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CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT.THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
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THIS INDENTURE, made the 17th day of
August
2000
BETWEEN
ACHILLE FASOLINO AND HUBERT FASOLINO now known as UMBER'ID FASOLINO
2260 DUCK POND ROAD C
CUTCHCX3UE, NEW YORK 11935 );
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party of the first part, and
UMBER'ID FASOLINO and ROBIN FASOLINO, HUSBAND AND WIFE AS 'ID FIFTY PERCENI' (50%)
AND ACHILLE FASOLINO and EM-1A FASOLINO, HUSBAND AND WIFE AS 'ID FIFTY PERCENT (50%)
2260 DUCK POND ROAD
CUTCHCX3UE, NEW YORK 11935
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 remise, release and quitclaim unto the party of the second
part, the heirs or successors and assigns of. the party of the second part lorever,
ALL that certain plot, piece or parcel of land, with the buildings and Improvemenls thereon erected, situate,
lying and being In the .'
ALL that certain plot, piece or parcel of land, situate, lying and being at Cutchogue,
Town of Southold, County of Suffolk and State of New York, known and designated as
Lot No. 2 on a certain map entitled, "Map of Woodbine Monor", Cutchoguo, Town of
Southold, Suffolk County, New York, and filed in the Office of the Clerk of the
County of Suffolk on December 15, 1986 as Map No. 8239.
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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 aslate and rights of tha party of the first part In and to said premises; TO HAVE AND TO HOLD the
premises herein granted unto the party of the sec.ond part, the helra or successors end assigns of the party of
the second part forevar.
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 ba 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 sama for any other
purpose. The word 'party" shall be construed as If It read "parties' whenever the sense of this Indenture $0
requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year flrsl above
written.
IN PRESENCE OF:
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J\OOLLE F'(/. ^
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UMBER'ID FASOLINO
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Standard N.Y.B.T.U. Form 8004 - Quitclaim Daad - Uniform Acknowledgmant (slngla sheal)
Form 22.18
'; 12078PG017
-5
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10663
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RECORDED
TOIWENS
$ REC~ED
RE.4L EST;\ iE
OCT t 3 200Q
I
Number o~ poges
Cerlificale II
TRANSFER TAX
SUFFOLK
COUI'ITY
00 OCT I 3 PH 12: 26
EOWAED I". iWMAINE
CLERK OF
SIJFF8LK COUNTY
Serial II
Prior CIf.1I
10
Deed / Mortgage Inslrumenl
Deed / Mortgage Tax Stamp
Recording / Filing Slamps
4
FEES
.
Poge / Filing Fee
_lL_
'5
1
'5
Mortgage Amt.
Handling
TP-584
I. Basic Tax
2. Additional Tax
NOlation
EA-52 17 (Counly)
S Sllb Tolal -.d!i. _
<<5
f5.oD _
Sub Tolal
COll1m. of Ed.
5Q~
Spec.! Assit.
Or
Spec. / Add.
TOT. MTG. TAX
Dual Town Dual Counly
Held for ApportionmenA.-
Transfer Tax -V
EA-5217 (Stale)
IlP:f.SA
Mfidavil
Cel lified Copy
(It her
Sub Totol
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GRAND IOTAL -l{T1.
45
Mansion Tax _
lhe property covered by this mortgage is or
will be improved by a one or two family
dwelling only. ~
YES or NO
If NO, see appropriale lax clause on page II
of lhis instrument.
Reg. Copy
I.
Real Property Tax Service Agency Verification
lJist. Section Block
Lot
6 COlllmunity Preservation Fund
Consideration Amount $
. ,ot) 0 Y . (}{) ()()?-, om CPP Tax Due
$
Improved _
Inilials H
7 Satisfactions/Discharges/Releases List Propcrty Owners Mailing Address
RECORD & RETURN TO:
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L"Lb'0 OvcJ \J eo~& ~
CvD~0~~~ 1 rJ';
Vacant Land
TO
TO
TO
9
Tille # 0
Suffolk Count Recordin & Endorsetuent Pa
'Ihis pagc forms part oflJle attached Q~./
8
Title Company Information
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_thi~ _.tv-J~'!../\ J_
(SPEC! FY TYPE OF INS1RUMENT )
made by:
111e premises herein is silualed in
SUFFOLK COUNTY, NEW YORK.
IlIlhe T0\\11Shi p of ~ 0..) 'r€. v l ~
TO
lJJII'-~ f'~~l,"0 (L~i~ FO""~<ll\"-\> IlIlheVILLAGE
~01L f~~L^.;::. Ztv...{V\.c..., P"-J-vLf\? orllAMLETof c..u~cJ.OO\)--Z, '
Ill)XI:.<; 5 TI {RU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
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PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
.
INSTRUCTIONS: http:// www.orps.state.ny.lls or PHONE (518) 473-7222
,. P<ope,rtv I 1.-1 \. 0
Location
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STRRT NAME
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STREET NUMBER
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP ~ 5217
RP-S217 Rev 3197
CITY OR TOWN
G-kdl.,)) ve...
VilLAGE .
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FIRST NAME
2. Buyer
Name
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LAST NAME f COMPANY
LAST NAME! COMPANY
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address
FIRST NAME
ZIP CODE
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LAST NAME I COMPANY
FIRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
4. Indicate the number of Assessment
Roll parcels transferred on the deed
I
# of Parcels OR D Part of a Parcel
I
5. Deed
Property
Size
Ixl
lOR I
'ACRES'
.
FRONT fEET ..
DEPTH
ST~TE
, ZIP CODE
!OntyifPartofaParC8I1.Ct1~ .1' L. ~'J. ".-~,~,..,,,,",~,,,,,,,,,.
4A. Planning Board with Subdi....ision Authority Exists D
48. Su.bdi....ision Appro....al was Required for Transfer D
4C. Parcel Approved for Subdivision with Map Provided D
1"--( 1.-, I i ta
6. Seller
Name
rc. ,,) 1 , " .J
Ul,ST NAME f COMPANY
FIRST NAME
LAST NAME f COMPANY "
7. Check the box below wbich most accurately describes the use of the property at the time of sale:
A ~( One Fa~ily Rieside~i"l
B 2 0'r,3(\amily.1leSident'ial
C ResidlHitial Vacilnt Land
D Non-Resiqential Vacant Land
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Agricultural I~
Commercial J
Apartment K
Entertainment J Amusement L
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Community Service
Industrial
Public Service
Forest
FIRST NAME
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
10B. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
D
D
D
D
15. Check one or more of these conditions as applicable to transfer:
11. Sale Contract Date / /
Month D., Year
12. Date of Sale I Transfer e / Ii / 0"'>
Month D., Year
13. Full Sale Price I I ,\.) I 0 I 0 I
, , .
(Full Sale Price is the total amount paid for the property including personal property.
This payment may bejnthe form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Please round to the nearest whole dol/ar amount.
14. Indicate t~e value of personal I I I I I J I I 0 I 0 1
A
B
C
D
E
F
G
H
I
J
Sale Between Relati....es -or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a SeUer
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than Fee Interest (Specify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
16. Year of Assessment Roll from I D ~ 1
which information taken I
I: 1.0-\-
O~ -LJ
17. Total Assessed Value lof all parcels in transfer,1
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19. School District Name
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18. Property Class
20. Tax Map Identifier(sl J Rollldentifierls) (If more than four, attach sheet with additional identifier!s))
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I certify that aU of the items of information entered on this form are we and correct (to the best of my knowledge and. belief) and I WHlerstand that the making
of any willful false statement of material fact herein will subject me to the proVisions of the oenallaw relative to the making and filing of false instruments.
BUYER BUYER'S ATTORNEY
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'BUYER SIGNATURE
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STREET NAME (AFTER SALE)
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STA"A:i ZIP CODE
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SELLER
.-
STREET NUMBER
CITY OR TOWN
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SELLER SIGNATURE
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LAST NAME
AREA CODE
FIRST NAME
TELEPHONE NUMBER
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