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Sl:udard N. Y. B.T. U. Nbrm ri002: aargnin & sole deed,
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JVLIVS BW MBERG. INC.. LFW BLANK PU BLISMERS
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the _~"'Lday of ~~~s-t- , ninetee ndred and r~•
BETWEEN PAULINE KROSLOWITZ, residing at 181 Chestnut Avenue,
East Meadow, New York 11554 "`
1
party of the first part, and
MICHAEL R. PATERNO and his wife, ELLEN C. PATERNO,
residing at 3 C-4-ea~~~eslr 8~'ve., ~~h~.,...,,.r ldeov-~'6r1~=~
~ ii rk-~.:.~ , ~y,~r fE ,tom ~.J~,~,,.~- ~1J y ~~~ yy
party of the second part,
WITNESSETH, that [he party of [he first part, in consideration of Ten Dollars and other valuable cansidera{ion
paid by [he party of the second part, does hereby gran[ 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 [he buildings and improvements thereon erected, situate,
lying and being xaal4~t at Nassau Point, near the Village of Cutchogue,
Town of Southold, County of Suffolk and State of New York,
being Plot Number 6 as shown o~ mac entitled, "Revised Sub
-rtiv>_sion Property of Alonzo Jersey being Plot 282, Nassau
Point Club Properties Inc. at Peconic, New York," said map
is certified by Otto Van Tuyl, $gineer and Surveyor, Greenport,
New York, filed in the Office of the Clerk of Suffolk County
on April 28, 1930 as Map Number 763, and said map supersedes
subdivision made May 9, 1923 and filed in the Suffolk County
Clerk's Office as File Number 640.
Being and intended to be the same premises as conveyed to the
party of the first part by a deed recorded in Liber 5540
CP 491.
TOGETHER with all right, title and interest, if any. of the party of the firs[ 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 [he second part. the heirs or successors and assigns of the party of
the second part forever.
AND the party of the first par[ 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 firs[ part, in compliance with Section 13 of the Lien Law, covenants that the party of the first
part will receive [he 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
_ _ _ .. .
STATE OF ~G.J ~O~K. ) 120~OPG4~~
COUNTY OF S~~F-wI k~ ~ SS.:
On the 3 O~ day of ~ in the year~~1?Lbefore
me the undersigned, personally ppeared ~~
P~~~~, kc 05 0 f~Z personally
known to me or prod to me on tha basis of satisfactory evidence to be the
individual(s~ whose names} iy-fare.) subscribed to the within instrument and
acknowledged to me that-he/she/tfaejt executed the same in -#is/her/~i~
capacity(-ies), and that by his/her/their signature(s) on the instrument, the
individual fs}; or the person on behalf of which the individual(s) acted,
executed the instrument.
~~~~~6~~ .~~
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THERESA LaPORTE
Notary Public, State of New York
No. 4909891 -Suffolk County r~1
Commission Expires November 2, 20`!
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Number of pages ~ REAL EST~T•~
TORRENS SEP '132000 00 SEP?{3 PPI 4~ 38
Serial # o`?
TFiAhSFEf~ TAX ~owa~
~. Izor~aiNE
CLirRK OF
Certificate # SJFFOI~C ~
~ $UFFOLK COUIITY
couvnr "
Prior Ctf. #
„6~Q3
Deed /Mortgage Instrument Deed /Mortgage Tax Stamp Recording /Filing Stamps
4 FEES
Page /Piling Fee ~ Mortgage Amt.
Handling ~ I. Basic Tax _
TP-584 ~ 2. Additional Tax
Notation Sub Total
EA-52 17 (County) ~ _ Sub Total a ~ Spec./Assn.
EA-5217 (State) 0~5 Or
Spec. /Add.
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Comm. of Ed. 5 00 S
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~ Dual Town Dual County
Held for Apportionment
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Affidavit a,{~~
Transfer Tax v ur v -
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Certified Copy -"'r/1i% ~19~ Mansion Tax
'fhe property covered by this mortgage is or
Reg. Copy f'' will be improved by a one or two family
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Sub Total dwelling only.
_
Other ///'''777 O
GRAND TOTAL If NO, see appropriate tax
clause on page #
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of this instrument.
3,F `1"`~;~ Real Property Tax Service Agency Verification 6 Community Preservation Fun
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i: Dist. Section Block Lot Consideration Amount $
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Stahip.::;;:~` 00(~ ~.bD p3.~(~ (~~,~,~~ CPF Tax Due '~
D e ~ 3
RECEIVED In roved
~~
Ini!'als ~ V cant Land
7 Saris actions/Discharges/Releases List Property Owners Mailing Addres "p ~~
RECORD & RETURN TO: SEP 'I 3 ZOOO
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PRESET{ ~VRT'Il7N T
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S c.~at,~~c~.t ~~ Ih.~3 s ' Title Company Information
Co. Name
"title #
"Pus page forms part of the attached
made by:
r1 - (SPECIFY "TYPE OF INSTKUMENT )
PLEASE TYPE OR PRESS FIRN~,LY WHEN WRITING ON FORM -
_ INSTRUCTIONS: http:// vvvvw.Drps.c!'r~t_a.us or PHONE (518) 473-7222
FOR COUNTY USE ONLY j
L 1 ', (~ .? ~~ I REAL PROPERTY TRANSFER REPORT
Ct. SWIS Code I / , , '-', , '-' ,
STATE OF NEW VORK
t/~~ ~ ~ ~ STATE BOARD OF REAL PROPERTY SERVICES
-C2. Date Deed Recorded ( t / 1~......~/ (~ t. ) :. c r~
] Oav Year ~j
-N-fopt ~~ ~ 52 1
C3. Book ! ~ ~ ~ C4. Page ( ~ , ~ I J i 1 I'
c rw~ RP-521] Rrv IDY]
PROPERTYINFORMATION 11 _
1. Property I ~ 2S S(~ I UQ r' 1 S t UI'~ ~~ p G G~
LOCation STREET NUMBER STREET NAME I
I Cl-/'~L.~~Ic~a~~C I ~ \ Gwy_ ci- ` cU1~.o ~c~ I I
~JCITY OR TOWN -~ VILLAGE 21P COOS
2. Buyer 'l Q~Q ~ ~ ~J ~y ~ 1. y (v ~~, Q L' 7 I
Name LAST NAME/COMPANY FIRST NAME
{ G "~ k~ 4 "` ~ ~~ ~p 1-' I
LAST NAME I COMPANY FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address tat hottom of form) I
Address LAST NAME I COMPANY FIRST NAME
I I I I I
STREET NUMBEfl AND STREET NAME CITY OR TOWN STATE 21P CODE
4. Indicate the number of Assessment ' (Only if Part of a Parcel Check as they apply:
Roll parc els trenaferred on the deed I # of Parcels OR ^ Part of a Parcel ^
4A planning Board with Subdivision Authority Exists
5. Deed ~ ~' 4B. Subdivision Approval was Required for Transfer
~ ^
Property I X I OR
FRONT FE
T DEPTH •
ac. parcel Approved for Subdivision with Map Provided ^
SI2e ACRES
E
I ~.1 rf~ \ G W 1 ~ ~ tt~
I 's LL.IJ ~ 4 ~ F'
6. Seller
Name LAST NAME/COMPANY
I FW$T NAME
I
I
7. Check the,~boz, bNow~which most accurately describes the use of the property at the time of sale: Check the bones below as they apply:
8. Ownership Type is Condominium ^
A One Family Residential E Agricultural I Community Service 9. New Construction on Vacant Land
$ 2 or 3 Family Residential F Commercial J Industrial 10A. Property Located within an Agricultural District ^
C Residential Vacant Land G Apartment K Public Service 108. Buyer received a disclosure notice indicating ^
D Non-Residential Vacant Land H Entertainment /Amusement L Forest that the property is in an Agricultural District
SALE INFOINyjATION 15. Check one or more of these conditions as applicable to transfer:
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11. Sale Contract Date ii
/
/
I A Sale Between Relatives or Former Relatives
Month Day veer E Sale Between Related Companies or Partners in Business
/r{
~p C One of the Buyers is also a Seller
12. Date of Sale /Transfer ~
)~
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~ / / `~ ^-? D Buyer or Seller is Government Agency or Lending Institution
Month oay veer $ Deed Type not Warranty or Bargain and Sale (Specify Below)
F Sale of Fractional or Less than Fee Interest ISpeciry Belowl
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~ G Significant Change in Property Between Taxable Status and Sale Dates
13. Full Sale Price ,
,
,
,
, (f 0
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Sale of Business is Included in Sale Price
7 e
(Full Sale Price is the total amoun t paid for the property including personal property. I Other Unusual Factors Affecting Sale Price (Specify Belowl
This payment may be in the form of cash, other property or goods, or the assumptio n of J None
mortgages or other obligations.) Please round to the nearest whole dollar amount.
14. Indicate the value of personal
property included in the sale
a
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16. Year of Assessment Roll from
which information taken LyJ 17. Total Assessed Value lot all parcels in transfer) I G ~ I
7 7 7
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18. Property Class ~~ ` ~' I-- 19. School Distrito Name I SU lP-r'~'1 G \~ ~/ / - ~ - /V ~
20. Tax Map Idemifierls) /Roll Idemifierlsl Ip more than four, attach sheet with additional idemifierlsll
I ~C~OC)- ~\\. GCJ - U~.C1C; - li\CJ GG ~
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~~i I certify that aRof the items of information entered on this form are true and correct ([p [he best of my knowledge and belief) and I understand that the making
of any willful false statement of material Pact herein will subject me to [he provisions of the penal law relative [o Ne making and Nipg of false instruments.
BUYER
BUYER SIGNATURE GATE
P~. ~ 5S~1.3f fI~/~.~AGu,~ ~~~~%~s d'
STREET NUMBER STREET NAME (AFTER SALE(
CITY OR TOWN STATE ZIP CODE
SELLER
- ~` ~ ~-?G'-c~0
SELLER SIGNATURE ~ DATE
BUYER'S ATTORNEY
F-- Q.. V ~ ~ ~.I~IL ~ C t
lA$T NAME FIRST NAME
si~l ~ ~~11-- U~3Z
AREA CODE TELEPHONE NUMBEfl
CITY/TOWN ASSESSOR
COPY