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NYOO5. Barpin and Slle Deed whh C(IVC1WlI.pinSl QlVllor't AclJ Individlllll Of COflIOTIlion (Sinlk Sheet) (NYBTlJ 10021
CONSULT YOUR LAWVER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD IE USED BY LAWYERS ONLY
THIS INDENTURE. made the 1st day of February . in the year two t;hoJSaI"d
BETWEEN Sl\MUEL ums <XlROCtl, JR., resicilng at 930 Fifth A_ (UE), New
York, New YorkclMIC;T SEC'110N BLOCK
/(2l(itEJ illJJQ] lJZ[JQ]
).
part): ofthc first_part. and SAMUEL R. MAFSHALL am LAIJRA B:. MAFSHALL, his wife, res
at 457 Glyn wynfe laid, Haverford, Pennsylvania 19041
party aCthe second part.
WITNESSETH, that the party orthe first part. in consideration ofTen Dollars and other valuable consideration
paid by the party of the secl)nd 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 bein~ at Fisher'S Islaril, Town of SOJthold, COJn,ty of Suffolk am state
of New York, being ."re particularly boonded aIXI described 00 Schedule A annexed
hereto aIXI trade a part hereof.
BEIN:; AND INmIDED 'ID BE the same premises as conveyed to the party of the first
part by deed dated June 17, 1986 aIXI recorded in the suffolk =ty Clerk's
Office 00 July 11, 1986 in LiJ:>er 10075 at Page 532.
f.
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; TOGEmER 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 ofthe 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 tirst part. in compliance with Section 13 of the Lien Law, covenants that the party of the
first part wilt 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 win apply the same
flJ'St 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" shan be construed as ifit 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 fmt above
\Witten.
IN pRESENCE OF:
~l~...u~Jr
SAMUEL LEWIS 00RJXlN, .
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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
02.~~~'.!\IlIicI
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STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
I
RP - 5217
RP-5217 Rev 3197
,. P'O"""Y L-
Location STREET NUMBER
CRESCENt' AVENUE
STREET NAME
L- FISHERS ISLAND/SOU'lHOLD
CIlYORTDWN
VilLAGE
ZIP CODE
2. Buyer L- MARSHALL
Name LA5T NAME I COMPANY
SAMUEL R.
FIRST NAME
MARSHALL
L-
LAST NAME I COMPANY
lAURA B.
FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address
L
LAST NAME I COMPANY
FIRST NAME
L-
STREET NUMBER AND STREET NAME
CITY OR TOWN
STATE
ZIP CODE
'ACRES'
2 .8
(Only if Part of II Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists 0
48. Subdivision Approval was Required for Transfer 0
4C. Parcel Approved for Subdivision with Map Provided 0
4. Indicate the number of Assessment
Roll parcels transferred on the deed
1 II/of Parcels OR ~ Part of a Parcel
5. Oeed
Property
Size
L--rr<l?tl~~L.4~
FRONT FEET DEPTH
lOR I
21
6. Seller
Name
L- GOROON, JR.
LAST NAME I COMPANY
SAMUEL LEWIS
FIRST NAME
L-
LAST NAME I COMPANY
FIRST NAME
A ~ One Family Residential
B 2 or 3 Fa'l1ily Residential
C Residential Vacant Land
D Non-Residential Vacant land
~~
Agricultural
Commercial
Apartment
Entertainment I Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant land
10A. Property located within an Agricultural District
10B. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
D
D
D
D
7. Check the box below which most accurately describes thl! use of the property at the time of sale:
SALEINFORM'ATlON
15. Check one or more of these conditions as applicable to transfer:
11. Sale Contract l[late
12 / 31 / 99
Month D,y Year
2 / 1 / 2000 1
Month D,y Year
A
B
C
D
E
F
G
H
I
J
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller 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
Other Unusual Factors Affecting Sale Price (Specify Below)
None
12. Date of Sale I Transfer
1 200 000
13. Full Sale Price , I I , I ~ 0 I 0 I
(Full Sale Price is the total amount paid for the property including personal property.
This payment mflY 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. Indicate the value of personal I I ~ I I 0 I 0 I
property included in the sale, , .
I ASSESSMENT INFORMATION. Data should refl~et lh~jat~sl Final _ant Ro" and Ta. Bill I
16. Ye~r o~ Assess~ent Roll from I 99 , 00 1 17. Total Assessed Value (of all parcels in transfer) I
which Information taken
;
;
1 6 ,4 00 I
,
18. Property Class
2
,
1 f\
I l,.i l-U 19. School Di!.1rict Name I
194 - Fishers Island School
20. Tax Map Identifier(s) I Rollldentifierlsj (If more than four, attach sheet with additional identifier(s))
1000-006.00-01.00-004.002
I
I CERT!fKlAnON
I certify that all of the items of information entered on this form 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 wiD subject me to the provisions of the oenaIlaw relative to the making and filing of false instruments.
BUYER
BUYER'S II TTORNEY
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"j . 11;;2/1/2000
HAM. III
STEPHEN L.
BUYER SIGNATUFlE
SAMUEL R.MARS!W.J.J DATi:,
LAST NAME
FIRST NAME
f 'j
STREET NUM8ER
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ST~EET NAME (AFT&A SALEI'
.f'~,) (if (I
631
283-2400
AREA CODE
TELEPHONE NUMBER
Ii ,{,-{/}.,Al/I.)
'CITY OR TOWN
IA
I/OY(
ZIP CODE
STATE
SELLER
CITY rrOWN ASSESSOR
COpy
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SELLEflSIGNATU~E' _ I~ , 0..
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