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CONSULT YOU" LAWYER BEFORE SIGNING THIS INSTIIUMENT -THiS INSYI~UMENT SHOULD BE USED 'Y LAWy~I$ ONLY
THIS INDENTURE, mmJc on
C.H.P,,t.~TINE. L A R, SF=~
L~e) ~o~-~o (~
pa~y o! t~ fi~ ~ ~d
DAVID $ IE..G E~ L
psrty of the second part,
AI! lh.I c~fl.in plol. lilee, or I~rc~l o[ I~.d. ~ith Ih. b.ildi.¢~ .nd imprnven~nu Ih.r~on er~t~L
I~i.~ ..~ ~i.~ in the
SCHEDULE A
Title No. PA8095S
ALL that certain plot, piece, or parcel of land, with thc buildings and improvements
thereon erected, situate, lying and being in the Town of Southold at Bayview, Suffolk
County, New York, mom particularly known and designated as lot Number 15 on a
certain map entitled, "Map of Bayside Terrace" and filed in the Office of thc Clerk of
Suffolk County on March 11, 1953 as Map No. 2034.
The policy to be issued under this rcport will insure title to such buildings and improvemenc~ erected on
this premise~ which by law constitute~ real property.
FOR CONVEYANCING ONLY:
TOGETHER with all right, tile and i~tcrest of the party of the fi~st pan, of, in and to the land lying in the
st~-e~ in bont ofand adjoinin8 said premises.
s,.~e or .',.w.Vo,k, c...,y o~ -q~-gC--,o'!/,(.,
On before me, the undersigned,
factmy.evidence to be the individual(s) who~ nan~.-y.s) is (~re)
sabscribed to th~ within insa'umem and acknowled~td to mc
that he/she/th~y cxccua~d thc sarn~ in his/hcr/ibcir capacity(ie~;).
-and tha~ by his/her/their ai ,gnatme(s)on the instmmenL the indi-
vidtud(.s), or Ibc person upon behalf of which the individual(s)
such appcaranc~ before thc undeniigned in
the subscribing wimess(~) to the foregoing i~rumenl, with
whom I am ~ly ~in~d, who, ~i~ by ~ duly
sworn, did ~ ~ ~y ~at h~e~ey =sM~s) ~ tg~
that ~l)c~e~ know(s)
to be ~e individual(s)deseribed in aw,] who exL'~.--u~..,~ thc fore=
going instrument; that said rmb.seribing wim~s~les) wsa (were}
present and saw said
execute thc ~; and that said witness(es) at the ~ame time
sub~rihed his/her/their name(s) as a wimcss(cs) thereto.
witr~.'ss{es} v,~in such appearance before the undersigned in
RR?URN BY MAIL TO:
s,'.,w eoo%
Serial
CcrtJliouto
Priur Ctf.
EA-~ 17 (*County)
EA-5217 (Slat=)
COIIlII), of E(I.
Onl. c
Dccd / Mot'q~go 'lax Rtnmp
p.
RECORDED
Sar~ 2TM 0S122=25
Edward P. R~aine
~E~ ~
~OLK
L ~0122~1
P 532
DTe ~-~151
Recon:ling / Filht~ Stamps
InRinls
7
~".. ....- Sub'rol~)
0 IIAN D TOTAl.
SsUisfactio.s/Discharg'es}R. eleus~a List Property Owners Mailir
I~.gCOIU~ & Ri~.'I'UItIN 'ro:
,_5,
Id2 -
MottpBo Ami.
1. L-)nsl= Tax
2. Additlotml Tax
Sub Tolal
SpecJAaslL
0t
Spcc. ladd.
TOT. MTG. TAX
Dual Town. Dual County
Fl=Id for Apportioltme~t[
Tl*a,m f'er Tax
Tim property cove~jd~ modBnge is or
will be hnprovcd by ~ DUC or two I~mily
dwelling only.
YES or NO
[rNa, see approprisle tax clause
C~%~3uni~ ~s~atio ~ Fund
Consideration Amount
CPF "l'flx Duc "
TD
'FO
'l'l)
'l'lUe hI
'IL'it Conl@nny Information
Suffolk Comity 1-q.eco'rding & Endorsement Page
'/lds page lbnt~ I~Ut of the attnchcd ~'~'t~t
(SPE~ FY TYPE'OF 1~~' )
~~ 'll~e pmudses heroin is situated in
8UFFO~( ~U~I~, N~ YO~
~-~ In thc VILLAOE
BOXIng 5 q3 lieu 9 MUll' BE ~PED OK P~ ~]ED IN BUACK INK ONLY ['~OR TO I~RI)INO O~ FII.,INCL
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
N~t~r of Pages: 4
TRANSFER TAX NUMBER: 02-24151
District:
1000
Deed ~mount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
078.00 09.00
~ AND CHARGED AS FOLLOWS
$389,000.00
01/23/2003
08:22:23AM
D00012231
532
Lot:
011.000
Received the Following Fees For
Page/Filing $12.00
COg $5.O0
EA-CTY $5.00
TP-584 $5.00
~ $30.00
Transfer tax $1,556.00
TRANSFER TAX N~BER: 02-24151
THIS PAGE IS
Above Instrument
Exempt
NO Handling
NO NYS SURCHG
NO FA-STATE
NO Cert.Copies
NO SCTM
NO Com~.Pres
Fees Paid
A PART OF THE INSTRUMENT
Exempt
$5.00 NO
$15.00 NO
$25.00 NO
$0.00 NO
$0.00 NO
$4,780.00 NO
$6,438.00
Edward P.Ro~aine
County Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or P~IONE 518 473-7222
FOR COUNiY USE ONLY
REAL PROPERTY TRANSFER REPORT
RP - 5217
Prope~y[
Location
Buyer
Name
PROPERTY INFORMATION
5. Deed
Property
J SALE ~NI;ORMA¥10N J
A
prop~rty inolud~:l in the s.l~' ~ r , ~ , , j. (I , ~
I ASSESSMENT iNFORMATION Data should reflect the [atest Final Assessment Roil end Tax Bill
18. PropertyCI .... I~', /101_~ lg $choo[ District Name I "~O(~l~/ d
I D/.~f; /00~ ~ L ~ '
07o°, 0_0
kP~/opk,; 0~, 0O ~ ~ LoP: o//., O0 ~
~ C~T~F~CAT~ON ~
BUYER
SELLER
BUYER'S ATTORNEY
NEW YORK STATE m
COPY