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L 12813 P 783
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 04/15/2015 Number of Pages: 3 At: 09:34:39 AM Receipt Number : 15-0049453 TRANSFER TAX NUMBER: 14-22930 LIBER: D00012813 PAGE: 783 District: Section: Block: Lot: 1000 033.00 03.00 007.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument JUDITH A. PASCALE County Clerk, Suffolk County 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 $5.00 NO RPT $60.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $255.00 TRANSFER TAX NUMBER: 14-22930 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of liages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2015 Apt- 15 09:34:39 At9 JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY L D00012813 F 783 DT# 14-22930 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps FEES 1'� (Filing Fee J i{ Mortgage Amt. Page � 1. Basic Tax Handling 40 r - 2. Additional Tax TP -584 Sub Total Spec./Assit. Notation r Sub Total or EA -52 17 (County) Spec. /Add. EA -5217 (State) R.P.T.S.A. TOT. MTG. TAX Dual Town Dual County Held for Appointment Comm. of Ed. 5. 00� Transfer Tax Affidavit �s �+ Mansion Tax The property covered by this mortgage is Certified Copy or will be improved.by a one or two NYS Surcharge 15. 00 1 — Sub Total family dwelling only. . YES or NO Other _ Grand Total ` If NO, see appropriate tax clause on page # of this instrument. nstrumet.l4 /4 4 i�©tr X00 5 Community Preservation Fund 15009176 1000 03300 0300 007000 Real Property Consideration Amount $ Tax Service DN IIIIII`` IIII Agency F2 A Ill�lll�li�l�ll��lll�lli�llll�llllllll�lllllli�l CPF Tax Due $ Verification 14 A PR Improved �2�5 6 Satisfactions/Disch,,rges/Relcases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land nq �, . * rw-oTD 10 1 DSU l5 �1[aC/tIJCl� L "` I(�° TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Comi)anv Information 310 Center Drive, Riverhead, NY 11901 Co. Name www,suffolkcountyny.gov/clerk Title # g Suffolk County Recordin & Endorsement Page This page forms part of the attached lJLl1� � made by: Ln (SPECIFY TYPE OF INSTRUMENT) M ► C G� The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of �)QU �'(�� Id 4k(�bon In the VILLAGE i� or HAMLET of BOXES 6 THRU S 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, RECORDING REQUESTED BY: LAW FIRM OF MARK S. EGHRARI AND ASSOCIATES PLLC DIST - 1000 WHEN RECORDED MAIL TO SEC —033.00 JOSEPH R. BORRELLI and FRANCES J. BORRELLI BLK - 03.00 1000 Green Hill Lane LOT — 007.000 Greenport, New York 11944 THIS INDENTURE, made September 4, 2014. BETWEEN JOSEPH BORRELLI and FRANCES BORRELLI residing at ' 1000 Green Hill Lane, Greenport, New York 11944 parry of the first part, and / JENNIFER JO BORRELLI, TRUSTEE, OR HER SUCCESSORS IN TRUST, UNDER THE BORRELLI PROTECTION TRUST, DATED SEPTEMBER 04, 2014 1000 Green Hill Lane, Greenport, New York 11944 party of the second part WITNESSETH, that the party of the first part, in consideration often dollars paid b�he party of the second part, does hereby Remise, Release and Quitclaim 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 in the County of Suffolk, State of New York SEE LEGAL DESCRIPTION ON EXHIBIT A, ATTACHED HERETO. Said property known as: 1000 Green Hill Lane, Greenport, New York, 11944 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, in compliance with Section 13 of the Lien Law, hereby covenants that the parry 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 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 NESS W R F, the party o the first part has duly executed this deed the day and year first above written. JO PH B RELLI FRA CES BORR' LI S ATE OF NEW YORK) COUNTY OF SUFFOLK) SS On September 4, 2014, before me, the undersigned, personally appeared JOSEPH BORRELLI and FRANCES BORRELLI, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacity, and that by their signatures on the instrument, the individuals, or the ersons upon behalf of which the individuals acted, executed the instrument. HAZEL R. VANORE Signature 617 Notary Public Notary Public, State of New York No. 01AV6057442 Qualified in Suffolk County Commission Expires December 21, ZOIC Exhibit A 1000 Green Hill Lane, Greenport, New York, 11944 ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being near Greenport Village, Town of Southold, County of Suffolk and State of New York, and described as Lot No. 141 on a certain map entitled "Map of Eastern Shores at Greenport, Section 5" filed in the Suffolk County Clerk's Office on December 31, 1968 as Map No. 5234. BEING and intended to be the same premises described on a certain deed dated January 28, 1998 and recorded in the Suffolk County Clerk's Office on February 19, 1998 at Liber 11879 Page 071. OR COUNTY USE ONLY r 'CI. SWIS Code (/ i (I7 r t' , J C2. Date Deed Recorded Roll parcels transferred on the deed a of Parcels OR / �, C3. Book ' , I —! Stacy Ow , i C4. Page L PROPERTY INFORMATION New York State Department of Taxation and Finance Office of Real Property Tax Services RP- 5217 -PDF Real Property Transfer Report (8110) 1. Properly Location 1000 Green Hill Land Roll parcels transferred on the deed a of Parcels OR • S:9CCT NIW BE9 'STREET YSME 5. Deed }( 012 0.00 Grean00 CC 1.944 2. Buyer Name ' CITY OR TOWN Borrelli Pro:.vi;LLOn Trust ML:PGE • aP CODE catEed, September 4, 2014 Size ' UST XAMEIMMPANT FIRSr NPYE JS -.A E,lmp..w I.93TNwa 3. Tax Indicate where future Tax Bills are to be sent Billing if other than buyer address(a; bottom of 'arm) LAS I%V.rAwu sIRST NAVE Address STREET N NINR ANDNAMF CIT' on IGYM STATE , • Colla 4. Indicate the number of Assessment- ❑ Pa.; Of a Parcel (Only If Part of a Parcel) Cheek as they appy: Roll parcels transferred on the deed a of Parcels OR 4A. Plarring Board cal;h Suodivision Aulhonly Ex sts ❑ 5. Deed }( 012 0.00 4B. Subdivision. Aoproval was Required for Transfer ❑ Property ' MGM FEET 'DEPTH 'ACRES ' Size 4C. Parcel Aoprovled for Subdivision with Map Provided ❑ Borre11 Joseph S. Seller • I AST WMaICOaPANY -149' MME Name Borrel-: Frances FIRST NAME LAS' W WOOMRAW •T. Select the doscripdon which most accurately describes the Check the boxes below as they appy: usd of the property at the time of sale: B. Ownership Type Is Condominium ❑ A. One Family Residential 9. New Constructor'+ on a Vacant Land ❑ . 10A. Property Locaxd vAhin an Agricultural Da1rk t ❑ 10B. Buyer receivec a disclos,Pe relics rldlcatirg ;hal L"0 properly Is M an 13Agrtcu Ural District SALE INFORMATION 15. Chock one or more of those conditions as applicable to transfer: A. Sale Between Reatives or Former Relatives 11. Sale Contract Date B. Sate between Related Companies or Partners in Business C. One of the Buyers IS also a Seller ' 09/04/2014 D. Buyer Or Seller is GOvernenenl Agency or Lend -ng Institution 12. Date of SEIcrTronsfer E Deed Type not canary, or Bargain and Save (Specify Below) F. Sale of Fractional or Less clan Fee Irterest (Specify Be.ow) •t3. Full Sale Price39�,QQ G. STgnl;Iant Change In Property Between Taxaba Status and Sa'e Dates H. Sale of Business Is Included In Sale Price ( Full Sale Price is the total amount paid for the property including personal property. 1. Other Unusual Factors Affecting Sale Price (Specify Below) This payment may be in the [arm of ash, other property or goods. or the assump;on of J. None mortgages or other obligations ) Please round to the nearest whole dollar amount. 'Comment(s) on Condition: 14. Indicate the value of personal properly Included In the sale •QQ Ot:_t C_ai:x Beed ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 16. Year of Assessment Roll from which information taken(YY) 77. Total Assessed Value 56 '18. Property Class 210 - •79. School District Name ,S, •';% ' Gree::oDr�: L, oo_s '20. Tax Map ldentifier(s)IRoll Identifror(s) (If more than four, attach sheet with additional identif(er(s)) 10001035.00/03.00/007.000 CERTIFICATION I Carlly that allot ms of Infonnat' entered on 1 nn are true and correct (lo the best of my knowledge and belief) and I understand that the making of any willful false statement opal fact heryd 7 Ject me t� a lI)iLaaaldJBly_relaavo to the making and filing of false Instruments. r� a!�sjIIErcw-1cmur:mn'w aro buys- Raise E Oyrs a LLC,saasly. asset W: oupe,rmn rost slack campmy asuroar 7i T a^Icy IMI is not an ll^JsiOJsl agwB or I.NC'L9-y. ftn a no S^.tl Cw aot Irma -Dwain Or on i'IC uicAftaxonicle Osny who can unswar GLAHNQn Fegwc Be ft us. -i -v must be errered Type or print clearly.) Eorrel.1.1 ' ProtiBr_rn'1 -Itst, dared, Sep=eribur 4, 2014 'LAST MW F 9S' MNL 'ARFACODE 'ELEPF04E NUMBER IE-: Seerwa STREET NUMBER een00rL Green Hill Lane STREET NAME BUYER'S ATTORNEY Egh-ari Mark, S. IA9T NAME FIRST NLML NY 11944 'STATE 'z=CODE (631) 265-0599 ANF. CODE 'ELEP-ZONE NUMBER CE.: erewew