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TH3 V4DFN(VRE,made the 15TH day of November ,in the year Nineteen ninety-nine
BLIWEEN
JOHN A. WALLACE 6 IRENE WALLACE, his wife
residing at 26 Linwood Avenue, Farmingdale, NY 11735
party of the first part,Will
HILDA GARBARINO,
residing at P.O. Box 265, Windham, NY 12496
party of the second past,
WIENF3SEEFIs that the party of the first part,in consideration of Ten Dollar 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 successor$and assigns of the pasty of the second part forever,
r' ALL that certain plot,piece or�pavr��dd of land,with the buildings and improvements,therwn orated, situate,
lying and being WWat Sout}ald,'ibwn'of§nithold;'Suffolk County,New4ork,ltnavn and
4 designated as Lot No. 28 on a certain map ent; t"eu "Map or West
Creek Estates, property of Ernest E. and Harold W. Wilsberg, situate
at Southold, Suffolk County, New York and filed in the Office of
the Clerk of the County of Suffolk on August 19, 1963 as Map No. 3848.
I' Premises known as 2405 Glenn Road, Southold, NY
.4a be:
as ja1. tr► I;6a (p)y7 fi, 3.V
WWI` SECTION BL= WT
0 12 17 21 20
TOGETllrR with all right,title and interest,if any,of the party of the first part in and to any streets and
roads abutting the above described premises to the center lines therm(,TOGETHER with the appurtenances
and all the estate and rights of the party of the first part in and to mid premises; TO HAVE AND TO
HOLD the premises herein granted unto the party of the second pan,the heirs or successors and assigns of
the party of the second part forever.
C AND the party of the first pan covenants that the party of the first part has not done or suffered anything
whereby the said premises have been encumbered in any may whatotr,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 consid-
-- eraion as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply
thFam,first to the payment of the cost of the improvement Wore using any part of the total of the same for
'arty:other purpose.
The urord"party"shall In construed as if it read"parties" whenever the sense of this indenture No requires.
1N WITNESS WHFBEDF.the party of the first part has duly executed this deed the day and year first above
written.
IN PMENca or:
JOHN A. WALLACE
IRENE WALLACE
r
s p
12004fC016 18405
M
Number ol'nages � RECORDED
TORRENS 99NOV30 AM'1:33
Serial n� EO 'CLERH AN6Cenificarc n UFFIS TRA,4f,OUjy
Prior Ctf.x
Deed/Mortgage Instrument fReJ!Mortgage Tax Stamp Recording/filing Stamps
FEES
Pace r filing Pee J Mortgage Amt.
I landling —� `� L Basic"Tax
TP-584 S J '�
_ ?.Additional Fax
Notation Sub Total _
EA-52 17(County) -S J Sub Total Spec./Assil.
CA-5217(Stale) Or
Spec./Add.
R.P.1.S.A. ��_ YS,04'Uej TOT.MTC,1'AS
M11 .p Bed Ii,.cn [),[.IT Omit,Comet.of lid —500-- h �- '
p. {„ I IdJ for Apportionment _/_____
Affidavit •�(•Y� ,j1� 'I'ransfcr'Tax zC/ U G'
Certified Copy " y'0
Mansion Tax
Elie property covered by This nurrlgagc is or
Reg.Copy _ will be improved by a one or tsvn Gundy
Sub final dwelling onlr.
OtherYPS_or NO_
GRAND Tr,OTAL 7 U ,,.7 If NO,see appropriate tax clatne on pace'+
of this instrument
5 Real Proprny'Lax Service Agency Verification 6 Community Preservation Funal
~' Dist. Section 1)lock Lot Consideration A ..... 7_ JO •OV
mp.., 0 7100 oJ. UJ O .00V CIT 't'n8 Ihw S O_
' C _ ntpraved
In'' _ �/„_-,_. acme Land
7 Salisl'aclions/Discharges/Releases List property Owners Mailing Addr 'D
RECORD&RETURN TO: NOV 3 0 1999
I)
Commonwealth Land
Title insurance Company"
1777 - 6 Veterans Memorial Highway
Islandia, New York 11722 8 Tific counpany Information
Co. Name CC.-UG
Title H "7- -
Suffolk County Ri ing & Endorsement Page
'Ibis page fomu put of the attache)
,L/ (SPF:CIFY'IYPI'.OI'INS'IRt INTENT)
"",q�E the premises herein is siuuned in
SUFFOLK C'OUNn'.NEW YORK.
n TO Inthe'1'ownshipof �TATr�CkL7
ok l In the VILLAQ:
or IIAMLF:I of -5(4rY�LK
BOXI-i 5'111RU 9 MUST 131-11YPED OR PRIMED IN BLACK INK ONLY PRIOR 10 RECORDING OR PILING.
. .
(OVER)
FOR CUUNTY USE ONLY �y,,
REAL PROPERTY TRANSFER REPORT
9
' /ryy STATE OF NEW YORK
OXMIA11080111 Recorded iJ 1 STATE BOARD OF EQUALIZATION AND ASSESSMENT p
Year - 5217
1.
OIL rage I y am,
FA-R1l]Rev IIr1
i.Property) 2405I Glenn Road
Location SmEETIOARIER SiREETNYRE
I Southold I 111971
CRY OR Town VILLAGE
LP CODE
ZBuyer I Garbarino I Hilda
Name usr NYRE r COLAPIINY FIRSTIVAE
t
LASTNYAE I COMPANY I FIRST N1rAE l I ..
3.Tax Indicate where future Tax Bills are to be sent '
Boring if other than buyer address(at bottom of form)I Garbarino I Hilda 1
Address uttrMMe r CONVYWY Flasr woof
`1 P.O. Box 265 I WINDHAM NY 12496
STREEFNIAN ER AND STREETNYAE CRYORMWI
arAIQSi' ,
4.Indicate the number of Assessment ' i (Only If Part of a Parcel)Check as they apply:
Roll parcels transferred on the dead I i l e of Parcels OR ❑ Part of a Parcel
4A.Planning Board with Subdivision Authority Exists
S.Deed `�!7 4B.Subdivision Approval was Required for Transfer
Property T r J7C7 �OR • 5 I 4C.Parcel Approved for Subdivision with Map Provided � '
Size FRONT FEET OEPM ACRES'
9.Seeer ) Wallace I John A.
Name LASTr ErCONP$WY FIRSTNYAE r
Wallace I Irene I
LAST NAME I COMPANY FIRST AME e
" 7.Check the box below which most accurately describes the use of the property M the time of sale: Check the boxes below as they apply:
B.Ownership Type is Condominium
A One Family Residential $ Agricultural j Community Service 9.New Construction on Vacant Land ID
B 2 or 3 Family Residential F Commercial J Industrial 10A P Located within an
Property Agricultural District
C Residential Vacant Land G Apartment K Public Service 108.Buyer received a disclosure notice indicating ❑
D Non-Residential Vacant Land g Enidrtainment/Amusement L Forest that the property Is in an
p perry' Agricultural District
MEMOIR s ....Check we or more of these conditions as applicable to transfer:
11.Saletontract Date 1 8 /2 4 99 I A Sale Between Relatives or Former Relatives
Month Day Year B Sala Between Related Companies or Partners in Business
' C One of the Buyers is also a Sellerh '
12.Date of Sale I Transfer I / / / 99 D Buyer or Seller is Government Agency or Lending Institution
Iftr h Day Year E Deed Type not Warranty or Bargain and Sale(Specify Beim)
F Sale of Fractional or Less than Fee Interest(Specify Below)
G Significant Change in Property Between Taxable Status and Sale Dates
13.Full Sale Price I 7 4 0 0 I 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 Beim)
This payment may be in the form of cash,other property or goods,or the assumption of
J None
mortgages or other obligations.)
14.Indicate the value of personal I � 0 I
property included in the sale f
ASSESSMENT INFORMATION - Dab"Should teaeci ft Most Flimill Astrandement Rolland Tax Bill
19.Year of Assessment Roll fromI y . 9 117 Total Assessetl Value (of all parcels In transfer)I 8 0 0
which information taken
18. Property Class —U 19.School District Name
20.Tax Map Identifier(s)f Roll Identifier(s) (If more than four,attach sheet with additional Identifier(s)) 7 ��
I Lot 28 Map 3848 M?o I I I
West Creek Estates .50 acres Class 311
G'ER
I certify that aB of the items of Information amtied on this form are true and correct(to the best of my knowledge and belief)and I understand that the making
of any wilful false statement of material fact herein will subject me to the provisions of the penal law relative to the making and nung of false instruments.
BUYER BUYER'S ATTORNEY
14ddV Stanley l Ronald
MYER SIGNATURE r MT I UST NAME FIRSTNAME 1
3
's
1 P.O. Box 265 618 1 281-7618
STREET 1,11AVIER STREETNYAE (AFTERSALE) AREA CODE TELEPH IENLMSER
Windham I NY 112496
CITYORTOWN STATE ZIP CODE
n / "ELLER CITY/TOWN.ASSESSOR.
COPY
SELLER SIGNATURE TE