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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/04/2013
Number of Pages: 4 At: 10:47:25 AM
Receipt Number : 13-0141454
TRANSFER TAX NUMBER: 13-09424 LIBER: D00012751
PAGE: 139
District: Section: Block: Lot:
1000 015.00 08.00 015.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $20.00 NO Handling $20.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $125.00 NO
TP-584 $5.00 NO Notation $0.00 NO
Cert.Copies $0.00 NO RPT $60.00 NO
Transfer tax $0.00 NO Comm.Pres $0.00 NO
Fees Paid $255.00
TRANSFER TAX NUMBER: 13-09424
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1 2
Number'of pages RECORDED
TORRENS 2013 Nov 04 10:47:25 AM
JUDITH A. PASCALE
Serial # CLERK OF
SUFFOLK COUNTY
Certificate # L D00012751
P 13?
Prior Ctf. # DT## 2-09424
Deed . Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps
3 FEES
Page / Filing Fee - Mortgage Amt.
1. Basic Tax
Handling 5. 00 2. Additional Tax
TP-584 Sub Total
Spec. / Assit.
Notation
- or
EA-5217 (County) Sub Total Spec. / Add.
TOT. MTG. TAX
EA-5217 (State) Dual Town Dual County _
R.P.T.S.A. Held for Appointment -
Transfer Tax
Comm. of Ed. 5. 00 a Mansion Tax
Affidavit The property covered by this motgage is
or will be improved by a one or two
Certified Copy family dwelling only.
YES or NO
Reg. Copy Sub Total If NO, see appropriate tax clause on
Other - Grand Total r~ page of th', inst t.
/3
4 District ection B1ocknR t 5 Community P enervation Fund
4 01 9-4
Real Consideration Amount $
Property 13030275 1000 01500 oaoo oi5ofl Io
Tax Service (CT' CPF Tax Due $ 19
Agency A 1 1` I` `III` ` I + I II Improved
of tdOV-1
Verification
- Vacant Land
6 sat. S faction/Di scharges/Release List Property Owners Mailing Address
TD
RECORD & RETURN TO:
TD
Law Offices of Harvey A. Arnoff
206 Roanoke Avenue TD
Riverhead, New York 11901
7 Title Company Information
Co. Name L/IV601-v L D e-ef
Title # Zvq(~ _ GL
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached bargain and ra l-edeedwith cnven a„tr' made by:
(SPECIFY TYPE OF INSTRUMENT)
40-REPH F. A-NGEVIN' and The premisis herein is situated in
DONNA J. ANGEVINE SUFFOLK COUNTY, NEW YORK.
TO In the Township of Southoid
DONNA ,7_ ANGEV INE In the VILLAGE
or HAMLET of Orient
BOXES 6 THROUGH 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(nvPr\
zZ9~~-1,~J s
A,
Bargain and Sale Deed, with Covenant against Grantors Acts-Individual or corporation (single sheet)
THIS INDENTURE, madeth'e aayofOl~~MZIOWoThousand andThirteen
BETWEEN l
JOSEPH F. ANGEVINE and DONNA J. ANGEVINE, residing at 39695 Main Road,
Orient, New York 11957
party of the first part, and
DONNA J. ANGEVINE, residing at 39695 Main Road, Orient,
New York 11957
party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten Dollars and other valuable consideration
paid by the party of the second party, 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, situate, lying and being
SAID premises being commonly known as, 39695 Main Road, Orient, New York. 11957
See Schedule A attached.
BEING AND INTENDED TO BE the same premises as those conveyed to the grantor herein by
deed dated October 5, 2010 and recorded in the Suffolk County Clerk's Office on October 18, 2010
in Liber D00012640 at page 499.
DIST
1000
SECT
015.00
BLK
08.00
LOT
015.000
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 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 wiff 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.
IN WITNESS WHEREOF, the party of the first part has duly executed this.deed the day and year first above
written.
In Presence of:
JOS PH F. A146EVINE
DONNAJ. %N EVINE
Chicago,Title Insurance Company
Title Number. 22966-LLS-S Page 1
SCHEDULE A DESCRIPTION x
ALL that certain plot, piece or parcel of land, situate, lying and being at Orient, Town of Southold,
County of Suffolk and State of New York, being morn particularly bounded and described as follows:
BEGINNING at a point on the Northerly line of Main Road where the same is intersected by the
Westerly line of Lot 181 as shown on Map of Orient By The Sea, Section 3, Map No. 6160, said point
also being distant 174.95 feet Westerly from the comer formed by the intersection of the Westerly side
of Plum Island Lane with the Northerly side of Main Road;
RUNNING THENCE along the Northerly fine of Main Road two courses and distances:
1. South 89 degrees 25 minutes 10 seconds West 210.67 feet;
2. South 88 degrees 25 minutes 20 seconds West 60.25 feet to a pipe set at the South East
comer of land now or formerly of Brissel;
THENCE along said land now or formerly of Brissel, North 00 degrees 15 minutes 00 seconds West
181.01 feet to a pipe and Map of Orient By The Sea, Section 3, Map No. 6160;
THE=NCE along the last mentioned land North 87 degrees 09 minutes 40 seconds East 266,32 feet to
the North East corner of the premises herein described;
THENCE still along Map of Orient by the Sea, Section 3, Map No. 8160 South 01 degrees 43 minutes
00 seconds East 189.48 feet to the point or place of BEGINNING.
TOGETHER with all the right, title and Interest of the party of the first part, of in and to the land lying in
the street in front of and adjoining said premises.
THE policy to be issued under this report will insure the We to such buildings and improvements
erected on the premises, which by law constitute real property.
1
STATE OF NEW YORK, COUNT" -OF SUFFOLK STATE OF NEW YORK, COUNTY OF SUFFOLK
SS.: ' SS.:
Cz7r~1~-
On the day of 2013, before me, the On the ~g day of April, 2013 before me, the
undersigned, JOSEPH F. ANGEVINE personally appeared undersigned, DONNA J. ANGEVINE personally
personally known to me or proved to me on the basis of appeared
satisfactory evidence to be the individual whose name is personally known to me or proved to me on the basis of
(are) subscribed to' the within instrument and satisfactory evidence to be the individual(s) whose
acknowledged to me that he/she/they executed the same name(s) is (are) subscribed to the within instrument and
in his/herltheir capacity(ies), and • that by his/her/their acknowledged to me that helshelthey executed the same
signature on the instrument, the individual, or the person in his/her/their capacity(ies), that by his/her/their
cted,' executed the signature(s) on the instrument, the individual(s), or the
upon behalf of which 77
instrument. person upon behalf of which the individual(s) acted,
executed the instrument, and that such individual made
IACALONE such appearance before the undersigned in the
OTARY.P.UBLIC-STATE OF NEW YORK i-(Clty,state).
No. 01-G16105913
Oudiltiod In Nassau County Notary
Commission Expires February 23. 201(0
STATE OF NEW YORK, COUNTY OF SS.:
JOSEPH GIACALONE
On the day of before me NOTARY PUBLIC-STATE OF NEW YORK
personally came No. 03-G16105913
to me known, who being by me duly sworn, did Quallfled In Nassau county
depose and say that he resides at NO. Commisslon Expires February 23. 20• C
that he is the
of
the corporation described in and which SECTION 015.00
executed the foregoing instrument; that he knows the
seal of said corporation; that the seal-affixed to said BLOCK 08.00
instrument is such corporate seal; that it was so affixed by
order of the board of directors of said corporation, and that LOT 015.000
he signed In name thereto by like order.
1
notary
COUNTY OR TOWN
County of Suffolk
Town of Southold
BARGAIN AND SALE DEED
with Covenant Against Grantors Acts
JOSEPH F. ANGEVINE and RETURN BY MAIL TO:
DONNA J. ANGEVINE Law Offices of Harvey A. Arnoff
206 Roanoke Avenue
Riverhead, New York 11901
TO
DONNA J. ANGEVINE
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS (RP-52174NS): www.orps.statemy.us
FOR COUNTY USE ONLY
C1. SWIS Code New York State Department of
Taxation and Finance
C2. Date Deed Recorded 131 Office of Real Property Tax Services
ter RP- 5217
C9. Book ` / / S C4. Page Real Property Transfer Report (6110)
PROPERTY INFORMATION
1. Properly I O C O FMan Rna A I
Lacaton 8flaiTld!aa
I Orient I 1 1957 I
VILLAGE aPCOCE
2 Buyer I ANr]RV TNF I Nor I
Name IA~i r Q.~f eT
I I I
LAghTMAIM 1-L97[Bpua~ FWNAUE
3. Tax Indicate where future Tax Bills are to be sent
Billing if othor than buyer address (at bohom or farm) I ANCEVINE bONNA J.
Address DosTiW.ETCt7 ~trtsrwlta
~atrEoad I Oat .,t IY1 957-1
4. Indicate the number of Assessment ? (Only If Part of a Parcae Check as they apply:
Roll parcels trarhsferred on the dead I I s of Parcels OR Part of a Parcel ?
4A. Planning Board with Subdivision Aulhodry Exists
5. Dead O 40, Subdivision Approval was Required far Transfer
Properly I ~EEt I X I OR L a I 4C. Pascal Approved for Subdivision with Map Provided
sin
s. N IIm I lit IiS-F , l
ANGEVINE DONNA J.
7. Check the box below which most accurately describes the use, of the property at the gm. M sale: Check the boxes below as they apply: ?
8. Ownership Type Is Condominium
A One Family ResidonUal E Agricultural ( Community Service 9. Now Construction on Vacant Land El
N H2 or 3 Family Resdongel f Commercial J Industrial 10A. Property Located within an Agricultural District
C Residential Vacant Land G Apartment K Pudic Service 100. Buyer received a disclosuro notice Indicating
D Nom-Reeidemial Vacant Land I 1 EnlertalnmeM I Amusement L Forest that me property is in an Agricultural District SALE INFORMATION 15. Check one or more of these conditions as applicable to transfer:
It. Sale Co Is of Date ( / / I A Sale Between Relatives or Fortner Relatives
Many, •er B Sale Between Related Companies or Partners In Business
C One of the Buyers Is also a Seller
12 Dab of Salo I Transfer 13 J r) Buyer or Sailer is Government Agency or Lending Institution
Mo Oey ear I: Deed Type not Warranty or Bargain and Sale (Spaoly Below )
F Sale of Fractional or Less gem Fee Interest 1 Speoly Belem )
13. Full Sale Price G Significant Charge in Property Between Taxable Status and Sale Dates
-0.0 I H Seto of Business is Included in Sale Price
( Full Salo Price is the total amount paid for the property irx uding personal properly. I Other Unusual Factors Affecting Sale Price ( Specify Below)
This payment may be In the form at cash, other pmporly, or goods, or the assumption of J None
mortgages or other obligations.) Please none is the noa/eaf whdo deParamoonr.
14. Indicate the value of personal pursuant to Marital Stipulation
I - U U 1
property Included In the sale
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from 2
which Information taken 1~J 17. Tool Assessed Value (of all parcels In transferal L,/
I D ~d
76. Properly Class c/ (~-1J 19. School District Name
20. Tax Map IdendWs) I Roll I_dentaler(s) (K more than four. attach shoot with additional IAeldlflar(s) )
1998-915-88-915 I I
~ I I I
CERTIFICATION
I arefy that Be of the Items of information ant and on ode carsw am trw end wr.xt Ito tin beat of my knerrleds. and bal" and I undarstend that are making err any rAIN rl
hlse ataNment 73EE ct tmrern will esb)act me to the proyiskms or m. weal law mlstim to ten making and turns UP false Inawum mints.
LER SIGNATURE BUYER CONTACT INFORMATION
(Enter r wmW on for de buyer. Nara: Ir boyar a LLC. meaty. essociaaon, ewporason, joint stock
110, company. orAto w on;ay that a not an indwduel eeenl OF Fiduciary. San a rams and fan not rlMmubm
1 3_ I of an IrldnduaVrespon ere party we can answer questions mgamse the vane'ar mua be arremd.
SM I FP Sill. Jai TL - I Type or print steady.)
JO H F. 821111ifpS'fhNBt RE
Arnoff I Harvey A.
13 IAST hAME F Star NAME
sunN,
DONNA scmuiuaJ. RN
i 631 1 722- 9Dd
4 DATE
AREACbfri IELEPHMENLOASER
-ArrnoEff-.--.---I-. _F Flar..vv..e y-A.
IAST %%1111! Avenue
aTRE NJA.En SYNC •I WLV_
727 5904
ARIA LISA lhLbRICEN•JNFR Riverhead NY l 119.01
NEW YORK STATE onv°aTdwx srArE aPCOOE
COPY J