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L 12035 P 916
57� —00�15���tor'*Dead—Indlvldud or C.ry l tlon(.In[b sheet) THIS INDENTURE, mane the .2 ? day of Noveml7er nineteen hundred and ninety nine .BETWEEN JAMES LOTZE residing at" 23 Pin Oak Road, Skillman, New Jersey 08558 and JOHN ROBERT BLAKE residing at 6780 N. Bayview Road, Sbuthold, New York 11971 as Co—Executors as executor of the last will and testament of DOROTHY A. BLAKE ,late of deceased, party of the first part, and WILLIAM J.• LOTZE, residing at 12 Stone Hedge Drive, Goshen, New York 10924; JAMES J. LOTZE residing=AT 23 Pin Oak Road, Skillman, New Jersey 08558; JOHN. R.; BLAKE residing at 6780 N. Bayview Road, Southold, New York 11971 and JANET DAYTON residing. at 510 Clark Road, Southold, New York 11971 as Tenants in Common party of the second part, WITNESSETH, that the party of the first part, by virtue of the power and authority given in and by said last will and testament, and in consideration of good and valuable consideration in hand received, dollars, 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, at Bayview, County of Suffolk and State Town of of New York, known and designated as Lot No. 15 on a certain map entitled Southold "Map of Leeward Acres at Bayview" whit map was filed in the Office of the Lot 4 Clerk of Suffolk on June 4, 1971 as Mat No. 5599. Block 7 Section 79 BEING the same lands and premises conveyed from James L. Midwinter to District 1000 Dorothy A. Blake by deed dated June 9, 1984 and recorded in the Suffolk County Clerk's. Office on June 29, 1984 in Liber 9591 of deeds ast page 563. The said Dorothy A. Blake died a resident of Suffolk County, New York on December 16, 1996; Suffolk County Surrogate' s /gyp Court File # 50OP97 V I'j: t 7 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; TOGETHER with the appurtenances, and also all the estate which the said decedent had at the time of decedent's death in said premises, and also the estate therein, which the party of the first part has or has power to convey or dispose of, whether individ- ually, or by virtue of said will or otherwise; TO HAVE 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 incumbered 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 consid- eration 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: ESTATE OF DOROTHY A. BLAKE mes Lotze, o—Executor n Robert Blake, Co—Executor 37548 12035PG916 C 2 RE EIVED 3 RECORDED Number of pages j REAL ESTATE 00 APR 19 API 9: 53 TORRENS APR 19 2000 Ef)k,Fi'O i? IiO;IAINE Serial# CLERK OF TRANSFER TAX SUFFOLK COUNTY Certificate# ETOL K COUNTY Prior Ctf.# 37,5415 Deed/Mortgage Instrument =ed/Mortgage Tax Stamp Recording/Filing Stamps 4 CfCoYa/ FEES Page/Filing Fee Mortgage Amt. Handling _ _ 1. Basic Tax TP-584 2.Additional Tax _ Notation Sub Total EA-52 17(County) Sub Total Spec./Assit. Or - EA-5217(State) o? Spec./Add. R.P.T.S.A. _Js AyCsS� t�YJr TOT. MTG. TAX _ z r 0, Dual Town Dual County Comm.of Ed. 500 a , Held for Apportionment Affidavit + ti Transfer Tax �'hO,N T•� Certified Copy U3/ Mansion Tax The property covered by this mortgage is or Reg.Copy will be improved by a one or two family Sub Total dwelling only. OtherpU YES or NO GRAND TOTAL If NO, see appropriate tax clause on page# of this instrument. 5 . Real Property Tax Service Agency Verification1 6 Community Preservation Fund n Dist. Section B lock Lot Consideration Amount $ 'Scamp ct ©O tqo�(Bd CPP Tax Due $ !X7 Improved mproved Initial Vacant Land 7 "Satisfactions/Discharges/Releases List Property Owners Mailing Add-ess TD 0 RECORD& RETURN TO: APR 19 2000 TD Mr-• :J—O H O R . l3L A K E PR>rSEF UM"ryN TD 6780IU• 13Ayv► Ew �D . PUND Sot,rNat_p, NSI. I t 9 l 1 8 Title Company Information Co. Name Title # 9 Suffolk County Recording & Endorsement Page This page forms part of the attached made by: .�Arh tE S 5• �oT�E (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in Jo h,l P- %LAI-E SUFFOLK COUNTY,NEW YORK TO In the Township of o W tl.t tAr, �I• "T-4,F, In the VILLAGE J or HAMLET of JAuje I DAII o „ SOW R IILO-E BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (OVER) Trr On F-1-11555 FIR INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222 FOR COUNTY USE ONLY �� $WISQod� "17✓ REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK C2 ♦gym am.Reoordad , (919 STATE BOARD OF REAL PROPERTY SERVICES month ay , Year C: k C.. Pie RP-5217 RAY M1 5217 PROPERTY INf RMATION 1.Property) b7GU 1 l4 . aayyiew k:0aC1 Location STREET NUMBER STREET NAME Soutilol'd 1 11971 1 CITY OR TOWN VILLAGE ZIP CODE 2.Buyer 1Lotze, LoCzc I 4illiwc, J . James J . Name LAST NAME I COMPANY FIRST NAME j Blake, uaytor John R. , Janet 1 LAST NAME/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 LAST NAME/COMPANY FIRST NAME I J I STREET NUMBER AND STREET NAME - CIN OR TOWN STATE ZIP CODE 4.Indicate the number of Assessment1 ❑ (Only if Part of a Parcell Check as they apply: Roll parcels transferred on the dead R of Parcels OR Part of a Parcel dA Planning Board with Subdivision Authority Exists ❑ 5.Deed _ 48.Subdivision Approval was Required for Transfer ❑ Property I I X I OR 9 4C.Parcel Approved for Subdivision with Map Provided ❑ Size FRONT FEET DEPTH ACRES 6.Seller Lotze James J. 1 A Nelle LAST NAME ICOMPANY FIRST NAME � I Blake John R. LAST NAME/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: S.Ownership Type is Condominium ❑ A One Family Residential E Agricultural I Community Service S.New Construction on Vacant Land El R 2 or 3 Family Residential F Commercial J Industrial ICA.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/Amusement L Forest that the property is in an Agricultural District SAt E M7 TION 15.Check one or more of these conditions as applicable to transfer: 11.Sale Contract Date 11 /2 /99 A Sale Between Relatives or Former Relatives Month Day year B Sale Between Related Companies or Partners in Business C One of the Buyers is also a Seller 12.Date of Sale/Transfer 11 /28 /99 1 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 1 D 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. Iher 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 No mortgages or other obligations.) Please round to the nearest whole dollar amount De"d Jut of r s to t e 14.Indicate the value of personal 1 D 0 1 property included.in the sale ASSESSMENT INFORMATION-Data should refilact 7the latestfinai Asaeseryleht Roll and Tax Bill 16.Year of Assessment Roll from 98 7 F which information taken 17.Total Assessed Value(of all parcels in transfer) 1 7 7 18.Property Clan 12 j n -1 _1 19.School District Name Southold School 473305 20.Tex Map IdentKierlsl/Roll Idlndifierls)IR more than four,attach sheet with additional identi0erlsll 7 Section 79 2,locY. 7 Lot 4 I I CERTIFICATION �J I certify that all of the items of information entered on this form are true and correct(to the best of my knovilea M and belief)and I understand*at the making of any wWW false statement of material fact herein will subject me to the provisions of the penal law relative to the making and thing of false instruments. r BUYER BUYER'S ATTORNEY �` 11 /2,g/99 Caniicki Dennis . n�°°JJ//l a.YEx SIGNATU E r DATE LAST NAME FIRST NAME ;jilllzml' J. Latze 12 Stonchedge Drive 914 1 651 -4434 STREET NUMBER STREET NAME(AFTER SALE) AREA CODE TELEPHONE NUMBER C=ost.en, _'F'C I 110924 CITY OR TOWN STATE ZIP CODE SELLER WYMOWN ASSESSOR COPY 1 11 ,`28/35 SELLER SIGNATURE V DATE