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L 12693 P 760
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 3 Receipt Number : 12-0057606 TRANSFER TAX NUMBER: 11-20788 District: 1001 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 002.00 01.00 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: 11-20788 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 05/18/2012 02:36:58 P~ D00012693 760 Lot: OO7.OOO $20.00 $15.00 $125.oo $0.00 $60.00 $o.o0 $25O.O0 Exempt NO NO NO NO NO NO hlumbcr of pages -This document will be public rocord. Please remove all Social Security Numbers prior to recordino. RECORDED 2012 Nay 18 02:36:58 PM ,JUDITH fl. PRSCflLE CLERK OF SUFFOLK COUNTV L D00012693 P 760 DT# [1-20788 Deed/Mortgagelnstrt]ment Deed/MortgageTax Stamp ] Recording/Filing Stamps 3 I FEES Page/Filing Fee / ~ Itandling ~. O0 TP-584 ~" Notation EA-52 17 (County) ~' Comm. of Ed. 5. 00 Aflktavil Certified Copy NYS Surcharge Other Real Property Tax Service Agency Verification Snb Tolal ,5, o0s.b Torn, Grand Total ¢'~'~ 2 12010313 ~.oo~. oo2oo o'~oo oo7ooo Satisfactions/Discharges/Releases List Property Owners Mailing Address (~O,,.,iA~z~RECORD & RETURN TQ: 5 Mortgage Amt. !. Basic Tax 2. Additional Tax Sub Total Spec.IAssit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointm.~?r 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' NO, see appr6priate itax clause on If page #__ of this instrument. Community, Preservation Pund Consideration Amount $ . ~- ax Du~ Improved Vacant Land TD /~ TD TD Mail to: Judith A. Pascale, Suiiolk County 61erk , ~' 7 [ Title Company Information 3'10 Center Drive, aiverhead, NY 1190'1 ko. Name r~(~d,~L-(~}/~ www. suffolkcountvny, gov/clerk ITitle # ("~[;~-O 1~ - ~ Suffolk .County Re¢o_rding & Endorsement Page This page forms part of the attached ~ · made by: (SPECIFY TYPE OF INSTRUMENT) , T , The premises herein is situated in SUFFOLK COUNTY, NEW YORK. In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) 691- Slmmd~n~N-Y-B-T-U'Fmm~02:B~oin~d~deed' www.blumb~l~g,c0m CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMEHT - THIS tNSTRUMEHT SHOULD BE USED BY LAWYERS ONLY THIS]~E~q13RE, made on April ~ , 2012 BETWEEN Complete Recovery Restoration, Inc. 30 Yale Place Rockville Centre, New York 11570 party of~efirstpart~d Virginia Picchioni, residing at 30 Yale Place, kville Centre, New York 11570 party of the s~cond part, %VITNESSETH, rims the party of the first part. in consideration often Dollars and other x~luable consideration paid by the party of the second paxt, does hereby grant and release unto the party of thc second part. the heirs or successors and assigns of the party oftbe second part forever. plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and be~u~ ~x ~be Village of Greenport, Town of Southold, county of Suffolk and State of New York, known and designated s lot number 58 on a certain map entitled "Map of Washington Heights" Filed in the Suffolk county Clerk's office on 12/29/1929 as map no. 651. SAID PREMISES are the same as those described in Deed to the Grantor herein, dated 8/24/2000 and recorded in the Suffolk County Clerk's office, Liber L2072 Page 595. SAID PREMISES also being known and designated as 47 Washington Avenue, Greenport, New York. title and interest, if any, of the party of the first part in and m any slreets and roads abuttin8 the above described premises lo the canter lines thereof; TOGETHER with the appurtenances and all gae estate and fights of the party of the first part in and to said premises: TO HAVE AND TO HOLD the premises t~ereln granted unto the parry of the second pa~, the heirs or successors and assigns of the party of the second parl forever. AND the parry of the first part covanants that the party of the first part has not done or suffe~l anything whereby the said premises have been encumbered m any way whatever, except as aforesaid. AND the pan'y of the first part, in compliance wiih Section 13 of thc Lien Law. covenants that the party of the fust parl will receive the cons½deralion fox lhis conweyance and will hold the riL~hl to receiYe such consideration as a trait fund to be apphed fu~t for the purpose of paying the cost of the improvement and will apply the san~e first to the payment of the cost of the improvement before using any parl of the total of the same for any other purpose. Tlxe word "pasW" shall be construed as ff it read "parties" whanever the sense of this indenrare so requi~. IN' WrI'NESS WHEREOF, the party of the fixst parr has duly executed this deed the day and yea~ first above written. IN PRESI~CE OF: AC KNOW"s..EI~IENT IN NEW YORK S'1'A'I~ {RPL ~) Stnt~ of New Yor~ Conn~ of Nassau s~: ~ A~ril ~ ,2012 ~fo~me,~e~i~, ~ly np~ Robert Picchioni ~y ~ tn me ~ ~ov~ ~o ~ ~ ~e ~ of ~- subsc~b~ to ~e wi~ ~ent ~d a~owled;ed to me ~hnt he/she/they executed the same ~ ~s~er/their cape- city(les), and that by his/her/thei; signature(s) on the ins~ment, the &dividual(s), or the p~son upon behalf of State of CounW of On ~f~e me, ~e ~de~i~ pe~ p~o~ ~o~ tn me o; pmv~ to me ~ ~e b~is of ~- subsc~d to the ~ ~em ~d a~owled~ed to me thai he/she/&ey executed the same & ~er/the~ capaci- ties), ~d ~t by ~er/~e~ si~s) ~ ~e the individ~t(s), or the person upon behalf of which the individ~l(s) acted, executed the ~s~ent, ~d ~at such ~div~ ~ s~h ~ce ~fom ~e ~i~ ~ (i~ e~ or ~i~c~I s~ian ~ ~t=~ o~ ~ ~ oth~ place ~l~t ~) ($ignamro and o~ce of individual taldng aclmowl~tgm~nt) ACKNOWLEDGMENT BY SUBSCR~IG WTTI~S) State of County of on before me, ~he underaigned. personally appeared the subscribing witness(es) to the fozegoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose and say that he/she/they reside(s) in a/t~,. plac~ of rt~.idwnra i.~ in a c~W, includ# tba street and street number, ~r an~, that he/she/they know(s) to be the individual(s) described i~ and who executed the fore- going instrument; that said subscribing witness(es) was (were) present and saw said execute the same; and that said witness(es) at the same time subscribed his/her/their aame(s) as a witness(es) thereto. (El O~tak~ out~d, br~w Fork Sram ins~ city or.all,cai atbdivision and $tata or country or oth~rptac, acknowl~m~ntta]am And thai said subscribing witness(es) made such appearance before the (tignatur~ and o~ce of individual m/grig aclotowlmtgm~O ~i~targain anl~ ~ba~r ~ttb Tide No. ECA COMPLETE RECOVERY RESTORATION, INC. TO VIRGINIA PICCHIONI SECTION 2 BLOCK 1 LOT 7 coUNTY ORTOV~NSouthold RETURN BY MAIL TO: ~LAURA R. PETROCELLI Attorney-at-Law 5 Albany Court Rockville Centre, New York 11570 PLEASE TYPE.OR PRESS FIRMLY ~"IEN WRITING ON FORM. INSTRUCTIONS: hffp:#www.orpe, state.ny.us or PHONE (518) 474-6450 FOR COUNTY USE ONLYCl. SWIS Code I ~l~,q, 5,C~ , (~)I( I I ~.~ REAL PROPERTY TRANSFER REPORT, TAT, OF NEWYORK · "--7,69 RP-5217 PROPERTY INFORMATION I 3. Tax Indieste whom flJtum Tax Bills am LO be sent Billing if other than buyer address (at botto~ of form) I 4. ~a the iTembm' of Aseso~mant l~ (Only ff ~ ~. ~ ~mk ~ ~ ~ ~la~fe~med~ I , /I 8ofRer~ls OR~ Re~ofaPa~l ~soni~B~Su~si~A~E~ ~ [ ~ ~, Su~i~slon ~p~al ~ R~ui~ ~r Tmn~~ I 7. ~k t~ box ~ which m~ a~ratllv d~flbN ~e u~ ~ the p~y M the time d Mia: Ch~ ~ ~ ~ ~ ~ ~ 6. ~ner~ip Ty~ is ~ndominium ~ 2 or 3 Family Residential F ~ ~mmemial I ~ Indumfial 1~ ~ ~d ~thin an ~ural DiK~ ~ Rse[denti~l Ye~nt L~ G ~ ~ment ~ Pubr~ ~1~ 1~ O~r ~i~ a di~m n~ T~bdng ~ Non-R~idential Vaunt bad ~ ~ Enm~inment ~ Amusement ~ ~ Forem that me pm~ ~ in an ~ultuml Oimr~ I S~E I~FORM~IOH I 1~. Chd ~ ~ mom ~ ~ ~m u a~l~ ~ ~ 11. Sale Contesct Date t2. Dm of Sale I Trasofar t3. F,.S*ieP,~ I , . ~ . . ~ . .~..0.01 Irull Sols Prim is the total amount paid for tho properly including personal property, This payment mW be in the form of cash, other property or go~la, or the sssump4ion of 14. lad[cMl the value d persoflBI I ...... O , 0 , 0 I Iwopafty induded In the makl ~ ~1 · ~. [] Sale ;Rehceen Relatives or Former Relatives B I~l Sale Sa[ween RelaLod Companies or Patinae in BuBinsoS C ~ One of the Buyers is also · Seller D I~1 Buyer or Sailer ia Govemment Agency or tending Institution F' I~ Deed Type not Werramy or Bargain and Sale ISpecify Below) F I~l Sale of Fractional or tees than Fee Interest (Spaci~ Below) (~ ~.J Significant Change Jn Properw Satwson Taxable Stotua and Sale Dates H I.~ Sale of Business ia Ir~Juded in Sale Price I ~ Other Unesuel Fac[om ARechng Sale Prk:e ISpacify Below) J I I .one ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill ILVsorof AiMumentRo.~Yom I / .'"~l which IMmmotioe taken ~ 11, Total Asedm~ Value Id all parcels In tranderl I Tax Map Identlflm(s) I Roll Identlsarlsl (if ~ thin few, attach sheet with addJtJolml Identifier(dj , / oO I - 00 ,. oo , , , , ©1.00 ,, , ] ~ertify Ilmt ,,11 id' lite iter~ id' ]nreflnothm eniez~d aB thL~ farm ere true end cored lie Ihe bed d' my knowled~ .,md b.lid) and I underdand thai the nm 'ldnR or miT- ~Allfful I'abe atntemeet ~ ms[ariel Ihd herein wig subject me ii) Iht urmL, dmL~ or Lite m, rml law rL'le';t~e lo I~" seakJn~ ~ 10ili~ id' faLr, e i~trumewb. BUYER SELLER BUYER'.(: ATTORNEY 6't~ I ~6¢ -;2-32.j I NEW YORK STATE COPY