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S..andard N. 't. ..T. U. 1'"..,.. &0114 . 2_66-10....Q...cl..... 0...._1_&.........101' eor....."ion (5...... 5....'
~gll..n:l' YOUR LAWYIi. ..... :11....... na. ............-THa ............IIT IIIOUID.. .... BY LA~ OM.Y.
THIS INDEN'I1JRE, mode: the ~ day of January.". ..."......-.... 2003
~ LAWRENCE B. DORMAN, 250 Beacon Street. #4,
Boston, MA 02116
party of the first part, ""d BE.ATRICE DUCROT, Box. 332, 1I:l5 18.~c.-< '-/'luC I
Orient, NY 11957
party of 'the second part,
wrrNESSETH, that the party 01 the lint part, in eonsider.ttion of ten doUars paid by the party of the aeeond
part, does hereby remise, release &Dd quitclaim unto the. party of the second part, the heirs or luc:ccasors and
assiens of the party of. t~e second pan forever.
AU. tha't certain plot: piece or l:aa.rcd of land, with the buildings and improvements ~n:on crc.cted. situate,
lying and being in the Villa'1e cf Orient, in the Town of Southold, County
of Suffolk and State of New York, being more particularly bounded
and. described as follows:
BEGINNING at a point on a line running North 83 degrees 30 minutes
East'.J!F..2'.feet from a pOint on the Southerly side of a Private
Road known as the Cilccle as shown on Map of Bungalow Sites, Man-
taloking Hills, filed as Map No. 620 in the Office of the Clerk
of the County of Suffolk at the Northeasterly corner of lands
now or formerly of S1:uart Dorman and continuing then along said
line approximately 77". 06 -feet to land now or formerly of John
Morris, thence South"? "degrees 54 minutes 20 seconds West mor~ or
less, approximately JL01.5 feet to a point; thence North 29 degrees
43 minutes 10 secondo East 108.08 feet .to the point ~~o_r-'piace""~f~.:"-:
BEGINNING. .. .... .:.....~._
", .' .,. fr,. ';:...
SAID p',arcel being and: intended to,-be .that. paz:cel':' i-d~ntified an-d:-
:kno~n as Section 17, Block 2, Lot 17, in the Village: of Orient-;: _
'rown of Southold, County of Suffolk and State of. New".!'ork. " ':..'- ._
. '.1 ~ .~.. -..
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 tb~; TOGETHER with the appurtena.nces
and all ,be estate and rigbts of the party of the lirst part in and to said premis..; 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 JXJt. in CXJIDpliance with Sc:ctiOD 13 of the Lien Law. hereby ClOvcnaats that the party
of the first: part will" receive the consideration for this conveyance aDd will boJd the right to receive such consid-
eration as a trust fund to be nppli"" lint for the purpose of payillC the cost of the improvanent and wiU apply
the same first to the paymeat DE the cost of the improvement before using any part of the total of the same for
any other pwpose.
The word .- party" shall be constnled as if it read ooparties'. whenever the sense of this indenture 50 requires.
IN WITNESS WHEREoF, the p;Lrty of the first part has duly ...eeuted this deed the da.y a.ad year fir.. above
written..
IN PIJr.S.ENCB ,.:
;;<~,~)~,
LAWRENCE B. DORMAN
AC:IOIOWL.EDGIIENr IN NEW YORK STATI! (IllPL. ~
Slane 01 New York. Counly 01
lIS.:
On
personal I)' appeared
before me, the undersigned,
personally known ro me or J:lI"OWd 10 me 0Il1he basil of sari&fac-
101')' evidence to be me indiVidual(s) whoM: IUIII'III!:(S) is (~)
subscribed to Ihe within instnunent and IICknowl4:ldFd 10 me IbBl'
helsheI1hc:y execUlied !he SlIIN: in hisIbed!heir <:aplEily{ia).
ond dw by his'herllheir SiJpwwe(I) 00 !he inIIrumenl. !he indi-
vidual(s). ,,.. lhe _ upon behalf al which the indiVidual(l)
8CU!d. e.ILeC'uted the inr.uwneDL
(silt_........ IJIId ,.J!k. of ilUli,;idltd/lGti",r ~riatnv~IUJ
ACICNOWL.EDGIEN IXIT8MIIi NEW YORK arATE IAPL-...,
Slate of MiassachusetUCounly or Norfolk ...:
On January.:21 2003,hefore me. the undersi,ned.
personally .ppeared
Lawrence B. Dorman'
personally known to roe 01' proved 10 me on thc~ basis of llUis-
factory CViCRnct: to be~ f.he individual(a) whoM: nMDe(s) is (~)
subscribed to rhe wilhin inslrUl11m11 and 8clr.nowlidaed to me
thaI hclsI:ao4My executed I:he same in hi~r CIlp8Cily(ieli).
and Ibat by hi~r signanue(s) on die insDllmenl. lhe indi-
viduaJ(s), or rbe penon upon behalf of which the individual(s)
acted, executed Ihe insbUmenL.' and that such individual made
such appcanU1a: berone the undersigned in
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'"i,'inn --'_, IN COIUUJI or OIItupluc.. ......,_
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TITLE 1';".
_""-r.=-=;:=.__ __
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LAWR'E\N!:E El ~ DORMAN
TO
BE1\TRICE DUCROT
STAND.lt.D Kt.... 0' NIW YCMK IOA.D 01 mu UNDDWlJIlItJ
ou"iIHt,. .,
THE TITLE GUARANTEE COMPANY
C!"'''~T.#r.'ClI I.... . IN ..,It... TDllfI:
~ BY' ..V8CRI.ING MTNE88(EI)
SC.le or I
Counly tJ{ Sli~:
On
personally appe.......
brforc me. rhe unde~ilned.
the lIUbscrib.in& wicneu(es) 10 the foregoing insuumenl. wilh
wbom I am personally ac:quainled., wbo, bcina: by me duly
sworn. did depooe and say thaI he/shelthey reside(l) in fi/ ,Iw
p'-:6 of ~.-,.u is III " cil)l.i..a.dc ,Iw MIftH GIld S'Iff' "...,.."
V..,., tlwNOj):
thal hellhe/they kno..(I)
Ie be the individual(l) dC'Kribed in and who executed Ihe fOR-
Roina insmunent: tft818Bid subscribing witness(es) wu (were)
present and 58W said
execulc Ihr' same; and dial said wirness(es) .1 the same time
subscribed ~islher1thcJr name(s) as . wilness(es) tbereco. .
( 0 ",._,. fMII:sidr Nww ro.. Skw iItw"riIy", ,..1UiaJ1.rlllada'vwiM GIld...
., ~ or --,..., . .L -tl. .......... And thai said sub!cribirc
wilness(cs) m.x such a:ppe.umce before the underSigned in
---...L-::....-__
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(si..."". fMId uJfk.. u.f ~wa.-: NJkillr; .,.,....,.....,ft/""""'J
SECTION
BLOCK
LOT
Ti -
2
17
COUNTY 0.. TOWN Town of Southold,
Suffolk County
.~C'':'rded A. ..'1_n al Tb. rid. Ga....atee c-,...a,.
U'nJRN BY MAli. TO:
lsteven E..
545 Fifth
New York,
Tel. (212)
Weiss, Esq.
Avenue - Suite
NY 10017
687-8777
1109
Zip No.
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Number of pag(:s
J
RECORDED
2003 Ma~ 1801:12:20 PM
Ed~ard P.RoQai~e
(L~RI( OF
SIJFFOLK COIJ~""/
L DQOO 12240
p 852
DT# 02-314"13
TORRENS
Serilll f#
Certificate II
Prior elf. I~
Deed I Mortgay,e Instrument
Deed I Mortgage Tax Stamp
FlmS
RIt.'ConJing I Filing Stomps
:::D
I~age I Filing Fcc
q
_-2_
_----.2 _
Mortgage Amt.
Handling
TP-584
I. l:3asic Tax
2. Additional Tax
Notation
EA.52 17 (Statc~)
5
----:/-
_ d-"> ~
Sub TOll:lI
J'-//
Sub Total
EA-S2 17 (County)
RP.T,S,A,
J.o-
SpccJAssit.
Or
Spec./Add.
Certified Copy
/
TOT, MTG, TAX
Dual Town_ Dual Cuunty_
Ilcld fol'" ^l'ponionmC'nt _ .
Transfer Tax
Mansion Tax _
The property covered b)' this mortgage is or
will be improved b~y a one or two f..mily
dwelling only.
YES orNO_
If NO, sec' appropriate tax c1auJ;c on page 1#
of lhis instrument.
Camm. of "Ed.
_--2.0~
Affidavit
Reg. Copy
Other
1'/
'5
Sub TOlII)
75
qq
/'
GRAND TOTAL
tP
Real Property Tax Service Agency Verification
nj~L SeC':linn Rinck , nl
Stamp
03005501 1000 01'700 0200 017000
~~
R DTY~A)
10~
6 Conullunity Preservation Fund
Consideration Arnount $ 5.8.00
<"'~IJ,I~.'Tax. 1:>l.Ie $ 0
Dale
Improved
v
Vacant Land X
Initials
7
SatisfaClic)nslDischargeslReleases List Pruperty Owners Mailing Addre
RECORD & RETURN TO:
STEVEN E. WEISS, ESQ.
S45 Fifth Avenue. Suite' 1109
New York, NY 10017
/1)
'I'D
TD
TO
~
8 Title Company Information
Co. Name N/A.
Title #
Suffolk County Recording & Endorsement Page
'Ihis page l<>rms pwt of I"" altacrn:d
Quitclaim Deed
(SPECIFY TYPE OF INS'IRUMI:.NT)
on ___ made by:
LAWRENCE B. DORMAN
".he premises herein is situated in
SUFFOLK CooNIY. NEW YORK.
TO
InthcTo"nshipof Southold
In the VILLAGE
orHI\lI.1LETof Orienl'
BEATRJ:CE DUCROT
BOXES 5 n'lRU 9 MlIST BE lYPED OR P'RINI'ElJ IN BLACK INK ONLY PRIOR TO RECORDING OR FILING,
(OVE~)
"
I111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of InstrUlllent: DEEDS/OIlD
Number of Pages: 3
TRANSFER TAX NUMBER: 02-'31413
Recorded:
At:
LIBER:
PAGE:
03/18/2003
01:12:20 PM
000012240
852
District:
1000
Deed Amount:
Section: Block:
017.00 02.00
EXAMINED AND CHARGED AS FOLLOWS
$58.00
Lot:
017.000
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $9.0CI NO Handling $5.00 NO
COE $5.001 NO NYS SURCHG $15.00 NO
EA-CTY $5.001 NO EA-STATE $25.00 NO
TP-584 $5.0CI NO Cert.Copies $0.00 NO
RPT $30.001 NO SCTM $0.00 NO
Transfe.r tax $0.001 NO Comm.Pres $0.00 NO
Fees Paid $99.00
TRANSFER TAX NUMBER: 02-314].3
THIS PAGI!: IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
. .
FOR COUI\TY USE Of\~ Y
C1, SWIS Code
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny,us or PHONE (518) 473-7222
L't-!J-0-S.,8 ']1
-:;1
Mon~l
C.!. Date Deed Recorded
/.q 1
o.!
Orl
y",ar
,::5 5-,.::21
~
~.t
REAL PROPERTY TRANSFER REPORT
CZ Book I ~..:<. 1:2 I LfJ t:'! C4 Page L
PROPERTY INFORMATION
1. Property L.L30
location STREnNU"'~i'R
Back Lane
STREP N"".~E
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
11J'-5217R",'31Y7
Or;pnt
V'LlAGt
--------l
11957 I
~IP tr)Llt
L Snllt-hn 1 rl
UTVOR TQW"
2. Buyer DUCROT
N"me .o.STI;AM( 'C'J;~P"NY
I ';s: ",'AME.. CC,~I'hN"
3. Tax
Billing
Addrl!ss
IndiGa~e wher(j :~lu'e Tax Bills arc to be SE:nt
jfo:hefth~n bLJYGr~Qd't'ss :irtbottolnof'ormi L
DUCROT
LAS'NAI.1EO/CO.1.1PANY
BEATRICE
~
LBOX 332 II;{S ~LllIJi
sTIiET1'NuMBEPA\~sfu"pr",'ME
4. Indicatathenumber of Assassment
Rolf parcels transferred on the deed
FlRST NAM~
FIRST NAMe
BEATRICE
Fr'1ST'<AMF
Orient
I NY
STAT[
11957 I
ZIP CODE
Deed
Property
Si2;e
L t~J #ofParcels OR 0 PsrtofaParcol
CITYOflTOWN
I X I
j OR I
FRC,~T FFET
OLF7H
<OCRES
.0 lJ
!Onlyif PlIrt ofa ParCi!1l Chack as they apply'
4A,PlilnningBoardwitllSLbdivisionAutho'ilyExisls D
48. SUbc'iv,s,'onApproval was Requircd for Tra,osfer 0
4C, Parcel App'oved fo' Subdivlsion ",_'ith Map Provided 0
6 Seller
Name
DORMAN
,<OST ~'M"E; COMPA~V
LAWRENCE
FlftST""-ME'
B.
-~
l_ LAS-'-;V~'n~'~
FIRST N~ME
--~
7. Ch(!(:k the box ~elow whkh most llCCur~IEtly describes the use of the property at the time of sele
Check thebolleS below as they apply
8. OWllership Type is Condominiur1
9. New COllstructiOrl on Vllca~t La~d
c
o
o
o
--1
BUYER
!&);dfcyr
_--1 1/).7'/03
DAn
A~Q'lOFamiIYR'!Oident'al
B 2 o. 3 F8milV Residenti~1
C"esiderl!ial bc~n! ~ar:c
o __ Non-Residenti31 Va:Jrt Land
I SALE INFORMATION I
11, Sale ColTlractOate
F~Agricullural
F Commer~ia
G Apartment
H Entertail~mclt! Amusement
I~ com.n1UnitY.serVJce
J Industrtal
K Pubh:Servlce
L Ferest
lOA. Property Located wil1in ill1 AgnCU:llJrr>1 Oistrd
lORBuyerreceivedadisclos\.renoticendcatirg
that7hepropcrtyis in an Awicultural Di.,tr;ct
'--l L 6
Mont" Day
103
Year
15. Check one (Ir more of these conditions as applicable to transfer;
A
B
C
D
C
r
Sale Be':wean Reli'ltivcs or ~orlller Relatives
~ale BetweCrl R!Jlated Compaflil's or Pa,t'lers ,'n 8m:irl;]:>:;
One of tre Buyers is ~!so " Seller
Buyer cr Seller is GOllernmf>nt AgW1CY Or leujing,,~:itu!ion
Deed TYPB not Warrallty 0' 3argain am! SJlo 'S:"Jecify Helowi
Sale of Fra~tioral 0' less than Fee Ir'lerest (Specify Below)
SigniLicant Change in Property Between T,:;xab,t! Sta;!Js aryj Sale Dates
Sale of Busir)t)ss is Included in Sale Price
Other Un~sual Factors Affecti1g Sale Price (Spel~if\, Beluw)
Naill!
12. Date of5ale I Transfer
;2ff
I){;
_/03
Year
Quitclaim deed
vacant land
to unuseable
1
Mooto1
13. Full Sale Price
~
14. Indicate the value of personal
property included in the sale
L~, N/A '.. ".L.JU
, , .
- Data should reflec:1 the latest Final Assessment Roll and Tax Bill
BOX 3~.~_--L
S7qE~~ NUMB"R
\ \ bl5 rJ f'tCK Lfl1V e:
STAE:TNAM[(A'rERSA,EI
~-L- 8~. O-LlLj
, l
IFu!1 S,le Price isthB tolal amo,mt paic fur m" property irlCllGing personal prOD~r1y
Thispayrnentmaybeiolhefor,"J1Qlcash. other property or (joQas, orlheasswmpt,on of
mo..tgaoesor olhm obl;gafons.) P;OI<JSO rOi.incl to the nearest wnole dollar8mo"nt.
ASSESSMENT INFORMATION
16. Year of Assessment Roll from ~J 17. Total Assessed Value lof all pllrc~ls in transfer) ~
which information taken
18. Propel1y Clpss
~~, l.J-LlJ 19, Sellool Di5uict Name l
Oyster Ponds
~
4 3 4 8
,
20. Tall. Map ldentifierlsll Rollldentifierl~i III more than four, attaeh sheet with additional identifier(sll
473889
17
2 - 17
---.-J
---.J
'--
I CERTIFICATIO,'\/
I certif)' that all of the items of infhrmation entered on thi~ form arc true and corrttt (to the best of my knowledge and belief) and I undt'rstand that thl' making
of an." willful fHI~e ,,1atemcnt of material fact herein win sUQject me 10 Ihe provisions of the oellallaw relative to the milking IInd filing of l'alse instrumenl<;.
ORIENT
CI-YOA-'-OWN
r!y
11957
S~ATF
liP COD"
~~-r ~- ,~
,)~\~
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11/.25'/03
DAlE
~RS~--
BUYER'S ATTORNEY
WEISS
STEVEN
LASTNAMF
FlfIST"'A"'E
(212)
687-8777
ARE'ACOJ!:
TUF~IjON"NUMBER
I NEW
'--
YORK :rATE "~I
COpy I
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