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L 12690 P 452
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Receipt Number : 12-0041974 TRANSFER TAX NUMBER: 11-18243 District: 1000 Deed Amount: Section: Block: 038.00 03.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Recorded: At: LIBER: PAGE: Lot: Received the Following Fees For Above Instrument Exempt Page/Filing $20.00 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: 11-18243 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 04/12/2012 03~50~29 PH D00012690 452 005.000 $20.00 $15.oo $125.00 $0.00 $30.00 $0.00 $225.00 Exempt NO NO NO NO NO NO Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2012 Rpr 12 03:50:2~ P~ . JUDITH ~. PflSCflLE CLERK OF SUFFOLK COUNTY L 000012690 P 452 DT# 11-18243 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Recording / Filing Stamps 31 FEES Page / Filing Fee Handling TP-584 20. O0 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Corhm. of Ed. 5. 00 Affidavit Certified Copy NYS Surcharge 15. 00 Other Sub Toml Sub Total I 4 I Dist. Real Proper Tax Servic, Agency 12005951 Grand Total 1000 03800 0300 005000 Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec JAssit. or Spec./A~ld. 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 o,n: gage # of this instrument:~/~ 0/-/q""/¢,- /'~ 5 Community Preservation Fund Consideration Amount CP~TF axDue $ C~ . Verificatio,,~_; _ =. · ./ Improved__ _ I Satisfactions/Discharges/Releases List Property Owners Mailing Address 6 RECORD & RETURN TO: / __ Vacant Land / Ronald Fatoullah & Associates ~ ~ TD ~ I 60 Cuttermill Road Great Neck, NY 11021 , IMail to: Judith A. Pascale, Suffolk County Clerk ~ itle Com an Information I 010 Center Drive, Riverhead, NY 11901Icc.Name -- I www.suffoIkcountyny, gov/clerk ~ ~ -- ,,Suffolk co niy Recor ndorsement page This page forms part of the attached made by: (SPECIFY TYPE OF INSTRUMENT) ,Yeah n T.r~ul ~.r3 Rosalie Lovisa The premises herein is situated in SUFFOLK COUNTY, NEW YORK. Southold TO In the TOWN of Rosalie Lovisa In the VILLAGE East Marion or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) O O WARRANTY DEED WITH FULL COVENANTS (INDIVIDUAL AND CORPORATION) FORM 8003 (short version), FORM 8008 (long version) CAUTION: THIS ^GREEIVIENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE, made the [~ay of January, 2012. between JOHN LOVISA and ROSALIE LOVISA, his wife, residing at 109 Bethel Road, Albertson, NY 11507, party of the first part, and ROSALIE LOVISA, residing at 109 Bethel Road, Albertson, NY 11507, party of the second part, WITNESSETH, that the party of the first part, in consideration of 10.00 dollars, lawful money of the United States, 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 part 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 Lot No. 53 as'shown on a certain map entitled "Map of Marion Manor", and filed in the Suffolk County Clerks Office on March 18, 1953 as Map No. 2038 and being more particularly bounded and described as follows: BEGINNING at a point on the easterly side of Gillette Drive distant 375.00 feet southerly from the extreme southerly end of an arc connecting the easterly side of Gillette Drive with the southerly side of Manor Road; RUNNING Thence North 64 degrees 51 minutes 10 seconds East 139.16 fi.; THENCE South 26 degrees 36 minutes 30 seconds East, 100.03 Ft.; THENCE South 65 degrees 51 minutes 10 seconds West, 14t .71 ft. to the easterly side of Gillette Drive; TH ENC E North 25 degrees 08 minutes 50 seconds West, along the easterly side of Gillette Drive, 100 ft., to the point or place of BEGINNING. Being the same premises as conveyed to the party of the first part by deed dated May 17, 2002 and recorded by the Suffolk County Clerk on June 12, 2002 in Liber D00012191 at page 214. SAlD premises being known as and by 1245 Gillette Dr., East Marion, NY 11939. 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 estate and rights of the party of the first part in and to said premises, TO HA VEAND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. NYSBA's Residential Real Estate Forms (9/00) -i- © 20t I Matthew Bender & Co., a member ofthe LexisNexis Group. 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 be applied first for the purpose of paying the costs 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. AND the party of the first part covenants as follows: FIRST. That said party of the first part is seized of the said premises in fee simple, and has good right to convey the same; SECOND. That the party of the second part shall quietly enjoy the said premises; THIRD. That the said premises are free from encumbrances, except as aforesaid; FOURTH. That the party of the first part will execute or procure any further necessary assurance of the title to said premises; FIFTH. That said party of the first part will forever warrant the title to said premises. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. John g~visa Rosalie Lovisa NYSBA's Residential Real Estate Forms (9100) © 2011 Matthew Bender & Co., a member of the LexisNexis Group. Acknowledgment by a Person Within New York State (RPL § 309-a) STATE OF NEW YORK ) ) tiff.: COUNTY OF NASSAU ) On the I ~1 day of ,~ ckq¢.~, t "N .. in the year ~o i '2~., before me, the undersigned, personally appeared JOHN LOVIS-~ and ROSALIE LOVISA, 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 they executed the same in their capacity(les), and that by their signature(s) on the instrument, the individual(s), or the person upon behalf of wh ich~~¢.in str 0 m'"'-~nt. (signature and opc'"~ o 'f~_jy. idu& taking acknowledgment) ~'A.n L1AN KUANG-MAgGA .NOTARY PUBLIC-STATE OF~EW YORK / '~ NO. 02KLI6222~109 Quo~ifleO in New York County WARRANTY DEED M¥.C,,ommissign Expires MO¥ Title No. JOHN LOVISA and ROSALIE LOVISA, his wife To ROSALIE LOVISA Section 038.00 Block 03.00 Lot 005.000 County or Town Suffolk Street Address 1245 Gillette Dr. East Marion, New York 11939 Return By. Mail To: Ronald Fatoullah & Associates 60 Cutter Mill Road Great Neck, New York 11021 Reserve This Space For Use Of Recording Office NYSBA's Residential Real Estate Forms (9/00) © 2011 MaRhew Bender & Co., a member oflhe LexisNexis Group. PLEASE TYPE ~R PRE8$ FIRMLY WHEN WRITING ON FORM ........ INSTRUCTIONS (RP-5217-IN.8): ww~.orps.stat®.ny.us FOR COUNTY USE ONLY ,~New York SMte Depadment of cl. sWlSCode 14 -7, 3~", ~,~1 Taxation and Finance C2. Date De.*d Recorded I ~ , la /(~J I O~ice of RS., Pro~.i~y 'fax $.W,C.$ , Rsal Propel'~ Transfer Repo~ (~/10) PROPERTY INFORMATION 1. Properbj Location ~ c,,~,~,,~Ma'r-i'° ZBwer L Lovisa I Gillette Drive I I I 11939 i I Rosalie I fIRST, NAME 4. Indlssta tho number of Assessment , ~ (Only if Peri of a Parcel) Ch~k aa they apply: Rolil~arcalstransfawadouthedsed I , ,1 I /~ofParc~s OR Parlc:daParcel 4A, P1~nnmosaardwirnS~bdivlslonAutl~ntyEvlsts [] $. Deed Pro..dy ~ X l Ion I 4B. ~JbdMslon Approval was ReAuired for Trencher [] · 0 ' 3 ~ 4C. Parcel Approved Mr SubclM;.O~ with Mop Prov',cled I--] 6, hllerI bovisa i John Rosalie L Lovisa 7. Check the box below which m~l asebmtoly dsecrlbos the u~ ~ ~e pm~ M ~e time M sale: A ~,~F~l~de~a, ~ ~,ural ] ~ ~ ....,~. R ~2~3 FamilyResi~mial F ~me~al J ~ tndumdal C ~ bsidenUal v~nt ~nd (j ~A~enl ~ ~ Pu~ia ~wi~ ~Non.~sl~n~aiV~nt~nd H ~Enle~i~tl~u~ment [.~ F~st Check the boxes below aa they apply: $, Ownership Type is Condomin;um 5. New Coesbuclion on Vacartt Land 10A. PapaCy Located wtthin an Agficel~Jral Distdct [] lOB. Buyer race,veal a clieclosum notice ,ndicedng [] thai the p r~eh'y is in an AgriculbJral Disbicl SALE INFORMATION 11. Sale Contract Dam 12. Date of Sale I Traeef~r ( Full Sale Price Is the total amount paid Mr the p~e~ inci~i~ ~gl ~o~y. ~ ~ ~r obl~s.) 14. Indl~te tho val~ of ~ included In tho sale I j , , j , , --- , I:. ,~J Deed Type not Warranty or Sangaln end Sale (Specily Salow ) F ~J Sale of Frer. aoflel or Less th~n Fee In~emst ( Specify Bek)w ) (j ,,~ Signilicent Change in Property Saracen Taxable StahJs and Sale Dates I .~1 Other Unusual Factors AJlactirto Sale Price ( Specify Below ) J X~X Hans Gift Transfer ASSESSMENT INFORMATION - Data should affect the latest Final Assessment Roil and Tax Sill I 16. YearwhichoflnfommtlenAssessmenttalmnROll from I '.1 '~ .__J 17. Total Aseea~d Value (of all persels In tranafer~ , , ~ . . j .... 4~ 7 0, 0 ts. Pmee~Cfaee L2.J_~0. J'I0.0 tg. BchoulDletrlctName L O_Qy. st___er Po~n~ School District I 20. Tax Map IdamiftBr~s) I Roll Ideedflar(s) ( If mom then four, asach sheet with addltlooul Ideetlfler(a) ) L Suffolk: ac: 038.00 Blk: 03.010 ~o.t: 005.000 .j ~ ] L I CERTIFICATION 8ElLEn :SIGNATURE ~ -- BUYER ¢OHTACT INFORMATION ,,--,--o_ _. ,,_.. _. _.. _.,. ,.,_ Rosalie ~OVlSa ~"' ~' /' ~' 1 5q6 294- 1376 __Fatoullah I Ronald 'NEW YORK STATE COPY 1245 I Gillette.Drive East Marion NY 11939 I