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~tg81n and &.Ie DIed wIh CowtnIInta .".!net ar.ntor'8 AcbI. Indlvidu.1 or eorpor.tio.. (Single Sheet)
CONSULT YOUR LAWVER BEFORE SIONlNG TIllS INSTRUIII!NT - 1HI111NSTRlIMENT SHOULD BE USED IIY LAWYERlI ONLY
THIS INDeNTURE, made the JffI!y of ~
Between
, Two Thousand end Four
CARLOS MUNIZ ...ldlnllllt 408 w.t StnoeI, Grwenport, NY 111144
party of the finlt part, end INuttlIUItf {/)III!!
DENISE D'AGOSTlNO and JOHN D'AG08T1NO~:lInllllt 110-14 88th Avenue, Fo...t Hilla, NY 11375
perty of the second part,
WhnMHth, that tha party of the "nit part, in consideration of Tan Della... and other valuable c:onalderalion paid by
the party of the lI800nd part, doalI hereby grant and reIeue unto the party of the second part, tha heinl or SUCC8SSOI1l
and assigns of the party of the second part forever,
ALL that certain plot. piece or parcel of land, situBte, lying and being In the Town of Southold, County of Suffolk
and State of New Yon., known and daslgnated _ Lot No. 171 on a certain map entiUed, "Map of Orient-By-The-
Sea, Section Three (3)", and filed in the Office of the Clen. of the County of Suffolk on October 16. 1974 as Map
No. 6160 bounded and desclibed lIS follows:
BEGINNING lit a point on the northerly side of Pan. VI8W Lena distant 382.00 feet ElI8llIrty from the extreme ElI8terly
end of a curve which connect& the _rIy side of Ryder Fann Lane -. the northerly side of Par1< View Lena;
RUNNING THENCE 11 degrees 04 minutas 50 saconds West. 175.53 feet
THENCE North 78 degnses 55 minu.... 10 seconds East, 238.25 feet;
THENCE South 02 degnses 50 minutes 20 seconds East, 207.88 feet to the northerly side of Pan. View Lane;
THENCE South 87 degraes 09 minutes 40 seconds West, along the norlherty side of Park VIew Lane, 210.63 feet to
the point or place of BEGINNING.
BEING AND INTENDED TO be the same pramises convayad to the party of the finlt part herein by deed dated
10120100 and raoorded on 111061OO in Liber 12082 cpo 919. /
Together with all right, tiUe and intensst, if any, of the party of the "l'lIt part in and to any streets and roads abutting the
above described premises to the center lines Ihentof; Together -. the eppurtenances and slltha eslBte and righlll
of the party of the first part in and to said premises; To H_ end to Hold the premisell herein granted unto tha party
of the lIecond part, the heil'll or SUCC8llIlOl'll and assigns of the party of the lI8Cond part forever.
And the party of the first part covenants that the party of the first part hlI8 not done or sufle<ad anything whereby the
said pramill8S have been encumbered in any way wh_, except lIS aronssaid.
And the party of the first part, in compliance -. SecIion 13 of the Lien Law, COVWlants thet the party of the first part
will receive the consideration for this conveyance and will hold the right to receive such consideration lIS e trullt fund
to be applied finlt for the purpose of paying the COlIt of the improvement end will apply the same finlt to the paymsnt
of the 00lIt of the improvement before using any part of the total of the lIame for any other purpose.
The word "party" shall be construed as if it read "parties" whenever the selUle of this indenture so requires.
IN WITNESS WHEREOF, the party of the first part h_ duly executed this dead the day and year first above wrillen.
IN PRESENCE OF:
~~_.-
CARLOS MU IZ
,
.i.... ,
..
USE ACKNOVVLEOGMENT FORM BELOW WITHIN NEW VORK STATE USE ACI<NOWLEDGMENT FORM BELOW WITHIN NEW YORK STTE
ONL Y: OM. Y:
STATE OF NEW YORK, COUNn' OF SUFFOLK
On'" cloy o.:JUtU 17. 2004,
before me. the und8~. pe~ appeIINCI
CARLOS MIJMZ
per'IIOft811y known to me or proved 10 me on the ___. of -...r . -:t~l)'
evIdMce to be the 1ndIvtduaI(.) whoee Mme(1) .. (aM) .' III C Il6d to the
wIINn inIlIrument end ec:knc 'I~I~ to me Ih8t he/IIheIIhey elC8CUlted the
....,. In hielherllhoW ~..). and thai by ~ .-gnlltu...) on
the IMIrument, the ~')' or the .......lr beMIf 01 which the
Indlvkluals(.).... ~.....,.IMtN~ .
- I'7(tftfallA..4J. ~
r .....J-..J .t1"rt.<",i., Z, .1>MFPY
.....:1:01.0"
ACKNOwtEDGMENr FORM FOR USE wrTHIN NEW YORK STATE
OM-V:
)00.
STATE OF NEW YORK, COUNTY OF SUFFOlK
On... cloy of 2004,
befonl me. the undetwigned, per-.-'Iy.......
... ..-crtIlIng - 10 ... ""-"tl ............. _ wtlom I .m
~1Iy ~ti &.d. who being by me duly 8WOrn. did depoM .rxt NY
I...~_.)in
(1f""_oI_~In.c;/(y,_""____,1f
_. _: Ihot -..oyk.-o)
)as.:
to be the IndMduaI d..cribed in and who -.cuIed the ~ InetrurMInt
that said 'uba~ng wItneu wee preMI'It and ... Mid
execula the ......; and that ..lei ~ . the ....... tnMt lubecri)ed
h~r fWne(1) .. . wItwu therMo.
Bargain and Sale Deed
Willi Covenant ~.Inat G.-ntor'. Actll
T_No.Jlf1J:l!D(-05
CARLOS MUNIZ
TO
DENISE D'AGOSTlNO .nd JOHN D'AGOSTINO
STATE OF NEW YORK. COUNn' OF SUFFOLK
)...:
On the dllY 01 2OD4.
--""',... ".-signed. personal\<_~
pe....uy known to me or ptOVeCI to me on the buIa of utIItactory
~ 10 be the IndIvldUIII(I) ..... .....) II (8QI) ..- Ib.d to the
within inltrument ....lIdutOlilIl.. ,*-11 to n"MIIMI: ~ ~ the
..". in hiUherIIheIr Cllpacity(iH), end Ihet by ~Ir atgNltuntCI) on
the InaInrment. the IncIvIdUIII(I). or the person upon ""1' of which the
1ndM..&.....t.) actlId. exacul8d the In.trument.
ACKNOWLEDGAlIENT FORM FOR USE OUTS/Dfi NEW YORK STA TE
OM.. V: (Out 01 SMlw orFcwwql Gene"" ~~ ~r...4 CetfIbIIr8)
)...:
lCono>ltM _ _ S_. CoonIIy. -"""'_J
On the dayof 2004.
before nw. the uncMnlgned, P8l'1101'1a11y appurecl
persGIWIIy known ID me or prowd ID me on the bail; 01 utiIfKtory
-- to be ....1ndhriduoI(o) _ nome(ol 10 (-1"'_ ID "'"
within lnaan.m.a and ....l\OlIlI.di.d to me th8l ~ e.a.n.d the
""",lnh-~I'_""'lIVhloll_III..w~o)on
Iho _ Iho ~.), or .... _ upon _ of which ....
indMd....Io(.) _, .......- Iho ............. .nd ..... ouch ind_
made auc:h appearance before the underslgMd In the
(11188I1 rite cilyorolhwpolitk;lll ~~8'IDn IIIId hi..,. orcoutJl6yorOlller
plaathe4lClcnc ..ll$.ltwallllcen).
DISTRICT 1000
SECTION 015.00
BLOCK 05.00
LOT 024.021
COUNTY OR TOWN SUFFOLK
Rf:nIItN HI. .\fAil. ro
John Mesainetti, Esq.
210 William Floyd Parkway
Shirley, NY 11967
631 261-9521
-,
I
Number or page!'
TORRENS
Serial #
Certificate '#
Prior Clf. #
Deed . Murtgage I nSlrUmcnt
Deed I Mongage lB., Stamp
3
FEES
I'uge I Filing Fee
Handling
5 ..lKL
TP-5lW
Notation
EA-5217 (Counly)
Sub Total
EA-5217 (Stale)
R.P.T.S.A.
~~
Comm. of Ed.
5. 00
Affid:.t.\'it
C~nilied Copy
R.:g. Copy
Sub Tolal
Other
i.l
Grand T....al
4 District 1000 Section
015.00 Block
05.00 1.01
014.021 5
Real
Property
Tax Service
Agcncy
VerifiL-ation
1000 01500 0500 024021
6
Salisfll(;tionIDischarg""IR~lease Lisl Property Ownen! Mailinl.l Add..,.s
RECORD &: Rt.'TURN TO:
JOHN MESSINETTI. ESQ.
210 Willow Floyd Parkway
Shirley, NY 11967
RECORDED
2004 Jul 19 01,10,31 PM
Edwa rd P. Romai ne
CLERK OF
SUFFOLK COUIfTV
L ??oo12331
P 587
DnI 03-52372
Recording I Filing Stamp!'
y:
Mongage AmI.
\. Basic Ta"
2. Additiunal Thx
Sub Total
Spec. I Assil.
or
Spec. I Add.
TOT. MTG. TAX
Doal Thwn _ Dual ClIunly _
Hcld for Appointmenl _
Transfer Tax / '7 c;;J. 0
Mansion Tax
---
The property covcred by this motgage is
or will he improved hy a one or two
family dwelling only.
YES 'lI" NO
If NO. see appropriaie lax clause lIn
page # of Ihis inslru""'nl. _ J
-/),
CPF Ta" Due
S 430_000.00
IStPt!P('J~tHJ
Improved ........
Vacant Land
TO
/0
TD
TO
7 TIde Company Information
Co. Name Alliance AbstractlFldell National TItle
TItle # A17326F-04S
8
Suffolk County Recordin
& Endorsement Pa e
This page forms pan of Ihe anachcd Ba....ain and Sale Deed
(SPECIFY TYPE OF INSTRUMENT)
Car.DIlI Muniz
made by:
The premisis herein is situated in
TO
SUFFOLK COUNTY. NEW YORK.
In Ihe Township uf Southold
In lhe VILLAGE
or HAMLET of Orleat
BOXES 6 THROUGH 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
Denise 0' An-ostino &. .John 0' Aloatlno
11111111111111111111111111111111 111111111111111 11111111
1111111111111111111111111
SUITOLK COtJN'tY CLBRlt
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DElDS/DDD
Number of paqes: 3
Receipt Number : 04-0079565
ftANSI'ER TAX NtJMBER: 03-52372
Recorded:
At:
07/19/2004
01:10:31 PIC
District:
1000
Section: Block:
015.00 05.00
EXAMINBD AND CHARGED AS I'OLLOIt'S
$430,000.00
LIBER:
PAGE:
Lot:
024.021
D00012331
587
Deed Amount:
Received the rollowing Fee. For Above Instrument
Exempt
NO
NO
NO
NO
NO
NO
paqe/I'ilinq
COB:
BA-CTY
'1'P-584
RP'1'
'1'ran.fer tax
$9.00
$5.00
$5.00
$5.00
$30.00
$1,720.00
llandlinq
NYS SRCRG
BA-S'1'A'l'B
Cert. Copi..
SC'l'M
CClIIIIIII.Pre.
1'_. Paid
$5.00
$15.00
$50.00
$0.00
$0.00
$5,600.00
$7,444.00
Exempt
NO
NO
NO
NO
NO
NO
'l'RANSI'BR TAX NmmBR: 03-52372
'!'RIS PAGE IS A PART 01' '1'0 INS'l'RONEN'l'
'1'RIS IS NO'!' A BILL
Bdward P. Romaine
County Clerk, Suffolk County
FOR COUNTY USE ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473.7222
ca.
L..<,{;Z: 3J3J3, 91
, 07- / /<f aoo cj
Mor>th Day Yell'
Sook ,I ,,)..., 3,3'; 1 c.. Pa.e' ~t3 ,.:{ ,
RP - 5217
REAL PROPERTY TRANSFER REPORT
Cl. SWIS Code
*"1
"
""~L
IU'.~~ 17 R~, ~...~;
C2. Date Deed Recorded
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
PROPERTY INFORMATION
1.ProPe:rtY~080
Locatlon STREET NIJMllfR
Park View Lane
STREET NAME
Southold
CHV 0"1 TOWN
.lD.92.:U
liP CODE'
~~iG~T>1-
2. Buyer
Namfl'
D'Agostino
lASTN....ME;COMPANY
F11'lSTNAI.4E
Denise
D'Agostino
John
LAST NAME/COMPANY
FIRSTN....ME
(()'I
3. Tax Indicate where future Tal( Bills are tn be sent
:~~7:'. : ''/-)'"'' bl",;rj;(~..~71,'ffO~) ,
'10- ~!nIi!JJjie-
STR~ET NUMBER AND srREET NAME
fW
,,!.~t HlI(s
,
,!t!,ij, /L~]S;
4. Indicate the number of Assessment
Roll parcels transferred on tr.e deed
~JJ # of Parcels OR D Part of a Parcel
IOnly if Part of a Parc:el} Check as they apply:
4A. Planning Board with Subdivision Authorjly El(ists 0
48. Subdivision Approval was Required fo'Transfer 0
4C. P.m;el Approved for SU:Jdivision with Map Provided 0
5. Deed
Property
Size
I X I
10RL
.9 8
FRONT FEET
DEPTH
ACRES
6. Sellar
Name
Muniz
Carlos
F1A$TNAME
LAST NAME/COMPANY
lAST NAME/COMPANY
FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant land
lOA. Property located within an Agriculturel District
10B. Buyer received a disclosure notice indicating
thlltthe property is in an Agricultural District
o
o
o
o
A~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
o Non.Resldantial Vacant Land
E~Agricultural
F Commercial
G Aparlment
H Entertainment J Amusement
[ ~ Community Service
J Industrial
K Public Service
L Forest
SALE INFORMATION
15. Check one or more of these conditions as applicable to transfer:
11. Sale Contract Date
5 /17 / 04
Mor.th Do, YOM
0 / d3 / 04
M<:mlh D., Year
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is i!Ilso a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Wi!lrri!lnty or Bargain and Sale (Specify Below)
Sale of Fractional or less than Fee Interest iSpecify Below)
Significant Change in Property Between T<lxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price ISpecify Below)
None
A
B
C
D
E
F
G
H
I
J
12. Date of Sale J Transfer
13. Full Sale Price ,4 1 ,0 0, 0, n ,0 , 0 I
, , .
lFull Sale Price is the total amount paid for the property including personal property.
This payment may be in the form of cash. other property or goods. or the assumption of
mortgages or other obligations.) Please round to the nearest whole dollar amount.
14. Indicate the value of pef'$onal
property included in the liale
, " rI. 0 . 0 I
, , , .
Data should reflect the latest Final Assessment Roll and Tax Bil!
ASSESSMENT INFORMATION
16. Year of Assessment Rolllrom
which information taken
~
o
18. Property Class
,2 ~-LJ
17. Total Assessed Value (of all parcels In tran5ferl I " _E? _ p
/ ' , ,
19. School District Name I 2 - ~ / CCt.c>i ;...( ~
I
o
20 Ta)< Map Idantifier(s) ! Rollldantifier(s) IIf more than four, attach sheet with additional identifierls))
1000-82 015.00-05.00-024.021
L-
I CERTIFICATION
I certif)' that all of the items of infonnation entered on this foml aIT true and correct (to the besl of m~' knowledge and belief) and I unden;t.and thaI tht' mak.jn~
of an~' willful fal~e ~talemcnt of malerial fad herein \\i11 subject me to the Dro\-!sions of Ihe Penal lay, relathe to the makinR and lilin~ of falw inslnlml'nl~.
BUYER
BUYER'S ATTORNEY
~ ~c ~ .!
,~/-.J . I {)l"
~" "G~"'ZHv\ ((~+f1'\O k
90-14 69th Av.
I
Messinetti
,John
LASTNAM:
".i>STtA',,,
631
281-9521
~TNUMB~R
ST~EHNAMl'lAFTERSAL'J
AflEA COD~
TE~EPf!ON~ NU':B,-P
Forest Hills
NY 11375
___L
SIJ\r~ 2WCOOE
r NEW YORK ST A:I
l COpy IE J
CJTYORrow",
t:f7'0:/
DATE
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