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CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
I
THIS INDENTURE, made on July ?, 1999
BETWEEN MOORES LANE HOLDING CORP. , a domestic corporation, c/o Sarisohn,
SariSOhn et al., 350 Veterans Memorial Highway, Comtack, NY 11725
f
party of the first part, and DONALD F. MAYER and ANNE C. MAYER, his wife, both residing
at 2306 TVild Turkey Road, Nes Bern, North Carolina 28562
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 part forever,
ALL that certain plot, piece or parcel of land. with the buildings and improvements thereon erected, situate,
lying and being in the Town of Southold, County of Suffolk and State of New York, known
and designated as Unit Number 40 on.a certain Condominium planentitled, "Map of
Mooresland, a/k/a Pheasant RunlEstates' Condaninium I" filed in the Office of the
Clerk of the County of Suffolk'on'12/22/94 as Map Number 257 and'amended on 06/13/•.
together with an undivided 58 interest as tenant in camton in the canton elements r
DISTRICT• the Condominium described in ,the'Declaration of Condominium recorded in Liber 1166
1000 Page 495 and amended by Liber 11778`page 167 and Liber 11720 page 629.
SECTION: The premises are not in an agricultural district and the premises are entirely own:
040.01 by the transferor.
BLOCK. This transaction is made in the ordinary course of business of the grantor with
01.00 unanimous consent from all of the shareholders.
The grantor herein is the same as the grantee in deed dated June 30, 1993 and
LO. recorded in the Office of the Clerk of the County of Suffolk on April 20, 1993
040.000 in Liber 11640 Page 929.
DISTRICT SECTION BOK
? LOT
EHE EH=6,'j 6,
TOGETHER 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 thereof; TOGETHER with the appurtenances
..,,,and all,tlfesstate.and,rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD
p, eihisgs herein granted unto the party of the second part. the heirs or successors and assigns of the party of
dhe.seconil part forever.
w ... .t •i.r\.)Y7
AND the party of the first part covenants that the party of the first part has not clone 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" $hall 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: f"fDDRESLANE LDIPI" CORP.
By:
ISAAC SAIIkff;T311,
` Q4t32 1.
• L I 2 REQ iEWED 3
11985PG167
R-HAL _.. aTiVI;_ p
Number of pages ✓ -
TORRENS AUG 2 5 1995 994
Serial IS Tv%i'l Fr'i; 47XE01�/1925 P# 'O3
D p
Certificate N cc-t.'1•sT SUFICL ERR f 0UPJT Y
prior Ctf. it 04132
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
4 FEES
page/Filing Fee L ` Mortgage Arm.
Handling I. Basic Tax
TP-584 2. Additional Tax
Notation Sub Total
EA-52 17(County) ✓ Sub Total r Spec./Assit.
n< Or
EA-5217(State) __ ' C Spec./Add.
RP.T.S.A. �y�1 0�Ay TOT. MTG.TAX
h _ Dual Town Dual County
Comm. of Ed. 5 00 aZ. IHeld for Apportionment
'-90
�
Affidavit �y:-, s Transfer Tax
. vti�% Mansion Tax
Certified Copy The property covered by this mortgage is or
Reg. Copy f J will be improved by a one or two family
Sub Total dwelling only.
Other ^ YES or NO
GRAND TOTAL If NO, see appropriate tax clause on page It
of this instrument.
•rrwH Real Property Tax Service Agency Verification 6 Community Preservation Fund
ry.t Dist. Section B lock Lot Consideration Amount $ /70;000
g 1000 040.01 01.00 040.000 CPF Tax Due V.$
-e
Dae RECEIVED Im roved X
Initials $ Va ant Land
/ Satisfaclions/Discharges/Re[cases List Property Owners Mailing Address AUG 2 51999 T X00 O
RECORD& RETURN TO:
T
Paul Caminiti, Esq.
coMrlte✓igirY T
Caminiti & Gibbons, L.L.P. PRWERVATIO
54075 Main Road FUND
P.O. Box 846
Southold, NY 11971
8 Title Company Information
Title
9 Suffolk County Recording & Endorsement Page
This page fonns part of the attached DEED made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
MOORES LANE HOLDING CORP. SUFFOLK COUNTY,NEW YORK.
TO In the Township of Southold
DONALD F. MAYER and ANNE C. MAYER In the VILLAGE
or I IAMLET of
BOXES 5 TIIRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM �T
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
# RG}t'JNTY..9 E ONLY
REAL PROPERTY TRANSFER REPORT
' STATE OF NEW YORK
,y. R
STATE BOARD OF REAL PROPERTY SERVICES
- 5217,r
RP-5317Rev
1.Property /35 / ./' I Caleb's way
Location s NI
STREET NA E
Greenjxrt 1
CITY OR TOWN VILLAGE I 11944 I
IP CODE
z. Bayer �3C'2 D%MD F and ANIS C
Name s CoMPANY
FIRST NAME
LAST NAME I COMPANY
- FIRST NAME
3.Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address(at bottom of form) I
Address 15T NAME I COMPANY FIRST NAME
STREET NUMBER STR ME CITU OR TOWN STATE ZIP CODE
4.Indicate the number of Assessment (Only if Part of a Parcel)Check as they apply:
Roll parcels transferred on the deed �' N of Parcels OR ❑ Part of a Parcel ❑
dA.Planning Board with Subdivision Authority Exists
5.Deed 4B.Subdivision Approval was Required for Transfer D
Property X OR 4C.Parcel A ❑
Size FRONT FEET DEPTH ACRES Approved for Subdivision with Map Provided
6.Seller I+870RES IANE HOMING 0011P_
Name T ME I C A FIRST NAME
LAST I � I
AME/COMPANY
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:
8.Ownership Type is Condominium
A One Family Residential E Agricultural j Community Service 9. New Construction on Vacant Land E
B 2 or 3 Family Residential F Commercial j Industrial 10A.Property Located within an Agricultural District
C Residential Vacant Land CT 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
SALC NORMATION 1 15.Check one or more of these conditions as applicable to transfer:
11.Sale Contract Date 1 07 / 24 / 98 A Sale Between Relatives or Former Relatives
Month Day year B Sale Between Related Companies or Partners in Business
07 C One of the Buyers is also a Seller
12.Date of Sale/Transfer ` / / 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)
13.Full Sale Price
1 1 7 0 Q 0 0 0 0 CT 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 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 0 I
property included in the sale ,I
ASS1ESS T'1 Dirta should reflect 7let in ,Roll and Tax:Bio .
16.Year of Assessment Roll from ��J}} fj
_which irdormation taken L-�—J 17 Total Assessed Value(of all parcels in transfer)
7 7 7
18.Property Class 1 I-U 19.School District Name I_ Jsr
20.Tax Map Identifier(s)/Roll Identiffer(s)(B more than four,attach sheet with additional identifier(s))
1 1000; 040.01; 01.00; 040.000 1 1
I I I 1
I certify that all of the items of information entered ren this form are true and correct(to the best of my knowledge and be"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 instruments.
BUYER J/ BUYER'S ATTORNEY
-7�Gf9 9 __ Cminiti I Paul
BUYER SIGNATURE OAT
L4sT NgME FIRST NAME
-2 3
` 765-5900
STREET NUMBER STREET NAME(AFTER SALE)
AREA CODE TELEPHONE NUMBER
CITY OR TOWN STATE ZIP CODE
SELLER CITY/TOWN ASSESSOR w
r
COPS'
SELLER SIGNATURE �
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