Form 8002 (3/00) ­ Bargain and Sale Deed, with Covenants against Grantor's Acts ­ Individual or Corporation. (Single sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT ­ THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made the BETWEEN day of , and party of the first part, and party of the second part, WITNESSETH, that the party of the first part, in consideration of ten dollars 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 TAX MAP DESIGNATION Dist. Sec. Blk. Lot(s): 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 abovedescribed 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 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: American LegalNet, Inc. www.FormsWorkFlow.com Acknowledgement taken in New York State State of New York, County of , ss: Acknowledgement taken in New York State State of New York, County of , ss: On the day of , in the year the undersigned, personally appeared , before me, On the day of , in the year the undersigned, personally appeared , before me, 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. 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. Acknowledgement by Subscribing Witness taken in New York State State of New York, County of , ss: Acknowledgement taken outside New York State *State of_____________, County of, *(or insert District of Columbia, Territory, Possession or Foreign Country) On the day of , in the year the undersigned, personally appeared ss: , in the year On the day of the undersigned, personally appeared , before me, , before me, the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who being by me duly sworn, did depose and say, that he/she/they reside(s) in that he/she/they know(s) to be the individual described in and who executed the foregoing instrument; that said subscribing witness was present and saw said execute the same; and that said witness at the same time subscribed his/her/their name(s) as a witness thereto. 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 (add the city or political subdivision and the sate or country or other place the acknowledgement was taken). Title No.: SECTION BLOCK LOT TO COUNTY OR TOWN RETURN BY MAIL TO: Zip No. RESERVE THIS SPACE FOR USE OF RECORDING OFFICE American LegalNet, Inc. www.FormsWorkFlow.com