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L 12599 P 406
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Receipt N~m~er : 09-0103320 TR~NS~R TAX NUMBER: 09-03294 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 015.00 02.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $20.00 NO Handling COE $5.00 NO NYS SRCHG EA-CTY $5.00 NO EA-STATE TP-584 $5.00 NO Notation Cert. Copies $0.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 09-03294 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 09/09/2009 02:55:03 PM D00012599 406 Lot: 001. 000 Exempt $20.00 NO $15.00 NO $125.00 NO $0.00 NO $30.0O NO $0.00 NO $225.00 12-0104 (2199) Number of pages TORRENS Serial # Certificate # Prior Cfi. # RECORDED 2009 Sep 09 02:55:03 PM JUDITH fl, PflSCflLE CLERK OF SUFFOLK COUNTY L D00012599 ? 406 DT# 09-03294 Deed / Mortgage Instrument al Deed / Mortgage Tax Stamp Recording / Filing Stamps FEES Page / Filing Fee Handling TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. Affidavit Certified Copy Reg. Copy Other si Sub Total 5 00 Sub Total Real Property Tax Service Agency Verification Stamp Date Initials [ r,:~. I ..... I _. I 09020009 zooo ozsoo 0200 oo .ooo ...... t~CUted) -&-RE'I' U RN-'I'O: 91 GRABIE & GRABIE, LLP Attorneys At Law 162 Terry Road Smithtown, NY 11787 Mortgage Amt. I. Basic Tax 2. Additional Tax SubTotal Spec./Assit. Or Spec./Add. TOT. MTG. TAX Dual Town Dual County Held for Apportionment ~ Transfer Tax .,~ __ Mansion Tax The property covered by this mortgage is or will be improved by a one or txvo family dwelling only. YES or NO iIf NO, see appropriate tax clause o~a~e # of this instrument. Community Preservation Fund /<%'~i~deration Amount '7/ TD TD TD 8 [ Title Company Information Co. Name ~-~ Title SUFFOLK COUNTY RECORDING & ENDORSEMENT PAGE This page forms part of the attached made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In the Township of In the VILLAGE or HAMLET of BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (OVER) BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTST~ (INDIVIDUAL OR CORPORATION) FORM .8007 CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE, made the Iff~ d~ 4 ,~ld ~ between ... - .. Walter P. Caroler and Rose T. Camier, residing at 2360 Greenway East, Orient, NY 11957 party of the first part, and Judith Cook residing at 34 Powell Court, N. Babylon, NY 11703 and Walter T. Caroler residing at 4 Hemlock Alley, Weatherly, PA 18255, as co-trustees of the. C.amier Family Irrevocable Trust, dated August 14, 2009, pa!-ty of tM second part, WITNESSETH, that the party of the first part, in consideration often Dollars and No Cents ($10.00), lawful money of the United States, paid by the party 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 .4 attached BEINGAND INTENDED TO BE, the same premises conveyed to the party of the first part by deed dated January 12, 1971and recorded in the Office of the Suffolk County Clerk on February 24, 1971 in Liber 6889, Page 395. / TOGETHER with all right, title and interest, if any, of the party of the first part in and to any street~ 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 HA VE 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 encuml~ered 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 h.o. ld the right to receive such consideration 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. Walter P. Camier · k-Rose T. Camizo~ NYSBA's Residential Real Estate Forms (9~00) © 2002 Matthew Bender & Co., a member of the LexisNexis Group, Acknowledgment by a Person Within New York State (RPL § 309-a) STATE OF NEW YORK ) COUNTY OF SUFFOLK ) ss.: Onthe [ dayoC t~oC~d £f''' in the yeardO q, before me th~/undersigncd personally appeared Wa ter P. Caroler and Rose T. Camier, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrumeu[ and acknowledged to me that they executed the same in their capacities, and that by their signatures on the instrument, the individuals, or the person u half of which the individuals acted, executed the instrument. Bargain and Sale Deed With Covenant Against Grantor's Aels Walter P. Camier & Rose T, Camier TO SECTION BLOCK 2 LOT I COUNTY OR TOWN Suffolk County STREET ADDRESS 2360 Greenway East Orient, NY 11957 Judith Cook & Walter T. Camier, as trustees Return by Mail to: Grabie & Grabie, LLP 162 Terry Road Smithtown, NY 11787 NYSBA's Residential Real Estate Forms (9/00) O 2002 Matlhew Bender & Co., a member of the LexisNexis Group. -2- 'Camier & Camier to Carnier & Cook, as trustees Premises: 2360 Greenway East, Orient, NY 11957 SCHEDULE A ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Southold, County of Suffolk, State of New York, being Lot 22, on a certain map entitled, "Map of Green Acres at Orient," and filed in the Office of the Clerk of the County of Suffolk on April 13, 1962 as Map No. 3540. TOGETHER with the use of the roads and area reserved for Beach and Parking purposes as shown on said Map in common with others. SUBJECT TO: Zoning Laws and Amendments thereto of the Town of Southold. SUBJECT TO: .Declaration of Covenants and Restrictions recorded in the Office of the County Clerk of Suffolk County in Liber 5555, Page 167 on June 8, 1964 and Amendments recorded in the Office of the County Clerk of Suffolk County in Liber 5679, Page 429 on January 5, 1965. 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 ,ii,,,,') "~ /'~/'~ /'~ Cl. SWI$ Coda I T'-('~ "~'90;~"'~" 71 I ~' REAL PROPERTYsTAi~ ap NEW YoRKTRANSFER REPORT C2. Date Deed Recorded I ~) / (~ / I STATE BOARD OF REAL PROPERTY SERVICES th Day Year RP- 5217 :. B..r I I I I Ilqs'7 I FIRST FIRST NAJV~ {Oofy If Part of a PEK"') CBeek as they ap~dlK. S. BeBer I I 48. Subdivision Approval was Required for Trender [] 4C. Parcel Approved Mr SuMivisio~ with Map Provided [] 7, Cheek the box below which most ~curately des~lbee the use of the property at the time of sale: B ~ 2 or 3 Family Residential I~ I~ Commercml Induslrial C I~1 Residential Vacant Land G I~l Apartment . Public Service DL~J Non-Residential Vacant Land ['[ I [ Entertainment I Amusement Forest SALE INFORMATION I CBeck the Sexes bdow es they apMy:... 8. Ownership Type ia Condominium · [] 9. New Construction on Vacant Land [] 1QA. Property Located within an Agricultura! Dsstrict [] 10~, Buyer received a disclosure notice indicating [] i'hat the property is in an Agricultural District 12. Date of s"'e / Tmnahr I ~' / ILl / O~t I A It C D F. F (Full Sale Price is tho total amount paid for the property including personal properly. I This payment may be in tho form of cash, other property or goods, or the assumption of j mortgages or other ebligstiens.) PfeaM round to the nearest whole dollar amount. 14. Indicate the value of personal I (~, 0 , 0 I prope,ty included in the sale ~ ; ' · ASSESSMENT INFORMATION Data should reflect the latest Final Assessment Roll and Tax Bill 18. Year of Assessment RMI from iO~la~ I rT. TM"' Ammd V"'ue (of ag pi,cra In tranderl I which Infommflon takefl /.~. -- Sale Bat~een Relatives or Former Relatives Sale Bstween Related Companies or Partners in Business One of the Buyers is also a Seller Buyer or Seller is Government Agency or Lending Institmlon Deed Type not Warranty or Rergam and Sale {Specify Below) Sale of Fra~bonal or Less than Fee Interest (Specify Below) Significant Change in Properly Between Taxable Status end Sale Dates Sale of Business is Included in Sale P.os Other Unusual Factors Affecting Sale Price (Specify Below} None I iI(~ ] I (~I.(~ : I CERTIFICATION I cerd~' that -ti of' the it~q ~i' Infiu'mation entered on thk~ rom, .m InK. and conxx't (to the I~t of m.v knowledge and belief) and I underMmld that the making all)' ,Mllful hE statement of nutath] fact ~ wm s~bJect me to the pri)vLqi(NLq id' b Denld law rdati,,e to ~. ranking and filing nr false in..,lnmtt, nt% SEllER r 1 2Z.T'5- BUYER'S ATrORNEY I NEW YORK STATE COPY