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L 12638 P 230
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 5 Receipt Number : 10-0111083 TRANSFER TAX NUMBER: 10-04053 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 125.00 03.00 EXAMINED AND CHARGED AS FOLLOWS $o.oo Received the Following Fees For Above Instrument Exempt Page/Filing COE EA-CTY~ TP-584 Cert.Copies Transfer tax $25 00 $5 oo $5 00 $5 oo $o oo $0 0o TRANSFER TAX NUMBER: 10-04053 NO Handling NO NYS SRCHG NO EA-STATE NO Notation NO RPT NO Comm. Pres Fees Paid THIS. PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 09/22/20~0 02:32:44 PM D00012638 230 Lot: 0O7.004 $20 00 $15 oo $125 00 $o oo $30 oo $0 00 $230 O0 Exempt NO NO NO NO NO NO Number of pages TORRENS Serial # Certificate # Prior Ctf. # 31 RECORDED 2010 Soo 22 02:32t44 PM JUDITH R. PASCRL£ CLERK OF SUFFOLK CO[JHTY L D000126~8 P 230 PT# ~0-04053 Deed. Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps FEES Page / Filing Fee Handling C~, 00 TP-584 ~ Notation EA-5217 (County) EA-5217 (State) R.P. TS.A. Comm. of Ed. Affidavit Certified Copy Re}. Copy Other ,/~x,. { I ~.10.00 4 LJ~strtct Real Property Tax Service Agency Veri fication 5' 5. O0 Sub Total ~'- ~ Sub Total Grand Total 10019442 ~.000 12500 0300 007004 007.004 Satisfaction/Discharges/Release List Property Owners Mailing Address RECORD & RETURN TO: FOSTER, VANDENBURGH & 220 Roanoke Avenue Riverhead, NY 11901 RIYAZ, LLP 81 5 Consideration Amount 'Mortgage Am~. l, Basic Tax 2. Additional Tax Sub Total Spec. / Assit. or Spec. / Add. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointment __ Transfer Tax Mansion Tax The property covered by this motgage is or will be improved by a one or two family dwelling only. or NO If NO. see appropriate tax clause on page #__ of this instrument. Community Preservation Fund $ _e-.~ . P~.~x Due $ ~ Improved ~ Vacant Land rD /q) TD TD 7 ] Title Company Informatio.,n Co. Name Fidelity National Title Ins. Co. Title # lO-7404-77602-SUFF Suffolk County Recording & Endorsement Page This page forms part of the attached DEED (SPECIFY TYPE OF INSTRUMENT) KENNETH J. GILLAN The premisis herein is situated in & THERESE GILLAN SUFFOLK COUNTY. NEW YORK. TO In the Township of Southo] c] THERESE GILLAN In the VILLAGE or HAMLET of Laurel 8OXES 6 THROUGH 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. made by: BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIViDUAL OR CORPORATION) FORM 8002 (short version), FORM 8007 (long version) CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY A'ITORNEYS FOR SELLER/(ND PURCHASER BEFORE SIGNING. THIS INDENTURE, made the o~,] day of MAY 2010, BETWEEN KENNETH J. GILLAN and THERESE GILLAN, of 2820 Main Road, Laurel, New York 11948, party of the first part, and THERESE GILLAN, of 2820 Main Road, Laurel, New York 11948, party of the second part; WITNESSETH, that the party of the first part, in consideration of Ten 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 pan, the heirs or successors and assigns of the party of the second part forever; ALI. that certain pl.ot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in Southold, County of Suffolk and State of New York, more particularly described in Schedule A attached hereto and made a part hereof. SEE "SCHEDULE A" ANNEXED HERETO AND MADE A PART HEREOF. BEING AND INTENDED TO BE the same premises conveyed to the parties of the first part by Deed, dated December 2, 2002, and recorded in the Office of the Clerk of Suffolk County on February 14, 2003, in Liber 12235, Page 607. PREMISES KNOWN AS: 2820 MAIN ROAD, LAUREL, NY 11948; TOGETHER with all right, title and interest, if any, of the party oft.he first part in and to any streets and roads abutting the above described premises to the center lines thereof, Section: 125.00 Block: 03.00 Lot: 007.004 NYSBA's Resiflenlial Real Estate Forms (9/00) © 2009 Matthew Bender & Co,, a member of the LexisNexis Group. 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 encumbered 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: KENNETH J. G~LLAN~::~r .... THERESE GILLAN NYSBA's Residential Real Estate Forms (9/00) © 2009 Matthew Bender & Co., a member of thc LcxisNcxis Group. -2- Acknowledgment by a Person Within New York State (RPL § 309-a) STATE OF NEW YORK ) ) SS.: COUNTY OF SUFFOLK ) On the '~/ day of MAY in the year 2010 before me, the undersigned, personally appeared KENNETH J. GILLAN, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. (signature and office of individual taking acknowledgment) CORINNE A. CUEVAOo Notary public, State oi New York U6009470, Qualilied In Sultolk Cou~'o/ No._01_C__U,~. xnifos November O1 2010 Ac~owledgment by a Person Within New York State (RPL ~ 309-a) STATE OF NEW YORK COUNTY OF SUFFOLK ) ) SS.: ) On the c~ t day of MAY in the year 2010 before me, the undersigned, personally appeared TI-IERESE GILLAN, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed th/~instrument (signature a~/d~6ffice of individual taking acknowledgment) CORINNE A. CLIEVAS Notary Public, Stato of New York No. 01CU6009470, Qualified in Suffolk County Corn mission Expires November O1, 2010 G i llan,Therese/RealEstate/ h/%. ~31c. u l~ t~69~'5"]Ot [~tltqC.',.~ ~ F-~--, C.~ . © 2009 Matthew Bender & Co., a member of the LexisNexis Group. NYSBA's Residential Real Estate Forms (9~00) -3- SCHEDULE "A" ALL that certain plot, piece or parcel of land, situate, lying and being at Laurel, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point, which point is 301.67 feet west from the comer formed by the intersection of the south side of Main road and the west side of land now or formerly of Romanowski; RUNNING THENCE from said point of beginning South 18 degrees 50 minutes 45 seconds East, 737.46 feet along lands now or formerly of the Estate of Alexander Wilcenski to a point; THENCE South 71 degrees 09 minutes 15 seconds West, 123.56 feet along lands now or formerly of Alexander Wilcenski to a point; THENCE North 18 degrees 50 minutes 45 seconds West, 397.09 feet along lands now or.formerly ofZ.R. Woodhull to a point; THENCE North 55 degrees 00 minutes 55 seconds East, 110.00 feet along lands of' Mitchell Wilcenski and Theresa Wilcenski to a point; THENCE North 21 degrees 13 minutes 55 seconds West, 300.79 feet along lands of Mitchell Wilcenski and Theresa Wilcenski to a point and the southerly side of Main Road; THENCE along the southerly side of Main Road North 54 degrees 13 minutes 50 seconds East, 31.79 feet to the point or place of BEGINNING. N YS BA's Residential Real Esla{c Forms (9/00) O 2009 Matthew Bender & Co., a member of thc LexisNcxis Gmup. -4- 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 NEY/YORK STATE BOARD OF REAL PROPERTY ~ERVICES RP - 5217 1. p,~pa,~ 2820 I MAIN ROAD I Sour:hold I Laurel z. au~,, [ GILLAN I THRRESE I 11948 ~p coca 3. Talc Indinsto wham futura Tax Bills are to be ~ent Billleg if other than buyer address (~ bottom of rorml I Addrans I 4. Indiaato the number M A~ensment Roll parcels tmmferrad om the deed $. Deed LLAN · 1 ] lB of Parcels OR II Pan ofaParcel ]o. 1 :. 3,5 I (Only If Pad et e ~'&~G,~ Qinsk ns they N~I~. 4a. PlanninlB Board with Sul0dMslon Authority ~ [] 4B. Subdivision Approval was Required 1or Transfer [] 4C. Parcel Approved for Sulxli~isien with Map Provided [] I KENNETH J. I Name I I THERESE I 7. Check the box below whlah re(at e~ur.tely deeedbes the uN of the IXoparly ~t the time of sale: i~ One Family ~esidentia, i ~ Agricultural i~C ..... ity Sa.ica Cheek she boxes below as they apply: B. Ownership Type ia Condominium [] B. New Construction on Vacant Land[] 1~4. Pr~x~'~ Lonst~l within an Agricultural District [] 10a Buyer received a dT~ck~ur= not,ce indiceting [] that the pmpe~ is in an Aoricultuml Diet,ct SALE INFORMATION 11. Sale Collt11~ Date 12. Date of ~ale I Transfer N/Al / / I 15 / ~111O l 15. Check one or more of them conclJtiom am I~llsal~ to tram~c A ~ Sale B~en Rel~ or ~rmer ReI~a R ~ Sale Be~en Rel~ ~m~nie* or Pa~ in Busin~ (~ ~ One ~ t~ 8~m is al~ a ~llsr D ~ B~r or ~iler is ~rnment ~e~ or ~ing Instltulion ~ ~ ~ Ty~ ~ Warra~ or ~a;n a~ hie [S~i~ BeI~} F ~ ~le ~ Fra~ional or ~ than Fee Into~ ~ ~ Signir~nt Cha~e in ~ ~en Ta~ble S~tus and Sale 13. Full ~k ~lc.I , , ~ , , ~ -, 0 r : O , () I H ~ Sale of susie= is I~ in ~l, IFull Sale Pri~ is the total amount ~,id for the ~o~e~ inCluding ~nal ~ro~. ~ ~ ~her Unusual F~ A~ng Sale ~i~ This payment m~ ~ i~ the [ora of fish. ~her pm~dy or O~s. of The aflumptien of J ~ mongag~ or ol~r obligationtl ~se ~nd to r~ ~a~t ~ ~lat e~unf. Tcansfer from Hus~n~ a Wi ~md~m. valm~m~st I , - 0 - , 0 , 0 I p~ i~u~ ia the ~le ~ ' ; ' ' I ASSESSMENT INFORMA~ON - Data should rafl~ the latest Final Assessment Roll one Tax Bill I m Year ~ ~ent ~a ~9/~/ ,.Tmal A~ Wu, I~,U p~a m ~.~ I . ~ . 5 0 0. ~..~ ~ ~. ~ .~ ~-~ ,5.~.,o,~..m. ~ ~ ~TUC~ -- 20. Tax Map Idem.iM(al I Roll identifiedal (Il w thin lOUt, atlldt M IMth additional identlflerls)) i SCTM f 1000 - 125.00 - 03.00 - 007.004 CERTIFICATION I cerlEy that MI et the Rems or inronnndoe enlemJ on thb form ere tee and com'd (to the he~t of my Imewted~. and belial) and I tmderstand Itel the nmkins or a.y - ileal febe sletemellt of mlaletadl feet herein eiH. wbjet't me m the Imwt~km~ of lb., nennJ law t~.hlJw bt Iht, nmkin~ and rdlnR of ftt~e Imlmmt'nLr,. BUYER 2~20 , [~tin STriFE r NUM~H ST~E T KiLrb~ I~R ~M.tl Laurel NY 11948 I I SELLER BUYEWS ATTORNEY FOSTER, VANDEN'BURGH & RIYAZ, LLP I 631 727-7731 I I NEW YORK STATE COPY