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NY 005 _ Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation (Single Sheet) (NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING TillS INSTRUMENT - Tm5 INSTRUMENT SHOULD BE USED BY LA WYERS ONLY
~IS INDENTURE, made the
ETWEEN
. AS TO 75% INTEREST: DORIS W. STAUFFER, as residuary devisee under the Last Will and Testament of Douglas
O. H. Weston, who died testate 3/27/88 (871P88).
AS-T0~25'Yo.INTEREST: RICHARD T. STAUFFER, by deed from Doris Weston Stauffer dated 4/29/96 recorded
5/2/96 in Liber 11772 cp 318, both residing at 700 Old Menhaden Rd., Cutchogue, NY 11935
~J
~ ) day of July
, in the year 2000
'if
?
party of the first part, and
ANTHONY F. SEVERfNO & SHEILA B. SEVERfNO, husband and wife, residing at 226 West 22nd Street,
Huntington, NY 11743
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 lru:d, with the buildings and improvements thereon erected, situate. lying and being in the
SEE SCHEDULE 'A' A TT ACHED HERETO AND MADE APART HEREOF
Tax Map
Designation
Dist.
1000
Sec.
Ill. 00
Blk.
04.00
Lot(s)
019.000
TOGETHER with all right, title and interest, ifany, 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.
AND the party of the first part covenants that the party of the ftrst 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 ftrst 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 re:ad "parties" whenever the sense of this indenture so requires.
WHEREOF, the party of the first part has duly executed this deed the day and year first above written.
INPRi#OF'
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SCHEDULE A-I (Descriptioll)
^LL that certain plot, piece or parcel of land, situate, lying and being at Nassau Point, Town of Southold, County of
Suffolk and State of New York, shown on map entitled, "Map of Section D, Nassau Point Club Properties, Inc., situated
on Nassau Point, Suffolk Cuunty, New York", surveyed March 24, 1926 by Otto W. Van Tuyl, C.E. and Surveyor,
Greenport, NY, and filed in the omcc of the Clerk of the County of Suffolk, New York, under File No. 806, and known
and designated on said map as Lot No. 346.
TJ/E POLICY TO BE ISSUED under this commitment will insure the title to such buildillgs and improvements on the premises which
by law constitute real property.
FOR CONVEYANCING ONLY: Together with 011 the right. titie olld illterest of the party oftheflrst part. of ill alld to the lalld lyillg
ift tlIe street ill front of and adjoining said premises.
SCIIEDUl.E A-I (Descriptioll)
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. 1206OPC855
USEACKNOlVLEDGMEII/T FORM BEI.iJWWITHIN NEW YORKSTATEONLY:
State of New York, County of Suffolk } 55.:
.., 'I f.'
On thc'- day of July in the year 2000
before me, the undcrsi~ncd. personal! y appeared
f/J~r/,;w/~tk.{Jflir!r/aJ,d Richard T. Stauffer ,
personally known to me or proved to me on the basis of satisfactory
evidence to be the individual(s) whose namc(s) is (are) subscribed to the
within instrument <mt! acknowledged to me that he/shclthey executed
the same in his/hcr/thcir capaciLy(ics), and that by his/herlthcir
signature(s) on the instrument, the individual(s), or the person upon
behalf of which the individual(s) acted, executed the instrument.
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Notary Pub~
M~RY KOlAKOWSKI
Notary Public. State of New Yol\
No. 4870006. Suffolk County
Commission uplres Sept. 2. 2000
ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONLY,
{New York Sub.~C/"ihil1g Willlen Acknowled!{melll Certificalc}
State of New York, County of } 55.:
On the day of in the year
before me, the undersigned, personally appeared
the subscribing witness to the foregoing instrument, with whom I am
personally acquainted, who, being by me duly sworn, did depose and
say that hclshclthey residers) in
(if the place of residence is illll city, i/lclude the street and street /lumber,
if lIny. thCl"('(!f); that he/she/they know(s)
to be the individual described in and who executed the foregoing
instrumcnt; that said subscribing witn~ss was present and saw said
execute the same; and that said witness at the samc time subscribed
hislhcr/their namc(s) as a witness thereto.
BARGAIN & SALE DEED
WITH COVENANTS AGAINST GRANTOR'S ACTS
TInE No.
STAUFFER
TO
SEVERINO
FIDELITY NATIONAL TITLE INSURANCE
. COMP~~;.,~~,;':~~YORK
r.o//~,;,,<. "'n FiJ1elity ..0#"_HCP.I"
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USE ACKNOWLEDGMENT FORMBEWWwrmIN NEWYORKSTAl'EONLY,
Suffolk
)ss.:
2000
State of New York, County of
On th.,;" / .f!Of July in the year
before me, the undersigned, personally appeared
Doris W. Stauffer ,
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 helshelthey executed
the same in hislher/their capadty(ies), and that by hislher/their
signature(s) on the instrument, the individual(s), or the person upon
behalf ofw ich the individual(s) acted, executed the instrument.
~
LORRAINE KLOPf.ER
Notarv Public, S!ate of filew York
No. 4828373
Qualified in Suffolk County^J':~ 0 I
Commission Expir8$ Nov. 3O)J'a' ~ C. 0
ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORKS 'Al'EONLY,
(Out of State or Foreign General Acknowledgment Certificale)
............................)~
(Complete Venue with Stale, Country, Province or Municipality)
On the day of in the year
before me, the undersigned, personally appeared
,
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 helshelthey executed
Ihe same in hislher/their capacity(ies), that by hislherl their signature(s)
on the instrument, 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 the
(lnsen the city or other political subdivision and t1z.e state or country or
other place the acktwwledgment was taken).
DtSTRtCT
SECTtON
BLOCK
LOT
COUNTY OR TOWN
RECOROEDATREQUES7'OF
Fidelity National Title Insurance Company of New York
RETURN BY MAIL TO
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Number of pages
TORRENS
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Serial #
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Prior Ctf. #
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Certificate #
,iry
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
4
FEES
Page / Filing Fee
II)
f)
I)
Mortgage Am!.
Handling
TP-584
I. Basic Tax
2, Additional Tax
Notation
EA-52 17 (County)
EA-5217 (State)
t)
J5
Sub Total
Sub Total
,;!7
Spec.! Assi!.
Or
Spec. / Add.
Comm. of Ed, .
50~
TOT. MTG. TAX
Dual Town Dual County_
Held for Apportionment
Transfer Tax ....5('\ \ ) . -
RP.T.SA
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Affidavit
Certified Copy
Other
Sub Total
LIS
7:)
Mansion Tax
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES or NO
If NO, see appropriate tax clause on page #
of this instrument.
Reg. Copy
GRAND TOTAL
j
Real Property Tax Service Agency Verification
Dis!. Section Block
Lot
6 Community Preservation Fund
Consideration Alnollnt.$ I <. ~: c~ () -::~::
1000
111. 00
04.00
019.000
CPF Tax Due
$ \ ,c~ t) C\
.
Improved
Initials ~)\
7 Satisfactions/Discharges/Releases List Property Owners Mailing Addr
RECORD & RETURN TO:
s $
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acant Land ....../
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COMMllN1TY
PR!SERVATI()N
NO
ompallY IlIf~;mlltioll
Fidelity National Title
00-3704-25936
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Title #
9
Suffolk Count Recordin & Endorsement Pa e
lbis page fonns part of the attached Deed
DORIS W. STAUFFER AND RICHARD T. STAUFFER
(SPECIFY TYPE OF INSmUMENr)
_ made by:
TO
ANTHO~~ F. SEVERINO & SHEILA B. SEVERINO
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
SOUTHOLD
In the Township of
In the VILLAGE
CUTCHOGUE
or HAMLET of
UOXES 5111RU 9 MUST BE TYPED OR PRlNTED IN BLACK INK ONLY PRIOR TO RECORDING OR FlUNG.
(OVER)
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PlEASI"i'YPl"OR~MftN(f.oj'fFORM' .
INSIRUCTIONS: http:/~ www.orps.state.ny.us or PHONE (518) 471.7222
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REAL PROITEPV i!RlAN$FJ:1!l.REf'8RT
STATE OF NEW YORK
STATE BOARD OF REAL PROPEIlTY SEIMCES .
RP - 5217
1tP-5117Rn3l'J'1
1. r:::: I STRI~~M..tl
Soutbold
CITY OR TOWN
Old Meuhaden B.d.
STREET NAME
-;t
Cutc.boaue
VILLAGE
11935
ZIP CODE
2. Buyer
Nam.
Saveritvt
LAST NAME I COMPANY
Anthony F.
FIRST NAME
Severino
LAST NAME I COMPANY
Sheila B.
FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent '
Billng if other than buyer address lat bottom'of form) I.
A_
LAST NAME f COMPANY
FIRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
STATE
ZIf'COOE
4. Indlce.. lhe _ of__
Roll parcels transferred on the deed
lJ # of Parcels OR 0 Part of a Parcel
5. Deed
Property
Size
FRONT FEET
Ixl
DE"'"
lOR I
'ACRES'
.
10nly ff """ of . P_ CIlocIc ..they apply:
4A. Planning Board with Subdivision Authority Exists 0
48. Subdivision ApprOval was Required for Transfer 0
.c. Parcel Approved for Subdivision with Map Provided 0
6. SaUer
Nam.
Stauffer
,-," LAST NAME I COMPANY
Doris W. (as to a 75% interest)
FIRST NAME
A~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
~D .~on-Residential Vacant Land
~
E ~ Agricukural
F Commercial
G Apartment
H .. Entertainment / Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
. CIlocIc 1110___._.. they_
8. Ownership Type is Condominium
9. New Construction on V8Cahtland
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Stauffer
Ric.hard T. (as to a 25% interest)
lAST NAME I COMPANY
FIRST NAME
7. Check the box below which most accurately dncnbes the use of the properIy/8Uhe time of sale:
11. Sale Contract Date
2 / 25 / 00
M_ Day Year
7 /z."'I ,I 00 I
Mooth Day Yea,
D
D
D
108. Buyer received a disclosure. not.ioeindicating 0
that the property is In an ~ttural Oi~jct
15. Check one or more of these concldons .. IfIpnclldb to ttansfer:
A Sale Between Relatives or Former Relatives
B Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seller
D Buyer or Seller is Government Agency or lending Institution
E Deed Type not Warranty or Bargain and Sale (SpecjfyBelow)
F Sale of Fractional or Less than Fee Intel"8$t (SpecifyBelowl
G Significant Change in Property Between Taxable Status and Sale Dates
H Sale of Business is Included in Sale Price
I Other Unusual Factors Affecting Sale Price (Specify Below)
J None
1OA. Property Located within an'Agricultural District'
12. Dat.of Sale I Transfer
13. Full Sa" Price
1250(10
, "" 0 , 0 I
, ,. .
(Full Sale Price is the total amount paid for the property including ~rsonal property.
This payment may be in the form of cash, other property or goods. Dr the assumption of
mortgages or other obligations.) Please round to the nearest whol~ dol/af amount.'
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14._lhe.0I..01_1 I .0 0 I
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16.y..,.~~RoII from 1'1, '11 17. Total AueuedValue (ofallparcefs In trIInster) I
which Infonnation teken
;
;
,'+.0.01
,
18. Property Class
13, I , II-LJ 19. School_Nama I
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20. Tax Map _lsll RoII_lsl (K,.......lI1anl""~ _ sh_'__oI_erlsll
1000-111.00-04.00-019.000
111- ,-/-(q
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of any _false Tof- __will ~ me Ie lbe __ of.... .......Iaw _ Ie lbe IIlIIkIng """ IIIIoJ fiI_ _......1$.
/:!.VIL. I ~!~ BUYER'S ATTOIUEY
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aUVER SIGNATURE DATE LAST NAME FIRST NAME
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STffEET NUMeER
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AREA CODE ;,
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TELEPHONE NUMBER
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