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Home My WebLink AboutL 12589 P 787SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Number of Pages: 3 Receipt Number : 09-0059871 TRANSFER TAX NUMBER: 08-22757 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 038.00 04.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $15.00 NO Handling COE $5.00 NO NYS SRCHG EA-CTY $5.00 NO EA-STATE TP-584 $5.00 NO Notation Cert. Copies $0.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 08-22757 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County 05/29/2009 02:58:07 PM D00012589 787 Lot: 020. 000 Exempt $20.00 NO. $15 00 NO $75 00 NO $0 00 NO $30 00 NO $0 00 NO $170 00 , Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instrument Page / Filing Fe~ Handling ~ TP-584 !Notation I EA-52 17 (County) i EA-5217 (State) ~ I __ i Comm. of Ed. 5. 00 Affidavit i Certified Copy ;NYS Surcharge !Other 15. 00 Deed / Mortgage Tax Stamp FEES Sub Total Sub Total Or d 14 Dist./~ i Real Property i Tax Service Agency i Verification 1000 03900 0400 020000 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: RECORDED 2009 Hay 29 02:58:07 PM Judith A. Pascale CLERK OF SUFFOLK COUNTY L D00012589 P 787 DT# 08-22757 Recording / FilingStamps Consideration Amount $ Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointment 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 this instnmgept. 10 ..'3157 Community Preservation Fund Improved Vacant Land Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY 11901 www. suffolkcountyny, gov/clerk Co. Name Suffolk Title Company lnfoemation Title This page forms part of the attached Recordin & En, dr. orse,_ ment Pa e (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. ~ IntheTOWN°f/~"~-~~ -- In the VILLAGE BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE U~ED BY LAWYERS ONLY THIS INDENTURE, made the ~ day of~(l, rC.h , 2009 BETWEEN REGINA GARGANI, residing at 1255 East Gillette Drive, East Marion, New York 11939 party of the first part, and REGINA GARGANI, reserving unto Regina Gargani a life estate for the remainder of her life, residing at 1255 East Gillette Drive, East Marion, New York 11939 and NORMAN ADAM GARGANI, Trustee of the REGINA GARGANI IRREVOCABLE TRUST, residing at 217 Bay Walk, Fire Island Pines, NewYork 11782 party of the second part, WITNESSETH, that the party of the first part, in consideration of one dollar and other good and valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second pa~:t forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at East Marion, town of Southold, County of Suffolk and State of New York, known and designated as plot NO. 76 on a certain map entitled "Map of Marion Manor~', situated at East Marion, Town of Southotd, Suffolk county, New York, surveyed November 25, 1952 by Otto W. Van Tuyl and Son, licensed surveyors,~in Greenport, New York, owned and developed by Peter Blank & Son, East Wiiliston, Long Island, New York", and filed i0 the Office of the Clerk of the County of Suffolk on March 18, 1953 as Map No. 2038. BEING and intended to be the same premises heretofore conveyed to the grantor by deed Decer0ber 27, 1994,.and recorded in the office of the clerk of Suffolk County on February 14, 1995, in Liber 11714 page 656. District: 1000 Section: 038.00 Block: 04.00 Lot: 020.000 TOGETHER With all dght, 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 Dines thereof; TOGETHER with the appurtenances and all the estate and. rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the secend part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that.the pa~ty 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 be 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 same for any other purpose. The word "party" shall be construed as if it read "parties" when ever the 'sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day an¢~year first above written. IN PRESENCE OF: Re.~9~ Gargani ~ ~tandard N.Y.B.T.U. Form 6002 - Bargain and Sale Oeed, with Covenant against Grantor's Acts - Uniform Acknowledgment Form 3290 TO BE USED ONLY WHJ=N THE ACKN~)~NLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of SUFFOLK ss: On the~ day of ~,,0.~yC...~in the year 2009 before n'~', the undersigned, personally appeared REGINA GARGANI personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to State of New York, County of SS: On the day of in the year before me, the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged tb me that he/she/they executed the same in,his/her/their capacity(les), and that by his/her/their signatur~l(s) on the instrument, the~od~;dua~),_or the person upon bet~alf of which /(~:;I/offic.6/of ~dividual tang acknowledgment) -- "~ Notary Public. State of New York No. 4870145 Qualified in Suffolk County._ ~/'~t/'3 CommiSsion Expires AuguSt 11, 1 g::~,.~--/t '"' me that he/she/they executed the same in his/her/their. capacity(les), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. (signature and office of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKhoWLEbGMENT IS MADJ~ ou'J'sI~)'~ NEW YOI~K STATE State (or District of Columbia, Territory, or Foreign Country) of SS: On the day of in the year before me, the Undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(les), and that by his/her/their signature(s) on the instrument, the individual(s), or the pemon upon behalf of which the individual{s) acted, executed the instrument, and that such individual made such appearance before the undersigned in the (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS Title No. REGINA GARGANI, TO REGINA GARGANIIRREVOCABLE TRUST STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Dis~buted by Commonwealth COMMONWEALTH LAND TITLE INSURANCE COMPANY sECTION 038.00 BLOCK 04.00 LOT 020.000 COUNTY OR TOWN Suffolk STREET ADDRESS 1255 E. Gillette Dr. Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY RETURN BY MAIL TO: JANINE M. RAYANO, ESQ. Rayano & Gai'abedian, P.C. 267 Carleton Ave., Suite 222 Islip, NY 11722 .................... PI'EASE'TYPE 'OR'PRESS'FIRMLY'WHEN WRITING'ON'FORM .............. INSTRUCTIONS: http:/! www.orps.state.ny.us or PHONE (518) 473-7222 FOR COUNTY USE ONLY C2. Date Deed Recorded C3. Book ~ I REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STAI~ BOARD OF REAL PROPERTY SERVICES RP - 5217 PROPERTY INFORMATION II , e "br. I I I D~(_/ I I 3. Tax Billing Addrm Indicate where fotura Tax Bills are to be sent if other than buyer address (at bottom of form) FIRST NAMF Roll parcels transfened on the deed I g. Deed P.p.,, I I x I ,.G.,., I --] (Only iff Pan of a Parcel) Chec~ as they ~ I # of Parcels OR Part of a Parcel 4~. Planning Boa~d with Subdivision Authooty Ex~sts [] 4B. Subdivision Approval was Requi~d for Tra..sfe~ [] I OR I . I 4C. Parcel Approved for Subdivision vath Map Provided [] 7. Check the box below which most accurately desalhes the use of the property M the time of sale: A[~ One Fam,ly Residential H I~ 2 or 3 Family Residential (: ~ Residential Vacant Land l)U Non-Residential Vacant Land SALE INFORMATION I 11. Sale Contract Date 12. Dm of Gale I Transfer iAgricultural I [] Community Service · Commercial J ~ Industrial Apa~tmeot ~'L~ Public Service Entenainmem I Amusement I.U Forest 13. Full ~fo Price I _, IFull Sale Price is the Total ammrot paid for the property including personal properly. [ ASSESSMENT INFORMATION - Data should refle~ the IKest Final AGreement Roll and Tax Bill [ 1~ Year d ~ent R~I from [ [ 17. Tml ~ Value (d all patois in ~a~rl [ [ [ ChlGk the boxes below as they apply: g. OwnerrJlip Type ia Condominium [] that tho prepay, is in an Agricultural Oistdct J None / 20. Tax Map Idmltgierta) I Roll Idml~ior(M (ff mom thru1 four, m~taeh sheet with additional Idemb(s)) I CERTIFICATION ] Lertit'y thai all of lb.. hems et ItlJ'Onllatlofl emm, d off dil~ fofln an.. Irue mid cerreet (to the be4 of mT- Im(m'ledlte and b.4ierl end I undemtund thai die nmkinlt ut' an)' willful Tube etak. meet ut' nlalerfid Fa1 hah'in ,aid .,mhjL'~l me ti) die pm~'bkm.q oF lb.' jx'nnl taw rehti,~T. ~o lite makJni[ and rdlnR fir ra~ ittqfrunlenb. BUYER BUYER'S A1TORNEY I SELLER , ,qq ?bbs I NEW YORK STATE COPY