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CONSULT YOUE:LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made on December 29, 1999
BETWEEN JOB SULLIVAN': AND ASSOCIATES, INC. RETIREMENT TRUST,
9 Feather Bill, P.O. Boz 612, Southold, New York 11971,
CSF.
Da party of the lint pan.and
O DENNIS BENCHY and ANN HENCHY, his wife,
22 Pembroke Drive, North Massapequa, New York 11758,
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 part of the second part,does hereby grant and release unto the party of the second part, the heirs
or successors and assigns of the poly of the accord part forever.
ALL, that certain plot, piece or parcel of land. MAIERIEsdNMdiw}s--eHrl=grlPAwAIELYtm911ercdE3.'netetk situate.
lying and being in the Town of Southold, County of Suffolk and State of New
`York, being more fully described an Lot No. 8 (Eight) on a certain
Map entitled, "Paradise by. the. Bay", filed in the Office of the
Clerk of the County of Suffolk on November 4, 1976 as Map No. 6463
prepared by Young 4 Young, Surveyors.
SUBJECT TO the covenant vithlthe DEC, recorded with the County
Clerk, Suffolk County, on August 25, 1998 in Liber 11913, Page 098.E ao
us-
TOGETHER with all right, title and interest, if any. of the party .f the first part in and to a.y greets and
,cads 'boiling the ahov, described premises to the center lines there.!: TOGETHER with the appurtenances
and all the estao 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 pert, .f the second putt the heirs u,s.....sors sod "ssigns of the parts of
the +eo(,nd part fnrrerr.
AND the part of the first part covenants that the party of the first part has not done or suffered anything whereby
the said p,,,oni have horn encumbered in an,way what',,,,except as aforsaid.
aND the party of the first part.in compliance with Section l3 of th, Lien Law,covenants that the parr),of the first
pan will rec,k, the.....sideration for this conveyance and will hold the right to receive such consideration as a
trust fund N.be applied first for the purpose of eying the cost of the improvement and will apply the same first to
the payment of the cost of the improvement be Yore using any part of the total of the same for any other purpose.
The word"part,"shall his 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 ,s,cuted this deed the day and year first shove
written.
IN ,WESENCE nr'.
JOE SULLIVAN AND ASSOCIATES, INC.
ETIREMEILT TRUS
By //�
JO P8' ' l./ ULLI VAN, JR. T 'tee
aaoa®NtmEn .._
2 r 24324 )
1.2013PC,027 $ REC
Number c r pages ) �C1sA REALE ; • RECORDED
EI
TORRENS Qy AfF
ti JAN 20 0
Serial w_ Tq lI;OG JAN I I P 12. 2b
AN^yFER
S(1FFO;.x� -
CeniOcateN COUnrry - CLERK
Prim Ctf.N
Deed/Mortgage Instrument Deed/Mortgage Tex Stamp Recording/Filing Stamps
Z FEES
I
i
Page/Filing Pee
Mortgage Amt. -
Idling 'J
W
'-- 7`- -- 1.Basic Tax
TP-564 --
2.Additional Tax _
Notation
Sub Total
F.1-32 17(Cowry) l _. Sub Totai � —
Spe Assil.
EA-5217(Stale) _ Or
Spec./Add. _
RP.T.S.A. 87—C,
TOT.MTG.TAX _
Comm.of Fd. �OQ_ L. ��f� Dual Town alai County
AAffidavit _
'1'/.tdRa1 Hold for Apportionment
_ a
+� Transfer Tax
Certified Copy _ `aly �� Mansion Tax
Reg.Copy The property wvered by this mortgage Is or
will be Improved by a one or two family
Sub Total I' dwelling only.
Other YES orNO
GRAND TOTAL �P tfHO,see appropriate tax clause on page N
_of this instrument.
Real Property Tax S:rvia Agency Verifieation •6
Communi Preservation Fund
sm, Dist. Section B lock Lot
Consideration Amount /)Q
Si 1,9,0 e, 070,6>d /2,4210 eW,Ca I 'CPF'T"_{Sue
--••s it
e
/�rG i Improved
IniliaK-' �U -�" - 7
Va ant Land
7 Satisfactions/Discharges/Relewes List Pro JAN 1 1 2fi�;p
nh // RECORD& TU TO:Owners Mailing Addres T 1 pCU
hU PFicG='ii'i.1T�CN
>d D /10 l f FUND T
,ky �lg3S
x Title Company Information
Co.Name qw7
I111q D Z1;Lj
Suffolk Court R.ecordin & Endorsement Pa e
This page forms pan of the attached
(SPEQFYTYPEOFMSTRIJMINI')
made by:
The premises herein is situated in
1' Tri SUFFOLK COUNTY,NEW YORK
TO In
In the Township of
--DLA' I/ �U.1 � _ In the VILLAGE
1 / 7 GY r or HAMLET of
BOXES 5 THRU 9 MUST BE )OR PRIMED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
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 NEW YORK
�
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
°• t , RP-521'!Rev JN7
¢ afi
1.Property 13;25 1 Rilmberly Lane
Location STREET NUMBER STREET NAME
Southold1 11971
CnV OR TOWN
VILLAGE ZIP CODE
2.Buyer HENCRY 1 DENNIS I
Name (AST NAME I COMPANY FIRST NAME
HENCRY 1 ANN
IASr NAME/COMPANY FIRST NAME
3.Tax Indicate where future Tax Bills are to be sent 1
Billing if other than buyer address let bottom of form) I-T NAME I COMPANY FIRST NAME
Address
I STREET NUMBER AND STREET NAME I CITY OR TOWN 1
STATE ZIP CODE
4.Indicate the number of Assessment (Only if Part of a Parcel)Check as they apply:
Roll parcels transferred on the dead I 1 1 #of Parcels OR ❑ Part of a Parcel 4A Planning Board with Subdivision Authority Exists ❑
46.Subdivision Approval was Required for Transfer ❑
5.Deed
Property L_� X I OR 1 •0 9 1 4c.Parcel Approved for Subdivision with Map Provided ❑
$128 FRONT FEET DEPTH ACRES
S.Sailer JOE SULLIVAN AND ASSOCIATES INC. 1RETIRENENT TRUST I
Name LAST NAME/COMPANY FIRST NAME
�T NAME I COMPANY 1 FIRST NAME
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: ❑
S.Ownership Type is Condominium
AOne Family Residential E Agricultural I Community Service 9.New Construction on Vacant Land E]E 2 or 3 Family Residential F Commercial J IndustriaEll 10A.Property Located within an Agricultural District
C Residential Vacant Land G� Apartment K Public Service 10B.Buyer received a disclosure notice indicating
D� Non-Residential Vacant Land H Entertainment j Amusement L El
that the property is in an Agricultural District
15.Check one or more of these conditions as applicable to transfer:
11.Sale Contract Date I 06 / 12 / 99 A Sale Between Relatives or Former Relatives
Month Day Year R Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seller
12.Date of Sale/Transfer I 12 / 29 / 99 D Buyer or Seller is Government Agency or Lending Institution
Month Day Year E Deed Type not Warranty or Bargain and Sale(Specify Below)
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 � . 4 8 7 7O 0 O Q I H Sale of Business is Included in Sale Price
7
.(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 may be in the form of cash,other property or goods,or the assumption of J None
mortgages or other obligations.) Please round to the nearest whole dollar amount.
14.Indicate the value of personal 0 1 Q U I
property included in the sale 7
16.Year of Assessment Roll from 197 PA 17 Total Amassed Value(of all parcels in transfer) 1 4 3 Q Q
which information taken am— 7
18.Property Class 13 1. 3 —u 19.School District Name 1 805 SoUthold
20.Tax Map Identifrer(s)/Roll Ide rtifier(s)(If more than four,attach sheet with additional identifier(s))
/,20D
I 1 1 1
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 willfW fdse statement of material fact herein will subject me to the provisions of the penal law relative to the making and filing of false instmments.
BUYER BUYER'S ATTORNEY
ti1'wA1a er 1 /2 /� / DOTY I DEBORAH
BUYER SIGNATURE DALE LAST NAME FIRST NAME
)
22 1 Aa 13 P, 1" An 63 1 734-6648
STREET NUMBER STREET NAME(AFTER SALEY - AREA CODE TELEPHONE NUMBER
f"4 ss A,P)a run- I N ! I / s $
r:. f
CITY OR TOWN STATE ZIP CODE
JOE SULLIVAN AND AS '�ATES, INC, RST TRUST -
BY: a a
JosepffuVIMlivan, Jr., Trustee DATE