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HomeMy WebLinkAboutL 12933 P 582 III111111111111111111111111111111111111 1 1 1 1 1 1 1 I I I I I I I I I I I I I I I I I I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 10/13/2017 Number of Pages : 10 At: 11 :25 : 13 AM Receipt Number : 17-0179910 TRANSFER TAX NUMBER: 17-08949 LIBER: D00012933 PAGE : 582 District: Section: Block: Lot: 1000 031 . 00 04 . 00 012 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $555, 000 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $50 . 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 $425 . 00 TRANSFER TAX NUMBER: 17-08949 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ❑1 2❑ n RECORDED Number of pages r V 2017 Oct 13 11:25:13 AM JUDITH R. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00012933 Social Security Numbers P 582 prior to recording. DT# 17-03949 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee — ! L, i r Mortgage Amt. ` Handling 20. 00 1.Basic Tax 2. Additional Tax TP-584 Sub Tota l Notation Spec./Assit. EA-52 17(County) ! Sub TotalSpeco/Add. EA-5217(State) r - TOT.MTG.TAX S �PI�y� Dual Town Dual County R.P.T.S.A. "Zt Held forAppolntment Comm.of Ed. 5. 00 Transfer 7 z (4-)/—p I Affidavit f . Mansion Tax 4�/p Certified Copy The propered-by-this-mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES orNO Other W Grand Total %�) , If NO, see appropriate tax clause on ��((JJ page#0 of this instrumezlv( � 4 Dist.1 17033560 )0 5 Community Preservation Fund 1000 03100 0400 012000 Real Proper P T SllII 1I11 Cons'd ation Amount$Tax Service 11 VeAgency R IDArf c tioi -0CT-17 IlilIF1111 CPF Tax Due )� Improve Satisfactions/Discharges/Releases List Property Owners Mailing----aress 6 RECORD&RETURNTO: Vacant Land CHRYSA PASQUALONE, ESQ TD 35 BANK STREET CENTER MORICHES, NY 11934 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name EMINENT ABSTRACT,INC www.suffolkcountyny.gov/clerk Title# EA1919-S 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) ROBERT D.PEDERSEN The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD JEFFREY GATLAND AND ZINTA SCHNORE In the VILLAGE or HAMLET of EAST MAR{ON BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over CQWIJLT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS MTRUMENT SHOULD BE USER BY LAWYERS ONLY " THIS INDENTURE,made the 21st day of September 2017 BETWEEN Robert D.Pedersen,10305 Main Road,East Marion,New York 11939 ' party of the first part,and Jeffrey Gatland and Zinta Schnore,his wife,355 E.86th Street,New York,New York 10028 party of the second part, WITNESSETH,that the party of the first part,in consideration of $555,000.00 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 East Marion,Town of Southold,County of Suffolk,State of New York,and bounded and described as follows: BEGINNING at a point on the northerly side of Main Road distant 312 feet+I-westerly from the comer formed by the intersection of the northerly side of Main Road with the westerly side of Kayleigh's Court,said point of beginning being where the division line between the premises described herein and land now or formerly of Stanley C.Poole intersects the northerly side of Main Road. RUNNING THENCE along the northerly side of Main Road,South 76 degrees 59 minutes 10 seconds West,a distance of 50.19 feet to a point; THENCE along land now or formerly of School District No.3,North 15 degrees 05 minutes 00 seconds West,a distance of 280.10 feet to a point; THENCE still along land now or formerly of School District No.3,North 73 degrees 19 minutes 40 seconds East,a distance of 88.47 feet to a point; THENCE along land now or formerly of the Town of Southold,South 07 degrees 25 minutes 00 seconds East,a distance of 124.25 feet to a point; THENCE along land now or formerly of Poole,South 07 degrees 25 minutes 00 seconds East,a distance of 162.67 feet to a point on the northerly side of Main Road,the point or place of BEGINNING. Being and intended to be the same premises conveyed to the party of the first part by deed in Liber 10401 Page 178. 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' when ever 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: S, copy Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Form 3290 POWER OFATTORNEY NEW YORK STATUTORY SHORT FORM CAUTION: TO THE PRINCIPAL: YOUR POWER OF ATTORNEY IS AN IMPORTANT DOCUMENT. AS THE "PRINCIPAL" YOU GIVE THE PERSON WHOM YOU CHOOSE (YOUR-AGENT")AUTHORITY TO SPEND YOUR MONEY AND SELL OR DISPOSE OF YOUR'PROPERTY DURING YOUR LIFETIME WITHOUT TELLING YOU. YOU DO NOT LOSE YOUR AUTHORITY TO ACT EVEN THOUGH YOU HAVE GIVEN YOUR AGENT SIMILAR AUTHORITY. WHEN YOUR AGENT EXERCISES THIS AUTHORITY,HE OR SHE MUST ACT ACCORDING TO ANY INSTRUCTIONS YOU HAVE PROVIDED OR,WHERE THERE ARE NO SPECIFIC INSTRUCTIONS,IN YOUR BEST INTEREST. "IMPORTANT INFORMATION FOR THE AGENT"AT THE END OF THIS DOCUMENT DESCRIBES YOUR AGENT'S RESPONSIBILITIES. YOUR AGENT CAN ACT ON YOUR BEHALF ONLY AFTER SIGNING THE POWER OF ATTORNEY BEFORE A NOTARY PUBLIC. YOU CAN REQUEST INFORMATION FROM YOUR AGENT AT ANY TIME. IF YOU ARE REVOKING A PRIOR POWER OF ATTORNEY BY EXECUTING THIS POWER OF ATTORNEY, YOU SHOULD PROVIDE WRITTEN NOTICE OF THE REVOCATION TO YOUR PRIOR AGENT(S)AND TO THE FINANCIAL INSTITUTIONS WHERE YOUR ACCOUNTS ARE LOCATED. YOU CAN REVOKE OR TERMINATE YOUR POWER OR ATTORNEY AT ANY TIME FOR ANY REASON AS LONG AS YOU ARE OF SOUND MIND. IF YOU ARE NOT LONGER OF SOUND MIND,A COURT CAN REMOVE AN AGENT FOR ACTING IMPROPERLY. YOUR AGENT CANNOT MAKE HEALTH CARE DECISIONS FOR YOU. YOU MAY EXECUTE A-HEALTH CARE PROXY"TO DO THIS. THE LAW GOVERNING POWERS OF ATTORNEY IS CONTAINED IN THE NEW YORK GENERAL OBLIGATIONS LAW,ARTICLE S,TITLE 15. THIS LAW IS AVAILABLE AT A LAW LIBRARY OR ONLINE THROUGH WWW.SENATE.STATE.NY.US OR WWW.ASSEMBLY.STATE.NY.US. IF THERE IS ANYTHING ABOUT THIS DOCUMENT THAT YOU DO NOT UNDERSTAND,YOU SHOULD ASK A LAWYER OF YOUR CHOOSING TO EXPLAIN IT TO YOU. DESIGNATION OF AGENT: I, ROBERT D. PEDERSEN,residing at10305 Main Road, East Marion,New York, do hereby appoint: MARINA M. MARTIELLI, ESQ., with an office at 15 Woodfield Avenue, East Quogue,New York, as my AGENT. If you designate more than one agent, they must act together unless you initial the statement: [ ] My agents may act SEPARATELY DESIGNATION OF SUCCESSOR AGENT: If every agent designated above is unable or unwilling to serve, I appoint as my successor agent: [ ] My successor agent(s)may act SEPARATELY This POWER OF ATTORNEY shall not be affected k my subse uent incapaeft unless I have stated otherwise below, under"Modifications". This POWER OF ATTORNEY REVOKES any and all Rdw Powers of Attorn executed by me unless I have stated otherwise below,under"Modifications". GRANT OF AUTHORITY: To grant your agent some or all of the authority below, either (1)initial the bracket at each authority you grant, or (2) Write or type the letters for each authority you grant on the blank line at(P), and initial the bracket at(P). If you initial (P),you do not need to initial the other lines. I grant authority to my agent with respect to the following subjects as defined in sections 5- 1502A through 5-1502N of the New York General Obligations Law: [ ?-VV](A)real estate transactions; [ ](L)retirement benefit [ ](B)chattel and goods transactions; transactions; [ ](C) bond, share, and commodity transactions; [ Rg](M)tax matters; [ qp](D)banking transactions; I ](N)all other matters; [ ](E)business operating transactions; [ ](0) full and qualified [ ](F) insurance transactions; authority to my agents to [ ](G)estate transactions; delegate any or all of the [ ](H)claims and litigation; foregoing powers to any [ ](I)personal and family maintenance person or persons whom [ ](J)benefits from governmental programs or my agents select; civil or military service; [ ](K)health care billing and payment matters; [ ](P) EACH of the matters records, reports and statements; identified by the following letters You need not initial the other lines if you initial line (P)• MODIFICATIONS: In this section you may make additional provisions, including language to limit or supplement authority granted to your agent. However,you cannot use this Modifications section to giant your agent authority to make major gifts or changes to interests in your property. If you wish to grant your agent such authority,you MUST complete the Statutory Major Gifts Rider: for the limited purpose of selling my house located at 10305 Main Road, East Marion, New York to Jeffrey Gatland and Zinta Schnore. MAJOR GIFTS AND OTHER TRANSFERSASTATUTORY MAJOR GIFTS RIDER: In order to authorize your agent to make major gifts and other transfers of your property,you must initial the statement below and execute a Statutory Major Gifts Rider at the same time as this instrument. Initialing the statement below itself does not authorize your agent to make major gifts and other transfers. The preparation of the Statutory Major Gifts Rider should be supervised by a lawyer. [ J I grant my agent authority to make major gifts and other transfers of my property, in accordance with the terms and conditions of the Statutory Major Gifts Rider that supplements this Power of Attorney. DESIGNATION OF MONITOR I wish to designate , whose address is „ „ , as monitor . Upon the request of the monitor, my agent(s)must provide the monitor with a copy of the power of attorney and a record of all transactions done or made on my behalf. Third parties holding records of such transactions shall provide the records to the monitor upon request. COMPENSATION OF AGENT: Your agent is entitled to be reimbursed from your assets for reasonable expenses incurred on your behalf. If you ALSO wish your agent(s)to be compensated from your assets for services rendered on your behalf, initial the statement below. If you wish to define"reasonable compensation"you may do so above,under MODIFICATIONS. [ ] My agent(s)shall be entitled to reasonable compensation for services rendered. ACCEPTANCE BY THIRD PARTIES: I agree to indemnify the third party for any claims that may arise against the third party because of reliance on this Power of Attorney. I understand that any termination of this Power of Attorney,whether the result of my revocation of the Power of Attorney or otherwise, is not effective as to a third party until the third party has actual notice or knowledge of the termination. TERMINATION: This Power of Attorney continues until I revoke it or it is terminated by my death or other event described in section 5-1511 of the General Obligations Law. Section 5-1511 of the General Obligations Law describes the manner in which you may revoke your Power of Attordey,and the events which tenminate the Power of Attorney. IN WITNESS WHEREOF, I have hereunto signed my name this_Jt day of September, 2017. U` ROBERT D. PEDERSEN ACKNOWLEDGMENT General Obligations Law§5-1501 B STATE OF NEW YORK ) )ss.. COUNTY OF SUFFOLK ) On the `�� clay of IL 2017,before me,the undersigned,personally appeared ROBERT D. PEDERSEN,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument,and acknowledged to me that he executed the same in his capacity,and that by his signage on the hudrurnent,the individual, person on behalf of which the individual acted,executed the instrument $ERNADE I I E DeANGELIS No NOTARY PUBLIC, F NEW YORK. No,of DE4750311 SUFFOLK COUNP( Commission Expires June 30,20-4q IMPORTANT INFORMATION FOR THE AGENT: When you accept the authority granted under this Power of Attorney, a special legal relationship is created between you and the principal. This relationship imposes on you legal responsibilities that continue until you resign or the Power of Attorney is terminated or revoked. You must: (1) act according to any instructions from the principal or, where there are no instructions, in the principal's best interest; (2)avoid conflicts that would impair your ability to act in the principal's best interest; (3)keep the principal's property separate and distinct from any assets you own or control, unless otherwise permitted by law; (4)keep a record of all receipts,payments, and transactions conducted for the principal; and (5)disclose your identity as an agent whenever you act for the principal by writing or / printing ip 's a and signing your own names as "agent"in either of the following rnm�'Ways. " y Manna M. Martielli, as Agent"or"Marina M. Martielli, as Agent for You may not use the principal's assets to benefit yourself or give major gifts to yourself or anyone else unless the principal has specifically granted you that authority in this Power of Attorney and in a Statutory Major Gifts Rider attached to this Power or Attorney. If you have that authority,you must act according to any instructions of the principal or, where there are no such instructions, in the principal's best interest. You may resign by giving written notice to the principal and to any co-agent, successor agent, monitor(if one has been named)or the principal's guardian(if one has been appointed). If there is anything about this document or your responsibilities that you do not understand,you should seek legal advice. LIABILITY OF AGENT: The meaning of the authority given to you is defined in New York's General Obligations Law, Article 5, Title 15. If it is found that you have violated the law or acted outside the authority granted to you in this Power of Attorney,you may be liable under the law for your violation. AGENT'S SIGNATURE AND ACKNOWLEDGMENT OF APPOINTMENT: It is not required that the principal and the agent(s) sign at the same time, nor that multiple agents sign at the same time. 1, Marina M. Martielli, Esq.,have read the foregoing Power of Attorney. I am the person identified therein as agent for the principal named therein. I acknowledge my legal responsibilities: AGENT: M(Itrina M. Martielli ACKNOWLEDGMENT General Obligations Law§5-1501B STATE OF NEW YORK ) )ss.. COUNTY OF SUFFOLK ) On the 91'4.L day o .2017,before me,the undersigned,personally appeared MARINA M. MARTIELLI,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument,and acknowledged to me that she executed the same in her capacity,and that by her signature on the instrument,the individual,or n on behalf of which the individual acted,executed the instrument. No iblic gERNADE7�EOe�1NG NEW YORK NOTAMY PLlSI_lC,STATE Of NE No.010E475031 A SUFFOLK COUNT �mrnission empires dune 30,�0�' �iahiEit�ef�frgeat: j h!gagem ,If it is found that you have violated the law or adied'outside the authority granted to you in the Power of A ey, you may be liable under the law for your violation. ' (o)AGENT'S SIGNATURE AND ACKNOWLEDGMENT OF APPOINTMENT: It is not required that the principal and the Agent(s)sign at the same time, nor that mul ' e Agents sign at the same time. I/we, ,have read the foregoing Power of Attorney. we are the person(s)identified therein as Agent(s)for the principal named therein. I/we acknowledge my/our legal responsibilities. AGENT(s)sign(s)here:=> AGENT(s)sign(s)here:_> STATE OF C OF )ss.: On the day of in the year before me, the undersigned,personally appeared personally known t e or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s)is(are) cribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/the' capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person u behalfof which the indtvidual(s)acted executed the instrument. Sign above and afra s4amp (P)SUCCESSOR AGENT'S SIGNATURE AND ACKNOWLEDGEMENT OF APPOINTMENT: It is not required that the principal and the successor Agent(s),if any,sign at the same time,nor that multiple successor Agent(s)sign at the same time.Furthermore,successor Agent(s)cannot use this Power of Attorney unless the agent(s)designated above is/are unable or unwilling to serve. I/we, , have read the foregoing Power of Attorney.I am/we are the person(s)identified therein as Successor Agent(s)for the principal named therein. Uwe acknowledge my/our legal responsibilities. SUCCESSOR AGENT(s)sign(s)here:_> SUCCESSOR AGENT(s)sign(s)here:_> STATE OF COUNTYOF )ss.: On the day of in the year before me, the undersigned personally appeared ,personally brown to me or proved to me on the basis of satisfactory evidence to be the individuat(s)whose name(s)is(are)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 his/her/their signature(s)on the instrument, the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument. Sign above and affix stamp AFFIDAVIT OF EFFECTIVENESS OF THIS POWER OF ATTORNEY (TO BE COMPLETED BY AGENT UPON DELIVERY) STATE OF NEW YORK ) )ss.. COUNTY OF SUFFOLK ) MARINA M. MARTIELLI, ESQ,with an office located at 15 Woodfield Avenue, East Quogue,New York 11942,being doily sworn,hereby depose and say that I am the Agent under the above Power of Attorney and that this Power of Attorney is in full force and effect. That (a) I do not have, at the time of the instant transaction, actual notice of the revocation or termination of this Power of Attorney, or notice of any facts indicating that this Power of Attorney has been revoked or terminated; (b)I do not have, at the time of the instant transaction,actual notice that this Power of Attorney has been modified in any way that would affect the ability of the AGENTS herein to authorize or engage in the instant transaction, or notice of any facts indicating that this Power of Attorney has been so modified; and(c) if I was named as successor Agent,the prior Agent is no longer able to or willing to serve. This affidavit is given for the ppMose of the Agent executing a contract of sale and a deed for the transfer of real proR=located at 10305 Main Road East Marion New York, and all other transfer and other documents necessga either prior to or at closing for such transfer, knowing that (describe the third party relying on this Power of Attorney)will rely upon the representations made herein as inducement to accept such instrument(s)and this Power of Attorney as evidence of our authority to act. Marina M. Martielli SNrjaito4and Subsc ' ed eforeme day of e 2017 X t Notary Public AWO A,U of 1R Sift Nm � 1ftk ft Oaalf Od In Wfolk TO BE USED ONLY WREN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County ofs(LL�nn� l JOY State of New York,County of ss: On the gay of s ►7f n the year CJO � On the day of in the year before me,the underrssi ned personally appeared before me,the undersigned,personally appeared h4rl'� personally known b 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 satisfactory evidence to be the indtvidual(s)whose name(s)is (are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that he/shefthey executed the same in his/her/their me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/herttheir signature(s) on the instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the indivi ual(s)acte ,ex strument. the individual(s)acted,executed the instrument. ure and office of indivicluiallaking acknowledgment) , (signature and office of individual taking acknowledgment) Janet A DeBenedeW Notary Public,State of NewY** No.0 97 U* / Qualified i Suffolk Suffolk ' Commission Expires May 21, IF oC� To aE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of ss: On the day of in the year before me,the undersigned,personally appeared 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 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 person upon behalf of which the individual(s)acted, executed the instrument,and that such individual made such appearance before the undersigned in the in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) DISTRICT 1000 SECTION 031.00 BLOCK 04.00 BARGAIN AND SALE DEED LOT 012.000 WITH COVENANT AGAINST GRANTORS ACTS Title No. COUNTY OR TOWN Town of Southold Robert Pedersen STREET ADDRESS 10305 Main Road TO Recorded at Request of Jeffrey Gatiand and Zinta Schnore NEW YORK TITLE RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS �-y IN.slrtbuled By (/ NEW YORK TITLE NEW-YORK TITLE Research Corporation RFSEARCH CORPORA77ON 15 Fisher Lane White Plains,NY 10008 919ti8249019 Fax 914-M-9182 w .nydtlexcm W U LL LL O z 2 O K O u W K LL W K O LL W U Q IL m w K w w W K INSTRUCTIONS(RP-5217-PDF-INS):www.orps.statemy.us FOR CQUWW tI,BE ONLY p Now York State Department of Ci.MSCode p Taxation and Finance Ct Dau Deed Recorded I / /3/-/ry Office of Real Property Tax Services ro Ca.Hook d Com•Pw I + +J h��I Ileal Properly TT21 fel Report(9110) PROPERTY INFORMATION 1•P*PWIW 10305 Main Road Location schEeTFsseetF -WWW W East Marion 11939 .amt aR TOM VxthaE •BPCOM L8krW Gatland Jeffrey f19rFn9 •IAP NAREIRM OV" FmBrrrrrE Schnore Zinta Udrr NAMMCCNPAW naTNNR A Tex Indkale where Mus Tex Bis an to he sera W" d calm than huysr acktime(al hotom d form) IAetRAnECCOnOrlanr AW RIME Address '3 55 F- - -?Vh It 4A, N ew ,9of i; _6LZ_ 100 9rFEaranFreF7G1O NwE OrY OR VON PATE MGM 4.Indk:alo the number of Aeeremsd 1 a Parols ❑Pae of par IOn(t B Pert of a Pm mq Check a thgr apply: Roil parcels Usallor an the dant • OR 4A.Planning Bond with Subddam Authority Edeis ❑ a D"d r�rX — OR -0 ore.Sulxrwas Re Nislon Approval wvulma for TraneW FxravrFeEr ❑ $� 4C.Penxd Approved for Subdylelon with kap Provided ❑ Pedersen Robert e.safer IAP W NBCOLaw17 FEW NAME . Itam LM Weaeec11P^W Ferer F '7.8sad the daerlplbn sshleh most meuraloy ntseedbm the Check Sm hexa helow a 0mY appty: w olithe prwperiyatths isms d mac 8.Ownmehip Type Is Condor idum ❑ A.One Family Residential 9.Neer constriction an s vaunt Larva ❑❑ 10A.Properly LaeeW whin an Agricultural Dimiitl I 10&Buyer• -,,' - a dlackmae nation itdfiGng Mel the property lain a El District SALE INFUR—M—ATIONI 10.Cheek aro or mom of them condRims a eppOuhM lo traalor A.Sde Bdwean Rdasven or Fomcsr Ratahvae 11.8169 convert Dots 07/14/2017 B.Sou betvnaen Relsaa Companies or Parmars In Business. C.One oft o Buyers is also a Sete 09/21/2017 D.Buyer or Sear is Caovemmem os Agway or Ling IFeidution •12 Dees ore tielalheafor E.Deed Type not warranty or Bangaln and Sale(spsdy Saber) F.Sale of Fractional or Leas than Fee Irsmme(Spedb Babes) M7.Fuc Sao Price S 5 5,000,U0 O Signifimm Change in Properly Betemen Twratms emu end SW Daus H.Sale or Business N Included In SW Pros (Fri SW Palm is than aal amount ped far em propry Indudhg personal poPial7• I.OMr Unusual Factors AlfmxkW g SPrim(specify Beloer) Thispoynn may be b Me ram a cash,other property or goods.orthe mamplion a J.Moran mmtpegen r atmr a'In I reg.)Plasm mrd to the eaaned whole dilya mord CamnmrgsIan CrdSbn: 1e.IndkMthevM=ofpwemral 0 .00 pFaprq lmkeled In to sob ASSESSMENT INFORMATION-Data shodd tefleel the latest Final Assessment Roll and Tax Bill 16 Year of Ammm ant Rea kam which falbcmeifon fakea(YY) 117.Total Assessed Yahm 3,900 •18.Properly Cass 210 _ •12.school n' Huns Oyster Ponds School •I0.Tex Nap IdmtllMKslyaoit er(a)(N more than focal.attach almst with addMo W Meralf eft) CERTIFICATION I Cwft!het 161 at o lams of ie lm Won anand on dda form we hes and errant pa dm bat M nq bmwbdge and bead)end I urFdamfand titer the meNrg d arty aFNhnl hafte surtmentol material fact herein=him reg to emplovtebrm li ars egad(Itr reldMs to do making and cling of lobe bmWnmra. BUYER CONTACT INFOR#tATION (FntrndarrFrrern brtlr tiuYrr.Noir:Merryrr a LLC,roarq,mrodetloFA raFPwaer4 NM malt rm4N7.saw er awry Oml a nal enih6rawl seEa today,anm•egrw res rxesu i9arnrsern alour YraMarmhemrm>bne pffiq Wmranw quemNm npwwrq er trwrr mum be mum.Type r pm entry.) aalERamlElanE �"/ MTE i BUYER SIGNATURE Gatland Jeffrey •WtFWE FIaTNME wwAeaoE -rearraEree®elE•armM e Trsan DATE 355 East 86th Street, 4A PnEuFlamm srcEErrwE + New York NY 10028 •CRY OR Tavel :;;ATE MPOWE BUYERWATTORNEY Pasqualone Chrysa alterFmFE FeanfPAE (631) 765-5900 AFEACON TEU944CM lMWP..Nanrw 1