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- Bargain and S&lc Deed, with Covenant against Grantor's Ac15 -Individual or Corponltion (Single Sheel)
CONSULTYOUR LAWYER BEFORE $IGNINGTHIS INSTRUMENT-THIS INSTRUMENTSHOULO BE USED BY LAWYERS ONLY.
THIS INDENTURE, made the
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day of fep ./.e/ll~(Y' . in the year
2000
BETWEEN
I 7 J. " 0 r J yr41ft!e;
Arthur Matelli, and Esther Matelli, his wife. both residing at
F{'4~hf~j I tvr
party of the first part, and
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THE ARTHUR MATELLI REVOCABLE TRUST, datedff r<lo~::rlt as to a'13 interest
and THE ESTHER MATELLI REVOCABLE TRUST, dated.rt~j&~s to a~~ interest
as tenants in common, of /7;1.-01 3a'" !1-1I(./ PIf.{J~/~/ A/l
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party of the second part.
WITNESSETH, that the party of the first part, in consideration of
dollars
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 cenain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being
in the llt Cui:choque ,-'Townof-Soiitho1cl;--Coi.inti--orsiiffolk"en~
State of New York, known and designated as' Lot No. 19 on the Map of
Nassau'Farms at Peconic, Town of Southo1d, Suffolk County, New York,
made by Otto w" Van Tuy1, Licensed Surveyor, Greenport, New York, and
r
filed in Suffolk County Clerk's Office as Map 1179, said premises
being and intended to be the same premises conveyed by B. Robert
Ratajack and June L. Ratajack, his wife, to A. Otis Davids and ;Joy
M. Davids, his wife, by Deed dated November 16, 1957 and recorded in
the Suffolk County Clerk's O~~ce on November 19, 1957 in Liber 4393
of De.eds ';'t page 194. ~ '0tec1 '8-08~OS. r
Fr~I~~s. Cv.t7'WYI CfS J);)~ PIIl'C. freQ ~cf-.J C/..dC~'Cf-e,
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 appunenances 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 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 pan, in compliance with Section 13 of the Lien Law, covenants that the party of the first pan 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 witJllESS'lWIomtit'OF,"thJ.party of the first part has duly executed this deed the day and year first above written.
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Esther Matelli
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REg:IVED
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REAL ES1T ::
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'RECORDED
Number of pages
TORRENS
3
OONOtio AM 8: M;
Serial #
'TRANSFeR TAX
StJA:oU<
COUNTY
EDWARD F~ ROiiAINE
CLERK OF ... .
SUFFlJ! K COUNTY
Certificate #
Prior Ctf. #
I
16970
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
FEES
Recording / Filing Stamps
4
Page / Filing Fee
Handling
TP-584
5
:5_
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Notation
Sub Total
R.P. T.SA
"J' _ Sub Total
rJ5_
~
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Spec.! Assit.
Or
Spec. / Add.
EA-52 17 (County)
EA-5217 (State)
Comm.ofEd.
50~
Sub Total
L/5
fy9-
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment .A
Transfer Tax 0
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.
Affidavit
Certifiec lOPy
Reg. Copy
Other
GR.AND TOTAL
Real Property Tax Service Agency Verification
Dist. Section Block
6 Community Preservation Fund
Lot
Consideration Amount $ -
-
jOcJd
,q %00
0106
3rflt>
CPF Tax Due
..$ g
3o~ ~.~dv, E:s{)'
,;to ~ ~ r-VCt..'\.u;, ke.ww 6LJ..
lNkksk ~ (\J oy. 1(35"7
.3e Nd If. ~c-H
COMMUNrTV
PRESERVATION
FUND
!o
RE8flVI!D
$
Satisfactions/Discharges/Releases List Property Owners Mailing Addres
RECORD & RETURN TO:
//
9
Suffolk Count Recordin & Endorsement Pa
1ills page fomlS part of the attached D-e.D [t
(SPEOFY TIPE OF INS1RUMENr)
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8
Title Company Information
Title #
made by:
Ar-\-h\W O1Cl +R ~ \ o(
-I; S-\-~ lYill..+-oJ ~.\
The premises herein is situated in
Sill fOLK COUNTY, NEW YORK.
In the Township of S 0 ~ \c\
c'l \+C hn3\,U
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
In the VILLAGE
or HAMLET of
-~-~-----r---~,-prEAsE TYPE Oi'rPRfsSFiRMLY WHEN-WRrriNG ON FORM -----
.' \ .'. INSTRUCTIONS: http:// www,orps,state,ny,us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
1. Property I
. Location
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STREET NUMBER, _ STREET NAME
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CITY OR TOWN /
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FIRST NAME
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VilLAGE
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2. Buyer
Name
LAST NAME (COMPANY
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FIRST NAME
I
/'i-. ;'/ /
ref::'
LAST NAME I COMPAI'lY
3. Taxln.?icate where,f~.lture Tax Bills are.to be~t Ie
Billing if other than buyer address (at bottom of f6rrnl .
Address
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LAST NAME I COMPANY
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STREET NUMBER AND STREET NAME
CITY OR TOWN
,.
4. Indicate the number,of Assessment
Roll parcels transferred on ttle deed
IJ # of Parcels OR D Part of a Parcel
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Ixl
lOR I
, ,-.7.51
ACRES
5. Deed
Property
Size
DE"'"
FRONT FEET
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP.5217 Rev 3I'J7
I
Ill:J,
ZIP CODE
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FIRST NAME
ST~TE
ZIPCO[}E
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists
48. Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with Map Provided
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LAST NAME'/ COMPANY FIRST NAME
, mo ( ,
: LL I V,td ( I f I F: 5, 'I A
to -rsT NAME I COMPANY! FIRST NAME
7. Check the bt below which most accurately describes the use of the property at the time of sale:
j'
,
tA~ne.~'miIY Residential
B 2 or..famil,t.2esidentiaV".
C Resi4;~tial Vacant land; 1
D "-+,,_,_""
Community Service
Industrial
Public Service
Forest
i.
r
E ~ Agricultural I ~
F Commercial J
G Apartment K
H Entertainment! Amusement L
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Check the boxes below as they apply:
8. Ownership Type is Condominium
D
D
D
D
9. New Construction on Vacant land
10A. Property located within an Agricultural District
108. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
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'1. Sale Contract Date
. . I
/
/
Year
15. Check one or more of these concfrtions as applicable to transfer:
Sale Between Relatives or Former Relatives
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13. Full Sale-Price
"
A
B
C
D
E
F
G
H
I
J
Month
Doy
.,
!~tH~ rJ , (~01
Month Day Year
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12. D~te of Sale I ~ansf*
, , - ,\), - , 0 , 0 I
, , .
(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.l Please round to the nearest whole doffar amount.
,
!
14. Indl~te t!f val~e ~ personal I , . , , --; 0, -, 0 , 0 I
~-~liM$~4l_
I-A . t ~ 51 ' 4~Fi!il.!t~.1
16. Year ~f Assessrrient Roll from I ~( rA I . I
h' h '010..' "','. I -, 17. Total Assessed Value lof all parcels In transfer) .
W IC I rm lon.:~en
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18. Property Class
I A I ,DI-LJ
19. School District Name I
20. Tax Map Identifierlsll Rollldentifierls) (If more than four, attach sheet with addmonal identifier(sll
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Sale Between Related Companies or Partners in Business
ne of the Buy~rs is also a S$I!pr
_, lo/er or sell~1is <1?vern~nt').gency 0; fending Institution
Deed Type not War'ranty 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 +
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I certlfy,',~ta4of th~~, ' of q.ronnation,. ""tenod on this, fO,no, ,,!"O trne and oo..-.ct, :(10 the, best of my know, ledge", . and ~ and I understand that ~ IlDlldng
of any willful ra\.e stai'ent of material foot he"" wiJI so, ~, ,~ 10 ~ -'t~ r ~w re~tiy."l" 'llfmalfblg, I~ IIIing of IlIlse ~ts, t
,f ' ' BUYER.! /" ~ , ,. . II \ BUYER''' ATTORNEY, '
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DATE' '!
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STREET NUMBER
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STREET NAME (AFTER SALE)
AREA co
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CITY OR TOWN
SELLER
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SELLER SIGN~"'tURE
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DATE
(JC1~
FIRST NAME
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