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Home My WebLink AboutL 13290 P 855 IIII[[[IIIII11111III[[111111111111111Bi111llllIIIIIIII IIIIlI IIIlI!IIII IIII I!!I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: MISCELLANEOUS - DEED Recorded: 04/11/2025 Number of Pages : 4 At: 09: 51 : 30 AM Receipt Number : 25-0049035 LIBER: D00013290 PAGE : 855 District: Section: Block: Lot: 1000 035. 00 06. 00 001 . 000 EXAMINED AND CHARGED AS FOLLOWS 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 $0. 00 NO EA-STATE $0 . 00 NO TP-S84 $0. 00 NO Notation $0 . 00 NO Cert.Copies $0 .00 NO RPT $200 . 00 NO Fees Paid $260 , 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL VINCENT PULEO County Clerk, Suffolk County 1 2 RECORDED Number of pages 2025 Apr 11 09:51:30 RN TORRENS VINCENT PULEO CLERK OF Serial# SUFFOLK COUNTY L 000013290 Certificate# P 855 Prior Ctf.# Deed.Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. i 1.Basic Tax _ Handling a.� 90_ 2.Additional'fax TP-584 Sub Total Spec./Assn. Notation or EA-52 17(County) Sub Total Spec./Add. TOT.MTG.TAX EA-5217(State) Dual Town_ Dual County R.P.T.S.A. Held for Appointment U ®� Transfer Tax _ Comm.of Ed. 5. 00 Mansion Tax Affidavit e '�a Y�"?PCs The property covered by this motgage is i or will be improved by a one or two Certified Copy family dwelling only. — YES or NO Reg.Copy Sub Total If NO,see appropriate tax clause on Other 15- Grand Totaa Q0 9 page# of this inst ment. 4 Distric[lOP" " 25013719 loon 03500 0600 00i00o .000 5 CommunityPreservation Fund Consideration Amount Rea] II II Iy Tao Service CWH A CPFTax Due SS Agency Improved Verification Vacant Land 6 1 Satisfaction/Discharges/Release List Property Owners Mailing Address TD RECORD&RETURN TO: JOHN J.GIARMARCO,ESQ. TD GIARMARCO,MULLINS&HORTON,P.C. 101 W.BIG BEAVER ROAD,SUITE 1000 TD TROY,MI 48084 7 Title Company Information Co.Name Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Revocable Transfer on Death Deed made by: (SPECIFY TYPE OF INSTRUMENT) bANIELLE_G•GOLLICA formerly known The premisis herein is situated in as DANIELLE C.GORGA SUFFOLK COUNTY,NEW YORK. TO In the Township of Southold IIANIELLE G.COLLICA LIVING TRUST In the VILLAGE or HAMLET of BOXES 6 THROUGH 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) RECORD AND RETURN TO: JOHN J.GIARMARCO,ESQ. GIARMARCO, MULLINS&HORTON, P.C. 101 W. BIG BEAVER ROAD, SUITE 1000 TROY, MI 48084 SPACE ABOVE FOR RECORDER'S USE SEM'ION:035.00, BLOCK:06.00, LOT:001.000 REVOCABLE TRANSFER ON DEATH DEED NOTICE TO OWNER You should carefully read all information in the "Common Questions" portion of this form. You may want to consult a lawyer before using this form. This form/deed must be recorded before your death,or it will not be effective. [IDENTIFYING FNFORMATION Owner or Owners Making this Deed DANIELLE G.COLLICA,formerly known as DANIELLE C.GORGA MAILING ADDRESS 215 N.New River Dr. E, Apt. 3980, Fort Lauderdale, FL 33301 Legal Description of the Property SEE EXHIBIT A ATTACHED HERETO. Primary Beneficiary or Beneficiaries i designate the following beneficiary if the beneficiary survives me. DANIELLE G. COLLICA, Trustee, or any successors in trust, under the DANIELLE G. COLLICA LIVING TRUST dated July 9, 2024 and any amendments thereto MAILING ADDRESS,IF AVAILABLE 215 N.New River Dr. E, Apt. 3980, Fort Lauderdale,FL 33301 i Alternate Beneficiary-Optional If none of my primary beneficiaries survive me, 1 designate the following alternate beneficiary(ies) if that beneficiary survives me: NONE DESIGNATED Transfer on Death At my death I transfer my interest in the described property to the beneficiaries as designated above. Before my death I have the right to revoke this deed. Signature of Owner or Owners making this Deed. /+ `C OANIELLE G.COLLICA formerly known Mte as DANIELLE C.GORGA N I t 24 2 Wit s 1 ignature - Date a m L � . Printed ame of witness#1 I I o� law+ Wt #n2� ure i J Jn „ _ ` Date Printed name ofG witness#2 STATE OF COUNTY OF On 6e-V before me, the undersigned, a Notary Public in and for said State, personally appeared DANIELLE G. COLLICA, formerly known as DANIELLE C. GORGA, personally knotivn to me (or proved to me on the basis of satisfactory evidence) t be the person whose name is subscribed to the within instrument, d acknowledged to me that he sib executed the same in his er authorized capacity, and that by his ee signature on the instrument the person, or the entity on behalf of which the person acted, executed the instrument, and that such individual made such apWance before the undersigned in the City of For County of rOWardA- _, tat rovince of r' Witness my hand and official seal. [Affix Notary Seal] Signature of Notary Public o MARIANELA VALENZUELA Notary Public,State of Florida Commission$HH 538140 My oomm.8*res June 8,2028 EXHIBIT A (Legal Description] ALL that certain plot,piece or parcel of land,situate,lying and being at East Marion,Town of Southold,County of Suffolk and State of New York,being kttown and designated as Lot No.40 as shown on a certain map entitled,"Map of Cleaves Point,Section 2",and filed in the Office of the Clerk of the County of Suffolk on March 13. 1962 as Map No.3521,which said lot is more particularly bounded and described as follows: BEGINNING at the corner formed by the intersection of the southeasterly side of Snug Harbor Road (a private road)with the southwesterly side of Maple Lane(a private road); RUNNING THENCE along the southwesterly side of Maple Lane(a private road),South 33 degrees 22 minutes 50 seconds East, 100.00 feet; THENCE South 56 degrees 37 minutes 10 seconds West, 135.00 feet; THENCE North 70 degrees 30 minutes 00 seconds West,48.96 feet to the easterly side of Snug Harbor Road(a private road); THENCE along the easterly and southeasterly sides of Snug Harbor Road (a private road)the following 2 courses and distances: 1) North 19 degrees 30 minutes 00 seconds East, 101.01 feet; 2) North 56 degrees 37 minutes 10 seconds East,94.00 feet to the point or place of BEGINNING, The parties herein confirm and agree by their signatures above andlor acceptance of this document that the preparer of this document has not advised the parties on the propriety or suitability of the conveyance; has been engaged solely for the purpose of preparing this instrument; has prepared the instrument only from information given to preparer by the parties an&or their representatives; has not verified the accuracy of the consideration stated to have been paid or upon which any tax may have been calculated. has not verified the legal existence or authority of any party or person executing the document; has not been requested to provide nor has preparer provided a title search, an examination of title or legal description, an opinion on title, legal review or advice of any sort, or advice on property taxes, reassessments, other-taxes or the lax,legal or non-legal consequences that may arise from the conveyance:and that they agree to hold harmless, indemnh, and defend the preparer from and against any and all losses, liabilities, claims, demands, actions, suits, proceedings, and costs of every nature arising therefrom. The parties herein farther agree at any time, and from time to time, to cooperate, adjust, initial, execute, re-execute and re-deliver such ftrther deeds and documents, correct any defect, error or omission and do any and all such further things as may be necessary to implement and carry out the intent of the parties in making this conveyance. Preporer shall not be liable for any consequences arising from modifications to this document not made or approved by preparer. 24-094523(MD)