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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 10/20/2014
Number of Pages: 3 At: 04:11:56 PM
Receipt Number : 14-0138625
TRANSFER TAX NUMBER: 14-07378 LIBER: D00012792
PAGE: 722
District: Section: Block: Lot:
1000 015.00 06.00 019.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $500, 000.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15.00 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 $2, 000.00 NO Comm.Pres $7,000.00 NO
Fees Paid $9,250.00
TRANSFER TAX NUMBER: 14-07378
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Lh; z f
Number of pages . RECORDED.
2114 Oct 20 04:11:55 PM
-JUDITH A. PASCALE
This document.will be public CLERK OF
record.Please SUFFOLK COUNTY
remove all' ': L DrO0i27�32 .
Social Security.:Numbers.
rior-to recording.,,, P 7G2
p, ,DT# 14-07378
Deed/Mortgage Instrument Deed!Mortgage Tax Stamp Recording i Filing,Stamps
FEES .
Page/Filing Fee A
Mortgage Amt.
t.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 _ Sub Total
Natation Spec./Assit.
or
EA-52 17(County) _ Sub Total Spec./Add.
EA-5217(State) o — TOT.MTG.TAX
�A Dual Town Dual County
R.P.T.S.A. �+ *°LHeld for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge is. 00 CX O family dwelling only.
Sub Total YES or NO
Other _
Grand Total R� If N0, see appropriate tax clause on
-, page tt of this instrument.
q— q_1L(
9 1 Dist. 1000 Section 015.0A1 I Rini, ry• ^'' � � )(� 5 Community Preservation fund
Real Property 14029040 1000 01500 0600 019000 Consideration Amount$ Soo.(1no
Tax
Service
AgencyOF 111UAlCPF T Due S 774W 0d
Verification Improved
G Satisfacti
-- --xi CORD&RETURN TO: Vacant Land
Donna Rosen,Esq. TD
Feldman,Kramer and Monaco,P.C. TD
330 Vanderbilt Motor Parkway,Suite 400
TD
I-lappauge,New York 11788
Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name UNION LAND ABSTRACT, INC
www.suffolkcountyny.gov/clerk Title# 14 -ULA- 1341 _-S
s Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Diane Weisen,as Trustee of the Richman The premises herein is situated in
Family 2012 Irrevocable Trust SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Kevin Nasello and Samantha Nasello In the VILLAGE
Orient
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the JLgK day of J�e�{�l�b-br 2014
BETWEEN
DIANE WEISEN, as Trustee of the Richman Family 2012 Irrevocable Trust, residing at 7 Brookstan Road,
Nesconset,New York
party of the first part,and
KEVIN NASELLO and SAMANTHA NASELLO,his wife, both residing at 401 East 34'"Street,Apt.S27C, New
York,New York
party of the second part,
WITNESSETH,that the party of the first part, in consideration of ten dollars 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 Orient, in the Town of Southold, County of Suffolk and State of New York, known and
designated as Lot No. 16 on a certain map entitled, "Orient-By-The-Sea, Section 1, situated at Orient Point,
Town of Southold, Suffolk County, New York, October 29, 1957' by Otto W. Van Tuyl& Son, licensed land
surveyors,Greenport, New York,filed in the Office of the Clerk of Suffolk County on November 21, 1957 under
file no.2777.
Subject to all covenants,restrictions,agreements and easements of record,if any.
Said premises known as 1190 Three Waters Lane,Orient,New York 11957
Being and intended to be the same premises as conveyed to the party of the first part by deed dated 9/17/12
and recorded in the Office of the Clerk of the County of Suffolk on 12/18/12 in Liber 12714 page 026.
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 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.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
h
PRESENCE OF: -7--
.,1'Ct
DIANE WEISEN, Trustee
Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment
Form 1000-7
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State ofNevOYork,County of `�I" ss: State of New York,County of ss:
On the 2-1 Ilk day of `Jt� titu in the year 2014 On the day of in the year
before me,the undersigried,personally appeared before me,the undersigned,personally appeared
Diane Weisen
personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s)whose name(s) is satisfactory evidence to be the individual(s)whose name(s) is
(are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their
capacity(ies), and that by h /her/their signature(s) on the capacity(ies), and that by his/heritheir signature(s) on the
instrument,the individ14��
behalf of which instrument,the individual(s),or the person upon behalf of which
the individual(s)actedthe individuals)acted,executed the instrument.
(signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment)
DONNA ROSEN
Notary Public,State of Now Yofk
No.02RO4953884
Qualified in NaWu�°UMY
�}
Commission Expires 3 t I�tT
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of ss:
On the day of in the year before me,the undersigned,personally appeared
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 he/she/they executed the same in his/her/their capacity(ies),and
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
in
(insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgment)
flZSTRItT lOoo
015.00
BARGAIN AND SALE DEED SECTION BLOCK 00
WITH COVENANT AGAINST GRANTOR'S ACTS 00
II SOT 019..00.00
Title No. �' VL f/y t` 13�I COUNTY OR TOWN
Suffolk
STREET ADDRESS
TO
RETURN BY MAIL TO:
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by
Donna Rosen, Esq.
Feldman,Kramer&Monaco,P.C.
330 Vanderbilt Motor Parkway
Suite 400
Hauppauge,New York 11788
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INSTRUCTIONS(RI-5217•PDF-INS):vnyw.orpe.state.ny.us
FOR COUNTY USE ONLY , New York State Department of
C1.awls code ..,�,�/^D� � Taxation and Finance
C2.Date Deed Recorded 1 l� /O / '(/ 1 Office of Real Property Tax Services
I ;k—)q a" 0" �Tw RP-5217-PDF
CS.Book , I 1 C4'Page I rte�}r I Real Property Transfer Report(8110)
PROPERTY INFORMATION
1.Propody 1190 Three Waters Lane
Location 'SiREET •STREET NAME
"M
Southold Orient 11957
•cir•carorry VauoE -aP CODE
2.Buyer Nasello Kevin
Name •TNeT NwEiDarPrar FMsr MAW
Nasello Samantha
,ADr NArOwNAANr anal Nle
2.Tax Indicate whom figure Tax Bilis ars to be Mello
Bitting y otter than buyer addreaa(al books d foam) LAST NAMCOCOMPAW 1 WT NAME
Addrom
B:REET W1Qea/JONAYE
GT•0R TON4 &ATE xPrADE
4.Ietlkate this number,of Assessment 1 a d Pand1:1n d Paa parcel (only if Part of e Parcell Check e$they apply:
Roll paresb transferred on the dead a OR 4A.Planning Board with Subdivision Authority FAWN ❑
a.Dow x OR 0.28 48.SubdMaion Approver was Required for Transfer ❑
Property •w10NT FEET •DEPTH •AcAn
Shia 4C.parcel Approved for SubdrAskin with Map Provided ❑
WCisen as Trustee Diane
a.Bader •rAwr NArw,00w.wr MReT AAw:
Name
FIR@T want
tui nuarcoUncr
-7.Select the description which most accurately describe$the Check do boxes baker as they apply:
use of the pi Win at the UM of Nle: S.Ownership Type Is Condominium ❑
A.Chu:Faudly Restdetdial a.New ComtnRxion on a Vacant Land ❑
19A.Property Located within on Agricultural Diatrtd ❑
198.Byer received a disclosure nate in ociang that the property is in an ❑
Agrictmun d District
SALE INFORMATION 10.Check one or more of thew candldom as epplkaMa to transfer.
A.Sal@ Between Relatives or Ferrer Relatives
11.Sam Central t Date B.Safe between Related CompBrve$or Partners in Budnees.
C.One at the Buyer is abso a Seller
09/29/2014 D.Buyer or Seder Is Goverment Agency or tending InetiWt on
12.Dat@ d 8elertranater E.Dead Type not womanly or Belgian and Sale(Spodfy,Below)
F.Sem of Fractional or Less than Fee Interest(Specdy,Belae)
S.Full Sale Price 500,000.00 G.Significant Change in Property Between Taxable&lulus and Sale Dates
H.Sale of Business is Included in Sale Price
(FUR Sam Pdoe is the toll*mount paid for dm PMPanY including peraohoi propany 1.other Unusual Faders Mlading Sam Price tape*Below)
This payment my be In dal form of Man,other property or goods.or the assumption of J None
nntongege$er cdw ohtlgarions)Pme$o round m die nwrast whoa do4wamwnr.
Ctxnmmsgs)on Condition:
14.indicate the value of personal 0.00
Property included to the Sal
ASSESSMENT INFORMATION.Data should reflect the latest Final Assessment Rall and Tax Bib
19.Year of Asse$sment Roll*m n which Information token" •17.Toll Assessed Value 7,000
119.Property Cross 210 _ .19.school District name Orient
120.Tax Map kbnlMw(syRdi Identlfmris)(R more than four,&each sleet with additional IdontMorls)l
1000-015.00-06.00-019.000
CERTIFICATION
I Carley that all tithe Items of Enfomtation @.am on this form are true end wrmet no the best of my know10 fte and bettel)and I understand that lbs making of any wllMul
mere statement of material feet homin subject me to the pr9Yjldadssf tire.gdaWaw roiadve to oho making and filing of tams Instmmenta.
SELLEa SIGNATURE ELUYEB CWACT INFORMATION
(Frew klmlw7an forVm buyer Now Nwpr 4 LLC.sooery.ereoaeam,m Pmwn.lair WWA CMWW."b"w
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SWM not enanw 4waeana wawel9 the nMW MUM be MUM111 Trp or erica eMeM)
YIIFR MONATU EDATi
IGNATLIRIE Nasello Kevin
'LAST WwE FlearNW[
i l,1 �Q +� tc3 -A _'186-0656
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• BN R Mn DATE
401 East 34th St., Apt. S27C
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New York NY 10016
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