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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 08/21/2014
Number of Pages: 4 At: 10:43:13 AM
Receipt Number : 14-0110147
TRANSFER TAX NUMBER: 14-01957 LIBER: D00012785
PAGE : 765
District: Section: Block: Lot:
1000 070.00 09.00 029.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $490,000.00
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 $0 .00 NO RPT $60.00 NO
Transfer tax $1, 960 .00 NO Comm.Pres $6,800.00 NO
Fees Paid $9,015.00
TRANSFER TAX NUMBER: 14-01957
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
r aI2
REi-ORDE[+
Number of pages `
2014 Aug 21 10:43:13 AM
JU€iITH R. PASCALE
This document will be public CLERK OF
SUFFOLK COUNTY
record. Please remove all L D00012785
Social Security Numbers P 76'
prior to recording.
6T# 14-0195
Deed 1 Mortgage Tax Stamp Recording/Filing Stamps
Deed/Mortgage Instrument
FEES
3 Mortgage Amt.
Page/Filing Fee 1. Basic Tax
Handling -------� 00 2. Additional Tax
Sub Total --
TP-584 Spec.(Assit.
Notation or
Sub Total�._--- Spec./Add.
EA 52 17(County} TOT.MT.G.,TAX
EA-5217 (State) -- Dual Town Dual County
Held for Appointme
R.P.T.S.A, �-- � -���q�(�
5. 00
Comm.of Ed. Transfer Tax
Mansion Tax
Affidavityl The property covered by this mortgage is
Certified Copy or will be improved by a one or two
family dwelling only.
NYS Surcharge 15. 00 Sub Total YES or NO
Other If NO,see'appropriate tax clause on
Grand Total P- g # of t1us instrument.
-,,0 -Community Preservation Fund
4 Dist. 1000 l.lgOi�_00
14020997 1000 07000 0900 029000 1✓onsideration Amount$ "7
Real Property
Tax
ServiCe DYY A 111111111111111111111111111111IIIIIID)I�I(III CPF Tax Due $ -_ 6
Verification 18-AUG-1 Improved
Satisfactions/lliscliarges/Keteases c-tsrrrupc4Ly-vw==�=�'_"u==•••s•'•dress Vacant Land
6 RECORD &RETURN TO:
TD
Kevin McLaughlin, Esq.
44210 County Road 49 TD -----
P. 0. Box 1210
Southold, NY 11971 TD
Mail to:Judith A. Pascale, Suffolk.County Clerk 7 Title Com an Information
310 Center Drive, Riverhead, NY 11901 Co.Name Fidelity National Title
www.suffolkcountyny.gov/clerk Title# 7-SUFF
8 Suffolk County Recordin .tndorsenlent Pa e
made by:
This page forms part of the attached DEED (SPECIFY TYPE OF INSTRUMENT)
MARVIcmmF (RISRMAI3 The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of
SOUTHOLD
REBECCA BAUSCH BAUSCH AND DAVID BUMS _ In the VILLAGE SOUTHOLD
or'HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S
ACTS(INDIVIDUAL OR CORPORATION)
STANDARD NYBTU FORM 8007
CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER BEFORE SIGNING.
THIS INDENTURE,made the 12— day of 2014
between ' �J
MARVIN GRUBMAN and ANNETTE GRUBMAN,residing at 50 Breitstadt Court,Southold,NY
11971
party of the first part,and
REBECCA BAUSCH and DAVID BURNS,husband and wife,
residing at 26 Bellair Dr.,Mbs Ferry,NY 10522
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other lawful
consideration,lawful money of the United States,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.
SEE SCHEDULE`A'ATTACHED HERETO AND MADE A PART HEREOF
Being and intended to be the same premises as described in deed made by Wesley Bednosky and Mary L.
Bednosky,his wife,recorded 06-09-77,Liber 8249 page 374.
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,
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 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"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.
Lo
MARVIN GRUB AN
ANN TE GRUB AN
NYSBA Residential Real Estate Forms on HotDocs(9/00) Copyright Capsoe Development
-1-
STATE OF NEW YORK )
ss.:
COUNTY OF SUFFOLK )
On the l Z day of f k4g4 ,in the year 2014,before me,the undersigned personally appeared
Marvin Grubman and Annette Grubman,personally known to me or proved to me on the basis of satisfactory
evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that
they executed the same in their capacity,that by their signature on the instrument,the individual,or the person
upo half of which the' dividual acted,executed the instrument.
NOTARY PUBLIC
TARA GARGANO
Notary Public,State of New York
No.01GA5067150
Qualified in Suffolk CountylLI
Commission Expires Cct.15,20
DEED
Title No Section 070.00
Block 09.00
GRUBMAN Lot 029.000
County or Town SUFFOLK
To
BAUSCH& BURNS
Return By Mail To:
Kevin McLaughlin,Esq.
44210 County Road 48
P.O.Box 1210
Southold,NY 11971
Reserve This Space For Use Of Recording Office
NYSBA Residential Real Estate Fomes on HotDocs®(9too) Copyright Capsofto Development
-2-
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idefty.Nationa gitfe Insurance Campa7
: .�F14>740:9486-4')TT:
SCfiIMVLE A-I(Description)
Amenr(ed 07102/14
ALL that certain plot,piece or parcel of land,situate, lying and being in the Town of Southold,County of
Suffolk and State of New York, known and designated as Lot No. 16 on a certain map entitled "Map of
Smithfield Park" and filed in the Office of the Clerk of the County of Suffolk on December 27, 1966 as
Map No.4770 being bounded and described as follows:
BEGINNING at a point on the easterly side of Breitstadt Court at the extreme northerly end of a curve
connecting the easterly side of Breitstadt Court with the northeasterly side of Clearview Avenue;
RUNNING THENCE North 20 degrees 51 minutes 30 seconds East along the easterly side of Breitstadt
Court, 124.45 feet;
THENCE South 75 degrees 19 minutes 30 seconds East, 135.00 feet;
THENCE South 22 degrees 19 minutes 20 seconds West, 165.60 feet to the northeasterly side of
Clearview Avenue;
THENCE northerly along the northeasterly side of Clearview Avenue the following 2 courses and
distances:
1) Along an are of a curve bearing to the left having a radius of 1030.23 feet a length of 56.54 feet;
2) North 69 degrees 08 minutes 30 seconds West,48.46 feet;
THENCE northerly along an arc of a curve bearing to the right having a radius of 25.00 feet a length of
39.27 feet to the easterly side of Breitstadt Court at the point or place of BEGINNING.
THE POLICY TO BE MUED under this commitment will insure the title to such buildings and improvements on
the premises which by law constitute real property.
FOR CONVEYANCING ONLY.- Together with all the right, title and interest of the parry of the first part,of in and
to the land lying in the street in front of and adjoining said premises.
SCFIED ULE A-1(Description)
Rev.(03/04)
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS IRP-6217-INS):www.orps.statemy.us
FOR COUNTY USE ONLY
C1.SMS Code ~ New York State Department of
Taxation and Finance
C2.Date Dead Recorded / Office of Real Properly Tax Services
/ e� (^,� G ay '� C� Q RP-5217
C3.Book I /, 01 7,b r�1 C4.Page I .71&;^' I Real Property Transfer Report(sMO)
PROPERTY INFORMATION
1,Property 1 50 1 Breitstadt Court 1
Location SBMETx�R5
I Southold Southold 11971 1
CIN all TORN ----_VILLAGE LP CaaE
2.Buyer 1 Bausch I Rebecca 1
Nems1w"PiE1 €i0§rte€
1 Burns 1 David
�tsl'taas7-eam� flIRT
3.Tax Indicate whore future Tax Bois are to be sent
Billing If other then buyer address(at bottom of form) 1
Address FDMW
I aM
4.Indicate the number of Assessment lOny N Part of a Parcel)Check Be they apply:
Roll parcels transferred on the deed I 1 19 of Paroels DR Pad of a Parcel
4A.Plenrdtq Board with Subdivision Authority Exists ❑
s.Deed 4B.Subdivision Approval was Required for Transfer
ProWrUX �OR 1 idAs O4.� 4C.Parcel Approved for Subdivision with Map Provided
Blas
g.sailor I Grubman Marvin
Name �D' I
1 Grubman Annette
�uer,waaE•lmrsaar n
7.Check the box below which most accurately describes the use of the property at the time of sale: Chock the boxes below as they apply:
9 ❑
.Ownership Type is Condonunium
A X Ona Family ResidentialE Agricultural I Community Service 9.New Construction an Vacant Land 0
B 2 or 3 Family Residential F Commercial J Industrial 10A.Property Located wilhin an Agricultural District FI
C Residential Vacant Land G Apartment K Public Service 10B.Buyer received a disclosure notice indicating
D Non4*mldontW Vacant Land H Emedairunent I Amusement L Forest met the property is in an Agricultural District
SALE INFORMATION I 13.Check one or more of dim conditions as applicable to transfer.
1t.Sale contract ora I 06 / 09 /2014 A Sale Between Relatives or Former Relatives
�r Dar— 'fear B Sale Between Related Companies or Partners In Business
I� C One of the Buyers Is also a Seller
12.Daft of Belo I Transfer / Lr/ D Buyer or Sollor is Government Agency or Lending Institution
m ay Yow E Dead Type not Warranty or Bargain and Sale(Specify Below)
F Sale of Fractional or Less then Foe Interest(Specify Below I
13.Full Sale Price (i Significant Change in Property Between Taxable Status and Sale Dates
I - - 4 9 0 1 0 O O e 0,0 H Sale of Business is Included in Sale Price
(Full Sob Price is the total amount paid for the property Including personal property. 1 Other Unusual Factors Affecting Sale Price(Specify Below)
This paynanf may be in the farm of cash,other property or goods•or the assumption of J None
mortgages or other obligations.) Phase round rotfre neamst whab dchr emow d.
14.Indicate the value of portional 0,0
property Included In the sale �--}_----- .0 . 1
ASSESSMENT INFORMATION -Data should fe0ect the least Final Assessment Rall and Tax BIN
10.Year of Assossmtnt Roll from
which Information taken I 1. 3 117•Total Assessed Value(of all percale In tnrsar� _ '4 . 6 .0 .0
19.Property Class 12 1 0 -u 19.Schooi District Name I Southold
20.Tax Map IdentMer(s)I Roll Idwdffler(s)(N more than four,attach sheat with additional IdemdMr(s))
1 1000-070.00-09.00-029.000 1 I I
1 i I I
CERTIFICATION
1 sanity that es of the K—..1 int-sawd.n.etwad on thin arm are true and correct(fa the bad at my knswladge sea belbo and I understand that the making of any wlnlul
fake stagnant of material feet berdn will svblacl nor to em prowalone of the proal law relative to the owAks and suns of idea lastrananw.
i/ LER SIGNATURE BUYER CONTACT INFORMATION
(Enter inb nail n for the buyer.Noe:If buyer is I.I.C.society,msOdwan,o MWftm.W+s woe,
y (—� mngmry assert m,mely test rr rat an on wrie quaror fiduciary.renng t a Inn s rend mnwp iened. on
7 d an ndbid nt.komese Perry whoa,pnear 9umswn nW,dtna the uanwar mm be entente.
SEl Jr�i11NE MiC Type�grin!pNerly.)
BUYER SIGNATURE J 1 $U,u5 c- I R oc-CC—a-
_�b/��J�y uAsTanuE V� —j FFI�ITNAMMEE
rER TWE DATC! / 1 I / �� DQ'3
BUYER'S ATTORNEY r,REAcooF J TEtEP40NENUMBER
McLaughlin I Kevin Z! 1 ;e ll att}r briVe
LAST NAME FIRST NAME t0 f✓�.
631 L765-6085 STREET NUMBER W0661 NAME �/ }
ATEA CAGE TELEP,ONE NUMBCR
NEW YORK STATE CITY an nom STATE zPCOOE
COPY