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S"ndard N. V.S T U. Form 8OD2 . BIIrpin .nd au. o..d, willi Cownant egII_ Grantor'. Acts - Uniform AcknowIldgmenl
Fonn 32lIO
CONSULT YOUR LAWYER BEFORE SIGNING TH. INSTRUII&NT-THIS IN8TRUMENT SHOULD liE USI!D BY LAWYERS ONLY
THIS INDENTURE, mllde ItIA~..p. day of October, 2004
BETWEEN --,
a/k/a FRED C. LE'l'SQH
FREDERICK C. LETSON/residing at 420 Three Watars Lana, Orient, N_ Yorl< 11957, tha party of
the first part, and
CHRlsnNE II. LETSON, residing 81420 Three W8Iers Lane. Orlent, N_ York 11957, the party of
the second part,
WITNESSETH, thatltle party of ltIe first part. in consideration 01 TEN and 00/100 ($10.00)
doll.rs, and other good and valuable consideration paid by ltIe party oIlt1e second pIIrt. my life ..bile
in the premises
AU. that cer1iIln plot, piece or para!l of land, SIluloIe. lying and being In the Town of Southold, County of
Suffolk and Slalle of New York, known and deslglllllled as Lot No.9 on a carlain map lIfIIitIled "Map of Orlent-
by-the-Sea. 5ectIon I" and filed In the Office of the Clerk of the Countv of SUtroIk on November 21, 1957 as
Map No. 2n7.
"
TOGETHER with all right, liIJe and Interest, if any, oIlt1e party of the first part in and to any slreels and roads
abutting the above described pram_ to ltIe center Ii.... thereof; TOGETHER with lIIe appurtenances and all
It1e estate and rights oIlt1e party oIl11e first pIIrt in and to said prami...; TO HAVE AND TO HOLD the
pram_ herein granted unto the party of ltIe second part. the heirs or sua:es.."" and _signs of ltIe party 01
the saoond part forever.
AND the party 01 the first part covenants that ltIe party of the first part has not done or suffered anything
wIlereby the said premi... have been encumbsr8d in any way wI1aWwr, except_ .rar.said.
AND the pIIrty of the first pIIrt, in compliance with Section 13 of the Lien Law. covenants thet the party of ltIe
first part wllllWClIive ltIe consid~n for ltIis conveyance end wi. hold the right to l8Cltive such consideration
as e trust fund to be applied IinIt for the purpose of paying the cost of the Improvement and will apply ltIe same
first to the pIIyment of the cost of the improvement before uslng any part 0I1t1. total 0I1he same for any oIt1er
purpose. The word "party" shall be construed as if ~ reed "parlles- wilen ever the san.. oIlt1is indenture 80
requires.
IN WITNESS WHEREOF. ltIe party 01 the first part has duly executed ItIls deed ltIe day and y.ar first a_
written.
IN PRESENCE OF:
2'1,ccL e.. ~
Frederick C. Letson by Christine M. Lel8on,
~;In.Fact.l _ ,'Y\' .
~.~ ~ :/e;b,r...,
~. ;..; 7" TO"
f"""'"
TO BE USED ONLY WHl!N THE ACKIInWI i=nnau:NT IS .....ne IN N~ YORK BrATE
State of New YOrl<. County of Suffolk ..:
'On !he;' " t;;"1Iy of October . in IIIe yea, 2004
befo.. me. the undenlgned, petOOnally_r.d
CHRlsnNE M. LETSON
pe_naIly known 10 me or ...- 10 me on "'" beOl. 01
0IIti.~ _nee 10 be Ihe incIivicIuIIl(., whoM name(., I.
(are, ...__ 10 IIIe wllI1in inotrument .nd __ed.... 10
me th.t hMhelthey IHI-:-.1Ied the ..... in hillherlthelr
cepec:i1y(Ieo,. .nd _ by _Ir oIgnalunl(.) on "'"
In.trum.nt, 111.1_....(.'. or _ upon of leII
d1e individUIII(I) ectad. 1'\8 ..
(.Ign...... end oIIIc:e of
State of _ York, County of SutroIk ..:
On IIIe dllyof , in ""'_
befo....... the underoigned. ~__
~Iy '"- 10 me 01 ...- 10 .... on IIIe _. of
0IIti.~ ...-..c:e 10 be the I_~.) whoM name(., Ie
(..., "'__10 tII. _ I_.nd _edged 10
me dwt ~ IlJt:UIeC;II the urne in h~
cepec:ity(ieo). end _ by __ .......(., on tII.
1_.1t1e In_(.,. or"'" _ upon _Ifofwhlell
""'lndivid..~.)_. __ "I_Ill.
~.-'~a"...,.,
ABlllAIL A. W1CK..AM
Nota,., Pubflc. 51.'''' :wi New York
No.1i2-41142R71
Oualif18d In Su"oIk Cou"'Y/7_"lf-
Ccvnnli.=.uon Expiret- 5o;n. OO.~ ~
(.Ignetu.. end _ 0I1nd1vldulll1etdng~)
TO BE U~ED ONLY WHEN THE ACKNnwII ~ftft..~.. IlADE O~DI! N~ VORl( STATI!
Slate (0' 0_ of Caluml>ill, T.rritory. or Foreign Coulllry, of ..:
On thtt
day of
. In the ye8r
_.......1IIe u_gned. ~~
pe_naIly '"- 10 me or ...- 10 .... on "'" _. of _fec:Iory _ce 10 be the indIvidu8l(., whoM na....(.' i. (...)
...__10 "'" _In _n.nd _....dged 10 m..... -..oIlhey __ .. _ in _AI.... "pec:I\y(leo). end
- by hi_, oIgn.ture(., on tII. In.......... .111I 1ncI_(.). or It1e _ upon _ of _ .. 1_....(.' _.
_tile Inolrumenl. .nd 111.. .uch 1_.... ...- .uch ._nee beforellle "-gnedln "'"
In
(and IIIMIt the..... Dr Country or ather pa.. the -*"Ol..I~~...nt weaYken)
(_1t1o City or _pol_eubd....1on1
(a..,....nd oI'IIce of IndividuIII tuing -*"0\.1 1.l. ...nt)
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
SECTION
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS
TItI. No.
FREDERICK C. LETSON
TO
CHRISTINE M. LETSON
Recorded .. Requ_t of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
..... ~,.. r.-'\\.'F.AI.TII LA:,!:(I 1"11 L1= L""''''' .RASCE t:t I\.I'A:-;Y
STAtIDARD.... OF NI!W'YORIC IICMRD Of' nTLI! WaI_...._.....
-by
'0 COmmOn~!~~t.~,.._'"
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Numbcrlloof page,"
TORRENS
RECOROE~
'2004 Hov 30 04.40:27 PII
Edw.rd P.-"ine
CLERK OF
SUfFCU( COlIlTV
L ??oo1=
p ell
Dn 04-19061
Seriul"
Ccrtiticulc #
P1i..r Clf. /I
Deed . Mnrtl!U1t~ InSIrUmCnl
Deed, M~ Tllx Stamp
FEES
Recording' Filing Stwnpo
3
Pal.''' 1 Filing Fee
Hundling
S ..IllL
6
MonpllC Ami.
I. B...i" To
2. Additional Tax
Sub TOIul
Spee. 1 A..i..
..r
n'-Sll4
NOIUlion
./
~-
'7< -
3()_
Sub li....1
C..mm. of r:d.
~. .m...
S""-.:.I "'dd.
TOT. MTQ. T"'X
Duul Town _ Duul Cuunty _
. Held r.... "'ppoinln",n. _
Tran5f~r Tax
Munsiun Tux.
E"'-S217 (Cuunly)
EA-~217 (Slu.e)
R.P.T.S.....
Rell.CUPy
./' Sub Tnwl
" -
I '> Orand 1'.....\
'"
The propeny covered by .hi. mUIg"ll" i.
or will be improved hy iI une or [wo
run.ily dwelling only.
YES or NO
If NO. see uppropriule lUX du...., on
pa~ #I of Ihis ins.rumc I.
I) ~I)
AffiLlavil
Ccnilied Copy
Other
4
Communlt Prwenalion Fund
He-a'
Cnn.idcrulinn Amount $
CPl'lUx Due $
Improved
Pnlpenys ~
Ta.~ Servic: i"'~ \\'?Prf
Al.'enc:y ~ .li .
Verificali ~
'.
6 SUli.fuCliunIDi""hurgeslRdeu"" Li.l Propeny OW"".. Muiling Add..,..
RF.CORD '" RETURN TO:
Vu.:u", Lund
TO / ()-
TO
.. .-"'\-......
...............
........... U II1II
TD
7
Title Company Inronnatlon
8
Suffolk Count
Cu.i':amr
TIlle.
& Endorsement Pa e
This page fonns pan of Ihe- Ullar:bC'd
mudc by:
FRI'DF-RICK C 1.F.rSON
The prcmisis hn'ein is situated in
TO
CHRISTINE M. LETSON
SUFFOLK COUNTY. NEW YORK.
In the Town5bip or SOUTIIOLD
In the VILL...GE
nr HAMLhTof ORIENT
BOXES 1\ THROUGH II MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING
'nllftr'
111111111111111111111111111111
111111111111111
StJI'WOLIC COOJlTY CLBRIC
RBCORDS OJ'J'ICB
RBCORDING PMB
Type of ID8t~t: DBBDS/DDD
Number of Page.: 3
Receipt Number 1 04-0131254
TRAHSJ'IR TAX NOMBBR: 04-18061
Recorded:
Atl
11/30/2004
04140127 PH
LIBBR:
PMB:
D00012357
811
District:
1000
SectiODI Block:
015.00 06.00
In'lWnmD AIm l"IIllJlGBD AS roLLOWS
$0.00
Loti
026.000
need AIIIount 1
Received the Wollowing Pees Wor Above In.trumBDt
Bxempt b-.pt
Page/Piling $9.00 110 Handling $5.00 110
COB $5.00 110 IfYS SRCRG $15.00 110
BA- C'l'Y $5.00 110 BA-STATB $75.00 110
TP-584 $5.00 110 C.rt.Copi.. $0.00 110
an $30.00 110 SC'l'II $0.00 110
Transfer tax $0.00 110 CCIIIIIII.Pr.. $0.00 110
W.e. Paid $149.00
TRARSWBR TAX HUMBBR: 04-18061
THIS PAGE IS A PART 01' THI IRSTll.tlJODlT
THIS IS HOT A BILL
Edward P. RoIIIa1ne
County Clerk. Suffolk County
FOR Co.UNTY USE ONLY
C1. SWIS Code
t"U:A:::iit: I yt"t: UH t"HI::::iti t-IHML Y WHt:N WHlllNti UN t-UHM
INSTRUCTIONS: http:// www.orps.slale.ny.us or PHONE (518) 473-7222
I..{, 13, 1?, g, 11
I /11 ..3~/cf;11
Month Oav Ya.'
..( (co. p,.. ,t (,
REAL PROPERTY TRANSFER REPORT
e." .
. ,
"
.
C2 Dllte Deed Recorded
STATE OF M!W YORK
STATE IOMO OF REAl. PROPiRTY SERVICES
RP - 5217
C3.Bool< I 1!.{.3,
PROPERTY INFORMATION
KP.SlI7Re~J1'17
1. rro::= I
420
Three Waters Lane
STIlEETNAME
STREHNUMBER
L Southold
(:nY OR TOWN
Orient.
.u""'
l1Ql'\7
ZlPCOOE
2. Buyet"
Neme
Letson
UlST NAME IOOMPANY
Christine M.
~IUITNAME
LA$TNA"lE/COIolPANY
FIIBTNAfrlIE
3. Tu Indicate where future Tax BUls are to be Mnt
Billing if other than buyer addren (at bottom of forml
Addr_
lAST """"E/COMPANY
I'IIISTNAl,l(
STREET NUMSER AND STREET OfAME
crrv OR TOWN
II 1# of Parcel. OR 0 Part of a Parcel
STATE
"'OOM
4. lndlcate the number of "-ment
Roll ~rc'" trenlfetred on the deed
(OnIV If Pert of e '.....1 a.eck u they ~Iy:
4A. Planning 8D1rd with Subdivision Authority Eleilta D
48. Subclivition Approv.1 w.. FIIquired for T........r D
4C. Parcel Approved for Subdivision with Mlp Provided D
5. DHd
Property
Size
I X I
lOR I
.
FRONTFEE'T
oepnl
"""
6. Seller
Nllml
Letson
lAllT_/COftMOAIOY
Frederick C.
-- ....
LAST NAME / COMPA'f'I
flllST_
7. Check the bOle below which ml'fi .ccur.t.ay dMcrib.. the,," 01 the property lit the time oI..'e:
Check the bout bIi60w ... tbey .,.ply:
I. Ownerehip Type I, Condominium
S. New ConItruction on V.cent Lind
lOA. Property LocItad wIthin lll1 Agricultural Dlttrict
lOll. Buyer received a diacloeure flotice lndicetlog
thstthe property Is in ~n Agricultural District
D
D
D
D
A~ One Family Residential
B 2or3FamilyRnidentiel
C Residantiiil Vllc~nt Land
o Non-Residenti.1 Vacant ulnd
i SALE INFORMATION I
11. Sal. Contrect D.te
E~AgriclJlturlll
F Commerc!al
G Apartment
H Entertllinmllln( I Amusemant
I ~ Community SlrviCl
J Indultrill
K Public Service
L Ford
1 1 V_
Month 0.,
/t> I>:; 1 .1~
"""'" 0" Ywl
16. Ch8ck _ or ..-. 01 u... tJOnCIttions _ appIiDMM8 tIO 1render.
A 5ele Betweln Rll8tlves or Former Relativell
B Sa" Between Releted Compenilll5 or Plllrtnllll'1l in Bulines5
C One 01 the Buyers 11 .110 , Seller
D Buver or Seller 'e Govlrnment AgenCy or Lending InetiMiOn
E DI&CI Type not Werramy or Blrgoin and Sale ISpecify Below)
F Salo of Fractionol or Leea than Fee Interest (Specify Below)
G Signlficent Chanve In Property Between Tax.ble Stewa and S." DItft
H Sale 01 BusinMS is Included In Sale PriQe
I Other Unullual FICtorI Affeating Sale Price (Specify Below)
1 None
12. D"e of Sal. I Tr.nsf.r
13. Full Sale Price
L_
, , 0 I 0 I
, , .
(Full Sale Price is the total amount paid for tha property including plrson.1 property.
This payment may be in tile form of cuh, other property Dr gooda, or the aaumpdon of
mortgagas or other obUgiltions.) Please round to the neaTesr whole doller amount.
14- Indicate the value of personel ! I 0 , 0 I
property IncluRd in the .... e
ASSESSMENT INFORMATION - Data should reflect the latest Final Aseessment Roll and Tax Bill
16. Year of AMewment RoU from ~
which information taken 17.
" . n
0< i [A-LJ
Totel AMenec:I V.lul (of .11 peroHilQ ....n.....) I
/' . #
,bu~
.:;
,
'It'
(
, ,
17~
18. PropertyQ...
19.5eboolDi.triet~1
20. Tax M.p ldentifierls) I Rollld.ntifiwill !lImo,. fIlIIn four, ettaoh .twet witb .dditionelldentifter(a))
~ 1000-015.00-06.00-026.000
I CERTIFICATION
I certilY Ihat 1111 of the items 01 infonnation entered on Ibis ronn are true: and COITeet (to the be8t of my knowled&e and beUd) end I undel'5t11nd that the makin&
or an~' lliJlful raIse statement or material fact herein wDlmbjec1 me to the DrOVIsions or the oenlIIlaw nlaflve to tbe maJdna and ftIing of false instruments.
BUYER BUYER'S ATTORNEY
O_lnL t/'2.<^1h-
~u SIGNATI.i"'E
Wickham, Bressler, Gordon & Geasa, P.C.
In. ko~
M~
I. /~,!O
I ,
Wickham,
LASTIO""W
Abiqail A.
FIR$TNAME
-'i1:2SER I ~!~~~SAt /J
f2;;);;;0~ 1!1
LA.
631
AAEACOOE
298-8353
TELE'HONE_~
J/ql"T
"'-
SELLER
LNEW YORK STATE
COPY
FiO-P1
(In 1- ~ J, ,
- ~ !p "'" z1;r I 10
) / TUR'. DATt
f::..t-"" 3h Lclsn,. <<0 ,.,; 7~
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