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CONSULT YOUR lAWYER BEg;ORE SIGNING THIS II~S1RUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYER8 ONLY
THIS INDENTURE, made the 6th dayof ,.Tenuar¥, 2003
BETWEEN TERESA"COUTTS (as to a 99% interest) and DENNIS BANNON
(ns to e 1% interest)~ residing at 1235 Old. Shipyard
Lane, So_ut. hol_d., .NY ]~971
MARY EKKERS BARROWS TRUSTEE OF THE ':REV~E3LIVING TRUST
OF MARY EKKERS B~ROWS AGR. DATED 11/3/S6''"
residing at 2076 WSndward Way, Vero=Beach~ ~L 32963
WITNESS~, ~at the ~y of the fi~t ~ in ~nsideraUon of - .'
~ d~are
~ by the pa~ of ~e sa~d pa~ d~ hereby grant and relea~ unto the ~ of the ~ pa~ ~e hei~
~ su~e~m and ass~ns of the pa~ of the se~nd ~ fore~
ALL that ce~in ~t` ple~ or ~1 of lend. ~ ~e buildings and impmvem~ thereon e~d. siiua~.
I~ and being in ~e
SEE SCHEDULE "A" ATTACHED
I'OGETHER with all right, title and interest, if any, of the party of the first part fn and to any streets and roads
abutting the above des=ibed premises to the center lines thereof;. TOGETHER with the appurtenances and all
' the estate and rights of the party of the first part in end to said premises; TO HAVE AND TO HOLD the
)mmises herein granted unto the party of the second part. the heirs or successor~ and assigns of the party of
~ho second part forever.
AND the party of the §rat pert 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 es 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 end will hold the dght to receive such consideration
aa e t~ust 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 pert of the total of the same for any other
purl~se. The word 'party' shall be construed es if it read 'parties' when ever Ihs 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
wdtten.
IN PRESENCE OF: it ~y/~ ~ ,~ ,,~ /f...~..F..j~,~_'
TERESA COUTTS
DENNIS BANNON
Form 3290
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW.YORK STAT~
State of Ne~v York. Counly of ¢~ ~:~ ~ ss:
On the ~t]~day of January intheyepr 20q3
belore m~, ~e u~n~. p~ally app~red
Stile of New York, County of
On the day of in th~ year
before me. the undersigned, personaJly appeared
r, mtlsfaclory evidence to be the individual(s) ~ rems(s) is
(are) eub~:ribed M the within iruth2meflt arid acknov~edged to
me that he/cbc/they executed the' same in his/i~r/their me that he/she/they executed, the same in his/h~r/their
cap~Ay(te~), end that by his/l~errthelr ~lgneture(s) on the capacity(fei), and the! by hl~ner/thol~ signature(e) on die
inithJment, the individual(s), or the person up~,~behdif of which instrument, the individual(I), M the person upon behalf o~ ~
the indivl~u~(s) a ecuted the ins m t.-' Ihs ~ndividuin(s) acted, execuled the IrmuumenL
(signature ~md of~ce of individual teeing ac~nowte~)
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE :;~J~ YORK ST^TI'
State (or ~ist~ct of Columbia, Territory, o~ Foreign CounUy) of
On the day of in the year before me. the undersigned, pe~sonaJly appeared
personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are)
eublcJlbed to the within iniinJmenl and ac.knowtedoed to me thel hetshedhey executed the 8ama in his/her/their capadty(les), end
thai by hJsiherflhei; eignBture(e) on the instrument, the individual(e), or tho person upon behdif Df whiCh the IfldlvkJuM(s) ec~ed.
executed the instrument, and that such individual made such flppeafenca before the undersigned in the
(inse;I the City or other political sut~divisio,) (and insert the State or Country o/MMr p/ace the acYatowicdg rne nt was taken)
(signature and office o! individual taW~g admoMedgrnent )
IqARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
Teresa Coutts and D~nnts Barmen
TO
~RY EKKERS BARROWS TRSSTEE OF THE
REV~ALBLE LIVING TRUST OF MARY EKKERS
BARROWS AGR. DATED 11/3/86
SAF HAR R TITL
AGenCY lTD.
1529 Main S~et
Po~ Je~mon, NY. 11777
SECTION
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS
RE:TURN BY MAll TO:
LINDA M. DIETERICH, ESQ.
805 ROANOKE AVENUE
POST OFFICE BOX 903
RIVERHEAD, NY 11901
File ND,.: RH80022569
SCHEDULE A - DESCRZPTTON
ALL that certain plot, piece or parcel of land, situate, lying and being In the Town ol;Southold, County of
Suffolk and State of New York, known and deslgnatad as Lot No. 112 on a certain map entitled, 'Hap of
Subdivision of Founders Estates' and filed in the Office of the Oerk of the County of Suffolk on Hay 10, 1927
as Hap No. 834.
Fee Policy Insert
Number of pages
TORREI~S
Serial #
Cerlificate #
Prior Ctl:#
Deed / MorlgaRe Instrument
Deed / Mortgage Tax Stamp
FEES .
RECORDED
Jan 16 02:41:51 PM
E~ard P. Romaine
CLEP~ OF
~FF~ ~
L O~01~O
P
~T~ 02-2~5
Recording/Filing Stamps
Page / Filing Fee
Handling
TP-Sg4
Nolntion
EA-52 17 (Count},)
EA-5217 (Stat?)
R.P.T.S.A. ·
Affidavit
Cerli fle¢l Copy
Re~. Copy
Olher
'1
Smmp
m
I.,~te
~ O0
Sub Total
Sub Total
,.~ = GRAND TOTAL /~CZ~/
l_ ~st---I--..S-ee? .l_ __~?_~__ I. t~
03001478 zooo 06400 0500 026000
Mortgage Ami,
I. Basic Tax
2. Additiooal Tax
Sub Tot81
Spec./A.~it.
Or
Spec. )Add.
TO]'. MTG. TAX
Dun{ Town~
Held for Apffarlionment
'Trunst'er Tax
Mamion Tax
~TI? properly covered by this mortgage is or
~(ill be improved by a one or two family
d~lling only. .
· ...~ YES or NO
I f NO, see appropriate tax clause on page #
~this instrument. '
Commu~t¥ I'reservatioml Fund
cP~ T~ D.~
Initials
~ti6ri~/Discl[arges/Rele~TeKEi~/'pFo-~rly OG.'n-~m M&itin-u' Addres.,
----I RECORD & RETURN TO:
LINDA M. DIETERICH, ESQ.
805 ROANOKE A~ENUE
POST OFFICE BOX 903
RIVERHEAD~NY 11901
Improved
Vacant La.d ,~'
TD /0
TD
TD
] s ] Title Comnpany luformntion
Suffolk Co~ty Recording & Endorsement Page
'll~s ~gc fom~ ~ of~ m~ DEED
Teresa Coutts
Den ni s Bannon S~O~ COUP, N~ YORK.
TO ln~e'Ib~hi9o~ ' Southo~d
MARY EKKERS BARROWS TRUSTEE OF THE
EKKERS BARROWS AGR. DATED 11/3/86 or ~h~Tor Southold '
I~OXIi5 5 ~l ~U 9 ~S'I' BE ~PED OR P~D IN 8MCK INK ONLY P~OR TO RE~)ING OR FILFNG.
SUFFOLK COUNTY CLEP. K
RECOP. DS OFFICE
RECORDING PAGE
Type of Instrument: DF~DS/DDD
~m~er of Pages= 4
TRANSFER TAX NUMBER= 02-23545
District:
1000
Deed Amount=
Recorded~
At=
LIEER:
PAGE:
Section= Block=
064.00 05.00
EXAMINED AND CHARGED AS FOLLOWS
$140,000.00
01/16/2003
02=41=51 PM
D00012230
LOt=
026.000
aeceived ~ho Following Fees For Above Instrument
Page/Filing $12.00 NO Handling
COg $5.00 NO NYe SURCHG
EA-CTY $5.00 NO EA-STATE
TP-584 $5.00 NO Cert.Coples
RPT $30.00 NO SCTM
Transfer tax $560.00 NO Comm. Pree
Fees Paid
TRANSFER TAX ND~BER= 02-23545
THIS PAGE IS
A PART OF THE INSTR~.~T
Exempt
$5.00 NO
$15.00 NO
$25.00 NO
$0.00 No
$0.00 No
$1,300.00 NO
$1,962.00
Edward P.Roma~ne
Count7 Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
(O~1y if Par~ of a Parcel} Check as they
7 Check the box below which most accurately de.tribes the Use of the property at the time of sale:
LSALE INFORMATION [
L~
18. Prope~ Class I ~, ]~--~ 19, School Di.ri.t Name
CERTIfICAtiON ~
BUYER
SELLE~
NEW YORK STATE
COPY