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NYOO~ . Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation (Single Sheet) (NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
r dayof /1tU'(.{
,in the year 2000
TIiIS INDENTURE, made the
BETWEEN
DUSAN KIRINCIC and DARINKA KIRINCIC, as husband and
wife, residing at 116 Malverne Avenue, Malverne,
New York 11565 -
party of the first part, and
t/.$' w,.ffl-
GARY CAMPO and JOANNA CAMPO 11 residing at I F,:'s r-../'j!
Wading River, New York 11792
DISTRICT SECTIOtf BlOCK LOT
'J~ [illSj rn rn rn rnF2l [[}j
o u u ~ ~
party of the second part,
WITNESSETH, that the party ofthe first part, in consideration ofTen Dollars and other valuable consideration
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 ofland, with the buildings and improvements thereon erected, situate, lying
and being in the Town of Southold, at Orient, County of Suffolk and State of New York, being known and
designated as plot 11 on a certain map entitled, "Orient By The Sea, Sec. 1" filed in the Office of the Clerk of
the County of Suffolk on 11/21/57 as map no. 2777, said lot being bounded and described as follows:
Tax Map
Designation
BEGINNING at a point on the easterly side of Three Waters Lane, said point being distant 610.59 feet
northerly from its intersection with Park View Lane;
Dist.
THENCE from said point of beginning, along the easterly side of Three Waters Lane, north 01 degree 02
minutes 20 seconds east, 100.00 feet to a monument;
Sec.
THENCE south 88 degrees 57 minutes 40 seconds east, 125.00 feet to a monument;
Blk.
THENCE south 01 degree 02 minutes 20 seconds west, 100.00 feet to a pipe;
THENCE norlh 88 degrees 57 minutes 40 seconds west, 125.00 feet to a pipe and the point or place of
BEGINNING.
Lot(s)
TOGETHER WITH a right of way over Sound View Road, Three Waters Lane and over proposed highways
to and from Main Road.
THE GRANTORS HEREIN being the same persons as the named Grantees by deed 4/29/88, recorded
5/17188 in Liber 10603 cp 491.
TOGETHER with all right, title and interest, if any, of the party of the first part of, 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 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.
IN PRESENCE OF:
D~R~
COCu~~..L" ~^ A A fA ',e.
DARINKA KIRINCtC
.12G27~154 G::2 32402
RECE~VED J
$ cY
/ (J-
-3 REAL ESTATE
Number of pages-
TORRENS MAR 1 0 2000
Serial # TRANSFt:R TAt(
Certificate # SUFFOLK
COUNTY
Prior Ctf. # 32402
Deed / Mortgage Instrument Deed / Mortgage Tax Stamp
4 FEES
RECORDED
OOHAR 10 PH 2: 20
ED~\ \ ;," i .! ..
"CLfi/i"'O'j:-iAINE
SUFFOLK COUNTY
Recording / Filing Stamps
Page / Filing Fee
CL_
5
5-
Mortgage AmI.
Handling
TP-584
1. Basic Tax
2. Additional Tax
Notation
Sub Total
R.P.T.S.A.
15_
~C
~O~
Sub Total
rJY
Spec.lAssil.
Or
Spec. / Add.
EA-52 17 (County)
EA-5217 (State)
Comm. of Ed.
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
Transfer Tax / '10
Affidavit
~". LL 00_
(j;--effi11ed c6py ~ (J) l
~:-- .--/
Reg. Copy
Sub Total
4q
73 GO
Mansion Tax
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES or NO
If NO, see appropriate tax clause on page #
of this instrument.
Other
GRAND TOTAL
'V.
Real Property Tax Service Agency Verification
Disl. Section Block
Lot
6 Community Preservation Fund
Consideration Amount $ i-r~ '5VD
CPF Tax Due
$ .-
Sat sfactions/Discharges/Releases List Property Owners Mailing Addre
RECORD & RETURN TO:
, r,c-h/~rW tlA-JeLj,C?sci.
//;9/e lj tJed)bM-I--I- ,{!/J--/{Ylfj/Y/, (/-;4(.
Joel 'hr9--DJZ..o0Liu-e
H2-uP;'JI7V~, /1/( //)W 8
$~
MAR 1 0 2000
COMMUNITY
PRESERVATION
FUND
I proved
V cant La:?
~~
9
Suffolk Count
Recordin
I }--l-- )~
(SPEOFY TYPE OF INSlRUMENf)
Title Company Information
h-'+
Title #
& Endorsement Pa e
nus page forms part of the attached
made by:
'1j,';;,~i1 'J1,::::~~:c
/J TO
( },:)fZd (!,q/r1, J'J " In the VILLAGE
j~I)t1:11j 0+;),~JIl or HAMLET of
BOXES 5lHRU 9 MUST BE TYPED OR PRINrED IN BLACK INK ONLY PRlOR TO RECORDING OR FILING.
TIle premises herein is situated in
SUFFOLK COUNTY, N!f'YORK
In the Township of ~l_'Ji---h(jci
PLEASE TYPE 0 L Y WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222
~~~~!.!
ct;~;~jl . .
1. Prope.rty 1
Location
650
STREET NUMBER
'lbree Wa"'~-rs Lane
STREET NAME
.C Orient
VillAGE
I 11957
ZIP CODE
-
Southold
CITY OR TOWN
2. Buyer
Name
Cl\MOO
GARY
FIRST NAME
LAST NAME I COMPANY
CAMPO
LAST>~AME f COMPANY
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form) I
Address
JOANNA
FIRST NAME
CAMPO
LAST NAME I COMPANY
1 First street
STREET NUMBER AND STREET NAME
\'/ading River
CITY OR TOWN
4. Indicate the number of Assessment
Roll parcels transferred on the deed
1 I # of Parcels OR D Part of a Parcel
5. Deed
Property
Size
Ixl
lOR I
'ACRES'
.
FRONT FEET
DEPTH
6. Seller
Name
KIRL'CIC
DUSl\N
LAST NAME I COMPANY
KIRINCJOC
LAST NAME I COMPANY
DARINKA
7. Check the box below which most accurately describe. the use of the property at the time of sale:
A~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant land
D Non-Residential Vacant land
l~a;~~-I
E ~ Agd"ltu,"' I ~
F Commercial J
G Apartment K
H Entertainment! Amusement L
Community Service
Industrial
Public Service
Forest
FIRST NAME
FIRST NAME
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PRO~RTY SERVICES
RP - 5217
RP-5217 Rev 3197
GARY & JOANNA
FIRST NAME
I N . Y I 11792
STATE ZIP CODE
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists 0
48. Subdivision Approval was Required for Transfer D
4C. Parcel Approved for Subdivision with Map Provided 0
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
o
o
o
o
10A. Property located within an Agricultural District
10B. Buyer received ~disclosure notice indicating
that the proper1V is in an Agricultural District
10 / 00
Day Year
15. Check one or more of these conditions as applicable to vanster:
11. Sale Contract Date
2 /
Month
A
B
C
D
E
F
G
H
I
J
-12. Date of Sale! Transfer
3 / 3
/ 00
Year
Month
Day
13. Full Sale Price I I I 0 I 0 I 0 I
, , .
iFul1 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.) Please round to the nearest whole dollar amount.
14. Incficate t~e value ~ personal I I I , I I I 0 I O' I 0 I
property Included In the. sale ';. . e
I"ASSESSMaffl~t.H'a.;AoUlf.'re1teitthe~~ili.f~,",~~'Ar14-~'",!t
16. Y.~r o~ ~.nt ROIl from 199 .200017. Total Assessed Valuelof all parcels in transfer) I
which mfonnetion taken
18. Property Class
I 3. 1. l-U 19. School District Nom. I
Ovsterpoods
20. Tax Map Identifierlsl! Rollldentifierls) Itf more than four, attach sheet with adartional identifierls))
1000-015.00-06.00-024.000
,f....
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or SeUer is Government Agency or lending Institution
Deed Type not Warranty or Bargain and Sale (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 Sale Price
her Unusual Factors Affecting Sale Price (Specify Below)
None
; . .
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I
l~MH~;1
I certify that aD of the items of information entered on this fonn are true and correct (to the best of my knowledge and belief) and I understand that the making
of any willful false statement of material fact herein will subject me to the provisions of the oenallaw relative to the making and filing of false instruments.
BUYER
~~
-- ~
I r//~i S
STREET LBER . STREET NAME IAFTER SALE) .
I 3/3/00
OATE' ,
BUYER'S ATTORNEY
Haley Richard
LAST NAME FIRST NAME
582.5151
AREA CODE TELEPHONE NUMBER
iJJt/t>lK~ r2hJll!
OR TOWN ..
J:d'! I I.[!r;~
SELLER
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",,"/(
.. .! ./" /#(?A"fY
CITY rrOWN ASSESSOR
COpy
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