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HomeMy WebLinkAboutL 12152 P 662N.Y.S. Real Estate ~ransfer ~ax $3,8OO.OO CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -- THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THISINDENTURE, madethe 15th day ~ October, 2001 and BETWEEN N. CHARLES DeLUCA and SYLVIA E. DeLuCA, residing at 3525 Paradise Point Road, Southold, New York 11971 pa~yofthefimtpa~.and PECONIC DESIGN & CONSTRUCTION, INC., a domestic corporation having its principal place of business at c/o Sarisohn, Sarisohn, Carner, LeBow, Braun & Shiebler, Esqs., 350 Veterans Memorial Highway, Commack, New York 11725 paAydthesecond pa~, WlTNESSETH, thmthepartydthefirstpa~,inconsideration ~ Ten and 00/100 .......... .......................... ($10.00) .............................. dollam, lawful money.the United ~as, and other good and valuable consideration paid by the party d the second paA, does hereby Brant and release umo the party d the second part, the heirs or successes and assigns ~ the party ~ the second pa~ ~mve~ ALL thru ceAain pl~, piece or pamel ~ land, with~he-baildings-a~l-im~oveme~ts-th~ee~ emi. ted, sE- uate, lying and being in-the at Southold, in the Town of Southold, County of Suffolk and State of New York, bounded and described in Schedule A, Schedule A-l, Schedule A-2 and Schedule A-3 which are attached hereto; and which parcels as individually described in said Schedules are bounded and described overall by the description in Schedule B which is attached hereto. The party of the second part has simultaneously herewith executed and delivered a purchase money mortgage in the principal amount of $700,000.00, which mortgage is intended to be recorded simultaneously herewith. SCHEDULE A ALL that certain plot, piece or parcel of land, situate, lying and being at Southold, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: PARCEL 1 ,~ BEGIRrNING at a point on the southerly side of Main Road (N.Y.S. Route 25) at the northeasterly corner of the premises about to be described herein and the northwesterly corner of land now or formerly of J.R. Krukowski; running thence from said point of beginning along the westerly side of land now or formerly of J.R. Krukowski South 2° 04' 30" East 554.71 feet to land of Sylvia DeLuca; running thence along land of~ylvia DeLuca South 87° 55' 30" West 457.30 feet to the easterly side of a 25 foot right-of-way; running thence along the easterly side of a 25 foot right-of-way North 20° 41' 10" West 209.81 feet to the southerly side of Main Road (N.Y.S. Route 25); running thence along the southerly side of Main Road (N.Y.S. Route 25) the following two (2) courses and distances: (1) North 52° 48' 40" East 332.29 feet; and (2) North 54° 48' 00" East 301.40 feet to the westerly side of land now or formerly of J.R. Krukowski and the point or place of BEGINNING. BEING AND INTENDED TO BE part of the same premises conveyed by deed dated June 11, 1966 and recorded in the Suffolk County Clerk's Office on June 13, 1966 in Liber 5972 Page 536 and also known and designated as Lot No. 1 on the "Minor Subdivision of Map of Property Surveyed for N. Charles DeLuca at Southold, Suffolk Co., N.Y." by Van Tuyl & Son, revised Mar. 3, 1986 and approved by the Planning Board, Town of Southold on July 14, 1986. TOGETHER WITH an easement in common with others, for purposes of ingress and egress to Main Road (N.Y.S. Route 25), and for installation and maintenance of electric, telephone, cablevision, water and other utility lines for the benefit of and as an easement appurtenant to Parcel 1 hereinabove described, a 25 foot.right-of-way more particularly described as Parcel 2 herein, which grant of easement is subject to all maintenance expenses which shall be shared on a one-fourth (1/4) basis'by the owners of the four parcels of land as shown on the subdivision map. PARCEL 2 An undivided one-fourth (1/4) interest in a 25 foot strip of land to be utilized as a right-of-way, situate, lying and being at Southold, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the southerly side of Main Road (N.Y.S. Route 25) at the northwesterly corner of the premises about to be described herein which is the northeasterly corner of land now or formerly of P. Curcuru; running thence from said point of beginning along the southerly side of Main Road (N.Y.S. Route 25) North 52° 48' 40" East 26.07 feet to the westerly side of Lot No. 1 on the "Minor Subdivision on Map of Property Surveyed for N. Charles DeLuca at Southold, Suffolk Co., N.Y." by Van Tuyl & Son, revised Mar. 3, 1986; running thence along the westerly side of Lot No. 1 and Lot No. 2 on the aforesaid map South 20° 41' 10" East 328.47 feet; running thence along the southerly side of Lot No. 2 on the aforesaid map South 72° 49' 50" East 444.25 feet to land now or formerly of J~R. Krukowski; running thence along said last mentioned land South 2° 04' 30" East 26.48 feet to the northerly side of Lot No. 4 on the aforesaid map; running thence along the northerly side of Lot No. 4 and Lot No. 3 on the aforesaid map North 72° 49' 50" West 465.21 feet to land now or formerly of P. Curcuru; running thence along said last mentioned land North 20° 41' 10" West 333.29 feet to the southerly side of Main Road (N.Y.S. Route 25) and the point or place of BEGINNING. SUBJECT TO a right-of-way and grant of easement heretofore conveyed herein. SCHEDULE A-1 ALL that certain plot, piece or parcel of land, situate, lying and being at Southold, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: PARCEL 1 ~ ~/ ~ BEGINNING at a point on the southwesterly side of a certain 25 foot right-of-way, which is the northwesterly corner of the property about to be described, and which point is South 20° 41' 10" East 333.29 feet from the corner formed by the intersection of the westerly side of the 25 foot right-of-way and the southerly side of Main Road (N.Y.S. Route 25); running thence from said point of beginning along the southerly side of the 25 foot right-of-way South 72° 49' 50" East 255.21 feet to land of Sylvia DeLuca; running thence along land of Sylvia DeLuca South 2° 04' 30" East 363.0 feet to the ordinary high water mark of Hippodrome Creek; running thence along the ordinary high water mark of Hippodrome Creek on a tie line course North 69° 34' 50" West 193.23 feet to land now or formerly of G. Nickles; running thence along said last mentioned land North 23° 32' 10" West 276.02 feet to land now or formerly of P. Curcuru the following two (2) courses and distances: (1) North 70° 55' 40" East 73.70 feet; and (2) North 20° 41' 10" West 100.0 feet to the point or place of BEGINNING. BEING AND INTENDED TO BE part of the same premises conveyed by deed dated June 11, 1966 and recorded in the Suffolk County Clerk's Office on June 13, 1966 in Liber 5972 Page 536 and also known and designated as Lot No. 3 on the "Minor Subdivision of Map of Property Surveyed for N. Charles DeLuca at Southold, Suffolk Co., N.Y." by Van Tuyl & Son, revised Mar. 3, 1986 and approved by the Planning Board, Town of Southold on July 14, 1986. TOGETHER WITH an easement in common with others, for purposes of ingress and egress to Main Road (N.Y.S. Route 25), and for installation and maintenance of electric, telephone, cablevision, water and other utility lines for the benefit of and as an easement appurtenant to Parcel 1 hereinabove described, a 25 foot right-of-way more particularly described as Parcel 2 herein, which grant of easement is subject to all maintenance expenses which shall be shared on a one-fourth (1/4) basis.by the owners of the four parcels of land as shown on the subdivision map. PARCEL 2 An undivided one-fourth (1/4) interest in a 25 foot strip of land to be utilized as a right-of-way, situate, lying and being at Southold, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the southerly side of Main Road (N.Y.S. Route 25) at the northwesterly corner of the premises about to be described herein which is the northeasterly corner of land now or formerly of P. Curcuru; running thence from said point of beginning along the southerly side of Main Road (N.Y.S. Route 25) North 52° 48' 40" East 26.07 feet to the westerly side of Lot No. 1 on the "Minor Subdivision on Map of Property Surveyed for N. Charles DeLuca at Southold, Suffolk Co., N.Y." by Van Tuyl & Son, revised Mar. 3, 1986; running thence along the westerly side of Lot No. 1 and Lot No. 2 on the aforesaid map South 20° 41' 10" East 328.47 feet; running thence along the southerly side of Lot No. 2 on the aforesaid map South 72° 49' 50" East 444.25 feet to land now or formerly of J.R. Krukowski; running thence along said last mentioned land South 2° 04' 30" East 26.48 feet to the northerly side of Lot No. 4 on the aforesaid map; running thence along the northerly side of Lot No. 4 and Lot No. 3 on the aforesaid map North 72° 49' 50" West 465.21 feet to land now or formerly of P. Curcuru; running thence along said last mentioned land North 20° 41' 10" West 333.29 feet to the southerly side of Main Road (N.Y.S. Route 25) and the point or place of BEGINNING. SUBJECT TO a right-of-way and grant of easement heretofore conveyed herein. SCHEDULE A-2 ALL that certain plot, piece or parcel of land, situate, lying and being at Southold, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: PARCEL 1 ~ {~ ~ BEGINNING at a point which is the northeasterly corner of the premises about to be described herein, which point is South 2° 04' 30" East 554.71 feet from the intersection of the northwest corner of land now or formerly of J.R. Krukowski and the southerly side of Main Road {N.Y.S. Route 25); running thence from said point of beginning along the westerly side of land now or formerly of J.R. Krukowski South 2° 04' 30" East 258.87 feet to the northerly side of a 25 foot right-of-way; running thence along the northerly and easterly sides of a 25 foot right-of-way the following two (2) courses and distances: (1) North 72° 49' 50" West 444.25 feet; and (2) North 20° 41' 10" West 118.66 feet to land of N. Charles DeLuca; running thence along land of N. Charles DeLuca North 87° 55' 30" East 457.30 feet to the westerly side of land now or formerly of J.R. Krukowski and the point or place of BEGINNING. BEING AND INTENDED TO BE part of the same premises conveyed by deed dated April 27, 1988 and recorded in the Suffolk County Clerk's Office on May 6, 1988 in Liber 10596 Page 595 and also known and designated as Lot No. 2 on the "Minor Subdivision of Map of Property Surveyed for N. Charles DeLuca at Southold, Suffolk Co., N.Y." by Van Tuyl & Son, revised Mar. 3, 1986 and approved by the Planning Board, Town of Southold on July 14, 1986. TOGETHER WITH an easement in common with others, for purposes of ingress and egress to Main Road (N.Y.S. Route 25), and for installation and maintenance of electric, telephone, cablevision, water and other utility lines for the benefit of and as an easement appurtenant to Parcel 1 hereinabove described, a 25 foot right-of-way more particularly described as Parcel 2 herein, which grant of easement is subject to all maintenance expenses which shall be shared on a one-fourth (1/4) basis-by the owners of the four parcels of land as shown on the subdivision map. PARCEL 2 An undivided one-fourth (1/4) interest in a 25 foot strip of land to be utilized as a right-of-way, situate, lying and being at Southold, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the southerly side of Main Road (N.Y.S. Route 25) at the northwesterly corner of the premises about to be described herein which is the northeasterly corner of land now or formerly of P. Curcuru; running thence from said point of beginning along the southerly side of Main Road (N.Y.S. Route 25) North 52° 48' 40" East 26.07 feet to the westerly side of Lot No. 1 on the "Minor Subdivision on Map of Property Surveyed for N. Charles DeLuca at Southold, Suffolk Co., N.Y." by Van Tuyl & Son, revised Mar. 3, 1986; running thence along the westerly side of Lot No. 1 and Lot No. 2 on the aforesaid map South 20° 41' 10" East 328.47 feet; running thence along the southerly side of Lot No. 2 on the aforesaid map South 72° 49' 50" East 444.25 feet to land now or formerly of J.R. Krukowski; running thence along said last mentioned land South 2° 04' 30" East 26.48 feet to the northerly side of Lot No. 4 on the aforesaid map; running thence along the northerly side of Lot No. 4 and Lot No. 3 on the aforesaid map North 72° 49' 50" West 465.21 feet to land now or formerly of P. Curcuru; running thence along said last mentioned land North 20° 41' 10" West 333.29 feet to the southerly side of Main Road (N.Y.S. Route 25) and the point or place of BEGINNING. SUBJECT TO a right-of-way and grant of easement heretofore conveyed herein. SCHEDULE A-3 ALL that certain plot, piece or parcel of land, situate, lying and being at Southold, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: PARCEL 1 ~ ~ BEGINNING at a point which is the northeasterly corner of the premises to be described herein, which point is South 2° 04' 30" East 840.06 feet from the intersection of the northwest corner of land now or formerly of J.R. Krukowski and the southerly side of Main Road (N.Y.S. Route 25); running thence from said point of beginning along land now or formerly of 'J.R. Krukowski South 2° 04' 30" East 155.0 feet to land now or formerly of Beixedon Estates (Suffolk Co. Map 1472); running thence along said last mentioned land South 1° 38' 40" East 278.02 feet to the ordinary high water mark of Hippodrome Creek; running thence along the ordinary high water mark of Hippodrome Creek on a tie line course North 56° 42' 40" West 240.57 feet to land of N. Charles DeLuca; running thence along land of N. Charles DeLuca North 2° 04' 30" West 363.0 feet to the southerly side of a 25 foot right-of-way; running thence along the southerly side of a 25 foot right-of-way South 72° 49' 50" East 210.0 feet to the westerly side of land now or formerly of J.R. Krukowski and the point or place of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed by deed dated April 27, 1988 and recorded in the Suffolk County Clerk's Office on May 6, 1988 in Liber 10597 Page 01 and also known and designated as Lot No. 4 on the Minor Subdivision of Map of Property Surveyed for N. Charles DeLuca at Southold, Suffolk Co., N.Y." by Van Tuyl & Son, revised Mar. 3, 1986 and approved by the Planning Board, Town of Southold on July 14, 1986. TOGETHER WITH an easement in common with others, for purposes of ingress and egress to Main Road (N.Y.S. Route 25), and for installation and maintenance of electric, telephone, cablevision, water and other utility lines for the benefit of and as an easement appurtenant to Parcel 1 hereinabove described, a 25 foot right-of-way more particularly described as Parcel 2 herein, which grant of easement is subject to all maintenance expenses which shall be shared on a one-fourth (1/4) basis.by the owners of the four parcels of land as shown on the subdivision map. PARCEL 2 An undivided one-fourth (1/4) interest in a 25 foot strip of land to be utilized as a right-of-way, situate, lying and being at Southold, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the southerly side of Main Road (N.Y.S. Route 25) at the northwesterly corner of the premises about to be described herein which is the northeasterly corner of land now or formerly of P. Curcuru; running thence from said point of beginning along the southerly side of Main Road (N.Y.S. Route 25) North 52° 48' 40" East 26.07 feet to the westerly side of Lot No. 1 on the "Minor Subdivision on Map of Property Surveyed for N. Charles DeLuca at Southold, Suffolk Co., N.Y." by Van Tuyl & Son, revised Mar. 3, 1986; running thence along the westerly side of Lot No. 1 and Lot No. 2 on the aforesaid map South 20° 41' 10" East 328.47 feet; running thence along the southerly side of Lot No. 2 on the aforesaid map South 72° 49' 50" East 444.25 feet to land now or formerly of J.R. Krukowski; running thence along said last mentioned land South 2° 04' 30" East 26.48 feet to the northerly side of Lot No. 4 on the aforesaid map; running thence along the northerly side of Lot No. 4 and Lot No. 3 on the aforesaid map North 72° 49' 50" West 465.21 feet to land now or formerly of P. Curcuru; running thence along said last mentioned land North 20° 41' 10" West 333.29 feet to the southerly side of Main Road (N.Y.S. Route 25) and the point or place of BEGINNING. SUBJECT TO a right-of-way and grant of easement heretofore conveyed herein. SCItEDULE 13 All that certain plot, piece or parcel of land, situate, lying and being at Southold, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: - BEGINNING at a point on the southerly or southeasterly side of Main Road at the northerly or northeasterly comer of the premises herein described and the northwesterly comer of land of Joseph R. Krukowski; vet RUNNrNG THENCE in a southerly direction along said land of Krukowski, South 2 degrees 04 minutes 30 seconds East, a distance of 995.06 feet to a point marked by a monument and land designated on a certain map as "Beixedon Estate" flied in the Suffolk County Clerk's Office as Map No. 1472; THENCE along said last mentioned land, South I degrees 38 minutes 40 seconds East, a distance of 278.02 fe{t to ordinary high water mark of Hippodrome Creek; THENCE in a northwesterly and westerly direction along ordinary high water mark of Hippodrome Creek on a tie line course which runs North 62 degrees 26 minutes 20 seconds West, a distance of 431.10 feet to land now or formerly of Grace R. Lewis; TI-LENCE along said land now or formerly of Grace R. Lewis, North 23 degrees 32 minutes l0 seconds west, a distance of 276.02 feet to land now or formerly of Curcum; THENCE along said land now or formerly of Curcum, two courses as follows: (1) North 70 degrees 55 minutes 40 seconds East, a distance of 73.70.feet; and thence (2) North 20 degrees 41 minutes 10 seconds west, a distance of 433.29 feet to the southerly or southeasterly line of Main Road; TI-I~NCE in a northeasterly direction along the southerly or southeasterly line 9f Ma/n Road, north 52 degrees 48 minutes 40 seconds east, a distance of 358.36 feet; Continuing thence in a northeasterly direction still along the southerly or southeasterly line of Main Road, North 54 degrees 48 minutes 00 seconds East, a distance of 301.40 feet to the point or place of BEGINNING. Said Premises Known as Vacant Land Main Street, Southold, Suffolk, New York. 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 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 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 with 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 con- sideration 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 WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. N. Charles DeLuca Sylvia E. DeLuca Numberofpages, I~), TORRENS Serial # Certificate # Prior Ctf. # Deed / Mortgage Instrument 'l Page / Filing Fee ,~ 0 Handling b"-- __ TP-584 Deed / Mortgage Tax Stamp FEES Notation EA-5217 (County) EA-5217(S t.e) z ILP. T.S.A.( [3~ J~ i~,,~ S t'ff" [' __ Corem. of Ed. ~ 5 OD Affidavit Ce~ified Copy Reg. Copy Other 5 SubTotal Sub Total '"7 V OP DTOTAL/d '' Real Property Tax Service Agency Verification Dist. Section B lock '&e.b Lot ~amp 1000 066.00 02.00 02.001 Da~'13~'o 1000 066.00 02.00 002.002 RECORDED 2001 Nov 13 u5.~o.._,~. PM Eduard P, Romaine CLERK OF SUFFOLK COUNTY L DOL.I]I ~l.j,_ P 6~,2 DT# 0I-I4481 Recording / Filing Stamps Mortgage Amt. 1. Basic Tax 2. Additional Tax \ Sub Total Spec./Assit Or Spec./Add. TOT. MTG. TAX Dual Town Held for County Mansion / this mortgage is or will be impn red by a one or two family If NO, see a or NO clause on page # s instrument. · Preservation Fund Amount $ 950,000.00 $ 17,500.00 Improved Initial 1000 066.00 02.00 002 003 Satishctions/Discharges/ReleasesListProperty RECORD& RETURN TO: SARISOHN SARISOHN CARNER LeBOW BRAUN & SHIEBLER ESQS 350 VETERANS MEMORIAL HWY COMMACK NY 11725-0166 This page fonm part of the attached Land X TD 10 / TD ~_/ TD 8 I Title Company Information Co. Name Stewart Title Insurance Company Title # 8103999 O~OPl_.~O~O~ ~S~t~t..~ Suffolk County Recording & Endorsement Page Deed made by: (SPECIFY TYPE OF INSTRUMENT ) N. CHARLES DeLUCA and SYLVIA E. DeLUCA TO PECONIC DESIGN & CONSTRUCTION, INC. The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In the Township of In the VILLAGE or HAMLET of Southold Southold BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (OVER) ~¢IK~l I~o~K Lor ;'-IT -/I?FI I I I;-r;-I-;Fi FITFlaa';-I- SECIIOfl ULOCK LO[ I-I-I-I-F1 ITI-I-'I I-I-FFr:i-I. DIS lille [ O ~C li0~1 BLOCK LO r I-I-I-I-I I-I-I-:I-FI EIZI-EII-I i ! I i l' DISIIIICr SECIlOll ULUCK LOT !-I-I-I-I I-I-I-I-r1 IZr-I-I-I FI-FFFFI' IJlS fillet 'EEC I10~1 BLOCK LOT FI-I-I-I FI,I,I-FI F ITl-! FI'I I Iii GECIIOII BLOCK LOf IJLUCK LOF SEClIOli BLOCK ~ Lof I-I-FI-FI E WI-FI I; I I II1' l w, GECIIOII BLOCK LOt ITl-I-:FI EIZI-I-II I I i m ~EClIOll rlTFfl Lot BLOCK Lot [-I-I-I-I-I El-ITl FI. IIII l: SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrtunent: DEEDS/DDD Ntunber of Pages: 10 TRANSFER TAX NUMBER: 01-14481 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 066.00 02.00 EXAMINED AND CHARGED AS FOLLOWS $950,000.00 11/13/2001 05:15:52 PM D00012152 662 Lot: 002.001 Received the Following Fees For Above Instrtnnent Exempt Page/Filing $30.00 NO Handling COE $5.00 NO EA-CTY EA-STATE $25.00 NO TP-584 Cert. Copies $0.00 NO RPT SCTM $0.00 NO Transfer tax Conun. Pres $17,500.00 NO Fees Paid TRANSFER TAX NUMBER: 01-14481 THIS PAGE IS A PART OF THE INSTRUMENT Exempt $5.OO NO $5.00 NO $5.O0 NO $47.00 NO $0.00 NO $17,622.00 Edward P.Romaine County Clerk, Suffolk County FOR CO~UNTY USE ONLY PROPER~ INFORMATION REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES RP- 5217 1. Property Location 2. Buyer Name STREET NUMaER Southold [ Main Road STREET NAME [ SouChold Peconic Design & Construction, VILLAGE Inc. FIRST NAME 11971 ZIP CODE LAST NAME / COMPANY 3, Tax Indicate where future Tax Bil~s are to be sent Billing ~f other than buyer address {at bottom of form) Address STREET NUMBER AND STREET NAME LAST NAME / COMPANY CITY OR TOWN F~RST NAME FIRST NAME 4. Indicate the number of Assessment [~ Roll parcels transferred on the deed J , 5 I # of Parcels OR Par[ of a Parcel 5. Deed Property I Ix L I OR I , 1 , 0 ,3 , 8 I Size FRONT FEET DEPTH ACRES {Only if Part of a Parcel) Check as they apply: 4A. Planning Board with Subdivision Authority Exists [] 4B, Subdivision Approval was Required for Transfer [] 4C. Parcel Approved for Subdivision with Map Provided [] e. Seller I DeLuca I N. Charles Name LAST NAME / COMPANY FIRST NAME I beLuca [ Sylvia E. LAST NAME / COMPANY F~RST NAME 7. Check the box below which most accurately describes the use of the property at the time of sale: B J~ 2 or 3 Family Residential F ].~ Commercial Industrial C ~ Residential Vacant Land G~..~ Apartment Public Service DLj Non Residential Vacant Land HLJ Entertainment/Amusemect Forest SALE INFORMATION [ 11. Sale Contract Date I 8 / 17 / 01 I Month Day Year 12. Date of Sale ! Transfer lo / 15 / Ol I Month Day Year 13. Full Sale Price 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.) P/ease round to the nearest whole dollar amount. ~/A 14. Indicate the value of personal I I i i i property included in the sale i Check the boxes below as they apply: 8. Ownership Type is Condominium [] 9. New Construction on Vacant Land [] 10A. Property Located within an Agricultural District [] 10B. Buyer received a disclosure notice indicating [] that the prope{(y is in an Agricultura~ D s ct 15. Check one or more of these conditions as applicable to transfer: i~Sale Between Relatives °r F°rmor Relatives (~ Sale Between Related Companies or Partners in Business One of the Buyers is also a Seller Buyer or Seller is Government Agency or Lending Institution Deed Type not Warranty or Bargain and Sale {Specify Belot~) Sale of Fractional or Less than Fee Interest (Specify Below) Significant Change in Prope~y Between Taxable Status and Sale Dates Sale of Business is Included in Sale Price Other Unusual Factors Affecting Sale Piice (Speciff/Below) None ' ASSESSMENT INFORMATION ' Data sh°uld reflect the latest FinalAssessment Roll and Ta× Bill I ~? -- ~ -- ~/ 16, Year of Asse~ment R011 from ] 0 [ [ [ 17. Total Assessed Value (of all parcels in transfer) [ ,9 ,2 which information ~ken ~ ~ ~ ~,69''~, 18. PropeayClass I 3 ,l ,3 I-I J 19. School Diari~ Name I Southold ~ -- ,0 ,0 B0. Tax Map Identifier{s) / Roll Identifier{s) (If more than four, attach sheet w;th additional identifier(s)) 66- 2 - 2.4 ' )1 66 - 2 - 2.3 I r /, ,<-66 - 2 - 2.5 I CERTIPICATION I cerfity that all of the items of information entered on tl~s form are true and correct (to the best of ]ny knowledge and belief) and I understand that the making of an}' willful false statement of material fact herein will subject me to the provisions of the penal law relative to the making and filing of false instruments. B~V~ PECONtC DESIGN & CO~TR~U~T'ION~ INC. ,-->, , , 1 0/t5/01 STREET NUMBER ~TREET'NAME (AFTER SALE) SELLER ,, , . ~ ,'-. BUYER'S A~rORNEY Braun I Robert A. LAST NAME FIRST NAME ~ 631 I 543-7667 AREA CODE TELEPHONE NUMBER