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HomeMy WebLinkAboutL 12924 P 370 1111111111111111111111 illll 11111 11111 11111 11111 illl IIII 1111111(IIII IIIA IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/10/2017 Number of Pages : 8 At: 09 : 55 :28 AM Receipt Number : 17-0136930 TRANSFER TAX NUMBER: 17-01400 LIBER: D00012924 PAGE : 370 District: Section: Block: Lot: 1000 113 . 00 09 . 00 007 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $40 . 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 $200 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO Fees Paid $415 .00 TRANSFER TAX NUMBER: 17--01400 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County PIT RECORDED Number of pages 2017 Aug 10 09:55:22 AM JUDITH R, PR5CALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L DO0012924 Social Security Numbers F' :370 DT# 17-01400 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. Handling 20. 00 1.Basic Tax 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX —� R.P.T.S.A. ,y Dual Town Dual County L.W �,}, Held forAppointment_ Comm.of Ed. 5. 00 k' Transfer Tax C Affidavit _ Mansion Tax Certified Copy The property Ycovered bV this mortgage u or will be improved by a one or ar:o NYS Surcharge 15. 00 family dwelling only. Other Sub Total i YES orNO Grand Total 1[No ee appropriate tax clause on pa of this str lent 4 Dista 5 Community Preservati n Fund 17026263 1000 11300 0900 007000 TaxReal Proper, Consideration rltn0uni Servicer, a I 111111111111111,I1IIIIIIII1lllll,�111li, CPF Tax Due $ Improved 6 Satisfactions/Discharges/Releases List Propperty Owners Mailing Address RECORD&RETU RN T0: Vacant La�q /P Cr�� v^ FS{� U TD Cnt7 eo,#-+ TD '2/ ; �I T?ClCta� Pdlfil= TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 y.gov/clerk www.suffolkcounty n Co.Name �I 2 / Titlep Up 2 8 Suffolk County Recording & Endorsement Page This page forms part of the attached (/t. eo by: made f (SPECIFY TYPE OF INSTRUMENT) .,n bald �P JP�,�I� I�ry>bE[L The premises herein is situated in `0 ev n : SUFFOLK COUNTY,NEW YORK. / / 7--* �� In the TOWN of SOU �7" �`'� S,o �h C In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. loser —Bargain and Sale Deed,with Covenant against Grantor's Acts—Individual or Corporation(Single Sheet) CONSULT Y(jJR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE,made the AtA day of Al"—,in the year 2017 BETWEEN MARYANNE KIMBALL and FREDERICK KIMBALL,as her husband, 183 Beach 131st Street,Belle Harbor, NY 11694 as to a 33.333%interest;LOIS GILDEA,5960 Boulder Bridge Lane,Shorewood,MN 55331 as to a 16.667% interest;KEVIN M.GALLIGAN and ANNE E.GALLIGAN,his wife, 15 Rapp Run Road,Dresher,PA 19025 as to a 16.667%interest and WILLIAM GALLIGAN and EILEEN GALLIGAN,his wife,501 Briggs Street,Bellmore,NY 11710 as to a 33.333%interest,as Tenants in Common party ofthe first part,and TALLYWOOD SP INC.with an address at 183 Beach 131"Street,Belle Harbor,NY 11694 party of the second part, WITNESSETH,that the party of the first part,in consideration of 10(TEN)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 at Mattituck,in the Town of Southold,County of Suffolk and State of New York,and designated as and by Lots Nos. 42 and 43 on a certain map of property of William B.Codling,said map being filed in the Office of the Clerk of the County of Suffolk as Map No.745 on or about the IO h day of May, 1921,said premises being bounded on the North by mean high water mark of Mattituck Creek; on the East by land of Schutt; on the South by Meday Avenue and on the West by land formerly of Ethel Wells. Premises also being known as 1605 Meday Avenue,Southold, NY Section: 113.00;Block 09.00;Lot 007.000 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. IN PRESENCE OF: MAR KIMBALL FREDERICK KIMBALL ADDENDUM TO DEED 1N PRESENCE OF: 161c� Lois Gildea J(,L,—V- evin M.Galli n QA A./- J0 � C e E.Galljean r William Galliga leen Galli ACKNOyYLEkE11lENT TAKEN INNENY YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York.County of -1s: State of New York,County of ,ss: On the day of in the year before roc,the On the day of in the year before mc,the undersigned,personally appeared undersigned,personally appeared ,personally known tome or proved to me on the basis of ,personally known to me or proved to me on the basis of satisfactory evidence to he the individual(s)whose name(s)is(are) satisfactory evidence to he the individual(s)whose nanle(s)is(are) subscribed to the within instrument and acknowledged to me that subscribed to the within instrument and acknowledged to nlc that he/shcAlicy executed the same in his/her/their capacity(ics),and that by helshchhey executed the same in his/her/their capacity(ics),and that by hiss/her/their signature(s)on the instrument,the individual(s),or the his/her/their signatures)on the instrument,the individual(s),or the person upon hchalf of which the individual(s)acted,executed the person upon hchalf'of which the individual(s)acted,executed the instrument, instrument. ACKNOWLEDGEMENT BYSUBSCRIBING WITNESS TAKEN ACKNOWLEDCENI ENTTAKEN OUTSIDE NEWYORK IN NEW YORK STATE STATE State of Ncwv fork.County of ss: *Staieof M INNESOI'A_County of *(Or inscil District of Columhia,Ter nory, ossession or Foreign Oil the day of in the year before tile,the County) undersigned.a Notary Public in and for saidState,personally appeared the suhscrihing witness to the foregoing instrument,with whom On the kN day d ill the,year J�I ,betorc me 4:&S I[an personally acquainted,who,being by me duly sworn,did depose C"__"�'she undersi led personally appeared and say that he/shefthey residu(s)in Lois (,1 ueG Personally known to mo or proved to too on the basis of satisfactory (ifthe plrce of—id,,—is it,a city,include the street and streel number if any.Iherent): evidence to he the individual(s)whose naine(s)is(are)suhscrihed to the that he/she/they know(s) within instrument and acknowledged to inc that he/she/they executed the sante in his/her/their capacity(ics), that by his/her/their signature(s)on to he the individual described in and who executed the foregoing the instrument,the individual(%)or the person upon behalf of which the instrument:thin said subscribing witness was present and saw said individual(s)acted,executed the instrument,and that such individual make such appearance before the undersigned in the execute the same:and that said witness at the same lime subscribed his/her/their naine(s)as a witness thereto (add the city or political subdivision and the state or country or other place th a nowle m h m ANGELINA M MCCABE Notary Public State of Minnesota Bargain and Sale Deed Myis Jt nuary31,20mmissin 21rea With Covenants SECTION:113,N) BLOCK:09.00 Title No. LOT:007.000 COUNTY OR TOWN;SUFFOLK KIMBALL,GILDEA&GALLIGAN TO TALLYWOOD SP INC. RETURN BY MAIL TO: DISTRIBUTED BY JAMES P.CRONIN,ESQ., KEWA MATERA d CtNQUEMANI.P.C. 2174 Jackson Avenue YOUR TITLE EXPERTS Seaford,Ncw Yotti 11783 The Judicial Title Insurance Agency LLC (516)409-6200 800-281-TITLE(8485) FAX:800-FAX-9396 ACKNONYLEI'GEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of ,ss: State of New York,County of ,ss: On the day of in the year before tile,the On the day of in the year before me,the undersigned,personally appeared undersigned,personally appeared ,personally known to me or proved to me on the basis of ,personally known to me or proved to me on the basis of satisfactory evidence to he the individual(s)whose name(s)is(are) satisfactory evidence to he the individual(s)whose name(s)is(are) subscribed to the within instrument and acknowledged to me that subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),and that by he/she/they executed the same in his/her/their capacity(ics),and that by his/her/their signature(s)on the instrument,the individual(s),or the his/her/their signaturc(s)on the instrument,the individual(s),or the person upon hchalf of which the individual(s)acted,executed the person upon behalf of which the individual(s)acted,executed the i n.st ru men t. instrument. ACKNOWLEDGEM ENT BY SUBSCRIBING WITNESS TAKEN ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK IN NEW YORK STATE STATE pp /`� I�B�T4 A State of Neu York,County of ss: *Stale of PENNSYLVANIA.County of - , Ss. )1t1ee-I *(Or insert District of Columhia,Territory,Possession or Foreign On die day of in the year before me,the County) undersigned,it Notary Public in and for said State,personally appeared ,the subscribing witness to the foregoing instrument,with whom On the�I day of join the ycar�ojj ,hcfiirc me K-&Al+4-ot. I all personally acquainted,who,being by me duly sworn,did depose GA.LktErh'id the//undersigned personalty appeared and say that he/shekhcy reside(s)in Vev;t 0. W1--UA Personally known to oro or proved to me on-(hc basis of satisfactory porn•pl;rca urrcoldcta i,tri a dry.include IIic,Ircct mid stnet nuinber Arany,wc—f): evidence to he the individual(s)whose names)is(arc)subscribed to the that he/she/they know(s) within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ics), that by his/hcdtheir signature(s)on to he the individual described in and who executed the foregoing the instrument,the individual(s)or the person upon behalf of which the instrument:that said subscribing witness was present and saw said individual(s)acted,executed the instrument,and that such individual make such appearance hefore the undersigned in the execute the same:and that said witness at the same time subscribed his/herhheir n:une(s)as a witness therein (add the city or political subdivision and the state or country or other place the acknowledgement was taken). COMMONWEALTH OF PE NSYLVANIA NOTARIAL SEAL Carol Pawlowski,Notary Public Bargain and Sale Deed Upper Moreland Twp.,Montgomery County g My Commission Expires May 31, 2019 With Covenants MEMaeR.P NNSYLVANIA AS O�IATI N 0 NO ARIES SECTION:113.00 BLOCK:09,00 Title No. LOT:007.000 COUNTY OR TOWN:SUFFOLK KIMBALL,GILDEA S GALLIGAN TO TALLYWOOD SP INC. RETURN BY MAIL TO: DISTRIBUTED BY JAMES P.CRONIN,ESQ., KE4 Jack on Avenue MATERA CCINQUEMANI,P.C. 2174 Jackson Avenue r OUR TITLE EXPERTS Sealbnt,New York 11783 The Judicial Title Insurance Agency LLC (516)409.6200 800-281-TITLE(8485) FAX:800-FAX-9395 ACKNONVLE14GENIENT TAKEN IN NEW YORK STATE ACKNOWLEDGENI ENT TAKEN IN NEW YORK STATE State of Ncw York.County of ,ss: State of New York,County of ,ss: Ore the day of in the year before mc,the On the day of in the year before are.the undersigned,personally appeared undersigned,personally appeared ,personally known to me or proved to me on the basis of` ,personally known to me or proved to me on the basis of satisfactory evidence to he the individual(s)whose name(s)is(are) satisfactory evidence to he the individual(s)whose namc(s)is(arc) subscribed to the within instrument and acknowledged to are that subscribed to the within instrument and acknowledged to me that he/shchlicy executed the same in hislher/their capacity(ics),and that by he/she/they executed the same in his/her/their capacity(ies),and that by his/her/their signaturc(s)on the instrument,the individual(s),or the hislherhhcir signalurcys)on the instrument,the individual(s),or the person upon behalf of which.the individual(s)acted,executed the person upon behalf of which the individual(s)acted,cxeculc� the instrument. instrument. ACKNOWLEDGENIENT BY SUBSCRIBING WITNESS TAKEN ACKNONN ILEDGEMENT TAKEN OUTSIDE NEW YORK IN NEW YORK STATE STATE State of Ncw York.County of ss: 'State of PENNSYLV ANIA.County(it' , '{Or insert District of Columhiu,Territory,Posse>siot or Foreign On the (lily of in the year hetore nte,the County) undersigned,a Notary Public in and for said State,personally appeared. the subscribing witness to the foregoing instrumetn,with whom On the a1 day ofn the year aQ 11.before me ANNE E. Ian personally acquainted,who,being by me duly sworn,did depose GALLIGAN the uncle sR igned personally appeared A,, M and say that he/shellhcy reside(s)in Personally known to ntc or proved to me on the basis of satistitctory fit the place„t'rai&nce is in a city.include die sired and street number itnny,thcr-n; evidence to he the individual(s)whose nainc(s)is(are)subscribed to the that he/she/they know(s) within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ics), that by his/her/their signature(s)on fo he the individual described in and who executed the foregoing the instrument,the individual(%)or the person upon hehalf of which the nstrument;that said subscribing witness was present and saw said individual(%)acted,executed the instrument,and that such individual make such appearance before the undersigned in the execute the sante;and that said witness at the same time subscribed his/hcr/fl.cir nanic(s)as a witness thereto (add the city or political subdivision and the state or country or other place the acknowledgement was taken). COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL Carol Pawlowski, Notary Public Bargain and Sale Deed Upper Moreland Twp.,Montgomery County My Commission Expires May 31,2019_ With Covenants httfiaElt.PiNNSILVANIATAWSOMA73NOFN AWES SECTION; 113.00 BLOCK:09.00 Title No. LOT-007.000 COUNTY OR TOWN:SUFFOLK KIMBALL,GILDER&GALLIGAN TO TALLYWOOD SP INC. RETURN BY MAIL TO: DISTRIBUTED BY JAMES P.CRONIN,ESQ., KERLEY, MATERA S CINQUEMANh P.C. 2174 Jackson nu Avenue YOUR TITLE EXPERTS Senfbnd,New York 11783 The Judicial Title Insurance Agency LLC (516)409-6300 800-281-TITLE(8485) FAX:800-FAX-9396 ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of NASSAU,ss: State of New York,County of NASSAU,ss: On the 26th day of JUNE in the year 2017,before me,the undersigned, On the 26th day of JUNE in the year 2017,before me,the undersigned, personally appeared MARYANNE KIMBALL personally appeared FREDERICK KIMBALL. ,personally known to me or proved to me on the basis of ,personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are) satisfactory evidence to be the individual(s)whose name(s)is(are) subscribed to the within instrument and acknowledged to me that subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),and that by he/she/they executed the same in his/her/their capacity(ies),and that by his/her/their signature(s)on the instrument,the individual(s),or the his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the person upon behalf of which the individual(s)acted,executed the instrument. instrument. BRIAN R KERLEY BRIAN P.KERLEY Notary Public,State of New York Notary Public,State of New Yor No. 02KE4862533 No.02KE4862533 oualified in Nassau Countyi�c,�ualified in Nassau County L Commission Expires May 20,�/$ " commission Expires May 20/AC/Si ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK IN NEW YORK STATE STATE State of New York,County of ss: 'State of County of ss: '(Or insert District of Columbia,Territory,Possession or Foreign On the day of in the year before me,the County) undersigned,a Notary Public in and for said State,personally appeared ,the subscribing witness to the foregoing instrument,with whom On the day of in the year before me the I am personally acquainted,who,being by me duly sworn,did depose undersigned personally appeared and say that he/she/they reside(s)in Personally known to me or proved to me on the basis of satisfactory (itlhe place ofiesideoce is in a city,include the street and street number ifany,thereot); evidence to be the individual(s)whose name(s)is(are)subscribed to the that he/she/they know(s) within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), that by his/her/their signature(s)on to be the individual described in and who executed the foregoing the instrument,the individual(s)or the person upon behalf of which the instrument;that said subscribing witness was present and saw said individual(s)acted,executed the instrument,and that such individual make such appearance before the undersigned in the execute the same;and that said witness at the same time subscribed his/her/their names)as a witness thereto (add the city or political subdivision and the state or country or other place the acknowledgement was taken). Bargain and Sale Deed With Covenants SECTION:113.00 BLOCK:09.00 Title No. LOT:007.000 COUNTY OR TOWN:SUFFOLK KIMBALL,GILDEA&GALLIGAN TO TALLYWOOD SP INC. RETURN BY MAIL TO: DISTRIBUTED BY JAMES P.CRONIN,ESQ, KERLEY,WALSH,MATERA&CINQUEMANI,P.C. 2174 Jackson Avenue YOUR TITLE EXPERTS Seaford,NewYork 11783 The Judicial Title Insurance Agency LLC (516)409-6200 800-281-TITLE(8485) FAX:800-FAX-9396 ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of NASSAU,ss: State of New York,County of NASSAU,ss: On the 26th day of JUNE in the year 2017.before me,the undersigned, On the 26th day of JUNE in the year 2017,before me,the undersigned, personally appeared WILLIAM GALLIGAN personally appeared EILEEN GALLIGAN ,personally known to me or proved to me on the basis of ,personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are) satisfactory evidence to be the individual(s)whose name(s)is(are) subscribed to the within instrument and acknowledged to me that subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),and that by he/shelthey executed the same in his/her/their capacity(ies),and that by his/her/their signature(s)on the instrument,the individual(s),or the his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the person upon behalf of which the individual(s)acted,executed the instrument. l/e/p /`'instrument. /��+ Jo BRIAN P.KERLRLEY BRIAN P.KERLEY Notary Public,State of New York Notary Public,State of New York No.02KE4862533 No.02KE4862533 Qualified In Nassau County Qualified in Nassau County Commission Expires May 20�. Commission Expires May 20/mak ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK IN NEW YORK STATE STATE State of New York,County of ss: *State of County of ss: *(Or insert District of Columbia,Territory.Possession or Foreign On the day of in the year before me,the County) undersigned,allotary Public in and for said State,personally appeared ,the subscribing witness to the foregoing instrument,with whom On the day of in the year before me the 1 am personally acquainted,who,being by me duly sworn,did depose undersigned personally appeared and say that he/shelthey reside(s)in Personally known to me or proved to me on the basis of satisfactory (if the place of residence is in a city,include the street and street number if any,[hereon: evidence to be the individual(s)whose name(s)is(are)subscribed to the that he/she/they know(s) within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), that by his/her/their signature(s)on to be the individual described in and who executed the foregoing the instrument,the individual(s)or the person upon behalf of which the instrument;that said subscribing witness was present and saw said individual(s)acted,executed the instrument,and that such individual make such appearance before the undersigned in the execute the same;and that said witness at the same time subscribed his/her/their name(s)as a witness thereto (add the city or political subdivision and the state or country or other place the acknowledgement was taken). Bargain and Sale Deed With Covenants SECTION:113.00 BLOCK:09.00 Title No. LOT:007.000 COUNTY OR TOWN:SUFFOLK KIMBALL,GILDEA&GALLIGAN TO TALLYWOOD SP INC. RETURN BY MAIL TO: DISTRIBUTED BY JAMES P.CRONIN,ESQ., KEWALMATERA&CINQUEMAN[,P.C. 21744 Jackson Aveneri ue YOUR TITLE EXPERTS Senford,NewYork 11783 The Judicial Title Insurance Agency LLC (516)409-6200 800-287-TITLE(8485) FAX:800-FAX-9396 INSTRUCTIONS(RP-5217-PDF•INS):www.orps state.ny.us FOR COUNTY USE ONLY Now York State Department of C1.8IAScederI '9/ 10 $ I Taxation and Finance C2.Date Deed Recorded 1 y/ 10/� Office of Real Property Tax Services nett I RP-5217-PDF C9.Book I C1,2_AjC4•Page , �J Real Property Transfer Report(BnD) PROPERTY INFORMATION I.Property 1605 Meday Avenue ' Location 'STREET w1Y1[R " 'S-aLLI hAYE Southold 11968 •CITY OR Tom VLLI[:e ••• .- 'ZIP Com 2.Buyer TALLYWOOD SP CNC. T Na -WT NAMEICOMPAM, F1651 Nam MME I45I NALEI lm— '•Otic NWE 3•Tax Indicate where future Tax Blis are to be said B911ng II outer than buyer addraWal bottom of form)IAST NAMEAXM-Ah, rIR.T,,AM17 Address STREET SUMMER M]'AM •C Tr OR IOPM• al A1C .ZIP CODE 4.Indicate the number of Assessment ) 1:1Part of a Parcel (onlyN Part of a Parent)Check as they appy: Roll partials tmnsfamd on the deed t d Pared OR 4A,planning Board with Subdivision Authority Etdets S.Dead X OR 0.56 40.Subdivision Approval was Regldred for Tranata Prop" 'FRONTFLLI 'OFPTM -ACRES Sura 4C.Parcel Approved for Subdivision with Map Provided Kimball Maryanne S.Sailer LAS!NARANCom— FAS-N1wL Nam Kimball Frederick FPS7 hA4C LAST NAYCP101RANY •7.Select the description which most accurately describes the Cheek Ws hTy below as minihey appy: us of tho prop"at the time of vile: e.NowOwnershipCtType is Condominium ❑ El A.One MaOnily)2esiLlrr'tlal 9.Now Construction on a Veeenl Lana 10A.Property Located within an Agnwhural District 10B.Buyer received a d'IsticaUre noau Indteating tient the property is in an ❑ AgrICU11ur91 District SALE INFORMATION[- 15.Chock one or mom ofthose conditions as applicable to transfer: A.Sale Between Relatives or Former Relatives B.Sale between Relined Companies or Paters in Business 11.Sale Contract Date C.One of the Buyers E also a Sailer 7 17 D Buyer or Sailer in Government Agency or Lendng Institution 12.Dste of SelatTnsfer _ E Deed Type not Warranty or BCq n and Sale(Specify 1301101111 F.Sale of Fmctntnal or Leas than Foo Interest{Specify Bellow) '17.Full Sale Price 0.00 G.Significant Change In Property Between Taxable Stafus and Sale Dales – H'Solo o1 Business is Included In Sale Price (FYII Sale Price Is me Lunt amount pad for the property including personal property. I Oiler Unusual Fac:on Affecting Sale Price(Spedy Below) This payment may be in Um form Of cash.other property or goods.or the assumption of J None mortgegs w othr obkgattons)Pissae rmmd to the aeamaf whdo doter aff4unt •Commentle)on Condition: 14.indicate the value of panoral properly Included lathe Sale 0 •00 For 'estate P=anning 2urpasoe ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 111.Yearaf Assessment Roll from which Information taken(YYI 17 •17.Total Aaaessod Value '11500 •19.Property Cfes 210 _ •19.School District Name Ma L t i tui:k e2L Tax Map Montl9eUpRol IdontlRaga)IN mom than four.attach shoot with addillonml IdendBer(s)) 113:09:007 CERTIFICATION 1 Certify that all of the fors of Info melon entered on this form aro true and correct Ito the best of my knowledge and bellef)and I understand that the making of any willful Islas statement M material fact 114111111 subject me te the.Rro.WMs 9f.th9A0npIJl9Cmlaevs to the making and filing of false InsWmenb. $Rn 1 FR 11111C2tlATURL ffiff9 Q0TAQLlNE4WMA1= Mire'edamabor for the buyer NOW If Surfer a LLC.rtraeb'01=21al GppaebaL lRMOL AM*ramRarly.Sri t*Or tinily Drat IS not m wawdal agent a bd.raary.IMh a I 6 aid OMM nrameam d an L'IdfVWWWfs%mmblm 7 W ryn rd wrn alWwer euer'ACm regentlllg We trwl►•er mud tw erected Tye er pone Wormy) i i�r ,; SELLER OATC ^ALLYWOOD SP INC. BUYER SIGNATURE — Ias.—ML :AST vAIA Ur,16) 409-6100 S r��• 'MFA CG:)L ••LLFM101i.r.UM En CC.tIKGM: eUrFR SI MTU - 0A:F 183 Beaute -31s: Street —_—= - -.... .......�... •_' •. •S:ITrFT N.MICR 'STaFEI NAPE q r Belle Harbor NY _ 11694 -cry Ca•./1N'1 •STAIL 'aPCODE • �.{�.�+pl.AT14.�1F.� (Cronin James P. 1 _ 1 AS-•lAYe 1 YIDi NlWE ; 516; 409-6200_ _. 4rFJr Cof:L I L'LFP•IG.L h11LELN IL•+remssa; 1 1 .