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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 07/01/2Q13
Number of Pages: 4 At: 09:52:19 AM
Receipt Number 13-0079281 .
TRANSFER TAX NUN~ER: 12-26592 LIBER: D00012734
PAGE: 827
District: Section: Black: Lot:
1000 059.00 42.00 017.000
EXAMINED AND CHARGED A$ FOLLOWS
Deed Amount: $380,000.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $20.Q0 NO Handling $20.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTX $5.00 NO EA-STATE $225.Q0 NO
TP-584 $5.00 NO Notation $0.00 NO
Cert.Copies $0.00 NO RPT $60.00 NO
Transfer tax $1,520.00 NO Comm.Pres $4,600.00 NO
Fees Paid $6,375.00
TRANSFER TAX NTJI~ER: 12-26592
THIS PAGE IS A PART OF TSE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
r
1.~..-
Number of pages R~~gP,G~C~
261 ~?ul Bi U~~~~;f~ Rl'~1
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1
• peed f Mortgage Tax Stamp Retarding ! ~iiing Stamps
Deed 1 Mortgage Instrument
. l=l:ES
~ Mortgage Amt.
r ~
e 1 Filin Fee " ~ ,Basic Tax
Pag g
Handling ~d' gg Additional Tax
Sub Total
TP-5$4 5pec.lAssit.
Natation or
5pec.lAdd.
EA-52 ~ 7 ~Cour~ty) ~ Sub Total
TOT, MTG. TAB f
EA-517 (Stated Dual Town ~ Duai County
Held for Appointment
R,P.T.S,A, ~
~0 ~ ~ ~ ; Transfer Yax
Comm.of Ed.
~ ~ r ? Ivianslan Tax
Affidavit ~ ~ .
The property covered by this mortgage is
Certified Capy ar will be improved by a one or two
. ~ family dwelling only.
NYS Surchar a 15. g4 atal YES ar NO
g SubT
?~er Q~ ~ ~ If CVO, see appropriate tax clan e on
Dt Grand Total ~
page # ~ of this in5tru e
~ DO 1~~~ 0900 02a~ ~l~ppp 5 Community Areservation and
4 a,s~. ~30~~
T Consideration Amount
Real Property P ~
Tax Service ~ DHO ~ CPF Tax Due ~
Agency ZB~IUN-i
R~-~~
Verification _ ~ Improved
SatisfactionslpischargeslReleases Eist Property Owners Mailing Address Vacant i_and
~ RECORD & RETURN TQ~
TD ~
Stephen V. Morello, Esq.
Chesley & Nioholas, LLP TD
2305 Grand Avenue
Baldwin, New York 11510-3152 TD
Mail to: Judith A. Pascale, ~uffo~k County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY ~ ~9Q1 Co, Name
www.suff0ii<countysly.govlcierk Titie ~ ~ ~ 3
rdin & ~n~ar~ement ~a e
~~~4~~ C~~~ ~~CU
This page forms part of the attached Bar ain and Sale Deed made
by. SPECIFY TYPE OF INSTRUMENT?
Daniel S. Melhada The premises herein is situated in
SUFFOI.IS COUNTY, NEW YORfS,
TO In the TOWN of Southold
John Andxiano and Annedal~ Andriano, In the VILLAGE hold
Sout+
husband and wife or HAMLET of
60xE5 6 TI-4RU $ MUST BETYPEQ pR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR PILING.
over
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~
b r ~
~arrrx 800~~---bargain and Sale Deed, with Covenant against Grantor"s Acts--Individual ar Corparaci~n. ~singlc shat)
CONSULT YOUR LAWYER BEFORE SIGNENC THIS INSTRUMENT--TMlS INSTRUMENT SHOULa BE USED BY LAWYERS
DNLY~
Tl*II IND>~NTUR~, made the day of June, Two Thousand Thirteen
1>~,TwEEN
DANIEL , MELHADO, residing at 82~ rriith Drive outhald, New York 1171
party of the first part, and
JOHN ANDRIAN~ and ANNEDAI-1 ANDRIAN~, husband and wife, residing at 112 Albertson
Parkway, Albertson, New York 11 ~7
party of the second part,
wITNE~I~TH, that the party of the first part, in consideration of Ten Dollars and other 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 part forever,
i * 4 t r ~
AIi,L that certain plot, piece or parcel of land, with the bu~ldings and improvements thereon
erected, situate, lying and being in the Town of Southold, bounty of Suffolk, state ofNew York,
particularly bounded and described a follows.
D
B)~~INNfN at the intersection of the northeasterly line of I~enney's Raad with the
northwesterly line of wesland Road and running along said northeasterly line of enney's Road,
North 42 degrees 1 ~ minutes 20 seconds west,l feet;
THENI~ at right angles to said northeasterly line of Kenney's Road, North 47 degrees 49
minutes ~4 seconds ~ast,1 feet
~ TI-IENI~ parallel to said northeasterly line of l~enney's Road, youth 42 degrees 1~ minutes 20
seconds >;ast,144 feet to said narthv~resterly line ofwesland Road;
TI~ENE along said northwesterly line of wesland Road, youth 47 degrees 49 minutes 44
seconds Vest, l feet to the paint of 131~CINNING;
FEIN AND fNTENI~ED T~ BE the same premises conveyed to the party of the first part by
deed dated April 5,199, and recorded April 2~,1~99 in the office of the Suffolk bounty clerk
in Liber 11958, Page 372,
`fDI~THER 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; T~~ETHI~R
Frith the appurtenances and all the estate and rights of the party of the first part in and to said
~
premises; T~ HA~~ AND T~ HELD the premises herein granted unto the party of the second
part, the heirs ar successors and assigns of the party of the second part forever.
AND the party of the first pant covenants that the pa~Y of the first part has not done ar suffered
anything whereby the paid premises have been encumbered in any way whatever, except as
aforesaid.
AND the party of the first part, in compliance with Section ~ 3 of the Lien Law, covenants that
the party ofthe first part will receive the consideratian far this conveyance and will hold the right
to receive such consideratian as a trust fund to be applied first for the purpose of paying the cast
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 o~f the same far any other purpose.
The word "party" shall be construed as if it read "parties" whenever the sense of this indenture sa
i
requires.
IN ITN>SS wH>~R.I~~F, the party ofthe first part has duly executed this deed the day and year
first above written,
IN PRESENT ~F;
DANIEL S. ELAD~
~ ,
STATE DF NEB YDRI~}
}
~L~NT1~ ~F SUFFOLK.}
~n the ~Oth day of June, 2013, before me, the undersigned, personal~~r appeared Daniel ,
~elhado, personably kna~vn tie or proved to me on the basis of satisfaetor~ evidence to be the
individual{s} v~hase na~ne~s~ dare} suhscrtbed to the ~~thin instrument and ackno~viedged to me
that helshelthey executed the same in hislherlthe~r capa~ity~ies}, and that b~ hiserltherr
signature{s~ on the instrument, the individual{s}, or the person upon behalf of ~rhich the
indivldual{s}acted, executed the instruruent~
N ublic
~LL~~~ ~~1L~r ~fS~
Notary Pub~iC, state of N~v~Yo~k
N~. 44444, but#olk bounty
~`erm ~xpire~ February 28, 2~
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM ~
INSTRUCTIONS: http:!lwww.orps.slate.ny.us or PHONE 1~518y 474-6450 ~
FOR COUNTY USE ONLY a
c~. awls coae I ~ ~ rl I REAL PROPERTY TRANSFER REPORT
~ ~ STATE OF NEW YORK
C2, pate peed Recorded ~ ~ ~ STATE BOARD OF REAL PROPERTY SERVICES
sorb y Yeer ~ _ 1 I .
Baok I~ r r l I ~a, Pege I r$ r~ r I~
tt~aaTr Rw 9llr
PROPERTY INFORMATION
Lx~o~n I 210 I Kennv's Road I
STREET r+UMBER STREET
I INE
~ Southold _ I Southold I 11971 I
pTY aR TflNR+ - - - - - - VILLAGE ~ ~ 11P CODE
s. Buyer { Andriana I _ _ John I
Name tAST NAMElCaMPANY ~ ~ ~ ~ ~ RR3T.
Andriana Annedah
IAST NAME l COMPANY FIRST NAId[
S. Tex Indicate whom futuro Tex Bills ero to be cant
Billing it other than buyer address lot banam of form} I I , I
LAST NAIYIE1C0r1+PANY FRST NAME
~ I I {
S'iREET HUMMER ANO STREET NAME CnY OR TOwN STATE ILP CODE
4. Indicate the number of AesessLnettt ~ iOnly B Part of a Pereell Check es they eppltr
Roll paroels transferred on the deed 1 d of Parcels OR Part of a Parcel ?
~!l Planning Board with Subdivision Authority Exists
6. Deed 4B. Subrlivieinn Appmvel was Ro4uired for Transfer
property X 4R I _ . . ~ 8 I ParGCI Approved for Subdivision with Map Provided
SizO FRONT FEE1 aEPTH +ACRES~
6, seller ~ _ ~elhada I Daniel S. _ I
fume LAST NAAAE! CGMPANY Fi+ST NAME
~ _ I I
LAST NAME ! C4MPAl1Y RRST NAMC
7. Check the box below which moat accurately dasalbaa the use of the prapeAy at the time of sale: Check the boxes below as they apply:
8. owrterehip Type is Condominium
A X one Family Residential E Agricultural I Community Service 9. New Construction an Vacant Land
B Z ar 3 Family Residential H Cammarciel ! Industrial 10A. Property l.ocetod within an Agricultural District
O Resldential Vacant land G Apartment h Public Sarvi~ 1eB. Buyer received a disclosure notice indicating ?
U Non•Rasidentiel Vacant Land H Entartalnment ! Amusamont L Forest that the property is in an Agricultural pistrid
SALE INFORMATION 15. Check one ar mare of these canditlorts as appticabia to transfer,
11, Sale Contract Date r1 Sale Between Relatives or Farmer Relatives
~an~ y ra°r H Sala Botvvicen Related Companies ar Partners in Business
C ono of the Buyers is also a Salter
1Z Date of Sale ? Transfer ~ I? Buyer or Seller is Govemmont Agcnry ar Landing Institution
Montl+ oey Yosr E peed Type not Warranty or Bargain and Salo (Specify Balow~
F Sala of Fractional or Less than Fee Interest tSpecify Balowl
C 5igniGcant Change in Property 9etwaen Taxable Stator; and SaIG pates
13. Full Sale Prlce 3 ~ ~ Q a ~ II Sale of Business is lncllyded in Sale Price
e
{Full Salo Prico is the total amount paid far the property Including personal property, I other lJnusual Factors Affecting Salo Prico ISpacify Below}
This payment may be in the farm of cash, other property or goods. or the assumption of ! Hone
mortgages ar other abtigations.l Plaese round to fire nearest whole dollar amount.
14. Indkete the value of persvnal ~ ~ ~ ~
property induded In the eats ~ ~ ~ a ~ ~
ASSESSMENT INFORMATION • Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of A~ameLrt Roll from C 1 , ~ 117. Total Atieasead Value (of ap perceh In tranefeti ~F 5 Q ~
which iMormation taken ~ ~ ~
Southold
18. Property Claae ZI ,1 0
ICU 11I. School District Name
20. Tex Map Identifierlsl 1 Rall Identiiierlsl IN more than four, attach sheet with additional Idendfier(sll
1VV~-059.00-4~.0~-017.O~a
I ~ I ~
1 I I
CERTIFICATION
1 arlifv that uA +r~ the it<1~R +rf infurm;ttilln enten~d +m thl~ flnm ore true and cnrtMM lta the hat of ~ti krtewlcdpe and hdiefy and I understand Uttlt the nuking
of atn~ r~illful aloe stxt~ ~n rf rrtaleLirl fud barrio wi6 sut>~jrct me t+l the proricianR life pNnaf law rfilatlti~e t01ltr nLalJng and filing e~ false inalrunrrnfR.
B~ BUYER'S ATTQRNEY
J Andriano
A ~yy~C ~r~ ~~frprolln ~ S#Qn172n ,
15nYI~Ui3R~llilU ~,ano ~ IASr NAME FIRS NAM5
~~Cr~S~n ~ ~Cw 5i6 ~ 318-1700
REST NUMRF.R STACLT NAMC rArTER 6ALE~ ARr;ACDJE IELLPH:btik YUMLRH
~ ~ ~ i ~11~~
arY OR :OWN $~AtE aP CODE
SEI.I.ER i~TEW YORK STATE
COPY
' $11~ I~ w NR 8 S 0 t~ASe