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L 12716 P 713
II SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED N~m~er of Pages: 3 Receipt Number : 13-0003066 TRANSFER TAX NUMBER: 12-12554 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 106.00 06.00 EXAMINED AND CHARGED AS FOLLOWS $0 .oo Received the Following Fees For Above Instrument Exempt Page/Filing COE EA-CTY TP-584 Cert. Copies Transfer tax $15 O0 Ss oo $5 oo $5 oo $0 00 $0 0o TRANSFER TAX NUMBER: 12-12554 NO Handling NO NYS SRCHG NO EA-STATE NO Notation NO RPT NO Comm. Pres Fees Paid THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 01/09/2013 12:34:26 PM D00012716 713 · Lot: 037.000 $20.00 $15.oo $125.00 $0.00 $60.00 $0.00 $25o.oo 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 2013 Jan 09 !2:34:26 P~I . JUDITH ~. P~SC, flLE CLERK OF SUFFOLK COUNT'¢ L DOOOt2716 P 713 DT~ 12-I2554 Deed / Mortgage Instrument Deed / Mortgage. Tax Stamp I Recording~ / Filing Stamps 3 I FEES Page / Filing Fee /¢'/- Handling 20. 00 TP-584 ~ Notation EA-52 17 (County) 5 EA-5217 (State) ,/o~ ~ R.P.T.S .A. ~ Corem. of Ed. 5. 00 Affidavit Certified Copy NYS Surcharge 15. 00 Other Sub Total Sub Total Grand Total I I Dist./tm I c~..~. Int~ r~ I n.,,,-v Afo.Ob 5 13000373 lOGO xo6oo 0s0o Real Prop~ ~ Consideration ~ount $ Tax Se~5 Agenc2 CPF T~ Due $ Verificati Improved 6 I ...... RECORD & ~TURN TO: Vacant Land ~ Mail to: Judith A. ~ascalo, Su~olk County Clerk ~ 7 I Title Company Information / al0 Contor Drivo, ~ivorhoad, ~Y ~90~ I~ . ' J --w. suffolkoou nty~Y. OOv/clerkI;,:;,;'m',, 8l Suffolk County Recording & Endorsement Page This page forms pan of the attached ~ made by: (SPECIFY TYPE OF INSTRUMENT) G~ ~VI~ O The presses herein is situated in SUFFOLK COUNTY, NEW YORK. 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 wilt be improved by a one or two family dwelling only. YES or NO If NO, see appropriate tax clause on page//__ of this in/,~m._e~_/C~r' ] q~ Community Preservation Fund T.O In the TOWN of BOXES (5 THRU $ MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. I 2-0104,, 101~41kk (over) No Consideration Sec: 106.00 Blk: 06.00 Lot: 037.000 STANDARD N.Y.B.T.U. FORM 8002 Bargain and Sale Deed, with Covenant against Grantor's Acts THIS INDENTURE, made the 7th day of December, two thousand and twelve. BETWEEN Dana Savino, residing at 15 Maria Court, Wading River, New York l 1792, as to a 50% undivided interest in the premises, party of the first part, and Dana Savino and Michael Savino, as Trustees of The Dana Savino Qualified Personal Residence Trust, having an address at 15 Maria Court, Wading River, New York 11792, as to a 50% undivided interest in the premises, WITNESSETH, that the party of the first part, in consideration of Ten Dollars, }/~nd other valuable :onsideration paid by the party of the second part, do.e.s hereby grant and release-,unto the pa'fl~, of the ~econd part, the heirs or successors and assigns of the part of the second part fore';er;rJ All that certain plot, piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, County of Suffolk and State of New York known as and by part of lot No. H on a certain map entitled, "Map of Shore Acres, situated at Mattituck, Town of Southhold, Suffolk County, New York which part of' tots is more particularly bounded and described as follows: BEGINNING at a point on the northerly side of Bay View Avenue distant 480.84 feet easterly from the easterly end ora curve which connects the northerly side of Bay View Avenue with the easterly side of North Drive; RUNNING THENCE North I degree 00 minutes 10 seconds West, 102.63 feet; THENCE South 89 degrees 44 minutes East, 160.00 feet to Mattituck Creek; THENCE South 9 degrees 04 minutes East along Mattituck Creek t 00.07 feet; THENCE South 88 degrees 59 minutes 50 seconds West, partly along the northerly side of Bay View Avenue 174.00 feet to the point or place of BEGINNING. Being the same premises described in the deed dated March l 5, t 999 recorded April 23, 1999 in Liber 11959 page 123 in the Suffolk County Clerk's Office. TOGETHER with all right, title and interest, i f 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 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 second 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 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 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" whenever the sense of this indenture so requires, tt~ IN WITNESS WHEREOF, the party of the first part hasdu~eed the day and year first above written. IN PRESENCE OF: ACKNOWLEDGMENT IN NEW YORK STATE (RPL 309-a) State of New York, County of Nassau S$.: On the 7th day of December in the year 2012, before me, the nndersigned, personally appeared Dana Say/no, 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 iostrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(/es), and that by his/her/their signature(s) on the instrument, the individual(s), or thc person Signature at~d Office of indiviclua[ taking acknowtedgn~eul Notary Public, Sta. York Qualitied in Nassa~J - .xty Commission Expires Mater, 30, 2013 ACKNOWLEDGMENT OUTSIDE OF NEW YORK STATE (RPL 309-B) State of Count of ss.: On the __ day of in the year 2012 before me, the uudcrsigned, personally appeared , personally known to me or proved to me on the basis of satisfactory evidence lo 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/herhheiff capacity (/es), 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, and that such individual made such appearance before the undersigned in the . ([nsert thc city or other political subdivision and the state or country or other place the acknowledgment was taken). ACKNOWLEDGMENT BY SUBSCRIBING WITNESS State of ) County of ) ss.: On the __ day of__ in the year 2012 before me, the undersigned, personallyappcarcd the snbscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose and say that he/she/they reside(s) in (if the place of residence is in a cio,, include the street and slreet number, if any, thereof); that he/she/they know(s) to be the individual described in and who executed the foregoing instrument; that said subscribing witness was present and saw said execute the same; and that said witness at the same time subscribed his/her/their name(s) as a witness thereto. (l:]if taken outside New York State insert city or politic, al subdivision and state or country or other place acknowledgmenl taken And that said subscribing witness(es) made such appearance before the undersigned in Signature and Office of individua! takiug aclotowledgmem Signalure attd Office of individual taking acknowledgment Bargain and Sale Deed WITH COVENANT AGAINST GRANTOR'S ACTS TITLE NO~ Dana Say/no SECTION 106.00 BLOCK 06.00 LOT 037.000 COUNTY OR TOWN Suffolk TO Dana Say/no and Michael Say/no, as Trustees of The Dana Say/no Qualified Personal Residence Trust RETURN BY MAIL TO: KAROL HAUSMAN & SOSN1K, PC 600 OLD COUNTRY ROAD SUITE 505 GARDEN CITY, NY 11530 Zip No. PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http://www.orps_slate_n¥_us er PHONE (518) 474-6450 C,. SWlS Code I ~,"1 ,.~,~' ,~ ,~'"~ I REAL PROPERTY TRANSFER REPORT , , ql RP- 5217 IPROPERTY INFORMATION I 1. Propnnv I Le~atlon kyer Name 3. Tax Indieate where future Tax Billa are to be lent Billing if other than IMyer addres~ tat bMmm o~ fomll I I ............. I .... I a,:,, I 4. Indicate the number of ~.nt I 0 COnly if Pet d · PenM) Cheek es they Roll parcels trnnsferTed on the deed I , , I # of Pamela OR Part of a Pamel 4A. Planning Board with SutMivisiou Authority Exists [] S. Deed f~. 0 4B. Subdivision/~pr'o~al war Required for Transfer [] ~.,,~ I I x I I OR t . . . I 4~. Pa~el Aopreved for Subcli~iou v~th Map Provkled [] Size FRONT FEET DEPTI~ '~nea' , o , I 7. Ch~ ~box below whld~ mout ecouretelv describes the uae of the prapertv at tho time od sale: A~.~ One Family I~idential E [] Ag~cultural [ [] Co .... ity S~r~ice B I,~ 2 or 3 Family Residential F I,~ Commercial J I,~ Industrial C [,~ Residential Vacant Lend G I~ Apartmeot K~ Public Servlce DUNon-ReeidentiaiVa~ntLand IIU EntmtainmentlAmu~.ement Lu Forest SALE INFORMATION I Chesk the bo~s balow as they apelv: 8. Ownemhip Type is Condominium [] 9. New Construotion on Vacant Land [] 1aA. Pm~/I.ecated wfthln an Agricultural DbtHCl [] 10B. Buyer received a di~osum notice indicating [] t~at the prope~f ia in an Agricultural 0istrlct 15. Check one of mom of thru esodJtions es aerO, cable to treouf~ t2. Date of Sale , Traouier Munm Day 13. Full Sale Price I (Full Sale Price is the total amount paid for the pmpart~ including pemouai pmpan'y. This payment may ~ in the form of ~sh, other pro~rly er g~ or tho a~omptlon of moflgag~ or other obligMious,) ~semundterhen~twhoM~u~f. I ASSESSMENT INFORMATION - Data should r~u~ the fatust Final ~sessment Roll and Tax Bill Sale Between Relatives or Former flelati~es Sale Between Related Companies or Putnam in Business One of t~ Buwm is aim a ~ller B~r or ~ller is G~rnmaot ~e~y or ~nding Intuition ~ TV~ ~ Warmn~ or ~rgaln oud SaM (S~i~ ~ Sale of Fra~ional or ~n t~n F~ In~rnt (S~i~ BoI~) ~ S~ni~ Chan~ in ~ B~n Taxable S~us a~ ~ale ~ Busin~ is I~luded in Sale Price O~er Unusual Femora Aff~i~ ~le ~im iS~i~ ~1~ gone TJx Map Idoutlflm(s) I Roll Idoudflglnl (if mom than iota, attach sheet with adifMoual MoutHier(s)) , !Oil. O© , , I ?/. COO , CERTIFICATION I I ca.try Stat all et' lite Itmei et' I~oratallen eele~d on Iht, s lena nee Ime and eee~ect lie ~ best of my k~ledge mat belief1 ~ I undeR,teed ifmt the maldnl[ or an)' ~illrul raise aiet~me.t or nulerkd red hen.de vail mb.j~'t n~ to th~ prm'blom of the ptld law ~lalite Ie Ibc nutkinl~ and ~ of raJ.q~ imlrmmmls. BUYER'S ATTORNEY I NEW YORK STATE COPY