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NY005-Bargain and Sale Deed with Covenant against Granmr's Acts Individual or Corporation(Single Shce1)(NYBTU 8002
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the 5) day of December fQ4!`1 , in the year ninety—nine
BETWEEN'
GEORGE F. HAASE, residing at 3 Old Pine
Drive, Manhasset, New York 11030
party of the first part, and
M.G.H. ENTERPRISES, INC. , having an office
at Main Road, Orient Point, New York 11957
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration
paid by the party 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 orparcel of land,with the buildings and improvements thereon erected,situate,lying
and being in the
SEE SCHEDULE "A" HERETO ATTACHED
Tax Map
Designation
Dist.
1000
See.
039 .00
talk. D:S iiGl'
01 . 00
Lolls)
2 . 1
TOGETHER with all right, title and interest, if any, of the party of the first part of, 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. `
ANI)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.
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" 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:
EORGE F. HAASE
T2009PC380
T e No. 0
SCHEDULE A
AMENDED 10/6/98
All that certain plot, piece or parcel of land with the buildings and improvements thereon
erected, situate, lying and being 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 the southerly side of Main Road, said point being where the
northeasterly corner of the premises to be described ant he northwesterly comer of land N/F of
MGH Enterprises, Inc., as described in Liber 18607 at page 67 intersect said southerly side of
Main Road;
RUNNING THENCE South 4 degrees 40 minutes 45 seconds East, along the land N/F of MGH
Enterprises, Inc., 800.00 feet;
THENCE South 87 degrees 09 minutes 20 seconds West, 30.00 feet, to land of Orient Beach
State Park;
THENCE North 4 degrees 40 minutes 45 seconds West, along the land of Orient Beach State
Park, 800.00 feet, to the southerly side of Main Road;
THENCE North 87 degrees 09 minutes 20 seconds East, along the southerly side of Main Road,
30.00 feet, to the point or place of BEGINNING.
12N9080 2 21833 3:
. $ RECEIVED WORM?'
q 1
Number of pages EAL STAT@
"TORRENS DEC 23 1999 99 DEC 23 PM 2: 45
Serial# T
aRtPP /a�x�y� EDWARD P. ROMAINE
TRANSFER TAX
SUFFOLK CLERK OF
Certificate # OUN7Y SUFFi?Lit i;CU?QTY
Prior Ctf. # 21833
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
4 1 FEES
Page/Filing Fee ? Mortgage Amt.
Handling S ' 1. Basic Tax
TP-584 S J> 2.Additional Tax
Notation Sub Total
EA-52 17(County) Sub Total J Spec./Assit.
Or
EA-5217(State) Z S 'J �j Spec./Add.
R.P.T.S.A. �t/t/ ,yCs� v�/J, TOT.MTG.TAX
Comm.of Ed. 500 ly oA Dual Town Dual County
Held for Apportionment
Affidavit �+ Transfer Tax
Certified Copy Mansion Tax
The property covered by this mortgage is or
Re Co will be improved by a one or two family
Reg.Copy Sub Total L� S, J dwelling only.
Other YES or NO
GRAND TOTAL Z o If NO,see appropriate tax clause on page#
of this instrument.
5 Real Property Tax Service Agency Verification 6 Community Preservation Fund
1s,0*6P,"'o
Dist. Section Block Lot Consideration Amount $tamp.` �1 U Ql, � 00Y CPF Tax Due $
Ak V oved /
Iniu ant Land t/
7 atisfactions/Discharges/Releases List Property Owners Mailing AddrtMD
RECORD&RETURN TO:
r
F
Title Company Information
Namee# O 7r
9 Suffolk County Recording & Endorsement Page
This page forms part of the attached made by:
/ (SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK
I
TO In the Township of -0y/ '/JLC`
r=-n /t,/J?(S P S �7 In the VILLAGE
or HAMLET of
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
• ' PLEASE TYPE OR PRE IriTV7RTTING ONTORM
INSTRUCTIONS: http://www.orps.statAW.tJs br"PHONE (518) 473-7222
FOR COUNTv &ONLY .
REAL PROPERTY TRANSFER REPORT
C1.9w1R'" I ;
$ STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
I
f RP - 5217
C i Boek E
00 tab:Kaye
x*' • RP-5217 Rev 1y'1
`Pttft IWORMAMON
1.Property /y (lain Road
Location STREET NUMBER STREET NAME
s
Southold
CITY OR TOWN VILLAGE ZIP CODE
2. Buyer N.G.11. ENTERPRISES, INC.
Name LAST NAME/COMPANY FIRST NAME
LAST NAME/COMPANY FIRST NAME
3.Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address tat bottom of form)
Address LAST NAME/COMPANY FIRST NAME
STREET NUMBER AND STREET NAME CITY OR TOWN STATE ZIP CODE
4.Indicate the number of Assessment (Only if Part of a Parcel)Check as they apply:
Roll parcels transferred on the deed #Of Parcels OR Part of a Parcel 4A.Planning Board with Subdivision Authority Exists ❑
5.Deed 4B.Subdivision Approval was Required for Transfer ❑
Property 30 X1 800 OR I 4C.Parcel Approved for Subdivision with Map Provided ❑
Size FRONT FEET DEPTH ACRES
6.Seller IIAASE GEORGE F.
:Name LAST NAME/COMPANY FIRST NAME
l
4 LAST NAME(COMPANY FIRST NAME
7.Cheer Is box 16low which most accurately describes the use of the property at the time of sale: Check the boxes below as they apply:
r, 8.Ownership Type is Condominium ❑
A One Family Residential E Agricultural I Community Service 9.New Construction on Vacant Land El
B 2 or 3Family Residential F Commercial I Industrial 10A.Property Located within an Agricultural District ❑
C Residential Vacant Land G Apartment K Public Service 108.Buyer received a disclosure notice indicating El
Non-Residential Vacant Land H Entertainment/Amusement L Forest that the property is in an Agricultural District
SA �INFORMATION / 15.Check ors,or more bt these conditions as applicable to transfer:
t ..
11.Sake Contract Date / / A Sale Between Relatives or Former Relatives
Month Day Year B Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seller
12.Date of Sale/Transfer L /�' / / / D Buyer or Seller is Government Agency or Lending Institution
Month Day Year E Deed Type not Warranty or Bargain and Sale(Specify Below)
F Sale of Fractional or Less than Fee Interest(Specify Below)
G Significant Change in Property Between Taxable Status and Sale Dates
13. Full Sale Price / 0 0 0 tO 1 0 D H Sale of Business is Included in Sale Price
7 7
(Full Sale Price is the total amount paid for the property including personal property. I Other Unusual Factors Affecting Sale Price(Specify Below) .,
This payment may be in the form of cash,other property or goods,or the assumption of J None
mortgages or other obligations.) Please round to the nearest whole dollar amount.
14.Indicate the value of personal 8 0 0 1
property included in the sale
7B_ES$MENT FOAMATtON Datta should reflect the latest Final Assessment Roll and Tax 7BBl
1-7
16.Year of Assessment.Roll from — Y /
which information taken ) 17.Total Assessed Value(of all parcels in transfer) 1 J 4 3 0 0
7 7 7
� z r
18.Property Class –U 19.School District Name L 4 2
20.Tax Map Identifier(s)/Roll Identifier(s)(R more than four,attach sheet with additional identifiens))
Dist. 1000 Section 39
Block 1 1 Lot 2. 1
09MFCCA11 N1
I Certify that all of the items of information entered on this form are true and correct(to the best of my knowledge and belief)and I understand that the making
of any willful false statement of material fact herein will subject me to the provisions of the penal law relative to the making and filing of false instruments.
BUYER BUYER'$ATTORNEY
A;.G.H. ENTERPRISES, INC.
BYPOWER .TAMES ,T_
BUYER SIGNATURE I DATE LAST NAME FIRST NAME
I .Iain Road 516 376-0434
STREET NUMBER STREET NAME(AFTER SALE) AREA CODE TELEPHONE NUMBER
Orient Point INY 1 11957
CITY OR TOWN STATE ZIP CODE
SELLER CITY/TOWN ASSESSOR
COPY
SELLER SIGNATURE ~
'ogre, F. HAASE re
(