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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 07/1S/2013
Number of Pages: 4 At: 09:55:08 AM
Receipt Number 13-0085373
TRANSFER TAX NU1~ER: 12-27844 LIBER: D00012736
PAGE: 457
District: Section: Black: Lot:
1000 063.00 04.00 408.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $320,000.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $20.00 NO Handling $20.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $125.00 NO
TP-584 $5.00 NO Notation $0.00 NO
Cert.Copies $d.00 NO RPT $60.00 NO
Transfer tax $1,280.00 NO Comm.Pres $3,400.00 NO
Fees Paid $4,935.00
TRANSFER TAX NUI~ER: 12-27844
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
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Number of pages ~~E 1 ~ Ltul 15 l Rif
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This document will be public L UQ~l~i2~R~
record. Please remove all ~
Social Security Numbers f~-~r~~~
prior to recording.
Deed f Mortgage Instrument Deed !Mortgage Tax Stamp Reco~ding~l Filing Stamps
~ FEES
Page f Filing Fee ~ ~ Mortgage Arnt.
1. Easic Tax
Handling 2.~ Additional Tax
~
TP-~$4 Sub Total
Notation ~ Spec.lAssit.
~ ~~r or
EA-5217 (County} ~ Sub Total Spec. IAdd,
EA-5217 State} ~ ~~j ~ TOT. MTG. TAB
- ~ ~ Dual Town Dual County
R.P.T.S.A.
Meld for Appointment
. ?
Carom, of Ed. 5. ~a
. ~ Transfer Tax
* ~ Mansion Tax
Affidavit .
~ The property covered by this mortgage is
Certified Copy ~ or will be improved by a pne or two
NYS Surcharge 15, ~ family dwelling only.
Sub Total
YES ~ or ND
Other
-
Grand Total ~ If NO, see appropriate tax clause an
~'~l. page # ~ of this instrument.
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4 Dist. Rl?,rlr ~.nr 5 Camrnuni~y Prese~rvatian k`~und
13~1~~50 lavo os~
Real PropE QO 0400 008000 Consideration Amount ~
Tax Sere: P T ~ ~
Agenc~ ~ ~ CFF Tax Due $ -
Verificati 09,111E-t3
Improved,
~ SatisfacnansrUiscsi~~gCS,nc~caa~5-L~~~,.~-iu~~~t~ ~~,.~,,,1~..,,.~,.1ng Address
. RECQRD & RETiIRN TU: Vacant Land
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Mail to: Judith A. Pascale, Su#faEk County Clerk 7 Title Com an Information
31 a Center Drive, Riverhead, NY 1 ~ 901 Co. Name ~ '
www.suf~olkcauntyny.govlclerk ~
Title # • ~3 ~ ~ ~ a'f~ 9
~~~o~~ o~nt Recar ~
~ n Endorsement P~ e
This page forms part of the attached ~ ~ 1J made by:
(SPECIFY TYPE DF INSTRUMENT}
~ The premises herein is situated in .
SUFFOLK COUNTY, NEW YQRK.
• TO ~ In the TOWN of ~ ~ ~ Q
~ ~
. ~S In the VILLAGE
or HAMLET of
BOXES G THRU 8 MUST BE TYPED 0~ PRINTED IN BLACK INK ONLY PRIOR TG RECORDING OR FILING.
~x-axo~.aoras~ ~r~verl
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CONSULT YOUR LAWYER BEFDRE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
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' THIS INDENTURE, made the da of c1~1~ in the ear Twa
Y Y
Thousand Thirteen ~ ~ s ~ , r~ -F c o ~ ~ w ~ e r ~ 1, ~ ~ ~ ~
BETWEEN
Joan Baier, having an address of 313 Camden Park Drive, Goldsboro, NC ~753~,
party of the first part, and
Nancy Butkus, having an address of 878 VV. End Avenue, New York, New York 10~~5,
party afthe second part,
WITNESSETH, that the party of the first part, in consideration of Ten Dollars and O~It 0~ ($1 O.OU)
paid by the party of the second part, does hereby grant and release unto the party of the second part,
the heirs ar successors and assigns of the party of the second part forever, .
A~
-L that certain plat, piece or parcel of land, with the buildings and impra~~ements thereon erected,
situate, lying and being at Town of Southampton, County of Suffolk and State of New Yark,
SEE SCIfED ULE "A "A TTACI~~~ ~IERETO AND BADE A PAPT ~lEREOF
Being and intended to ~e the .game premises described in a Deed nicrde by Diane ~1, Wane!! rrnd
Cecilia B. Gomez, as Co-executor's of the Last Wit! and Testament of Joan A, Brester dated
iYavem6er G, 1999 and recorded with the Offr'~~e of the Suffolk County Clerk an January 10, ~40~
in Liber 11012 Page ~lG .
TaGETI-IER with all right, title and interest, iFany, of the party of the first part in and to any streets
and roads abutting the above described premises to the center lines thereof; TQGCTHER with the
appurtenances and all the esta#e and rights at' the party of the first part in and to said prerises; TO
~ HAVE AND TD 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 part~f of the f rst part has not done ar sufft~rt~~i
anything whereby the said premises have been encumbered in any way whatever, except as afarti~;~~icl.
AND the party of the first part, in compliance ~-ith Secticfi~ 13 of the Lien Law, covenants th~~t the
party of the first part will receive the consideration l~ar this conveyance and will hold the right tr
receive such consideration as a trust fi~ud to be applied first for the purpose of paying the cost air the
improvement and will apply the same first to the payment of the cost of the improvement before
using any part of the total c~t'the same far an}! other purpose. The word '`party" shall be construed as
if it read `'parties'' whenever the sense of this indenture so requires.
IN V4'ITNESS WHEREaF, the party of tl~e first part has duly executed this deed the day and year
first above written.
I~' THE PRESENCE OF
1oa~~ Baier
Standard N.Y.B.T,U, Form 8002 -Bargain and Sale Deed, with Covenant against Grantor's Acts -Uniform Acknowledgment
Form 1 X04-1
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~'~d~I~t~ N~tl~na~ TYtI~ Znsurn~e company
TrT~~ ~v~. ~ ~ ~~~~~~-~o~~~su~~
~IE~]U~ A-~ ~~esc~i~~io~~~
ALL that certain plat, pied or parcel of land, situate, lying and being at authald, Town of Southold, County of ~u~~`olk
and state afNew York, bounded~and described as faliows:
BECINNINC at a paint marked by a rnonurr~ent an the easterly line of Town Harbor bane at the westerly corner of the
premises herein described and the southerly corner of land of smith;
F~UNNI TI~~CCE along the southerly line of said other land of smith and land now ar formerly of
burns, ]forth
degrees minutes 4a seconds East, a distance of 2~?'.97 feet to a point marked by a monument and land formerly of
i~utter;
~UNNI~~ THENCE along said sand of Rutter, auth 3G degrees 31 minutes 4~ seconds East, a distance of 100.95 feet;
I~UNNi'N THENCE youth S8 degrees ~8 minutes ~D seconds west, a distance of ~~~.91 feet to tl~e easterly line off`
Town Harbor Lane;
r~I,TN~NIN THENCE along the easterly line of Town Harbor Lane, Forth ~ 1 degrees ~ 1 minutes 1 ~ seconds 1~est, a '
distance of 82.4 feet to the palm ox place ofBl~ii:N~.
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~'~fE ~°~Lf~Y ~'0 ~E ~S~ULD t~rrder this carnr~itmen~ wild insure the title to such burldir~gs ar~d improveme~rts ora the premises which
haw constitute rea! property. ~ ;
F~~ ~~VYEYAN~fN~ O~V.LY; Together with a~! the rr'ght, tithe and interest of the party of the~rst part, of r'~r ar~d to the eland lying
in the street irr frar~t a~'and adjainirrg saidprernises.
~CHDtIL~ ~-I ~~Jescript~~r~~ .
acv, ~~31~4}
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' ` TD BE USED D;r'LY WHEN THE ACKNDWI,EDGMEwT 1S i~1ADE IIV' N'EW YORK STATE
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State af'New Yurk. County of Suffolk ss: State of New York, County of ss:
Cn the ~ day of , ?013, before me, the Un the da}~ of in the year ?013
' undersigned, personally appeared personally before me. the undersigned, personally appeared
knat~~n to me ar proved to me an the basis of'satisfactury cvidencc tcf
he the individual{s) ~vhose name(s) is (are} subscribed to the u~ithin personally known to me or proved to me on the basis of satisfactory
instrument and ackno4+~ledgcd to me that helshelthey ckecuted the cvidencc to be the individual(s) ~~~hase name{s} is (arc} subscribed to
same in hislhcrltheir capacity(ies}, and that by hislherlthcir the within instrument and acknowledged to me that helshelthey
signature{s} an the instrument, the individuals}, ar the person upon cxecutc;d the same in hislhcrlthcir capacity{ies}. and that by
bchalfaf which the individual(s) acted, executed the instrument. hislherltheir signature{s} on the instrument, the individual(s), ar the
person upon behalf of ~vhich the individuals} acted. executed the
instrument.
(signah~rc and of~icc of individual taking acknowledgment} _
(signature and afTice of individual taking acknowledgment}
TD BE USED QN`LY WHEN THE A~CK,ti°OWL~;DGMENT IS MADE OUTSIDE NEW YORK STATE
State of North Carolina County of YV~ V~~ ss:
r~d
On the ~ day of ~ in the year ?013, before mc, the undersigned, personally appeared .loan Beier personally known to ire
or proved to me an the basis of satisfactory e~Fidenee to be the individuals} whose name(s) is (are) subscribed to the within instrtimcnt and
acknowledged to me that helshelthey excycutcd the same in hislherltheir capacity(ics}, and that by hisfherltheir signature(s)on the instrument. the
individual(s), or the person upon behalf of which the individuals} acted, executed the instrument, and that such individual made such
appearance before the undersigned in the
V~ ~5~~~ in ~ ~ ~li'~
{insert the City or other political subdivision) (and insert the State or Countr ~ or ether place the acknowledgment was taken)
r~~~~~~' j~~~t~~~ {signature and office aFindividual taking acknowledgment)
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DISTRICT f OQO
' ~ ' SECTIQN b~
`ri ~
~~~~~~~~~y`1~'~ BLOCK 4
~rl~ LOT 8
BOUNTY OR TOWN Southold
BARGAIN AND SALE DEED STREET ADDRESS G55 Town Harbor Lane
WITH COVENA(1'T AGAINST GRANTOR'S ACTS
Title No. F13-7404-904~4SUFF Recorded at Request and
RETURN BY MAIL T0:
Joan Beier Olsen & Olsen, LLP
32495 Main Road
TD PO Box 70d
Cutchogue, NeW York 11935
Phnne: b31-734-766G
Nancy Butkus Fax: X31-734-7712
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INSTRUCTIONS(RP'S2i7-PDF-INS): tNww.otps.state.ny.us
•IFOR COUNTY USE ONLY' New York Stale D~epartrnent a(
ci.'srlvls Coae , ,~',~i°~ I Taxation and Finance
cs. Date Heed Recorded ~ ~ ~ ~ ~ ice of Real Properly Tax Services
Y,~r RP- ~Z17-PDF
C3. Book ~ C4. Page Rea! Property Transfer Report (8110
PROPERTY INFORMATION
1. Property X55 Town 'arbor Lar:e
Location
'tiTREET ~r.JMBER ' STREET NAiiE
Southold 11971
•cirY oR TOtAH vr.ucE ' ~FCOOE
Z.euyar nutkus V~ncy
Name
' LAST NAIl~OaMPAH'r F RST NAME
LA$T r~lµ$;I~p11MMrry h~RBT NA1e:
S. Tax Indicate where future Tax Bdls are W be sent
Billing if other than buyer address(at baltom of form} LAar NArrr:xoAVANr FwsT wurE
Address
$TR1:ET MAASER ANp NAPE CITY r7R TC1M1 STALE ~p Cpp[
4. Indicate the number or AasassnTart (Only If Part of a Parcel} Chock as they apply:
1 A of Parcels pR ~ Part at a Parcel
Roll percela transferred an the deed 4A. Planning Board wrth Subdivision Aulhonty Exis;$
Dtrad ~ ~k ~ • ~ ~ 4B. Subdivision Approval was Required for Transfer
Property ' F'RpNT FEET ' pEph{ 'ACRES
Si:e 4C. Parcel Approved for Subdiv,s~an with Map Provided
Beier J~a:t
Sailer . usT NAh~lCOIa~ANY FIRST NAA$:
Nama
LAST NAYFJCO111PANY FlR$T NAB
'7. Salad the doactiptlon which moat accurately describes the Check the boxes below as tltay apply:
use of the propargr as the time of sale: 8.Ownership Type Is Condominium
r1.Ott~ Famil? kt:~iclentia! 9. New Gonstrtrctiott on a Vacant Land
10A. Property Located w,~hin an Agriculttrrat District
108. Buyer received a dlsdosure notio9 indicating lt+at the property is to an ?
Agricultural D~tx
SALE INFORMATION 1S. Chock ono ar more of those conditlorts as applicable to transfer:
A. Sale Between Relatives tx Former Relatives
i i. Sato Contract Dats ~ l! ~ ~ ~ ~ ~ ~ ~ 3 B Sage between Re~tad Companies or Partners in Business
C. One of the Buyers is also a Seller
D. Buyer or Seller is Government Agency or Lending Institution
i Z. Date of SalolTranafer ! J ~
E. Deed Type not Warranty or Bargain and Sale SSpeaty Below}
F. Sale ~ Fracsottal of Less than Fee Interest (5pedfy Bekrilr}
' 1 Full Sala Ptics ~ ~ p p ,p p G. S~gndicant Change in Properly 8etwaen Taxable Status and Sale Dates
H. Sale of Business is Included iri Sale Price
(Full Sale Price is the total amount paid br the property including personal property. I. Other unusual Factors Alfect<ng Sale Price (Specify Bebw}
This payment may be rn the form of cash, other properly Or goods, or the assumpi,on of J. Hone
mortgages a other oblations)Please round to a7he nearest rrhalle doSaramorrnt
Comments} on Condition:
14. Indicate the value of parsartal
property Included in the aela
ASSESSMENT INFORMATION -Data shatrld reflect the latest Fina! Assessment Roll and Tax Bill
1t3. Yearof Assessment Rall from whkh Informellan takentYY} ~ '17. Total Assessed Value rj~ p a ~
•1B. Properly Claae 1 ~ _ '19. Scholl District Nama ~ ~ ~ $ ~ ~ ~ l o , ~
'2G. Tax Map Idantlflar~s}Ilioll Identiflar(s} (If more than faur~ attach sheet with addltlonal idanUfieris}}
1004-53-9-8
CERTIFICATION
I CeRlfy that all of the Items of Infornratlon entotnd on this farm are We and cameo (to the bast of my knowledge and belief} and I understand that the trtaking of any willful
false st+itamotri of material fact heroin wbject ma to the.PravlalQpB,~,~~ ppnpl,l~r,ralatire to the making artd filing of fal>~a instruments.
SELLER SIGNATUA~ @li.Y.~R CONTACT INFORNIq I~,N
(Crier Gryiarma:~or'a pw txry+cr Nale. Ir txryer ~e LLC.society, msioGO:gn, oorcderion, ldn; stock oprippny, e:tete tx
ent~tr tnm ~ oat on rieniai.ot aaarr. ar ho„oery. In6n a noire end aorred ettormptbn tk en rldi++e:rmYreepanE.hb
peaty who cmr answer quaugna repenting u+e treneler muai ee erxarad Type a pdM clearly.}
sE Tune
BUYER SIGNATURE Butkus fancy
' LA$T NAME FlRBT NAPE
AREA c,cSDL 'TELEaHCr~E rnaraa.R e:•' asawear
elJ'rER sicNA
~7~ Vr'. E::c Avcnt:e 1~E
' STeEEi rrAJMW.R ' S. MEET hMME
t i I ~ New YUrk NY 14025
~ 'CITY ORTONaN '8TA1C 'ZPCOOE
~~IYER'S ATTORNEY
i , 0!Seri ~ Olsen
l
1 ~ ~ usT NAIYIE FeesT NAPE
I I ~ ~~3i~ 7~i-7~GIi
4 AREA CdGe TELFP~IONE +IJS$tER <Ek 40e{laaii
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