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Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INFTRUME)VT SHOULD BE USED BY LAWYERS ONLY
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THIS INDENTURE,made the _ day of MSt-eh nineteen hundred and ninety-nine
BETWEEN I
A Loretta Braren, as Co-Trustees under Trust
Agreement of Louise Trezzo dated March 29, 1988
i,
13.5 Paterson Avenue
Hasbrouck Haights, NJ 07604
party of the first part, and 1J /9.
JamesA Pedersen and Deborah APedersen, his wife
11 Park Circle Drive
Shirley, NY 11967
DISTRICT SECTION BLOCK LOT
party of the second part,
WITNESSETH,that the party of the first part, in consideration of Ten 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 plmtforever,
�c< � Tflc.lr 1> 19
ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and
beingi.Ajzx at Southold in the Town of Southold, County of Suffolk and State of _
New York, being Lot Number 15, on "Map of Green Acres at Orient", said being filed
in the Office of the Clerk of the County of Suffolk on the 13th day of April, 1962, '
as Map No. 3540.
BEING AND INTENDED TO BE the same premises conveyed by Deed dated November 10, 1988
and recorded September 24, 1991 in Liber 11340 r_p 263 in the Suffolk County Clerk's
Office.
Tax Map
Designation
Dist. 1000
Sec. 017.00
Blk. 01.00
Lot(s)
026.000 I
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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 i
will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund
do betapplie¢ f0.1for u)c, urpose of paying the cost of the improvement and will apply the same first to the payment
Y !q[the co�toftyhje. im r*oveinent before using any part of the total of the same for any other purpose.
IT
T}ap� q l2e ft
f,S-t construed as if it read "parties"whenever the sense of this indenture so requires.
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IN WITNESS WHEREOF,the party of the fust part has duly executed this deed the day and year first above written.'
IN PRESENCE OF:
' � V trt/✓ � i
Loretta Brarlen as Co-Trustee
11y�7�5YbyV0
TITLE NUMBER 9908-167-0726
AMENDED 3/30/99
SCHEDULE A DESCRIPTION
ALL THAT CERTAIN PLOT, PIECE OR PARCEL OF LAND, SITUATE, LYING AND BEING AT
SOUTHOLD, COUNTY OF SUFFOLK AND STATE OF NEW YORK, KNOWN AND
DESIGNATED AS LOT 15, ON MAP OF GREEN ACRES AT ORIENT, FILED IN THE OFFICE
OF THE CLERK OF THE COUNTY OF SUFFOLK ON 4/13/62 AS MAP NUMBER 3540, SAID
LOT BEING BOUNDED AND DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT ON THE WESTERLY SIDE OF GREENWAY WEST A 50 FOOT
RIGHT OF WAY DISTANT 166.13 FEET SOUTHERLY FROM THE CORNER FORMED BY THE
INTERSECTION OF THE SOUTHERLY SDIE OF NORTH SEA DRIVE WITH THE WESTERLY
SIDE OF GREENWAY WEST;
THENCE ALONG THE WESTERLY SIDE OF GREENWAY WEST THE FOLLOWING TWO (2)
COURSES AND DISTANCES:
1.) SOUTH 09 DEGREES 24 MINUTES 00 SECONDS EAST 62.58 FEET;
2.) SOUTH 04 DEGREES 35 MINUTES 20 SECONDS EAST 77.69 FEET;
THENCE SOUTH 80 DEGREES 36 MINUTES 00 SECONDS WEST 160.94 FEET;
THENCE NORTH 09 DEGREES 24 MINUTES 00 SECONDS WEST 140.00 FEET;
THENCE NORTH 80 DEGREES 36 MINUTES 00 SECONDS EAST,167.46 FEET TO THE
WESTERLY SIDE OF GREENWAY WEST AND THE POINT OR PLACE OF BEGINNING.
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' vv�G`ty
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RECBM 1
11958H906 _ �:iacj �n�o
Number of pages REAL ESTATE
TORRENS APR 2 2 I
99 APR 22 Pft 3: 27
Serial 11
• TRIWSFERTAX CLERK OF
Certificate 11 a— COUNTY a SUFFOLK COUNTY
Prior Clf. H
. 112
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
4 FEES
Page/Filing Fee I ,. Mortgage Am[.
Handling 1
� I. [3asic'fax
T11-584 2. Additional Tax
Notation Sub Total
EA-52 17(County) Sub Total Z Spec./Assit.
Or
EA-5217(Slate) Spec./Add.
R.P.T.S.A. _�� �yC10�IjT TOT. MTG. TAX
1 Dual Town Dual County
Comm. of Ed. 500 I Icld for Apportionment
Affidavit +,bh:N � 'I'ransfcrl'ax
�� S
Certified Copy ✓�i% S{t9� Mansion 'I'ax _ —_--- --
'Ilie property covered by this murtgage is ur
Reg. Copy .L/` will be improved by a one or two family
Sub Total 14-1) dwelling only.
Other YES or NO
GRAND TOTAL / If NO, see appropriate lax clause on page 11
h I n of this instrument.
S Real Property Tax Service Agency Verification lr Community Preservation bund
` Dist. Section 13lock Lot Consideration Anio u t X5 000
Sii y! >'r /000 �SOC7 /00 Op�((yy7 CPI Tax Due $ (r
D to7f` Improved
RECEIVED
Initials Vacant Land ✓ 1
7 Sal sfactions/Discharges/Releases List Properly Owners Mailing Add es,, 'FD
RECORD& RETURN TO: APR 2 2 1999
TD
i=5,' . COMMUNITY 'I'D
` PRLSERVATION
FUND
/
Fr ,
TitleCompany111formationAJ �jName
n>rrQXIC_ABSTRACT rnr_
11 �'gOS✓� 7- 07� &
Suffolk County Recording & Endorsement Page
"Ibis page forms part of the attached F-z :> _ made by:
_
(SPECIFYTYPE OF INS'hRUMENI')
The premise heroin isttuded in
SUFFOLK(OUNTY EW YORK
TO Ill the Towns ip of ,—wo�
In the VILLAGE
or HAMLET of
BOXES 5 T1IRU 9 MUST BE"TYPED OR PRINFED IN BLACK INK ONLY PRIOR TO RECODING OR FILING. +
tnvF t
. PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www�$$.orps.state.ny.us or PHONE (518) 473-7222
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* REAL PROPERTY TRANSFER REPORT
a Tb p 3r #F>46i`#8 §
S
STATE OF NEW YORK
R
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RPS217 Rev 3A7
1.Property �I D v �LU=r N�J� / c S 7
Location STREET NUMBER STREET NAME
Cm OR WN VaLAGE ZI
_ P CODE
2.Buyer K'.- r'lJc9ME 5
NBme LAST NAM /COMPANY FIRST NAM
LAST NAME/COMPANY FIRST NgME
3.Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address(at bottom of form)
Address LAST NAME COMPANY FIRST NAME
STREET NUMBER AND STREET NAME CITY OR TOWN STATE ZIP CODE
„ 4.Indicate the number of Assessment (Only B Part of a Parcel)Check as they apply:
Roll parcels transferred on the deed #of Parcels OR Part of a Parcel
6A.Planning Board with Subdivision Authority Exists ❑
5.DeedI I I 46.Subdivision Approval was Required for Transfer ❑
Property X OR . `'� ❑ /
FRONg DEPTH ACRES 4C.Parcel Approved for Subdivision with Map Provided
T Size ,
6.Seller
'
Name LAST FIRST NAME 11
I-ART NAME/COMPANY FIRST NAME I\�
7.Check the box below which most accurately describes the use of the property at the time of sale: Check the boxes below as they apply:
-,� R.Ownership Type is Condominium ❑
A One Family Residential E Agricultural I Community Service 9.New Construction on Vacant Land ❑
$ 2 or 3 Family Residential F Commercial 7 Industrial 10A Property Located within an Agricultural District ❑
C Residential Vacant Land G Apartment K Public Service 106.Buyer received a disclosure notice indicating ❑
D Non-Residential Vacant Land H Entertainment/Amusement L Forest that the property is in an Agricultural District
EF ,1 15.Check one or more of these conditions as applicable to transfer:
G 7
11.Sale Contract Date A Sale Between Relatives or Former Relatives
Month Day $ Sale Between Related Companies or Partners in Business
/ `T C One of the Buyers is also a Seller
12.Date of Sale/Transfer `( {� D Buyer or Seller is Government Agency or Lending Institution
Month Day Ye E Deed Type not Warranty or Bargain and Sale(Specify Below)
F Sale of Fractional or Less than Fee Interest(Specify Below)
13.Full Sale Price <� O O I G Significant Change in Property Between Taxable Status and Sale Dates
H Sale of Business is Included in Sale Price
(Full Sale Price is the total amount paid for the property including personal property. I Other Unusual Factors Affecting Sale Price(Specify Below)
This payment m��e,y,�be� in the form of cash,other property or goods,or the assumption of ] None
mortgages or dRI6P861igations.) Please round to the nearest whop dollar amount.
14.Indicate the value of personal I O O
property included in the sale e
16.Year of Assessment Roll from (1
which information taken �---�J 17.Total Assessed Value(of all parcels in transfer)
7 7 7
16.Property Class / 'I-U 19.School District Name
20.Tax Map Idemifierls)/Roll Iderdifieds)(ff more than four,attach sheet with additional kdentifier(s)) I� / —C
I certify that all of the items of information entered on this form are true and correct(to the best of my knowledge and beliefj and I understand that the making
• of any 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 loslruments.
BUYER BUYER'S ATTORNEtjY
Re1GNATURE
DATE/ LASTNAME
q FIRST NAME
(// 60
STREET NUMBER STREET NAME(AFTER SAIEI AREA CODE TELEPHONE NUMBER
—�.
Cm OR TOWN II
srgTe nP cooE
SELLER
t Ftk6>$ aEII $ qgr�$ 3�
c�,� q tiRtd>ihb>d9K }a 6L�R� L$fl
SELLER SIGNATURE