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L 12890 P 246
I IIIIIII IIII VIII�����VIII VIII VIII VIII VIII IIII IIII I I I I I I I I I I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 11/30/2016 Number of Pages: 4 At: 04 : 47 :55 PM Receipt Number : 16-0190193 TRANSFER TAX NUMBER: 16-13158 LIBER: D00012890 PAGE : 246 District: Section: Block: Lot: 1000 070 .00 08 . 00 055 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $370, 000 . 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 $200 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $4,400 . 00 NO Fees Paid $4 ,795 .00 TRANSFER TAX NUMBER: 16-13158 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 0❑ G/ RECORDED Number of pages 2016 Nov 30 04:47:55 I'M JUDITH R. PRSGRLE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00012890 Social. Security Numbers P 246 prior to recording. DT# 16-13158 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20, 00 2. Additional Tax TP-584 5 Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total G Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P,T.S.A. Held forAppointment Comm.of Ed. 5. 00 Transfer Tax Affidavit 017w Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 Sub Total 51-1 family dwelling only. YES orNO Other Grand Total 3�-5— GG/ If NO, see appropriate tax clause on page# of this instrument. 12[pl�(o 4 Dist.1C• 16032822 1000 07000 0800 055000 )0 5 Community Preservation Fund ReAage vice ncy 25-OCT-1 �III���IIIIII��>�III�IIIII��I�IV�I��llllllll�l CPF Tax Due deration Amo snt$ l QG I CSG d Tax Service R CWH A Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURNTO: Vacant Land Tracy K. Palumbo, Esq. Palumbo and Associates, PC ( TD IOG 6 13235 Main Road PO Box 132 TD Mattituck, New York 11952 TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Chicago Title Insurance Co, www.suffolkcountyny.gov/clerk Title#016-7474-16925-BUFF 8 Suffolk County Recording & Endorsement Page This page forms part of the attached 8M&a Deed made by: (SPECIFY TYPE OF INSTRUMENT) John Martin Marley, Executor of the Estate The premises herein is situated in of Fortuna A.Maney SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Salvatore Anthony Agosta and In the VILLAGE Cynthia Goldsmith-Agosta or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIORTO RECORDING OR FILING. over CI(o —Ito 92S EXECUTOR'S DEED(INDIVIDUAL OR CORPORATION) FORM 8010 CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE,made the 26`h day of September 2016 Between JOHN MARTIN MANEY, residing at 42 Cove View Road,New London,CT 06320 as Executor of the Estate of Fortuna A. Marley,deceased October 30,2015,Suffolk County Letters issued December 10,2015,Suffolk County Probate#2015-4329 4, cls Surviving 4M61(+b -feleeA(-e� o-P 7oim filar( M " party of the first part,and SALVATORE ANTHONY AGOSTA and CYNTHIA GOLDSMITH-AGOSTA,his wife,residing at 1250 Shipyard Lane,East Marion,New York 11939 party of the second part, WITNESSETH,that the party of the first part,to whom letters testamentary were issued by the Surrogate's Court, Suffolk County,New York on December 10,2015 and by virtue of the power and authority given in and by said last will and testament,and/or by Article 11 of the Estates,Powers and Trusts Law,and in consideration of Three Hundred Seventy Thousand($370,000.00)dollars,lawful money of the United States,paid by the party of the second part,does hereby grant and release unto the party of the second part,the distributees or successors and assigns of the party of the second part forever, SEE ATTACHED SCHEDULE A BEING AND INTENDED TO BE the same premises conveyed in deed dated September 19, 1972 and recorded on September 21, 1972 in Liber 7246,page 300. 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 costs 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. ohn Martin Maney,Executor oft Estate of Fortuna A.Marley NYSBA Residential Real Estate Forms on HotDocs'(9/DD) Copyright CapsolN Development -I r'i STATE OF NEW YORK :ss. COUNTY OF SUFFOLK . On the 26th day of September ,2016,before me,the undersigned,a Notary Public in and for said State,personally appeared John Martin Maney personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity,and that by his signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument. J Notary Public MARY KOLAKOWSid Notary Public,Stat©of Now York No.01KC34870006 Oualrfod in Suffolk County C:ornm,Exp.Sept.2,20.. J Z� NYSBA Residential Real Estate Forms on HotDocs'(9/00) Copyright Capsofi'Development _Z Chicago Title Insurance Company TITLE NO.C16-7474-16925-SUFF SCHEDULE A-1 (Description) Amended 09/20/2016 ALL that certain plot, piece or parcel of land, situate, lying and being at Southold, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at an iron pipe on the Westerly line of Gardiners Lane, 350.28 feet Southerly along said Westerly line from Pine Neck Road, said point of beginning being the Southeasterly corner of land of Norklun from said point of beginning; RUNNING THENCE along said Westerly line of Gardiners Lane, South 14 degrees 59 minutes 30 seconds West, 100 feet; THENCE along land of Zaveski, North 75 degrees 00 minutes 30 seconds West 199.04 feet to land of the Town of Southold; THENCE along said land of the Town of Southold North 14 degrees 32 minutes 20 seconds East 100.0 feet to an iron pipe; THENCE along said land of Norklun, South 75 degrees 00 minutes 30 seconds East 199.83 feet to the point or place of BEGINNING. THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONL Y: 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. SCHF_DULE A-1(Description) Rev.(03/04) FOR COON 1 Y USE ONLY 2 Ci.S11111115 Code 4 Now York State Department of I II� t 3 1$ tg [r I Taxation and Finance C2.Date Dead Recorded I �Y /3O /II Lq Office of Real Property Tax Services "°'°' D" RP-5217-PDF C9.Booke,I ,A , ,9 Q I C4.Page . 2%4L Real Property Transfer Repoli(BMO) PROPERTY INFORMATION 1-Property 400 Gardirers Lane Loudon •arreaTNIaRER •STREET NAME Southold 11971 •CnYORTOAN yeyAGE •aFeooE 2.Buyer Aqosta Salvatore Anthony Name •tAaTNAAER1)11PANY FRsrw�tnt 1 J Agosta 'fir lla f hl- 6 o[d-< UWNAECA1PNY AF9W MOM J 3.Tax Indicate where future Tax Bills are to be sent Billing it otter Otan buyer addresa(at bottom of form) LAST NANEa:OMPANY Fes,FAME Address WWET NUMBER AND NAM cm OR TOM/ ITATe AP cone 4.Indicate the number of Assessment 1a of Pascal ❑Part of a Parcel (Only If Pert of a Parcel)Check as they apply: Roll parcels transferred on the deed s OR ❑ 4A.Planning Board with Subdivision Atahady Exists 5.Deed X OR 0.50 PropertyFRONTFEET 4B.Subdivision Approval was Required for Transfer ❑ size •OeFTN •ACREI 4C.Parcel Approved for Subdivision with Map Provided ❑ Maney John Martin, Executor 6.36110, .,AST pyALV90C„pM,y FRET NAME Name LAST NAMISC01PANY FRITRAW 7.Select the description which most accurately describes the Check the boxes below as they appy: use of the property at the time of bah: a.Ownership Type is Condominium ElA.One Family Residential a.New Construction on a vacant Land ❑ 10A.Property Located within an Agricultural District ❑ 10B.Buyer received a disclosure notice indicating that the property is In an Agricultural District ❑ SALE INFORMATION 15.Check one or more of theme conditions as applicable to transfer. A.Sale Between Relebves or Former Relatives 11.gale Contract Data 07/26/2016 8 Sate between Related Companies or Partners it Business. C.one of the Buyers s also a Seller 09/26/2016 D Buyer or Seller is Government Agency or Lending Institution 12.Data of SalefTranmhr E.Deed Type not Warranty or Bargain and Sale(Specify Below) F.Sate of Fractional or Less than Fee interest(Specify Below) •17.Full Sale Prim 370,000.00 G Significant Change in Property Between Taxable Status and Sale Dates H Sale of Business is Included In Sale Priice (Full Sale Price s the total amour paid for the property Including personal property. I.Other Unusual Faders Affecting Sate Price(Specify Below) This payment may be in the form of cash.other property or goods.or the assumption of J.None mortgages or other allegations.)Please round to Me nearest whole dollar amount. Comment's)on Condition: 14.Indicate the value of personal , property Included In the sale 0 •00 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which Information takentYY) 1 117.Total Assessed Value 5,1 U 0 '18.Property Class }--t Zf 0 - •19.School District Rome SOut.^.old "20.Tax Map IdetdMegsylitoll Identlfler's)gf more tion four,adech shod with additional Identifier(s)) 1000-C70.0-08.00-055.000 CERTIFICATION I Certify that all of the Items of information entered on this form are true and correct(to the best of my knowledge and bell"and I understand that the making of any willful febe statement at motedd fact herein subject me to th"mislons of the panaLWlUosdve to the making and filing of false instruments. SELLER SIGNAIURIE BUYER MA CONTACT INFORTION _- (Enter i kirmerion tar rhe buira NDN a buyer is LLC.s000p.maccodo n.ampon.on.prom rmrA wnCwrY.setae,w willy roR is not an hANdw now or Rom".ani a name and weep rtenrnebonn d an iMbitluserook—Nle peaty who con ansa,"slcnu maerdrq mho ImF'er must be entered Type or pint clearly) R BIrJ'lA1URE DATE CWTUREAgostaSalvatore NATU$E -48TNA7E FRBTNAM / •Ai=Aro}_ •i LL[PTIWrF HJ4rBERr4 i� 9R71 UYER IKaw7leE TE 'STRFET NJYBLo •+:REE-NAI? East Marion NY 11939 t , cmaRTaw .sure zrcmE B,t)MM ATTORNEY Palumbo Tracy K. m ' Win NAM FIRST NAM(631) 298-1600 +I ARG CODE 7ELEPrrDAE AAwaFiT(EA ewerR,