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L 12010 P 539
'7©`N30 (o ,• NY0a3•Bargain anJ$ale ed rilh Covewrl aWnn Granmis Aev IodivWWI or Cerponilon(Single Sheeft(NYRTU Rano) CONSULTYOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED RV LAWYERS ONLY THIS INDENTURE,made the 13 9^) day of December ,in the year 1999 BETWEEN CLAIRE CHAPMAN, residing at 227 East 57th St., New York, NY 10022 ON BLOCK LOT EDM[EcMF I o o paV of the first part,io 17 21 20 NEBOYSHA R. BRASHICH and PRUNELLA M. BRASHICH, husband and wife, residing at 7300 New Suffolk Road, New Suffolk, NY 11956 0- a. 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 parry 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 SEE SCHEDULE "A" ATTACHED HERETO AND MADE A PART HEREOF Tax Map The grantor herein is the same person as the grantee in Deed dated 8/8/95 D,ignmim recorded 8/29/95 in Liber 11739 Page 304. This conveyance is made at the request of Settlement Services Corporation Disc under acertain Tax Deferred Exchange Addendum to Agreement of Sale dated 1000 September 30, 1999, it being the intent of the Grantees herein to complete a Tax Deferred Exchange under Section 1031 of the Internal Revenue Code as See. amended. 103.00 Rlk. 04.00 Lots) 039.000 TOGETHER with all right,title and interest,if any,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 partyiof 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 incumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance wish Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to he applied first for the purpose of paying the cost of the improvement and will apply the same fust 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 WITN7OF: REOF,the party of the first part has duly executed this deed the day and year first above written. IN TRESE 1 "��- Y�/j%� ✓ LSC/ \ CLAIRE CHAPMAN I 12010?G539 . SCHEDULE A- DESCRIPTION ALL that certain plot, piece or parcel of land,situate,lying and bung at East Cutchogue,in the Town of ALLth at County of Suffolk and State of New York, 4no.�.n and devgnated as Lot 16 on a certain map entitled "Map of Sunny Scares at East Cutchngue . and fled .n the Office of the Clerk of Suffolk County on August 30, 1950,as map no. 3231,said lot is bounded and described as follows: BEGININNG at a point on the southerly side of Emory road,said point being a distance of 150.00 feet EmlY tle j measured side d in a weEmolry fstery ivadion l h g the sou side o i L Lof NBCok pp�dd from the intersection formed by the southe of RUNNING THENCE south 10 degrees 46 minutes 10 seconds cast 200.00 feet to a point; THENCE South 79 degrees 13 minutes 50 seconds west 100.00 feet to a point; THENCE north 10 degrees 46 minutes 10 seconds wet 200.00 feet to a point on the southerly side of Emory Road; THENCE north 79 degrees t3 minutes 50 second'cast along said road 100.00 feet to the point or place of BEd31NNING. I i Title Report 22 1201V539 LPFAL __ REWRMumber of pages 99TORREN$ qX 93 DEC 29 P„I?: 19 Serial# UFFOLK EDYh1G; yr Certificate 4 SUFFOLK COU?iTY Prior Cif.N 22622 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 4 FEES Page/Piling Fee 4_ Mortgage Amt. _ Handling ) /— 1.Basic Tax TP-584 2.Additional Tax _ Notation _ i Sub Total FA-52 17(County) i Sub Total 7. I ✓ Spec./Assn. EA-5217(State) Or / Spec./Add. _ TOT.MTG.TAX _ Comm.of F-J. 5 ( (Q_ ±, 'y, UuaI'I'Own—Intal County_ SG:; I leld for Apportionment .\ Affidavit i t Transfer Tax Certified Copy �W y!p,� Mansion Tax the property covered by this mortgage is or Reg.Copy / will be improved by a one or two family Sub Total `'�7 dwelling only. Other YES__or NO_ GRAND TOTAL ��' f If NO,see appropriate tax clause on page q of this instrument. l P 5 PaOpf, Rearoperty Tax Service Agency Verification 6 Community Preservation Fund q�a�ttr� Dist. Section B lock asxunV Lot Consideration Amount $ ,p St 1000 103.00 04.00 039.000 CPF T'ax Due e proved -,e Initia AF's r�' CW _✓��C _ V cant Land 7 Satisfactions/Discharges/Releases List Property Owners Mailing Addre RECORD&RETURN TO: Deborah Doty, Esq. DEC 29 15991 670 West Creek Avenue ! v Cutchogue, NY 11935 i.g',(_:`,�->;�•v., .,;`sN Fti�1J 8 Title Company Information Co. Name C�Zh1770)J&)P-1iL-77t Title N V H 9 Suffolk Count Rxlecordin2 & Endorsement Pave 'Ibis page forms pan of the attached DEED made by: CLAIRE CHAPMAN (SPEC7IY"TYPE OF INS"IRUM[7JI') The prenuses herein is situated in SUFFOLK COUNTY,NEW YORK P To In the Townshi of SOUTHOLD NEBOYSHA B. BRASHICH AND PRUNELLA M. In the VILLAGE or HAMLET of CnT .HD.rn BOXES 5171 IRU 9 MUST-BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (OVER) PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222 FOR COUNTY USE ONLY C1.SARIS Code I ,: , , �a REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK C2. Date Dead Recorded STATE BOARD OF REAL PROPERTY SERVICES - C3.BookL y frt.Piga Year e RP 5217 RP-522]9 Rev 3/Y'1 PROPERTY INFORMATION 1. Property 1_ 171 Emory Road I Location STRE UMBER STRE T NAME Southold I Cutchogue 111935 CITY OR TOWN VILLAGE ZIP CODE 2.Buyer Brashich I Heboysha S. Name LAST NAME/COMPANY FIRST NAME L Brashich 1 Prunella Vii. I ,AST NAME/COMPANY FIRST NAME 3.Tax Indicate where future Tax Bills are to be sent Billing if other than buyer address(at bottom of form) I I Address ,AST NAME/COMPANY FIRST NAME I I STREET NUMBER AND STREET NAME CITU OR TOWN STATE ZIP CODE 4.Indicate the number of Assessment ++ ❑ (Only if Part of a Parcel)Check as they apply: I Roll parcels transferred on the deed t #of Parcels OR Part of a Parcel 4A Planning Board with Subdivision Authority Exists ❑ / ❑5.Deed y�q�� � c 4B.Subdivision Approval was Required for Transfer Propertypgg4 I _J OR • 4'• ) 4C.Parcel Approved for Subdivision with Map Provided ❑ Size FRONT FEET DEPTH ACRES 6.sellerI Charman I Claire Name LAME /COMPANY . FIRST NAME o_ 15TH ME/COMPft.W' FIRST NAME Do 7.Check the box bAQv which most accurately describes the use of the property at the time of sale: Check the boxes below as they apply: L' - e.Ownership Type is Condominium ❑ A One Family ResidentiaC,rr; E Agricultural I Community Service 9.New Construction on Vacant Land ❑ B 2 or 3 Fai'WResidern L F Commercial J Industrial 10A.Property Located within an Agricultural District ❑ C Residential cant Lar Uj G Apartment K Public Service 10B.Buyer received a disclosure notice indicating ❑ D Nan-Resi� lal Vacant Lath H Entertainment/Amusement L Forest that the property is in an Agricultural District SALE INFORMATION 15.Check one or more of these conditions as applicable to transfer. 11.Sale Contract Date 1 11 / 18 / 99 A Sale Between Relatives or Former Relatives - - Month Day Year B Sale Between Related Companies or Partners in Business -77 C One of the Buyers is also a Seller 12.Date of Sale/Transfer 12 / 11 99 D Buyer or Seller is Government Agency or Lending Institution Month Day Year E Deed Type not Warranty or Bargain and Sale(Specify Below) F Sale of Fractional or Less than Fee Interest(Specify Below) 13.Full Sale Prise 2 ' 81 7 . 51 O 0 0 1 0.1 G Significant Change in Property Between Taxable Status and Sale Dates 7 7 a H Sale of Business is Included in Sale Price (Full Sale Price is the total amount paid for the property including personal property. - I Other Unusual Factors Affecting Sale Price(Specify Below) This payment may be in the form of cash,other property or goods,of the assumption of J None mortgages or other obligations.) Please round to the nearest whole dollar amount. 14.Indicate the value 0' personal 0 0 I property included in the sale > ASSESSMENT INFORMATION-Data Id reflect the latest Final Assessment Roll and Tax Bill / 0 U �1 16.Year of Assessment Roll from > which information taken 7 1/17.Total Assessed Value(of all parcels in transfer) 7 7 7 18.Property Class O _u 19.School District.Name 20.Tax Map Identifier(s)/Rall Identifiers)(K more than four,attach sheet with additional identifier(s)) 1000-103-4-39 I I I I I I I I CERTIFICATION I I certify that all of the items of information entered 04 lius A form are[Eve and correct(to the best of my knowlerige and belief)and I understand that the making of any willful false statement of material fact herein wBl subject me to the provisions of the penal law relative to the making and filing of false instruments. .. R BUYER'S ATTORNEY BUYER SIGNATURE DATE LAST NAME FIRST NAME STR T NUMBER STREET NAME(AFTER SALE) AREA CODE TELEPHONE NUMBER '7 rJ/ 1 11 r , CITY OR TOWN STA ZIP CODE SELLER CITY/TOWN ASSESSOR COPY SEL ER SIGNATURE I J