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L 12020 P 574
Form 8004-8.85 ou,tclaim Oeed-Intlivbual or Corporation. umgk SMe t) /1�� •- CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUmEW-THIS MSTRUYENT SHOULD BE USED BY LAWYERS ONLY. 1+■/ 7 THISINDENTl1RF-madcthe 1l/� da.ofl�(e/7,A%_.. BETWEEN 7AR NI \of n'7' NORIII COUNTRY ROAD.WADING RIVER.NEW YORK 105EP1IJ11792 bISMICT SECTIONBLOCK pang of the lirst 3Es I� SLI PROVIp1:NCG SACINO.IRUS'EI'.1'.OR III-R SUCCESSORS IN TRUST UNDL'RTHE PROVIDENCE SACINO LIVING TRUST DATED SEP'EEMI3ER 21. 1999 AND ANY AMENDNIFNI'STHERF'10.of I,5O OAKWOOD DRIVE,SOUTHOLD.NE.W YORK 11971 party of the second pan. WITNESSETH,that the party of the Ont pan,in consideration of Ten Dollars and other valuable consideration paid by the pang of the second pan,does hereby remise,release and quitclaim unto the party of the second pan,the heirs or slice and ass i'ns of the party of the second part forever. A THREE PE CENT INMRESTIN ALL Thal c airs plot.piece or parcel of land.with the buildings and improvements thereon crewed.situnte,lying all g in the SEE SCHEDIILR A ATTACHED [icing and intended to be the same premises described in a certain deed dated December 27. 1993 and recorded Jnnupry S,1994 in the SUFFOLK County Clerk's Office in Liber 11658 Page 716 It is grantors intention to transfek6%of'is interest in the property described into the name orthe PROVIDENCE SACINO LIVINCd TR T. 'TOGETHER with all right,title and imcrest, if any, of the party of the first pan in and to any strands and roads abutting the above described premises to the center lines IhereoP. I OGETI IER with the appurtenances and also all the estate and rights of the party of the first pan in and to said premises:TO HAVE AND TO HOLD the premises herein granted unto the party of the second pan.the heirs or successors and assigns of the party of the second pan forever. AND Ilio party orthe first pan,in compliance with Section 13 orthe Lien Law,hereby covenants that the pang of the first pan 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 ofthe improvement and will apply the same first to the payment of the costal the improvement before using any pan of the total of the same for any other purpose. 'The word'pany'shall be construed as if it read"parties"whenever the sense ofthis indenture so requires. 'rA%hbSP IN WITNESS WHEREOF,the parry of the first pan has duly executed this deed the day and year first above DESEiNA'I'ION written. IN I'Rf:SENCE Of. Dist. 1000 Sec Cllw 070.00 -- �- W"anss — - —_ JOSGPIFI I.ARONICA wL 12.00 Logo 031.000 12020Pr,574 Exhibit A 1350 Oakwood Drive, Southold, New York 11971 It is grantors intention to transfer 6% of his interest in the property described into the name of the PROVIDENCE SACINO LIVING TRUST. ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the southerly side of Oakwood Drive distant 110 feet westerly from the corner formed by the intersection of the southerly side of Oakwood Drive and the westerly side of North Bayview Road; RUNNING THENCE from said point of beginning along the southerly side of Oakwood Drive South 83 degrees 05 minutes 30 seconds West 105 feet; RUNNING THENCE South 6 degrees 54 minutes 30 seconds East 250 feet more or less the ordinary highwater mark of Goose Creek; RUNNING THENCE easterly along the said highwater mark 105 feet more or less to point which is distant 230 feet more or less as measured on a course South 6 degrees 54 minutes 30 seconds East from the point of beginning: RUNNING THENCE North 6 degrees 54 minutes 30 seconds West 230 feet more or less to the southerly side of Oakwood Drive at the point or place of BEGINNING. Being and intended to be the same premises described on a certain deed dated December 27, 1993 and recorded in the Office of the Suffolk County Clerk on January 5. 1994 in Liber 11658 Page 716. 28826 R� � _ 2 ) 12020Ff,57q Rr_�r. Namber of pages ftr-`�(•���+ TORRENS FEB 14 '.i::8 ! WEB III PH 3:58 Serial 4i t:Idt Or" Cenificateq Stl"rrCU` ( $UFFL'L,", COUNTI' OCPJ'•iTY Prior Cif.n_ 28826 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps J 1 FEES J Page/Filing Fe, 1�' � Mortgage Ann. Ilandlin ' J 8 S I.Basic Tax _ 1'P-584 2.Additional Tax Notation Sub Total _ CA-5217(County) 'S- J J Sub foal Z • J -- Spec./Assit. Or EA-5217(Seale) Spec./Add, R.P.T.S.A. �c� .� YSNC TO 1.MI'G.'FAX Comm.of Ed. 500 ,k, ? I)ua iovin_DualCounly- -T. /� Held R"Apponiunnm/u(i/ _ Affidavit 'transfer'I'ax lam_ Certified Copy `,y'9R`l Mansion lax The property covereJ by this montage is or Reg.Copy will be improved by a one or two family Sub total N.S J'� dwelling only. Other 0� YF:S_or NO GRAND TOTAL ')7 . If NO,see appropriate tax clause on page 4 G —of this instrument. Real properly Fax Service Agency Verification b Community Preservation Fund + j Dist. Section Block I.ot 4 Consideration Amount $ U'J /, r( ;'a Crr-fnx uuc $ '-'t�a"�V/1� roved Initials 5 a •, �� V. -ant Land_- 7 Satlafactions/Discharges/Rclea.scs list Property Owners Mailing Addrs, RECORD&RETURN TO: r_c 21:11 I r UivO x' ) 8 Title Company Information Co. Name/? C_% ela T-ill,n �_.� Suffolk Count Recording & Endorsement Pa e 'Ihis page fomLs rem of the attached 1 F�.1 made by: L (SPECIFY IYPF 01:INSIRUMI:NI') 'Ihe premises herein is situated in SUFFOLK CWUNIY.NFW YORK To /1 In the Township of �JLezre..Q,C/�rse_c CJC3e e.•.us I91tzc41"eP In the VILLAGE �Xctc•ul —� u� or IIAMLL of BO\IiS 5'11 11W N MUST BE IYPFDOR PRINFED IN 13LACK INK ONLY muni •f0 Jk17IWINGOR PILING. (OVER) y PLEASE TYPE UH PRESS FIRMLY WHEN WHITING ON FORM INSTRUCTIONS: httP:H www.orps.state.ny.us or PHONE (518) 473-7222 REAL PROPERTY TRANSFER REPORT •y L k ` .. t t STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES RP - 5217 RP-5217 Rev 3N7 1.Property Location /�L, Ur i�llt GF C7 �9Iv� STREET NUMBER STREET NAME Cm'OR TOWN VILLAGE ZIP COD 1 2.Bu er y I �DUfc �f; I(E _f�'Cr.I:C� �k- _�_.r. Fly..-L'� —�lcr `J .�kme- LAST NAME/COMPANY FIRST NAME .. l lrt 1 / tr 4 LASTN EICOMPANY FIRST NAME 3.Tax Indicate where future Tax Bills are to be sent Billing if other than buyer address(at bottom of form) Address LAST NAME/COMPANY FIRST NAME I I I I STREET NUMBER AND STREET NAME CITY OR TOWN STATE 21P CODE 4.Indicate the number of Assessment / (Only If Part of a Parcel)Check as they apply: Roll parcels transferred on the dead I r I q of Parcels OR ❑ Part of a Parcel 4A Planning Board with Subdivision Authority Exists ❑ 5.Deed 4B.Subdivision Approval was Required for Transfer ❑ Property I I X OR - 4C.Parcel Approved for Subdivision with Map Provided ❑ Size FRONT FEET DEPTH ACRES 6.Seller Name LAST NAME I COMPANY FIRST NAME r` - I LAST NAME I 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 ❑ I •9.New Construction on Vacant Land A One Family Residential E Agricultural ] Community Service ❑ B 2 or 3 Family Residential F Commercial J Industrial 10A.Property Located within an Agricultural District ❑ C Residential Vacant Land G Apartment K Public Service 10B.Buyer received a disclosure notice indicating ❑ D Non-Residential Vacant Land H Entertainment/Amusement L Forest that[he property is in an Agricultural District 15.Check one or more of these conditions as applicable to transfer: 11.Sale Contract DateI .:,_�-.,.,___1 I A Sale Between Relatives or Former Relatives Month Day veer B Sale Between Related Companies or Partners in Business > / C ,e One of the Buyers is also a Seller 12.Data of Sale/Transfer I /G / /0 D Buyer or Seller is Government Agency or Lending Institution Month Day year $ Deed Type not Warranty or Bargain and Sale(Specify Below) F Sale of Fractional or Less than Fee Interest(Specify Below) G Significant Change in Property Between Taxable Status and Sale Dates 13.Full Sale Price I T O 1 O H Sale of Business is Included in Sale Price 7 7 (Full Sale Price is the total amount paid for the property including personal property. I Other Unusual Factors Affecting Sale Price(Specify Below) This payment may be in the form of cash,other property or goods,or the assumption of J None mortgages or other obligations.) Please round to the nearest whole dollar amount. 14.Indicate the value of personal O O property included in the sale FSSESSWNTINFORMATION:-Deft!should i",A9$tlesfga 1tR! azBHf; 16.Year of Assessment Roll from t a' - which information taken I--' J 17.Total Assessed Value(of all parcels in transfer) 7 7 D 18.Property Class 19.19.Schol District Name 20.Tax Map Identifieds)/Roll IdentNer(s)(R more than four,attach sheet with additional identifio ds)) G ,y I certify that a6 of the items of information entered on this form are true and cordo(to the hest aCmy knowledge and belief)and I understand that the making of any willful false statement of material fact herein will subject me to the provisions of the penal law relative to the making and fling of false instruments. BUYER BUYER'S ATTORNEY BUYER SIGNATURE DATE �L T NAME FIRST NAME STREET NUMBER STREETNAME IAFT SALEI '' AREA CODE TELEPHONE NUMBER r /S� I l.•, ,.: I / CITU OR TOWN�41 STATE 'PP CODE SELLER Cl'FY=WAI,A, ©R. COPY, X SELLERSIGNATURE DA NATURE I DAW '