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L 12216 P 314
1000 059.00 06.00 020 000 027 Tins ~rio~Cr~F., r~h~ / ,'~ d~ or ~u~u~t . ,, ~ y~, 2002 administrator 0il~of~eE~f John Charnews Jr, at. of Suffolk County (File No'.~ 77..2.A,~1999). m-," CLEHENT J. CHARNELS restdtn8 at 40635 County Road 48, Southold, Ne~ YOrk 11971 Sunosn~'sCoun Suffolk County. NewYo~on 4/12/200/ mndbyvirtug TEN AND 00/100 ($10.00) ..................................... dollars. Said premises consist/n8 of t~o lots, Tax Hap designations 1000-059.00- )6.00-020.000 and ~000-059.00-06.00-027.001, known as S£reet numbers 0915 and 8955 Soundview Avenue. ~4~lemeut J ~//Charn~ws SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE T~pe of Instrument~ CORRECTION/DEED/DCO Number of Pages~ 3 TP~NSFER TAX NUMBER= 02-12331 District~ 1000 Deed Amount~ Recorded: At ~ LIBER -' PAGE = Section ~ Block: 059.00 05.00 ZXAMINED AND CHAROED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $9.00 NO Handling COE $5.00 NO NYS SURCHG EA-CTY $5.00 NO EA-STATE TP-584 $5.00 NO Notation Cert.Copies $0.00 NO RPT SCTM $0.00 NO Transfer tax Comm. Pres $0.00 NO TPJ~NSFER TAX NUMBERs 02-12331 THIS PAGE IS Fees Paid A PART OF THE INSTRUMENT Edward P.Ro~aine County Clerk, Suffolk County 10/23/2002 09:12=38 AM D00012216 314 Lot: 027.003 $5.00 NO $15.00 NO $25.00 NO $0.50 NO $30.00 NO $0.00 NO $99.50 Nu._~er of pm~ea Serial Ce~tll'l~ate # Prior Cfi'. # I.landlln# TP-584 .FA-52 17 (Comity) EA-$2 t ? (State) Con. n, of tM, Ce.i~ed Copy Reg. Copy - -- - ORANDTOTAL~. Renl 02040092 ~ooo RECORDED Oc~ 23 ~9:12:~8 P~I ...' Edvard P.Roma~.ne Q.E~K OF .' ~FOLK ~TY 2, Additional 'l'sx Spec./Add. TOT. MTO. TAX Mansion Ta~ Mail /ncn,t Land ,~, * "' ~'o: T~ /~ -- ~ ~,~. ~2 'rD ~ .9?/ Tille 1t ($PEOI:Y TYPE OF INS'II{UlVlEiCr ) -- -- --. lhc pmmise.~ herein ia situated in ~---------'--- ' or HAMLET or I IOXl[~; 5 'FI IRI 19 MU.W/' JIF, '1~'1'1'~I) Oil I'RINII.,'i) IN III.ACK INK ¢ )NI,Y~'RIOR TO TU'~(.~)II I')l NC; ¢)ll :fl INI' ~A'-$E~ OR -~S~-F~LY~w~H~-~IT~NC_~.~-~-R~ /,. ~/~--~---~ INSTRUCTIONS: http:/! vwwv.orps.state.ny.us or PHON~i515) 4T3:72~2 REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK ./ STATE BOARD OF REAL PROPERTY SERVICES RP - 5217 RP-5217 Rev ~ 1. Property I 8 9 ]- 5 Location STREET~i~ Southold 2. Buyer I Name CITY OR TOWN Charnews LAST NAME / COMPANY I $Outhold Iiz97i I Clement J. ZIP CODE FIRST NAME Tax if other than buyer address (at'bottom of form) Address L~ST NAME / COMPANY FIRST NAME I ,* I CITY OR TOWN STATE ZIp CODE 4. Indicate the number of Assessment Roll parcels transferred on the dee~l ' I 0 . 0 . ~ I # of Parcels OR Pa~of a Parcel 5. Deed Property I Jxl IoRI . , I Size FRONT FEET DEPT}~ ACRES {Only if Part of a Parcel) Che~k as they apply: 4A. Planning Eoard with Subdivision Autho~Exists [] 4B. Subdivision Approval was Required for Trafisfer [] 4C, Parcel Approved for Subdivision with Map Provided I--] 8. Seller I Chart,evm~ Emtate of [ John Jr. Name LAST NAME / COMPANY FIRST NAME I LAST NAME / COMPANY FIRST NAME 7. Check the box below which most accurately describes the use of the property at the time of sale: Community Service B ~_J 2 or 3 Family Residential F I~ Commercial Indb~trial C ~.j Residential Vacant Land GI~ Apartment Public Service D{ { Non-Residential Vacant Land HI I Entertainment / Amusement Forest ~ 11. Sale Contract Date I / / I 12. Date of Sale / Transfer Check the boxes below as they apply: 8. Ownership Type is CondomipJum 9. New Construction on Vacant Land 10A. Pmpedy Lccated within an Agricultural District 10B. Buyer received a disclosure notice indicating that the property is in an Agricultural District · 15. Check one or more of these conditions as applicable to transfe~ A c 108 m / / 02 I D Month Year E F 0 14. Indicate the value of personal i 0 0 i property, l~lduded in the sale I ~ , , ~ , , II , I 16. Year of Assessment Rofl 'h*om tS. Property Class I I, ! I-I r to. ~hoo' O~rict Name I Southold 20. Tax Map Identifier(s) / Roll Identifier(s) (if more than four attaeb sheet with additional identifier(s)) Sale BebNeen Relatives or Former Relatives Sa e Between Re ated Compan es or Partners n Bus ness One of the Buyem is also a Seller Buyer or Seller is Government Agency or Lending Institution ./' Deed Type not Warranty or Bargain and Sate (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 Sere Price Other Unusual Factors Affecting Sale Price {Specify Below) None Cnrreet~on Deed 1,2. , ,©l I 1000-059.00-06.00-020.000 I L 1000-059.00'06,00-027. O01 I CERTIRCA~ I , I certify that all ~'the~tems of infomaafion e~itemd on this form are true and correct (to the best of ~y knowledge and beliel) and I understand that the making of any wilWul false stotefllee[,of material fact herein wll subject me to the provisiom of the penal law relative to the malting and filing of false instruments. ", BUYER Clement J~ Ch~rne~s ~0635 I County Road 48 STREET NUMBER ~EET NAME lAiR ~LE) BUYER'S ATrORNEY Bruer, Esq. I Rudolph H. LAST NAME FIRST NAME 631 I 765-1222 AREA CODE TELEPHONE NUMBER Southold NY 11971 I I CITY OR TOWN STA~ ZIP CODE