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L 12924 P 349
r I IIIIIII IIII VIII VIII VIII VIII VIII VIII IIID IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/10/2017 Number of Pages: 4 At: 08 :58 :27 AM Receipt Number : 17-0136814 TRANSFER TAX NUMBER: 17-01381 LIBER: D00012924 PAGE : 349 District: Section: Block: Lot: 1000 040 . 01 01 . 00 032 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $320, 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 $3, 400 . 00 NO Fees Paid $3, 795 . 00 TRANSFER TAX NUMBER: 17-01381 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County F110 Number of pages RECORDED 2017 Aug 10 08:58:27 Ari This document will be public JUDITH A. PASCALECLERk nr record. Please remove all SUFFOLK COUNTY Social Security Numbers L D00012924 prior to recording. P 349 DT# 17-01381 Deed/Mortgage Instrument Deed!Mortgage Tax Stamp Recoding/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. Handling 20. 00 1. Basic Tax 2. Additional Tax TP-584 Sub Total Notation SpecJAssit. or EA-52 17(County) — Sub Total Spec./Add. _ EA-5217(State) TOT.MTG.TAX _ R.P.T.S.A. �n, Dual Town Dual County vR Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit �. .� Mansion Tax 6�? ro ertcovered Certified Copy The or will be improved bythas oneormortgage NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total If 0,see appropriate tax clause on Irl :his o thisinstrument, 17023229 1000 04001 0100 032000 0l 4 1 Dist/O�Q S T 5 Community Preservation Fund Real Property R SSI A Ill�lliiiliillll�lillllillllilllli11111 111 1 Consideration Amount$ 0(�' Tax Service 13JULA7 Agency F Tax Due $ _3 Y�'D Verification - Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address 1,J RECORD& TURNTO: Vacant Land iA✓ lam ( vL-j4-D,..JTD Mr4/^ TD Po f' -70G i 93s' TD Cull ch 0(ru 6 n/ l Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name FIDELITY 1vaTlortnL TITLE www.suffolkcountyny.gov/clerk Title# �i✓T— e_ lo-3 6 8 Suffolk. County Recording & Endorsement Page This page forms part of the attached 7�> made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in (SUFFOLK COUNTY,NEW YORK. ''11 O•o✓L� 7Zur.� .In the TOWN of ©G/ &ko SS/ In the VILLAGE ^� or HAMLET of e�� BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12.0101.10108kk (over) '.F CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY NYCt $1,280.00 THIS INDENTURE,made the 1> day of �1' � 2017 BETWEEN PATRICIA R.HAAR,presently residing at 300 Bullet Hole Road, Patterson, NY 12563 and SUSAN C. BUONASERA,presently residing at 301 East 21"Street,Apt 9H,New York,NY 10010,Trustees of the Helen O.Cox Revocable Trust party of the first part,and LOUIS GROSSI, presently residing at 123 West 120^Street,#G, New York, NY 10027-6475 party of the second part, WITNESSETH,that the party of the first part,in consideration of THREE HUNDRED TWENTY THOUSAND and xx1100($320,000.00)DOLLARS and other good and valuable consideration 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, DIST: 1000 SECT: 040.01 BLOCK: 01.00 LOT: 032.000 ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being MORE FURTHER DESCRIBED IN SCHEDULE A ATTACHED HERETO AND MADE PART HEREOF. BEING and INTENDED TO BE the same premises as described in deed made by Helen Q.Cox,recorded 02-14- 2017. Liber 12900 Page 418. THIS PREMISES IS TO BE USED AS A RESIDENTIAL CONDOMINIUM UNIT, 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"when ever 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: Patricia R.Haar,Trustee san C.Buonasera,Trustee Standard N.Y.B.T.U.Foran 6002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Form 3290 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County ofEAp� Ss: State of New York,County of M -L ss: On the 4x day of I in the year 2017 On theme/97"'day of® u✓t in the year 0�0/ before me,the undersigns personally appeared Patricia R.Haar before me, the undersi ned, personally appeared Susan C. personally known to me or proved to me on the basis of Buonasera personally known to me or proved to me on the basis satisfactory evidence to be the individual(s)whose name(s)is of satisfactory evidence to be the individual(s)whose name(s)is (are)subscribed to the within instrument and acknowiedged to me (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/herttheir capacity(ies), that he/shetthey executed the same in his/her/their capacity(ies), and that by his/herttheir signature(s) on the instrument, the and that by his/her/t it signature(s) on the instrument, the individual(s),or the person upon behalf of which the individual(s) individual on upon behalf of which the individual(s) acte , xecut d the instrument. acted,ex ument. ,1�M r nrr0r• 6 0 .•� CPN ARG. '•.. Slaq �6p f i ivld aking acknowledgment) office of individual taki�tg�icf�rTc ifeldg T;fit) PUBLIC,STATE OF NEW I/ OUAIUR=U IN PUTNAM COUNTY A r)+01+ucn�- �p.�-ra.. o oh R f/1 U�0. ' r -'°P REG,001 KOBOOSS32 Cy1el \f .z MY MY MM.ERP.0114 1a Ot IG0(oOb Srs 3 a u pl A iZ (01 54 81 a c NuBRN i TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATBL.OtAR8t59812: State(or District of Columbia,Territory,or Foreign Country)of O k-9, �•��� y ` rr t �� rr q OF On the day of in the year before me,the undersigned,personally app d9tLtf���� personally known tome or proved tome 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/herttheir capacity(ies),and that by his/herttheir 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) BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS Title No: F 17-7404-103961-SUFF SECTION 040.01 Patricia R. Haar and Susan C. Buonasera,Trustees of BLOCK 01.00 the Helen Q.Cox Revocable Trust LOT 032.000 TO COUNTY of Suffolk Louis Grossi STREET ADDRESS 1035 Calebs Way,Unit 32, Greenport,NY STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Recorded at Request of Distributed by COMMONWEALTH LAND TITLE INSURANCE COMPANY �onwealth RETURN BY MAIL TO: David Worthington Olsen,Esq. A IAM)AlmcR COQ P:1NY COMMONVAuAl:1'H LANDTITLIi INSURANCE,COMPANY Olsen&Olsen,LLP 32495 Main Road POB 706 Cutchogue,NY 11935 RESERVE THIS SPACE FOR USE OF RECORDING OFFICE Fidelity National Title Insurance Company TITLE NO.F17-7404-103961-SUFF SCHEDULE A-1 (Description) ALL that certain plot, piece or parcel of land, situate, lying and being at Greenport, Town of Southold, County of Suffolk and State of New York, being known and designated as Unit 32 as shown and laid out on a certain map entitled, "Map of Moores land" filed in the Office of the Clerk of the County of Suffolk on December 22, 1994 as Condominium Map No. 257, together with a 5.0% interest in the common elements of the Condominium described in the Declaration of Condominium recorded in Liber 11894 Page 534. 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. - ----FOri C'ONVEYr„N'C NG,0iU-Y.-Together with-ait the rigizt, ritle and interest of the p7rty of the first,.-`t,--fin and tcr13t-land lying—in the street in front of and adjoining said premises. SCHFDULEA-1 (Description) INSTRUCTIONS(RP-5217-PDF-INS):www.orps.slatemy.us /0 ,7 56// FOR COUNTY USE ONLY Now York State Department of C11.811111111111 /} /g� . 91 Taxation and Finance C2.Date Dead Recorded V / V/ i J Office of Real Properly Tax Services 2w RP-5217-PDF C9.Book C4.Page L Real Properly Transfer Report(SRO) PROPERTY INFORMATION I.Property 10135 Calcbs Nay Location 'sTRMT Wwr:w '87RLLIY E Grcenporr. 11944 -arc oR-Cw, VLLMF 'W.011. 2•BuyK Grosse hou1S Race -WrrraWGaIFY,r nfT blew LLRI WBFCOBPPSY '1115;NPNE .- 3.Tax indicate whom future Tax BIOS are to be sent Billing it other than buyx addraWat bottom of form) LIST r.A-4R:ow'J,.'- - '—— FRIT WYE Adchsss S I VLFT RUBBER M•J VWF crV OR TO/R, BMTL LIME 4.Indium the number of Assossmeol1 (only R Part of a Parcel)Check es Um appy: Roll parcels transferred an the deed a to Parcels OR ❑Pan ct a Parcel 4A.Planning Booty with SubdMaon Authority Exists ❑ e•Dodd X OR 0.00 41L Subdivision Approve!was Required far Tmnder ❑ Property •FROI.I U.r •OFI•rN -ACPle 9w 4C.Parcel Approved for SubdiwBion with Map Pmv tied ❑ PaLriC.ia S. Haar, Tree Susan C. Buorasera, Ttoe 6.setter -L45.Nwaccm P11151 MJF. Name Helen Q. Cox Rev Trust FNlr WWF a5T N^IE/'GYP,N+ -T.Select tie description which most auurMly doeerlbss the Check the boxes below as they apply: use Cf the property atthe times ro e of sols: S.Owmhip Type Is Condominium A.One Family Rlsidrm nal 9.New Construction an a Vacant Lad El 10A.Properly Located within an Agricultural Ddnict ❑ 100.Buyer received a disclosure notice,irdloetmg that the properly 15 In en r 1 Agricultural Otddd 4-I ' SALE INFORMATION 1SCheckonewmomorthesacondRlaueoppsriblelotranabn A.Site Between Rdalives or Former Relatives 11.sale Conbeet Dale 02/14/2017 B.Site between Related Compares OF Parinas in Business. C.One of the Buyer is also a Sellar • � D Buyer OF 12 Date of Saloffrarofer - 7-� �I - E owed Type not IWarmnay or Bargain and See(Speclly Bdow) F.Sale of Fractional or Laos than Fee Imagist(Spa"Below) Y3.Full 9010 Price 320,000.00 G.Significant Change in Ploperly Between Tamhle Scotus and Sale Darss 11 Sea ol Buwlmes is Included in Sale Price (Full See Price is the total amount paid for the property including personal property I.Omar Unusual Factors Affecting Sate Pnm(SPKey Below) This payment may be In the form of Cash.Other property or goods,or the assumption of J Now mortgages or other obligations.)Please round lb the neerear whole dollar amorad. Cammtmgal aro CondOion: 14LIndicate,the vehreolpemonet :) UO property Included M go es . te _ ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Yur of Assessment Roll from ankh Information baton" :6 '17.TOW Assessed Value 2,952. +19.Property Class 210 _ •19.School District Name Green-part 120.Tax Map kh ditl*YRoll ldoffUWa)Iff more than four,adach ebastwah additional Mon#NMs)l 1000;040.01;01.00;032.000 CERTIFICATION I Certiy Oren all of dine Nero of idorowdon amend on this form am Mn end Correct(to the hest of my knowledge and bdtel)and I understand dist Ow making of wry wttttul fatee steMrom of makwtel fact heroin subject me to the OMiMOM.Of SM.a0001 yes rotation to the making and Mlrrg of false Instrumams. �� zE"ER SIGNATU E. � 9UYER CONIACT.1NMI1f41100 lir ���� -0�] EPter rrrlmnRem for ew burer.Flow n buyer w LLL.am:wb BENC!"on.Capontm grit Bart aemPalry.awe m I �•'�� /I f,r ''" e"aMwnit art IrAVBUB egWm wf4u,o-y.Bins nits We Grewal aTlmmawn d w ravqudtieepaw �/ za�� d I-7 parry whom a quewrs Ipardho ew mraw must be wheed Type air Prkd ds".) SEL'JLR s;F%-mai JNO'f'It^J^+�i< G=ossi Lot:is 21HER.99NATURE 'LNi-WYE Mbl AMG (63 1) 154-7656 A / A 1 0 ")1-7 --'ARL AIxwe 'IFI 1FHW_a:EWRd.NWHI e) UJrER! JNL IY'E 23 41esr 120Lh Street-., $G _ -5'4LET V bMR 'BT:EL11.ME INNUew Fork _ NY _ 10927 R,OR mm 'STPTL 'W..Oe ' @yyER�S ATTORNEY Olsen Clavid 1 PBT r.Am II War&ARE 1-) 734-76615 N'Ee COCl TE-EPFO.L NI