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CONSULT YOUR IdI~W'Y1ER BLrI~ORE SIGNING THIS INSYRUMIMT--THIS INSTRUMENT SHOULD BE USL~D BY/,~W'YERS ONLY,
Andrea Patinella and R~sarla Pattnella, his. wife,
residing at 60-18 75th Street, Middle Village; NY
party of the ~rst pa~, Gad
Andrea Patinella, residing at 60-18 75th Street
Middle Village, New York
parry of the second part,
VVI-A'A~F..SS£TI-I, that zhe parry o! '.he .~rst part, in consideration of ten dollars paid by the parc)' o( :he second
par.', goes hereby em,se release 'and quitglaim u .r~.o'th.e part), el' the second part, the heirs or successors and
a~sign.s, of the paa'~ of the second part .%fever, -, ,
A~,-'-~t.~&'t certain pZc~., piece or pa~ool of lind, wi=la the bulldlnve and
of Sou'.hold, County o£ Su££olk and State of I~ew York, ~nown aa and by
Lot 512, on a certain map entitled "Hap of Tarry Waters at Bsyview, Town
0£ Southold, Suffol~ County, New York, surveyed June nth, 19S6 by Otto
W. Van Tuyl & Son, L.S." and filed in the su£folk County Clerk's office
on 12/29/qa am ~tap lie. 2901, bounded and described am follows:
of =he parcel designated on =ho above men=ion~d ~iled map as "Co--unity
BEING ~h~ sam~ premises described In deed ~rom Edith F. Ray ~o ~rea Ps,Snells and'''"
Rosa:!a Ps,Snells, his wife dated May ~, 1~96 and ~ecorded in ~ay, 1996 tn Libel,
SAID Rre=~ses being kno~ ~s a:~d by s~ree= ~ddress as 170 ~l~asBn~ Place, Southokd,
New York.
TOGETHB~ w~ all right, title and intcrcst, i~ any, of the party of thc ~:st part ~n and to any streets and
roads abutting the above describe~ ~rcmiscs to ihs c=n~er lincs ~c~f' TO'G~TH~R with ,h~
atzd all .,.e ~tace and rights of ~ne early of the ~rst pa~ in and to said premises; TO ~V~rAND
HOLD the premises heres gr~nted unto ,he pariy cf :ne se~nd ~rL the ~c:rs or successors and a~igns
thc par~y o[ ~e s~nd p~ forever.
AN D'the par:y of th'. first part, in ccn~p[iancc with Se=t/on '13 of :he Lice Law,' hereby ~:ovehan~ that the pa.~v
of she firs~ part w/il receive the consideration for this conveyance and will hold the right to receive such co~s~-
eraBon as a trust fund to be applied first for the purpose of ~)'ing thc cos~ of :he improvcmen~ an,[ will apply
:he ~me first to :he payment of thc cost o! the ~aprovement be/ore usi~:g any part of the total o[ the s~nc !ur
any oLher p'~se.
The word "p~rty" shall be ~true~ ~ il it read "parfi~" whenever, the sense of this indenture ~ requi:~.
IN ~N~ ~OF, ~e part), o[ the first part has dui~ executed this deed the day and y~: Erst a~ve
w~tten.
Andrea Pati~olia
* STATE OFNEW YOR~)
un~ersi~nen, pe~nallye~peared Andrea Pettnella .
persona]ly known m me or proved to me on the basis
evidence to be tho ~ndividu~l(s) whose name(s) is (a~) sulu~bcd to
the within Insn'ume~tt and &~knov..]e~sed lo me thnt he/she/they
executed the ,ante in his/her/d~i~ ~ity(ias). end that by
h:s~=/their si~'~'u~e(s) on the ins=ument, the individun](a), or the
person upon beha~of whi,"h the individualCs) acted, executed the
instrument.
"Individual IMd=I aek~owledsme~t
JO&NNE SEMINARA
For ecknowiedEme,~U Inke,, I~ New York State~lOT~RY PUBLIC, StBte of New York
No. 02LEOB57222
QuBIlfle;I in Klnl~ County
Comml~eion Exl~iree
Stale, Distrlc~ ~r Columbia, Terrle~ry, Posterior, or Forel~ Country
unde~En~d, p~o~ly ~d ~oea~ = ~e~la
p~on~lly ~ to ~ ~ ~v~ lo ~ on the ~ of s~isf~to~ '
~e~ to ~ ~ indi~du~Cs) ~ n~s) is (~) sub~i~ ~o
the ~in h~t ~ ~I~s~ to ~ thru h~hey
~u~ ~ ~ Jn ~ c~i~iu). ~ ~ by
h~r~e~ si~s) on ~ i~n~ ~e J~ivid~l(s), or ~e
~on ~ ~f orwhi~ ~c i~lvid~i(s) ~, ~e~t~ thc
i~nt.
~°'='Indlvidual takfn8 scknowled~ment
JOANNE SEM WA~tA
NOTARY PUBLIC, Sro:. :, New YOm
Q No. 02tr4857ft2~
umllflod in Kin,il ~'~taenty
C=mmleelon E=l~lre~ ~[~-~ ~0.~
On the -- day of in the year ~ before ne, the undersigned, personally
personally known to me or proved to me on the basle of'satisfactory evidence to be lite individual(s) whose name(s) is (are) subr, ct~bed to the '
wi. th. in in~mJment and aeknowisd~ed to me dmz he/she/they executed the same ~n his/her/their capa~ity(~s), that by his/her/their sisnmurc(s)
on the insu'ument, the individual(t), or the person upon beh~Wof which the indi.vidual(s) ac.te~., exccutod thc ins~'.umcnt, and th~ such
-:ndividlL~l rna~e su~)J appenrince before the undo;signed in th~" ' . (Insert the city or other
subdivision and the state or country or other pl~ce the acknowledpnen~ w&t token).
Sllnature and Of Jtc~ of
Individual tn)dna ncknowledpnent
RE~FRN BY MAIL TO:
JOA~E SEMINARA, ~SQ. "
Kurzman Kareleen & Frank, ~
7518 13th Avenue
Brooklyn, New York 11~.o.
Il
Number of' p~ng~s
'TORRENS
Serial #,
Certificate #
Prior Cfi. #
Deed / Mortgage Instrument
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 (Counly)
EA-5217 (State)
ILP.'I:S.A.
Comm. of Ed.
Affidavit
Certified Copy
Rec. Copy
C~her
,'1
9 O0
5 O0
5 O0
Deed / Mortgage Tax Stamp
FEES
-'ao -.oo.
,5 00.
Sub Total
GRAND TOTAL _
RECORDED
2003 Dec 09 03".31:55 PN
Ech~ard P. Roeaine
CLERK' OF
SUFFOLK COUNTY
L D~122~
P 8~
DT~ 03-193~
Recording I Filing Stamps
Mortgage Ami.
I. Basic 'Fax
2. Additional Tax
Sub Total
SpecJAssit.
Or
Spec. ladd.
TOT. MTG. TAX
Dual Town~ Dual County ~
Held for Apportionment ~
Transfer Tax '~
Mansion Tax '-~
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES. or NO ·
if NO. see appropriate tax clause on page #
~ of Ibis instmmem.
Real Property Tax Service Agency Verification
6
~ [ Satisfaction~Di~harge~Releases I.i~ Pm~fly Owne~ Mailin~ Add~s~
~ RE~ & RE~RN TO:
Community Preservation Fund
Amount $ )%
Title Company Information
Jo~nne $eminara
KURZMAN KARELSEN & FRANK, LLP
7518 13th Avenue
Brooklyn, New York 1129.8
Co. Name
, Title #
' [ Suffolk County Recording & Endorsement Page
Improved x
Vacant Land
'rD
TD
TD
This page forms part of the attached deed (quitclaim)
(SPF~'~IFY TYPE OF INKfRUMENT )
Rosaria Pat lnel la qbe premises herein is situated in
Andrea Pat lnel la SUFFOLK COUNTY, NEW YOR]C
And... v,~-i -ella InlheVILLAGE
or I-IAM~ET of
IJ(.)Xlc~ :5 'lEU 9 MUS'I' BE: TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
made by:
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument, DEEDS/DDD
Number of Pages, 3
TRANSFER TAX NUMBER: 03-19325
District:
1000
Deed Amount,
Section, Block:
088.00 05.00
EXAMINED AND CHARGED AS FOLLOWS
$o.oo
Recorded,
At,
LIBER:
PAGE:
Lot
12/09/2003
03,31:55
D00012288
835
':'"~:048.000
Received the Following Fees For Above Instrument
Exempt
Page/Filing $9.00 NO Handling
COE $5.00 NO NY$ SRCEG
EA-CTY $5.00 NO EA-STATE
TP-584 $5.00 NO Cert.Cop~es
RPT $30.00 NO SCTM
Transfer tax $0.00 NO Comm. Pres
Fees Paid
TRANSFER TAX NU~BXR: 03=19325
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
$5.00
$15.oo
$5o.oo
$o.oo
$0.00
$o.oo
$1~4.oo
Exempt
NO
NO
NO
NO
NO
NO
Edward P.Romaine
County Clerk, Suffolk County
I~LEA~E I YI-'~- UH I--'l-(I-~:> I-IHIV1LY WHEN WHIIINL~ ON POHM
INSTRUCTIONS: ht~p://www.orps,state,n¥.us or PHONE {518) 473-7222
FOR COUNTY USE ONLY
Cl. SWIS Code I /'~, r~ , ~ ~;~ , ~ ,~j I ~ REAL PROPERTYsTATE oFTRANSFERNEw YORK REPORT
C2. Date Deed Recorded I ) ~L / t% c~ / ~ -_~ I STAlin BOARD OF REAL PROPERTY SERVICES
RP - 5217
PROPERTY INFORMATION
1-PropertyI 170 I Pleasant Place
Buyer I Patin~.] ] ~. I Andrea
I
3. Tax Indicate where future Tax Bil~ are to be sent
Billing if other than buyer address {at bottom of form)
I
I STATE
zip CODE
I
4. Indicate the number of Assessment ~
Roll parcels transferred on the deed I 0 ~ 0 , ~- I # of Parcels OR Part of a Parcel
s. Oeed 120 150
P,opa-v I J xl IORI , · , I
Patinella Andrea
6. Seller I I
(Only if Part of a Parcel) Check as they apply.
4A. PJanning Board with Subdivision Authority Exists []
4B. Subdivision Approval was Required for Transfer []
4C. Parcel Approved for Subdivision with Map Provided []
Name LAST NAMe I COMPANY FIRST NAME
I Patinella I Rn,~ari~ I
7. Check the box below which most accurately describes the usa of the property at the time of sale: Check the boxes below as they apply:
8. Ownership Type ia Condominium []
i~ One Family Residential i~ Agricultural i~C ..... ity Service g. New Constructi V t Land .... .... []
2 or 3 Family ResidenfiaJ Commercial Industrial 10A. Property Located within an Agricultural District []
Residential Vacant Land Apartment Public Service 10~. Buyer received a disclosure notice indicating []
Non-Residential Vacant Lend Entertainment / Amusement Forest that the property is in an Agricultura~ District
ISALE INFORMATJ0N I
11. Sale Contract Date N / A I / /
Month Day Year
12. DateofSale/Transfer I 08 / 06 / 03 I
Month Day Year
13. Full Sale Price I , , ~ , , ~ , I 0,e 0 , 0I
(Full 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 personal I , z , ~ , ~ , 0 , 0 I
propar'cy included In the ~ala ~ ~ ·
ASSESSMENT INFORMATION - Data should reflect the latest Final ~sessment Roll and Tax Bill
16. Year of ~sament R~I from ~ 0 3 J 17. Total A~e~ed Value {of all ~rc~s In franker) ~
~h information taken '
18. Pmpe~Cla~ I ,~ ,~ I--~ 19. Sch~lDiMri~Name [Southo[d School
15. Check one or more of these conditions as applicable to transfer:
i~ Sale Between Relati F Relatives ..... .....
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or SaBer 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)
Sale of Business is Included in Bale Price
Other Unusual Factors Affecting Sale Price (Specify Betow)
None
Transfer for no consideration
D.I
20. Tax Map Identifier(s) / Roll Identifier{s) {If more than four, attach sheet with additional identIfier{s))
I Su£folk Section 088.00
i Block 05.00, Lot 048.00
CERTIFICATION
I certify that all of the items of information entered on this form are true and correct (to the best of my knowledge and belief) and ! understand that the making
of any wiUful false statement of material fact herein wiU subject me to the provisions of the penal law relative to the making and tiling of false ir~truments.
BUYER
60-18 I 75th Stre~
Queens I NY I 11379
CITY OR TOWN STATE zip CODE
SELLER
..~r
BUYER'S ATDORNEY
S~.m-i na, rR I T .....
718 I 745-4~97
I 1