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L 12075 P 685
YYYIYYYMY!Y.I PREPARED BY AND RETURN TO: HARRY S . CLINE, Esquire Macfarlane Ferguson & McMullen 625 Court Street, Suite 200 -- Post Office Box 1669 Clearwater, FL 33757 FEE SIMPLE DEED THIS INDENTURE, made this 21st day of December, 1998 , between ALFRED H. KLOPFER, a married person, of the County of Pinellas, and State of Florida, Party of the First Part, whose mailing address is : 1536 Sturbridge Court, Dunedin, FL 34698 , and ALFRED H. KLOPFER and INGE KLOPFER, as Co-Trustees of the Alfred H. Klopfer Qualified Personal Residence Retained Income Trust Agreement of 1999, dated the 8th day of January, 1999, with full power and authority to either protect, conserve and to sell, lease, encumber, or otherwise dispose of the real property described herein, of the County of Pinellas, and State of Florida, Party of the Second Part, whose mailing address is : 1536 Sturbridge Court, Dunedin, FL 34698 . W I T N E S S E T H: That the said Party of the First Part, for and in consid- eration of the sum of Ten Dollars ($10 . 00) , to them in hand paid, the receipt whereof is hereby acknowledged, has granted, bargained, sold and transferred, and by these presents does grant, bargain, sell and transfer unto the said Party of the Second Part all that certain parcel of land lying and being in the County of Suffolk, and State of New York, more particularly described as follows : See Exhibit "A" attached hereto and made a part hereof by reference . Subject to current real estate taxes, restrictions, reservations and easements of record. Together with all the tenements, hereditaments and appur- tenances, with every privilege, right, title, interest and estate, t i dower and right of dower, reversion, remainder and easement thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD the same in fee simple forever. IN WITNESS WHEREOF, the said Party of the First Part has hereunto set their hands and seals the day and year above written. In the Presence of : 1r �pl i GZ<^�� ,. C"t '-,✓ 441, SEAL) Pr Name KLOPFER rant Name GI STATE OF FLORIDA COUNTY OF PINELLAS I HEREBY CERTIFY, that on this day personally appeared before me, an officer duly authorized to administer oaths and take acknowledgments, ALFRED H. KLOPFER, a married person, to me erson- ally known or who has produced as identification and who did take an oath, and known to me to be the individual described in and who executed the foregoing instrument and he acknowledged before me that he executed the same for the purposes therein expressed. WITNESS my hand and official seal atsaid County and State, this _)(_ day of (1s ; J„/J,7� Q1998 .� NOTARY PUBLIC-STATE OF FLORIDA CAROL J.BRADLEY Notary Publ iTc COMMISSION#CC649505 Print Name EXPIRES 5QO12001 My Commission Expires : BONDED THRU ASA i-888-NOTARY1 ,.5 H:\DATA\ATY\HSC\DOCS\KI PFER3.DED -2- { i i2075PG685 ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Southold, in' the ToAH.'of_.Southold, County of Suffolk and State of New York, known and designated as part of Lot No. 3 as shown on "Plan of Lots owned by George H. Wells", filed in the Suffolk County Clerk's office as Map No. 859, which said part of Lot No. 3 is -more particularly bounded and described as follows: BEGINNING at a point on the southerly side of Wells Avenue distant 200.00 feet easterly from the corner formed by the intersection of the southerly side of Wells Avenue with the easterly side of Oakland Avenue; RUNNING THENCE easterly along the said southerly side of Wells Avenue, North 73 degrees 20 minutes 00 seconds East 80 feet; RUNNING THENCE South 16 degrees 40 minutes 00 seconds East 204.56 feet to the ordinary high water mark of Jockey Creek; RUNNING THENCE Southwesterly along a tie along Jockey Creek South 82 degrees 02 minutes 10 seconds West 80.93 feet; RUNNING THENCE North 16 degrees 40 minutes 00 seconds West 192.32 feet to the southerly side of Wells Avenue, the point or place of BEGINNING. Being the same premises conveyed to the party of the first part by deed dated October 1, 1997,and recorded in the office clerk of Suffolk County, New York. EXHIBIT I 1 ss4 � 2075PC685 C 2 REC8 U . D Number of pages REAL ESTATE TORRENS OCT 0 4 2000 00 OCT -4 AM 111 19 Serial# TRANSFER TAX EDl'r"6'D p. f;OMAINE SUFFOLK CLERK OF Certificate# COUNTY SUFFOLK COUNTY Prior Ctf. # 9494 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 4 1 FEES Page/Filing Fee Mortgage Amt. Handling S 1. Basic Tax _ TP-584 2.Additional Tax Notation Sub Total _ EA-52 17(County) S Sub Total Z 7 Spec./Assit. EA-5217(State) ZS Or Spec./Add. R.P.T.S.A. S ��[ ��AT TOT. MTG. TAX _ L-' Comte.nfFd. 5 00 S Dual Town Dual County v� Held for Apportionment Affidavit ♦ qti c .,. A Transfer Tax Mo,Ho°° Certified Copy ✓ � Mansion Tax The property covered by this mortgage is or Reg. Copy will be improved by a one or two family Sub Total f s dwelling only. Other YES orNO GRAND TOTAL 7 Z- If NO,see appropriate tax clause on page # of this instrument. 5 Real Property Tax Service Agency Verification 6 1 Community Preservation Fund Dist. Section Block Lot Consideration Amount $ —� tame ©�� D. O(,) U ; ULA ` UD 3•Q�� CPF Tax Due $ $ Date%100 Improved Initial Vacant Land ling Address TD /(7 TD fps[ DrPIGEX Ib/o�1 TD Ct EA2�viJf -, �- S3 757 RECORD & RETURN TO $ Title Company Information (ADDRESS) P Y 9 Suffolk County Recording & Endorsement Page This page forms part of the attached 1%EG 'SttAPLG TDG--Et7 made by: (SPECIFY TYPE OF INSTRUMENT) �� n Yl DPFEI� The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the Township of SDu'�1 Fo l�D t 44mgZ Iwt✓ 1L JPtQ pS �qiV S f�S In the VILLAGE or HAMLET of ��OLSC I�OI D BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. izma..xnsrc. ! i (OVER) z PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222 FOR GOUNTY".U8E'ONL'Y" REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK C2.pate peed Recorded ( I /� J {c 0 ( STATE BOARD OF REAL PROPERTY SERVICES —mm Day e"` C3.800k I ,L' I I �G1.Page{k 16par; R P - 5217 RP-5217 aeY ars? PROPERTY:INFORMATION: �t ,! 1.Property I 37(6,5 I \telGwS Location STREET NUMBER STREET NAME �--- q I 5orr"0Uf_> VILLAGE O� ZIP CODE I CITY OR TOWN 2.Buyer I Kw(7F� I ,dLf 2�� A I Name LAST NAME COMPANY FIRST NAME IAST NAME/COMPANY FIRST NAME 3.Tax Indicate where future Tax Bills are to be sent O ,t ,—� , 1 ' Billing if other than buyer address(at bottom of form) 1 1 ���- A LCit ,G-t✓� Yl Address EAST NAME/COMPANY FIRST NAME I )Ss(p DoQeD It.) �a1 STREET NUMBER AND STREET NAME CITY 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 L ft of Parcels OR ❑ Part of a Parcel M.Planning Board with Subdivision Authority Exists ❑ 5 DeedProperty I I X OR .4 4 , �'Subdivision Approval was{Reguired�or Transfer, '7 1 ❑FRONT FEET DEPTH ACRES 4C.Parcel Approved for Subdivision withap Provided Size t1 R6.Seller I �w�` Ut`"� I 'i Name LAST NAME/COMPANY FIRST NAME LAST NAME/COMPANY FIRST NAME i 7.Check the box below which most accurately describe"the use of the property at the time of sale: Check the boxes below as they apply: B.Ownership Type is Condominium ❑ A lqU71 One Family Residential E Agricultural I Community Service 9.New Construction on Vacant Land ❑ B2 or 3 Family Residential F Commercial J Industrial IGA.Property Located within an Agricultural District EJC Residential Vacant Land G Apartment K Public Service 10B.Buyer received a disclosure nqtice indicating ElD Non-Residential Vacant Land H Entertainment/Amusement L Forest that the property is in an Agricultural District 15.Check one or more of these conditions as applicable to transfer: 11.Sale C 1 qntr pkt Date I / `� 2/ 1 C>J r. ,: A .. Spiel Between Relatives or Former Relatives Month Day+ Vear B Sale Between Related Companies or Partners in Business 1 C One of the Buyers is also a Seller 12.Date of Sale/Transfer / 3 / ` I 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) O� O O I G Significant Change in Property Between Taxable Status and Sale Dates 13. Full Sale Price e 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. T�1�f ter•,, ^>_`_ a Et/A.SI V C 14,Indicate the value of personal I —a O Q I TO �` P��I 1r�^I��' property included in the sale ! ! ASC G 16.Year of Assessment Roll from which information taken LJ 17.Total Assessed Value(of all parcels in transfer) I b S o 18.Property Class Ie" y I—L 19.School District Name SOI)T RV UD 20.Tax Map Identifier(s)/Roll Identifier(s)(If more than four,attach sheet with additional identifierls)) I Vis� 94C i000 . SEK_-odo 7o , I3LouV 4, ° LOT 3 I certify that a6 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 will subject me to the provisions of the penal In relative to the making and filing of false instruiments. n BUYER BUYER'S ATTORNEY uut1- N 4(z(zy s . BUYER SI TUI GATE EAST NAME / FIRST NAME S �L STL)(Z�j(1If�Ya� 6OUV_1 'a /MI 441— ec(,(,,, STREET NUMBER STREET NAME(AFTER SALE) AREA CODE TELEPHONE NUMBER I �t�EDI1J Fc� --TL � CITY OR TOWN STATE ZIP CODE 7LER CPTYffOWN tkSSE.S3O COPY 1389 a ul SELLER SIGNATURE PATE