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Form 8005A "- E~ecu(or's Deed n Indi~idual or Corporalion (single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT. THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, made thi.JV~Of September. two thousand and one
BETWEEN
COMERICA BANK, with office at
100 N E Third A venue, Suite 100
Fort Lauderdale, FL 3330 I
as Ancillary Executor of the last will and testament of MARTIN HORNER, late of Riviera Beach, FL, who died on
the 25" day of November, 2000, party of the first part, and
WILLIAM W. BERGES, residing at
124 Adelphi Street
Brooklyn, NY 11205 ~ 2- 30 q;,
party of the second part,
WITNESSETH, that the party of the first part to whom ancillary letters testamentary were issued by the Surrogate's
Court, Suffolk County, NY, on June 6, 2001 and by virtue of the power and authority given in and by said last will and
testament, and/or by Article II of the Estates, Powers and Trusts Law, and in consideration of FOUR HUNDRED
THOUSAND NO/IOO ($400,000.00) dollars, paid by the party of the second part, does hereby grant and release unto
the party of the second part, the distributees or successors and assigns of the party of the second part forever,
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and
being at Orient, Town of Southold, County of Suffolk and State of New York, bounded and de~cribed as follows:
SEE SCHEDULE "A" ANNEXED HERETO.
BEING AND INTENDED TO BE the same premises described in the deed of the MARTIN HORNER and
DOROTHY HORNER, his wife, by deed dated 12/20/79, recorded in the Suffolk County Clerk's Office on 118/80, in
Liber 8758, Page 238.
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 also all the estate
which the said decedent had at the time of the decedent's death in said premises, and also the estate therein, which the
party of the first part has or has power to conveyor dispose of, whether individually, or by virtue of said will or
otherwise; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the distributees
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 incumbered in any way whatever, except as aforesaid.
Subject to the trust fund provisions of section thirteen of the Lien Law.
The word "party" shall be construed as if it read "parties" whenever 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:
COMERICA BANK, as Ancillary Executor of the
Last Will & Testament of MARTIN HORNER
.
BY:
-Ut~~ -tr~
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/j flCOR TITLE INSU RANCE COMPANY
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~ TICOR TITLE INSURANCE COMPANY
Title No. AC 01 00180
Policy No.:
SCHEDULE "Au
The Premises in which the insured has the estate or interest covered by this policy
ALL that certain plot, piece or parcel of land, with the buildings and
improvements thereon erected, situate, lying and being at Orient Point, in the
Town of Southold, County of Suffolk and State of New York, bounded and described
as follows:
BEGINNING at a monument set on the northerly line of Main Road at the
southeasterly corner of land now or formerly of Wood hollow Propertis, Inc. and
the southwesterly corner of the premises herein described, from said point of
beginning;
RUNNING THENCE along said land of Woodhollow Propertis, Inc., north 00
degrees 20 minutes 40 seconds east 400 feet;
THENCE along land now or ,formerly of Ruth L. Young, the following two
courses:
1. North 82 degrees 06 minutes 40 seconds east 179.74 feet;
2. South 00 degrees 20 minutes 40 seconds west 400.00 feet to the
said northerly line of the Main Road;
THENCE westerly along said northerly line on a curve to the right having
a radius of 1009.14 feet a distance of 180.0 feet to a monument and the point
or place of8EGINNING.
.
TICOR TITLE INSURANCE COMPANY
To BE USED ONLY WHEN THE ACKNOWLEDGMENT Is MADE OUTSIDE NEW YORK STATE
STATE (OR DISTRICT OF COLUMBIA, TERRITORY, OR FOREIGN COUNTRY) OF FLORIDA SS:
"-
On the 5- day of September in the year 2001, before me, the undersigned, a Notary Public in and for said State, personally appeared
:jAmt'5 G-eotxe K-a.rt\~ IS, Jtf '
personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed
to the within instrument and acknowledged to me that he/she/they executed same in his/her/their capacity(ies), and that by his/her/their
signature(s) on the instrunlent, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument, and
that such individual made such appearance before the undersigned in FORT LAUDERDALE,
in FLORIDA.
fyOfJJ ar cJ
COUNTY
....."..~'II:!.... RENEE K. QUINN
i.rib.~~ MY COMMISSION I CC 900217
, '.~i i EXPIRES: March 27, 2004
~"4':'"'':''''' BondedThIUNotaryPublicUndlllWrittrs
,lir..li\
(signature and 0 ice of the person taking acknowledgment)
Executor's Deed
TITLE NO. (1-( - 0 I - DO I ~D
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COMER'CA RANK, do'_ .~,., .",,, .!!
Last Will & Testament of MARTIN HORNER . ~
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TO :2
DIST.
SECTION
BLOCK
LOT
COUNTY OR TOWN
""A IN 'ROA:):),
1000
15
9
7
Suffolk/Southold
Ljo7SS
RECORDED AT REQUEST OF
RETURN BY MAIL To:
WILLIAM W. BERGES
Stephen Gutleber, Esq.
142 Joraleman Street, Suite 7B
Brooklyn, NY 11201
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Number of pages
TORRENS
RECORDE[>
2001 Oct. 05 02:59:31 PN
Edt..1.3:rd F'. Rorflaine
CLEF:,: OF
SUFFOLK coum'.j
L [)00012145
P ?E:,1
Serial #
Certificate #
Prior Ctf. #
N# 01-lJ'3419
Deed / Mortgage Iustrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
4
FEES
Page / Filing Fee
)cJ _
Handling
;-
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~-
Mortgage AmI.
l. Basic Tax
TP-584
2. Additional Tax
Notation
EA-52 17 (County)
5~
c35'
Sub Total
Sub Total
Comm. of Ed.
50~
Spec./Assit.
Or
Spec. / Add.
EA-5217 (State)
R.P.TS.A.
--
I') 00
09. 00
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
Transfer Tax / b o-f)
Affidavit
Certified Copy
Other
Sub Total
nsian Tax _
The property covered by this mortgage is or
WI ved by a one or two fam ily
dwelling on .
ES or NO
0, see appropriate tax clause on page #
of this instrument.
Reg. Copy
GRAND TOTAL
Real Property Tax Service Agency Verification'
Dist. Section "B lock
O/J7 0 ()
Preservation Fund
t $ 'foo,
$ :5 oo"D
Date lol<,fO(
Initials LoJ
7 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
Improved
Vacant Land
TO -10
TO
TO
/
-
Suffolk Count
8
Ti Ie Company Information
9
Title # I 0 I 1::)
& Endorsement Pa e
1l1is page fonns part of the attached
(~AU^ ~
(SPECIFY TYPE OF INSlRUMENT)
made by:
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the TO'MlShip of So u-+Ao (d
In the VILLAGE
or HAMLET of Oe I euj
.
TO .I!.A. . _
/J~i--ry1 4J (lbPur
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
1111111111111111111111111111111111111111111/11111111111
1111111111/11111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
TRANSFER TAX NUMBER: 01-09419
Recorded:
At:
LIBER:
PAGE:
10/05/2001
02:59:31 PM
D00012145
761
District:
1000
Section: Block:
015.00 09.00
EXAMINED AND CHARGED AS FOLLOWS
$400,000.00
Lot:
007.000
Deed Amount:
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $12.00 NO Handling $5.00 NO
COE $5.00 NO EA-CTY $5.00 NO
EA-STATE $25.00 NO TP-584 $5.00 NO
Cert.Copies $0.00 NO RPT $15.00 NO
SCTM $0.00 NO Transfer tax $1,600.00 NO
Comm.Pres $5,000.00 NO
Fees Paid $6,672.00
TRANSFER TAX NUMBER: 01-09419
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
.
..
PLEASE TYPE PRESS.,F'IRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://l(IIWw.orps.state.ny.us or PHONE (518) 473-7222
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FQIl-~()~;\;JSB~Y
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REAL PROpERTY TRANSFER REPORT
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STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP-S217 Rev 3197
1. Property I
Location
40755
ST1'lEETNUMBER
Main Road
STREET NAME
Southold
Orient
11957
ZIP CODE
CITY OR TQWN
VILLAGE
2. Buyer
Name
LAST NAME I COMPANY
Berges
William
FIRST NAME """"""'__:_
LAST NAME I COMPANY
FIRST NAME
3. Tax i Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address .
LAST NAME! COMPANY
FIRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
STATE
ZIP CODE
FRONT FEET
DEPTH
lOR I
'ACRES'
(Only if Part of a Parcell Check as they apply:
4A. Planning Board with sl:ViSion Authority Exists
48. Subdivision Approval) '~equired for Transfer
1. 6 3 I 4C. Parcel Approved for Su" ai~ision with Map Provided
Estate of Martin, by Lica Bank as
FIRST NAME Ancillary z:.x~ib.tor
./
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D
D
4. Indicate the number of Assessment
Roll parcels transferred on the deed
i11 # of Parcels OR 0 Part of a Parcel
-..,-
5. Deed
Property
Size
Ixl
6. Seller
Name
Horner
LAST NAME f COMPANY
LAST NAME I COMPANY , . FIRST NAME
7. Check the box below which most accurately describes the use of t~e prop'~~) at the ~Je of sale:
D
D
D
D
A~ne Family Residential
B 2 or 3 Family Residential
C ' Residential Vacant Land
t D Non-Residential Vacant Land
E ~ Agricultural
F Commercial
G Apartment
H Entertainment I Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
as they apply:
8. Ownership Typr 'Condominium
"iN
9. New Constructi ,~\acant Land
10A.~~- Located within an tgricultural District
10B. Buyer received a disclosure i}otice indicating
that ' qperty is in an Ag~ultural District
conditions as applicable to transfer:
;.--y
$1
15. Check one or more
11. Sale Contract Date
07 / 03 / 01
Month Day Year
q/ ~O / OIl
Month Day Year
A
B
C
D
E
F
G
H
I
J
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyet'S. is also a Seller
Buyer or SeUer'is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractiona....-ar.less than Fee Interest (Specify Below)
Significant Change n\Properr; Between Taxable Status and Sale Dates
Sale of Business :is~ded in Sale Price
Other UnusuaW~ors Affectirig Sale Price (Specify Below)
None li_:'
12. Date of Sale I Transfer
13. Full S.,. P,lce , 4 , 0 , 0 , 0 , 0 , 0 , 0 , 0 I
, , a
(Full Sale Price is the total amount paid for the property including personal property.
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Please round to the nearest whole dollar amount.
14. Indicate t.he value ~ personal I I I I OOt;le I I I 0 I 0 I
property Included In the sale, , .
I ASSESSMl;N1i lNfO~MA"'l)M; \Jam Sl'iGuldr8lf$Ct\t1& le1eStfIOll' ~ltIi8;.;~~-:t~ lliIl'l
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16. Vear of Assessment Roll from
which information taken
00 011 17. Total Assessed Value lof all parcels in transfer) I
/5- 1- 7
;
;
7 1
,
o 01
18. Property Class
II ,1 I tL-J 19. School DIm-let Nom. I
Oy8t9rpocx;'li
20. Tax Map Identifierls)I RollldentifierlsJ eN more than four, attach sheet with additional iclentifier(sll
1000-015-09-007
I
IC!~
I certify that aU of the items of information: entered on this form are tnre Wid cortect (to the best of my knowledge and belief) and I understand that the making
of any willful false statement of material fact herein will subject me to the provisions of the penal law relative to the making and filing of false instrwnents.
BUYER
BUYER'S ATTORNEY
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BUYER SIGNATURE
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DATE
Gutleber
stephen c.
LAST NAME
FIRST NAME
,: ?LJ
/ .(..
STREET NUMBER
, / I.
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STREET N.(ME (AFTER SALE)
s.(
718
855-6061
AREA COOE
TELEPHONE NUMBER
(?;(_'~i;'" ~-/! 17
CITY OR TOWN
1/~jV
STATE
/!ZO~
Z\PCOOE
CITyrrOWN ASSESSOR
COPY
SELLER
OAT