ICOIIAIlE
NOTAIY PUBlIC STATE Of MAIIYlAl-!;)
MyCanDZuIon E...~ tAada 31, Z;=:A
EDWARD B. ADAMS & ESTELLE E. ADAMS
TO
D1A..'1A GUBISEH AYALA 8< NANCY J. STREMMEL
DISTRICT 1000
SECTION 017.00
BLOCK 04.00
LOT 007.000
COUNTY OR TOWN
Sl REET ADDRESS
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
Title No,
Recorded at Request of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
~~.
STANDARD FORM OF NI!WYORIC BOARD OF T111.E UNlti. ...._.___
DLsb1bulBd by
o Common~!h.....,.~~_~_
DEBORAH DOTY, ESQ.
P.O. Box 1181
Cutchogue, NY 11935
O>>otc.,.:WEALnl LAsn TmJ!: 1:'IiSUJtA..""-"KCu.....A..,"Y
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Number or pages
L/
TORRENS
Serial #
CertifICate II
Prior Clf. #
Deed I Monpae InllNment
Deed I Monpge Tax Stamp
FEES
4
I,&&el Filing Fee J~
Handling -~-
TP-S84 !)
---
Notation ---
EA-S2 17 (Cowlly) _2_ Sub TOIaI
EA-52 17 (S...e) 1=
RP.T.SA
Comm. of Ed. _---1~
ArrKlavil ---
Certified Copy ---
Reg. Copy ---
15 Sub 1'_1
Other
GRAND TOTAL
l
Lol
Real Property Tax Service Agency Verification
ni"lit Section B lock
03~3 1000 01700 0400 007000
~P~K~A
17-l\1OV
Initials
7 SalisfaclionslOischargeslReleases List Properly Owne... Mailing Add
RECORD &< RETURN TO:
DEBORAH DOTY, ESQ.
P.O. Box llBl
Cutchogue, NY 11935
Stamp
OllIe
B
)
RECOR:JED
2003 I'JOI) 20 1]8= 34: 44 ~
E6~~rd P.Romaine
CLERKCIi'
SUFFOLK COUNTY
L 000012284
P908
Dr" 03-16250
Recording I Filing Stamps
Mortgage Amt.
I. Basic Tax
2. Additional Tax
Sub Tolal
Spec./Assil.
0.
SJ'OC.IAdd.
lOT. MTG. TAX
Dual TOWD_ Dual Count)"_
Held for ^ppor1ionment~
TnmsfcrTax J ~
Mansion Tax
The propeny
will be imp ved by a une or two family
dwelling ani .
y
If NO. see
_of
6
or NO
propriale tax clause on page 1#
"5 insD"UmenL
Consideration ^
rvalion Fund
29B,OOO.00
$ 2,960.00
CPF Tax Due
Improved X
Vacant Land
TO IC)
11)
TO
Title Company Infor ation
r -n.,-..." .:-u..~
.Ibis page forms part of the attached
Deed
Suffolk Count Recordin & Endorsement Pa e
9
(SPEOFY TYPE OF INSTRUMENT)
made by:
EDWARO 8. ADAMS & ESTELLE E. ADAMS
"Ibc pren1isc:s herein i. silllllled in
SUFFOLK COUN"IY, NEW YORK.
In the Township of SOUTHOLD
In the VIllAGE
or IlAMLETof ORIENT
TO
DIANA GUB1SEH-AYALA & NANCY J. STREMMEL
BOXES 5 HiRU 9 MUST BE TYPED OR PRIN"fED IN m..ACK INK ONLY !'RlOR TO RECORDING OR FILING.
lOVER}
.
IIIIIIIII~IIIIIIIIIIIIIIIIIIII~IIIIIIIIIIIIIIIII
1111111111111111111111111
SUFFOLK COUNTY CLERIC
RECORDS OFFICE
RECORDING PAGE
Type of Instrumentl DBBDS/DDD
Number of Pages: 4
TRANSFER TAX HUMBER: 03-16250
Recorded:
Atl
LIBER:
PAGE:
11/20/2003
08134144 AM
D00012284
908
EDWARD B ADAMS
DIANA G AYALA
District:
1000
Section: Blockl
017.00 04.00
EXAMINBD AND CHARGED AS FOLLOWS
$298,000.00
Lot:
007.000
Deed Amount:
Received the
Page/Filing
COB
EA-CTY
TP-584
RPT
Transfer tax
Following Fees For Above Instrument
Exempt
NO
NO
NO
NO
NO
NO
$12.00
$5.00
$5.00
$5.00
$30.00
$1,192.00
Handling
ms SRCHG
BA-STATB
Cert.Copie.
SCTM
COIIIII\.Pres
Fe.. Paid
$5.00
$15.00
$50.00
$0.00
$0.00
$2,960.00
$4,279.00
Exempt
NO
NO
NO
NO
NO
NO
TRANSFER TAX NUMBER: 03-16250
THIS PAGE IS A PART OF THE INSTRllMBNT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk, Suffolk County
.
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
Cl. SWIS Code
<:':'" '-'"/ ? $J g' q
I ~.. ,..J J I I'
,
REAL PROPERTY TRANSFER REPORT
B" .
, I
. '
-~,""
RP_n17Rn3f97
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2. Date Deed Recorded 1/ I 020 /0 ?
Monln 0$\1 Year
C3. Book I : d,,;), 51', 4'1 C4. P8.8 1 , 9', 0, 81
PROPERTY INFORMATION
RP - 5217
,. r:~:,~ I 20999 Main Road
S'rFlEETNUMBER S~EETNAME
Southold
CITY OR TOWN
2. Buyer Gubi seh-Aya 1 a
Name L....STNAM(/COMPflNl'
Stremrel
lAST NAME I COMPAN\'
Orient
1 11957
liP CODE
VilLAGE
Diana
FtRSTNAMf
--~
Nancy J.
FIRST NAME
3. Tax Indicate where futuro Tal( Bills are to be sent
Billing if other than buyer address (at bottom of forml
Address
lAST NAME I COMPANY
FIRSTNAM(
STREETNUM8ERANO!.YREETi'lAME
ClTY OR TOWN
STA'a
Z1PCOoe
4. Indicate the number of ABIIM'mllnt
Roll parcels transferred Dn the deed
1
I 1# of Parcels OR D Part of a Parcel
(Only If Part of a P8n:e1) Check as they apply:
4A. Plafllling Board with Subdivision Authority Exists
4B. Subdiliision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
o
o
o
5. Deed
Property
Size
o 3
.
2 I
1 X I
i OR'
fRONT FEn
DEPTH
ACRES
Adams
Edward B.
6. Seller
Name
CAST NAME.'COMPAN~
FIRST NAME
Adams
Estelle E.
LAST NAMF l COMPAN~
FIRST NAME
7. Check the box below which mOoSt accurately describes the use of the property at the time of sale:
Check the boxes below IS they apply:
8 Ownership Type is Condominium
9. New Construction on Vacant land
lOA. Propeny Localed within an Agricullcral Di,.\rict
lOB. Buyer received a oisclos~re notc9 indicating
that the property is in an Agricultural District
o
o
o
o
A~oner:amiIYRaSidenti"l
B 2or3 Family Residential
C Residential Vacant land
D Non-Residlmtial Vacant land
~~
G
H
Agricultural
Comme'l:ial
Apartment
Entertainment/Amusement
I ~ cOm,mU'litY, Service
J Industrial
K PubliC Service
L Forest
SALE INFORMATION
15. Chec::k one or mOl. of th... conditions as applieable to transfer;
11. Sale Contract Date
7 / 11 / 03
Month Day Yom
{( / --:J / 03
Moo. Yea,
Sale Between Relatives 0' ForMer Relllt:ves
Sale Between ReliJted Companies or Panners in Business
One of Ihe Buyers is also a Seller
Buyer or Seller is Government Agency or lending Institution
Deed Type not Werranty or Bargain and Sale (Specify Below)
Sale of Fractional or less than Fee Interest (Specify Belowl
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Includ8d in Sal6 Price
Other Unusual Factors Affecting Sale Price (Spe<;:ify Belowl
A
B
C
D
E
F
G
H
I
J
12. Date of Sale I Transfer
13. Full Sale Price ~ I 2, g 8 I 0 0, 0,0 0 I
, , .
(Full Sale Price is the tot.!!1 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 rhe nearest WhOle dOI/Bf amount.
14. Indi~ the value of personal
property indudttd in the ..,.
ASSESSMENT INFORMATION
, ,~n lu,ul
, , .
- Data should reflect the latest Final Assessment Roll and Tax Bill
16 Year of A5Mssm.nt Roll from ;~~~ 17. Total AsseN4Kl Valu. (of all parcels in tramd'ar) I
which Information taken
2 0
,-
o
18. Property Class
12
Dysterponds
1 -.9-u 19. School Dilltricrt Name I
20_ Tax Map Identifler(sll Rolllde,.tifier(s) (If more than four, attach $heet with additional identifler(sJl
1 1000-017.00-04.00-001'.000
CERTIFICATION
I certify that all of the items of infunnation entered on this form are true and correct (to till! best of my knOWledge and belief) and I understand that the making
of llny wiUfuI false statement of material fact herein wiD suhject me to the orovUdon!l of the penal law relad\'e to l.hl,l makinK and IiIIng of false instNments.
/l . O_~ r. BUYER L'
~.--'~ ~ - //-&>7-0.3
~1 ~~ (J o~~ - 07 ~O~
BUYER'S ATTORNEY
Doty
Deborah
lASTHAMlO
FIRST NAME
'-28
14 n. s+. Il-F.(>'
STRE,ETNAME!AFT"RSAt~l
(631)
734-6648
z.
STREET NUMB~R
AREA CODE
TEtEPffONENUMBER
elTYo'f:o"4j
1 1000'1
ZIPOODE
~hW
YORK STATE
COPY
17Jtcf.
SELLER
f:,A';1,t- e, a~
SEttEII$IGNA.TUAE
1$/..27/ ~ 5
01