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Section
015.00
Block
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Lot
024.0ll
Form 8002 (9/99) - 20M - Bargain and Sale Deed, with Covenants against Grantor's Acts-Individual or Corporation. (single sheet)
CONSULT YOUR LAWVER .EFORE SIGNING THIS INSTRUIIENT - THIS INSTRUIIENT SHOULD .E USED .Y LAWVERS OHLY.
,
THISINDENTURE,madethe 13th day of March
BETWEEN
, 2001
...
~ #- fhAIN -ST.,
MELINA VRATNY, residing atfp.O. Box 646, Melville, New
York 11747 .
,
.'
party of the first part, an'6 , 'P.
ROBERT,.KOLLMER and LUCILL~KOLLMER, his wife,
both residing at 1174 Fifth Avenue, East Northport, New York
11731
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 or parcel of land, with the buildings and improvements thereon erected, situate, lying and
being in the
Town of South old, Suffolk County, New York, known and designated as
d by the Lot numbered 157 on a certain map entitled, "Map of Orient by the Sea, Section 3",
d filed in the Office of the Suffolk County Clerk on October 16, 1974 as Map No. 6160.
aid premises being known as 175 Uhl Lane, Orient, New York.
eing and intended to be the same premises conveyed to the Grantor by deed made by Reiner
. Lollot and Patricia C. Lollot, his wife and recorded August 3, 1987, in Liber 10381 cp 488.
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 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 pa~t, thi: heirs or successors and assigns of the party of the sec!,nd part forever.
, ~
AND the part of the first part covenants that the party of the first part has not done or suffered anything whereby the
said premises have been encumbered in any way whatever, except as aforesaid. '
AND the party of the first part, in compliance with Section 13 of the Lien Law, coyenants that the party of the
first part will receive the consideration for this conveyance and will hold the right to receive such consider-
ation 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.
J
~2
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Number of pages
:3
RECORDED
2001 I.ta'" 23 10: 02: 12 Rt1
Edward P.Romaine
CLERK OF
SUFFOLK COUflT'1
L C'00012109
P 404
DT# 00-31432
TORRENS
Serial #
Certificate #
Prior Ctf. #
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
FEES
Recording / Filing Stamps
4
Page / Filing Fee
q~
~-
"-
,')-
Mortgage Amt.
Handling
Tp.584
1. Basic Tax
2. Additional Tax
Notation
EA-52 17 (County)
Sub Total
;2c.j
Sub Total
R.P.T.S.A.
D~
P0~~
/S?FO
/
Comm. of Ed.
50~
Spec.! Assit.
Or
Spec. / Add.
EA-5217 (State)
Affidavit
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
Transfer Tax C)r?
---
Sub Total
vs-- -
rocr --
Mansion Tax
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES orNO
If NO, see appropriate tax clause On page #
of this instrument. .
Certified Copy
Reg. Copy
Other
GRAND TOTAL
Real Property Tax Service Agency Verification
Dis!. Section Block
Lot
6 Community Preservation Fund
Consideration Amount $
o
GIS-DO
CPF Tax Due
$
n
Improved
Initials(! S
Vacant Land ~
7
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
/u
Wink. ~lA/k 'R~r~.o, Esq.
72 8 ~+ 3alrn~~ ROClJ D
Durt~I~()/L bao YOlk lOb?
TD
TD
TD
;7
8 Title Company Information
Co. Name L -----:
9
Suffolk Count
Tb~# 7 ?
Recordin & Endorsement Pa e
'J) tC 8/)
(SPECIFY TYPE OF INSTRUMENT )
made by:
This page forms part of :he attached
Me/ioo, ~t
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the TOWl1Ship of 'Sou/;00/j
In the VILLAGE
or HAMLET of
O~le'vJ
TO
1i.O~Mllfi1>/I~
1.vc; / Ie ..)/ 11YYi~
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
lOVER)
I
,
.
111111111111 1111I 111111111111111 11111 111111111111111111
1111111111111111I11111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANS~R TAX NUMBER: 00-31432
Recorded:
At:
LIBER:
PAGE:
03/23/2001
10:02:12 AM
D00012109
404
District:
1000
Section: Block:
015.00 05.00
EXAMINED AND CHARGED AS FOLLOWS
$72,000.00
Lot:
024.011
Deed Amount:
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $9.00 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 $288.00 NO
Comm.Pres $0.00 NO
Fees Paid $357.00
TRANSFER TAX NUMBER: 00-31432
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
...:
...
. -
AS TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http;11 www.orps.state.ny.us or PHONE (518) 473-7222
/
OR COUNTY USE ONLY
>'f:Z3jiff; 'I
C2,~~Iieco_ I :;3,,;:2 3f'Dft
C&./Jookl /2 f.P,?o.;C4.~:;.ti0'~,
PROPEll1Y I1'lFO TIl'lN
Ii.... COde
1. Prop<<:rty !
Location
115' I
STREET NUMBER
m?oR9oL~.y"" 0 \ d
1-\01/ mf.. y
LAST NAME I COMPANY
FIRST NAME
Uhl L dXf1 e...
STREET NAME
REAL PROPERTY TRANSFE
STATE OF NEW YO
STATE BOARD OF REAL R RTY SERVICES
RP - 5217
RP.S217 Rev 3m
o (,'-en+
VillAGE
I
11~571
ZIP CODE
2. Buyer
Name
LAST NAME I COMPANY
FIRST NAME
3. Tax
Billing
Address
Indicate where future Tax Bills are to be sent
if other than buyer address (at bottom of form)
LAST NAME I COMPANY
STREET NUMBER AND STREET NAME
CITY OR TOWN
4. Indicate the number of Assessment
Roll parcels transferred on the deed
# of Parcels OR D Part of a Parcel
5. Deed
Property
Size
Ixl
lOR I
'ACRES'
.
FRONT FEET
~Tr:E; :t~A~
DEPTH
':6. Seller
Name
FIRST NAME
LAST NAME I COMPANY
FIRST NAME
7. Check the box below which most accurately describes the use of the property at'the time of sale:
A~one Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant Land
E ~ Ag,;,ultu,,' ] ~
F Commercial J
G Apartment K
H Eotert,lom,,' I Amu,"meot L .
Community Service
Industrial
Public Service
Forest
SALE] RMAr, N \ \ I f.p 100
11. Sale Contract Date
Month Day Year
3 \;:;ID I
12. Date of Sale I Transfer I
Month Day Year
FIRST NAME
STATE
ZIP CODE
(Only if Part of 8 Parcel) Check as they appty:
4A. Planning Board with Subdivision Authority Exists 0
48. Subdivision Approval was Required for Transfer D
4C..Parcel Approved for Subdivision with Map Provided D
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
10B. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
D
D
D
D
15. Check one or more of these conditions as applicable to transfer:
A
B
C
D
E
F
G
H
I
J
, ,'ll, 00,0,0,01
, , .
(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.
, c) 0 , 0 I
.
13. Full Sale Price
14. Indicate the value of personal I
property included in the sale
,
,
ASSE5St,'1ENTI~TION . caw $I1Qtl
,
,
~th.j!<l
ine' Assessment Roll and Tax Sill
16. Ye~r ~ Assess~ent Roll from I (), ^ I 17. Total Assessed Value (of all parcels in transfer) I
which Information taken b-I
18. Property Class
I ~,l ,I I-U 19. School District Name I
20. Tax Map Identifler(s) I Rollldentifier(sl tlf more than four, attach sheet with additional identifier(sn
Jof"'X) -t0I~,OD -(A-<).Do -Qd.'f,Oj /1
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than Fee Interest (Specify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
.15~5,-~,hi01
, , ,.
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I certitY that all of the items of infonnation 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 statemeut of material fact herein will subject me to the provisions of the penal law relative to the making.and filing of false instruments.
BUYER
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LAST NAME'
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BUYER SIGNATURE
OATE
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AREA CODE
STREET NAME lAFTER SALE)
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./ SELLER SIGNATURE
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DATE
BUYER'S A TIORNEY
FIRST NAME
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TELEPHONE NUMBER
CITYffOWN ASSESSOR
COPY