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L 12718 P 767
III SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 5 Receipt N~mh_er : 13-0010522 TRANSFER TAX NUMBER: 12-14159 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 056.00 05.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $25.00 NO Handling COE $5.00 NO NYS SRCHG EA-CTY $5.00 NO EA-STATE TP-584 $5.00 NO Notation Cert. Copies $0.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 12-14159 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 01/28/2013 10:53:54 AM D00012718 767 Lot: 001.003 $20.00 $1s.oo $125.00 $0.00 $60.00 $0.00 $260.00 Exempt NO NO NO NO NO NO Nunibe~ bf pages -~ This document will be public record, please remove all Social Security.Numbers prior to recording. RECORDED 2013 Jan 28 10:53:54 JUDITH R. PR$CRLE CLERK OF SUFFOLK COUNTV L 000012718 P 767 bT# 12-14159 ~)eed / Mortgage Instrument Deed / Mortgage Tax,Stamp J Recording l Filing Stamps FEES Page/. Filing Fec Handl!ng TP-58! Notafibn EA-52 17 (Count) EA-5217 (State) R.P.T. ,S.A. Con~t. of Ed. Affidavit Certifie .d Copy ,~ - NYS Shrcharge Other ; 5. O0 15. 00 ',', SubTotal Mortgage Amt. 1, Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointment ~ Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES__ or NO If NO, see appropriate tax clause on page # of this instru/~._t.t~ . I 5 COmmunity Presezwation Fund , Consideration Amount $ CPF Tax Due $ 4 Real ~ropert~ Tax Service ,. Agency i VenficaUon.t Grand Total 05600 0500 001003 6 hnproved Vacant Land TD TD TD Satisfactions/Discharges/Releases List Prope~y O~vners Mailing Address.' f ! i RECORD e RETU.RN~ TO: .: i I [ i ,, : i : i , I Mail to: dud tt~ Title Company Information 'il } ' ' ' ! I " '/ 310 Genter Dri¥o, RivorheadJNY !~ 100~ · i ~.'~.olkoo~.:v.V.:o~/::% Shffoik County R c~rding & Endorsement Page This Jpage forms part of the attached ~' i' ] (SPECIFY TYPE OF INSTRUMENT) made by: ~'//~'/~grZ/~/: ~/~/// ~ i The presses herei ~ is situated in . ,~g:~'~: ~~~, ~/ z' " ~, ~u~o~. cou~ ~w ~o~. ', ~ ' TO ~ In~eTO~ of I or ~LET of I B0~S 6~THRU ~ MUST BE TYPED OR P~E~ IN BLACK ~K ONL~ P~OR TO ~CO~G OR ~G. (oye~) BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) FORM 8002 (short version), FORM 8007 (long version) CAUTION'. THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. rltlS INO£NrURE, made the /'~.~ C 2 I., 20 I 2r BETWEEN Christian F. Baiz, Ill and Rosamond Phelps Baiz, of 59600 Main Road (P.O. Box 726), Southold, New York 11971, party of the first part, and DEKKA, LLC c/o 59600 Main Road (P.O. Box 726), Southold, New York 11971, party of the second part; WITNESSETH, that the party of the first part, in consideration ofTen Dollars and No Cents ($10.00) 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, more particularly described in Schedule A attached hereto; 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 the estate and rights of the party of the first part in and to said premises, TOHAVEAND TOHOLD 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 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 wilt 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" shall be construed as if it read "parties" whenever the sense of this indenture so requires. N YSBA's Residential Real Estate Forms ~9/00) © 2012 Matthew Bender & Co+, a member of the LexisNexis Group, IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year IN PRESENCE OF: Acknowledgment by a Person Within New York State (RPL § 309-a) STATE OF NEW YORK ) COUNTY OF ,4.~.~'~~'d~ ) ss.: , ) On the -'~ I day of ~ in the year ~O! 'XS', before me, the undersigned, personally appeared Christian F. Baiz, 111 and Rosamond Phelps Baiz, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that they executed the same in their capacity(ies), and that by their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. (signature and office of individual taking acknowledgment) JOHN S. ERW1N .... Notary Public, S of New York No. 02ER6047187 Qualified in Suffolk County Commission Expires August 28, ~ NYSBA's Rcsidenlial Real Estate Forms (9/00) © 2012 Matthew Bender & Co., a membcr of the LexisNexis Group. -2- Dec 12 12 11:29a Rosamond Bail 631 765 3553 p.5 BEGIE~I~G a~ a ~onum~n~ a~ ~he ~ln~ of ~e~.c~ion o~ TH~C~ continu~n~ ~long aaX~ land of ~iZ tn~ ~lng &XORg TH~C~ cGn~inu~ng along ~hG e&~d ~&nd o~ Ka~ L. Sa[z ~ de,roes 44 minu~es Eal~ 82.00 famt ~o a ~on~n~ and a point In thm so~therl~ line of thm maid land of ~ L. BALL, being ~he ~o~ost corner o~ l=nd fo~r~y ~ N%,TT lO' ~ -oran 44 degree~ 1~ mi~u~aa~l~40 ~..~ ___~ TKE~z ~nn/n~ ~ong t~e sOUtherly Line ~f HaAn angle poin~ in ~he line o~ ~ln Road] · ~ENCE oon~Anuing along c~e &ou~h~ly line ~ Ma[~ Ro~d Hor%h'~B de,ream O] m[nu~o~ 10 second~ East XgJ.14 feet monuaent ~t tho ~in~ of Deed Title No. Christian F. Baiz, Ilt and Rosamond Phelps Baiz To DEKKA, LLC District 1000 Section 056.00 Block 05.00 Lot 001.003 County or Town Street Address Town of Southold Southold, New York 11971 Return By Mail To: John S. Erwin, Esq. Hill, UIIman & Erwin 825 Third Avenue New York, New York 10022 Reserve This Space For Use Of Recording Office NYSBA's Residential Real Estate Forms (9100) © 2012 Matthew Bender & Co., a member of the LexisNexis Group. -3.- FOR COUNTY USE ONLY Cl. SWIS Code C2. Date Deed Recorded C3. Book I ~ PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM. INSTRUCTIONS: http:l/www.orps.state.ny.us or PHONE (518) 474-6450 IL{"'*~ '~ "~' 'g '6~1 I ~ REAL PROPERTY TRANSFER REPORTsTATEOFNEWYORK ,~,'"~ , I,~1 C4.Page I I IVI~ ,"~ RP - 5217 PROPERTY INFORMATION I 11971 I I $. Tm~ Indicate where fumm Tax Billa are to be sent BlllinB if other thsn buyer addrMs (at bottom of folTn) I I I Roll parcels tmns~effid on the deed I . I a of Parcels OR Pert of a Parcel 4A, Planning Board with Subcliviskm Authority Exbas [] 5. Demi ~ ~/. ~ 4B. Subclivi~io~ Approval was RKluimd fm Transfer [] ,,op.~, I I x I I OR I ..... I ~c. P.=. ~,.,,~ ~,. s.~,~,~, Map P,o~d~ [] e.S.lkr [ BAIZ [ CItRTSTIAN F. I I BAtz I ~ P[-IELP$ I ?. Che~k the box below whiGh mom ,e~Jmtely d~dhes the uae id the property at the time of sale: Che(~ the boxes helow es they epldy:. 8, Ownership Type ia Condominium [] B[~ 2 or 3 Family Residential Commercial I [~ Industrial 10A. Property Legated wilflin an Agricultural District [] C~.~ Residential Vacant Land Apaf!.ment K[~ Public Sewice 168. Buyer received a disclosure no, es indiesdng [] D[~J Noo. ResJdential Vacant Land Entwrtainmenl/'Amuesment LL~ Forest tflattJrepropertyiainenAgffi:ulturclDistdct SALE INFORMATION J 15. Check o~e er rome of ~ eom~Umm ae a~dka~le to ten,m:. 11. SMeC~mreatDm I /L, / 2-1 / &Oi)_I ,..,,,.idsof.,~,..,~,. I /2,, / ~ /Zafzr .a.F., S.b P,~ I . . ; . . ; . . ; 0 . 0 I {Full S~le Pries is the total amognt paid for the pro~ i~ludmg ~r~nal pm~v. This ~yment m~ ~ in ~e form of ~sh, other papacy or g~s, or the a~um~ion M mo~gag~ or ~her obiig~iona.) ~ ~nd to the ~m~t ~o~ ~l~r amouat. 14, Ind~ t~ vaMe d ~1 I , , . , , 0 0 I pm~ Indud~ In t~ ~le ~ ~ · !Sale Between Relatives or Former Relathms Sale Between Rotated Cc~npanies or ~n~ in B~ O~ of the Bu~m is al~ a Seller Burr Or Seller is G~rnme~ ~W or ~i~ Indigen ~ Ty~ ~ WarmnW ~ ~in nnd ~le {~ ~ S~IG of Fr~ional or ~ than ~ I~m; (S~ ~1~) 5ignir~nt Cha~e ih ~o~ ~n T~ S~m a~ ~le ~ Sale id Busine~ is I~lud~ in S~lo ~ ~r Unusual Fa~om ~f~ing ~le ~ (S~ BeI~ None ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill Year of As~Mment Roll M)m . , .h .h .doml~d.. eh. ./ /''' I 17. Terat Ammd VehJe for Iai parcels hi l~,enshr] I ½ ' i .. ,,. ' 20. Tax amp Mifll~ria) I Roll Mml~flm[nl {ff mm than f~u~, atW, h M ~ sddltiml.l idBntifieria)) l SECTION: 056.00 BL: 05.00 LOT: 001.003 I I I I I I I I CERTIFICATION I cerdry that -11 of Ihs IL~ms of J-f'rc-nmdea eMemd oa thb L'm.m am true and mn~.cl ilo the he~ (E my kmmtedl~ ama la~lH~ mid I tmderstmtd tluat the nm]deR w0l .,mbJect ma fo Ute m-~wbiom of Ih~ Ixmal law relative to the tmakln(4 and rdinB of irad~ ~.,dresnan~ BUYER'S ATrORNEY ER~IN I JOHN 212 I 682-3366 I NEW YORK STATE COPY