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Home My WebLink AboutL 12934 P 545 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 10/19/2017 Number of Pages: 3 At: 03:00 :37 PM Receipt Number : 17-0184595 TRANSFER TAX NUMBER: 17-09698 LIBER: D00012934 PAGE : 545 Distract: Section: Block: Lot: 1000 013 .00 02 .00 008 . 032 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 .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 $200 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO Fees Paid $390 . 00 TRANSFER TAX NUMBER: 17-09698 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 0 Nambertf pages 3 • RECORDED 2017 Oct. 19 03,00.-37 Pt9 This document will be public IUDITH A. PASCALE CLERK OF record. Please remove all SUFFOLK COUNTY Social Security Numbers L DO0012934 prior to recording. P 545 DT# 17-09698 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 S Sub Tota I Notation Spec./Assit. or EA-52 17(County) SubTotal Spec./Add. EA-5217(State) / TOT.MTG.TAX W— Dual Town Dual County R.P.T.S.A. ZHeld forAppointment Comm.of Ed. 5. 00 ; Transfer Tax Affidavit + �. Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES orNO Other Grand Total If NO, see appropriate tax clause on page# ofyhis instrujMent. 5 Community Preservation Fund 17032419 1000 01300 0200 00e032 Real ProT l I l I l II Consideration Amount$ Tax Sem p Vergf a I 25SEP 17 I VIII ILII IDII II1II IIII Illi lalll�llllll 1111 ` CPF Tax Due $ Improved Satisfactions/Discharges/Releases List Property Owners Mailing Address 6 RECORD&RETURN T0: Vacant Land SALEM, SHOR, & SAPERSTEIN, LLP 3000 Marcus Avenue, Suite 1 W6 TD Lake Success, NY 11042 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) THOMAS COSTA The premises herein is situated in ANA COSTA SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD THOMAS COSTA,JR.AS TRUSTEE OF THE In the VILLAGE COSTA FAMILY TRUST or HAMLET of OREINT BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over WCB3 Swdud N.Y.B T.U.Foam 900- CONSULT 00 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE,made the 15"day of lune,two thousand and Seventeen, BETWEEN Section: 013.00 THOMAS COSTA and ANA COSTA,his wife Block: residing at 21-66 451'Street,Long Island City,NY 02.00 Lot: party of the first part,and 008.032 THOMAS COSTA JR.as the Trustee of the COSTA FAMILY TRUST.2017,Dated June 15,2017 With a mailing address of 21-66 45'Street,Long Island'City;NY 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 part,does hereby grant and release unto the parry 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 ofland,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 30 on Map of Hill Crest Estate,Section I,Filed in the Office of the Clerk of the County of Suffolk on 8/15/1983 as Map#1 7218 Abstract#9446 Said premises being known as 150 Hillcrest Drive,Orient,NY Being and intended to be the same premises conveyed to the party of the first part by deed dated 11/30/1999 and recorded on 12/29/1999 in Office ofthe Suffolk County Register,in Liber 12010 Page 681. TOGETHER with all right title and interest,if any,of the party of the first part in and to any street 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,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. AND the party of the first part covenants as follows: that said party of the first part is seized of the said premises in fee simple,and has good right to convey the same;that the party of the second part shall quietly enjoy the said premises; that the said premises are free from encumbrances,except as aforesaid;that the party of the first part will execute or procure any further necessary assurance of the title to said premises;and that said party of the first part will forever warrant the title to said premises. 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. INP ENCE OF: g THOMAS COSTA AICA COSTA STATE OF NEW YORK,COUNTY OFkftn - SS: STATE OF NEW YORK,COUNTY OF&W,ss: On the( 'day ofSr�i in the year 2017,before me,the On the�5 day ofSvYtO— in the year 2017,before me,the undersigned,personally appeared undersigned,personally appeared THOMAS COSTA,personally ANA COSTA,personally ' known to me or proved to me on the basis of satisfactory known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are) evidence to be the individual(s)whose name(s)is(are) subscribed to the within instrument, and acknowledged to me subscribed to the within instrument, and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), 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 and that by his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of which,of which the individual(s),or the person u on behalf of which,of which the individual(s)acted,executed th t. individuals)ac ecuted t instrument. Tzvi Sa rstein (Signature and office of i ' '8ual gd*0Wl;6fN*y York (Signator d office of in(ASIH ll tAft acknowledgement) Registration#02SA6153358 140taq Pubb;State of New York Qualified in Nassau County�`1 Registration#02SA6153358 My Commission Expires i 11 Qualified inNassau Co Cemmission Expires��17 STATE OF NEW YORK,COUNTY OF ss: STATE OF NEW YORK,COUNTY OF M On the day of in the year 2017,before me,the On the day of in the year 2017,before me,the undersigned,personally appeared undersigned,personally appeared ,personally , personally known to me or proved to me on the basis of satisfactory known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are) evidence to be the individual(s)whose name(s)is(are) subscribed to the within instrument, and acknowledged to me subscribed to the within instrument, and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), 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 and that by his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of which,of which the individual(s),or the person upon behalf of which,of which the individual(s)acted,executed the instrument. individual(s)acted,executed the instrument. (Signature and office of individual taking acknowledgement) (Signature and office of individual taking acknowledgement) WARRANTY DEED WITH FULL COVENANTS SECTION 013.00 TITLE NO. BLOCK 02.00 LOT 008.032 COUNTY SUFFOLK THOMAS COSTA and ANA COSTA Recorded At Request of TO: Salem,Shor&Saperstein,LLP THOMAS COSTA JR.as the Trustee of the COSTA FAMILY TRUST 2017 RETURN BY MAILTO: Salem,Shor&Saperstein,LLP 3000 Marcus Avenue,Suite 1 W6 Lake Success,New York 11042 FUN GUUNTY USEONLY New York State Department of Ct.SWIS code 14, Taxation and Finance C2.Date Dead Recorded L Ac� a/ / /Z- I Office of Real Property Tax Services ^ Th. RP- 5217-PDF Ci.BookC4.Page Real Property Transfer Report IBM 0) PROPERTY INFORMATION 1.Property 1_50 HILLCRES^- DRIVE Location •STREET Ax1MIBF.R •SmFET NAME SOUTHOLD OR:rNT _1957 .CrrYOR TOM VILLAGE. .aP COOCI z.Buyer THOMAS COSTA, JR., TRUSTEE COSTA FAMILY TRUST 2017 Name •LASTNAMERx1MnANY nws-xAMB LAST%A1FJCOaPANY '1Nar NAM[ 9.Tex Indicate where future Tax Bills am to be sent COSTA JR, THOMAS Billing If other than buyeraddmes(at bottom of form) LASTNAMGCCI PANT FIRST KALE Address 21-66 45TH STREET ASTORIA NY '1105 STPEETNUNKRANONAME CITY OR TOIe. S•Alk Zip com 4.Indicate the number of Assessment i a of Parcels OR ❑Part of a Parcel (Only if Part of a Parcel)Check as they appy: Roll parcels transferred on the deed 4A.Planning Board with Subdivision Authority Exists ❑ 5.Deed )( OR 0.92 4B.Subdivision Approval was Required for Transfer ❑ Property 'FROM FEEL •DEPRI •ACRre Size 40.Parcel Approved for Subdivision with Map Provided ❑ COSTA THOMAS S.Seller LUT NAMEIC WMP -.AST KNE Name COSTA ANA LAST NAMEAMMPANY FIRST NAME •7.Select the description which most accurately describes the Check the boxes below as they apply: use of the properly at the time of sale: B.Ownership Type is Condominium ❑ A.One Famlly Residential 9.New Construction on a Vacant Land 10A.Property Located within an Agricultural District ❑ 10B.Buyer received a disclosure notice indicating that tlw property is in an Agricultural District ❑ SALE INFORMATION 1t1.Check one or more of these conditions as applicable to transfer: A Sale Between Relatives or Fanner Relatives 17.Sale Contract Data �If B.Sale between Related Companies or Partners In Business. C One of the Buyers is also a Seller 06/15/20—17 0 Buyer or Seller is Government Agency or Lending Institution 97.Data of SaklRrahsfsrE.Deed Type not warranty or Bargain and Sale(Specify Below) F.Sale of Fractional or Less than Fee Interest(Specify Below) •19.Full Bale Price 0.00 G.Significant Change in Property Between Taxable Status and Sale Dates H.Sale of Business is Included in Sale Price (Full Sale Price is the total amount paid for the property including personal property. I Other Unusual Factors Affecting Sale 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 obligations)Please round to the clearest 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 taken(YY) 17 •17.Total Assessed Value 7,000 Property Close 210 _ 0 '19.School District Name Oyster. ?orad •20.Tax flop Idendfler(s)IRoll Identifler(s)(If more than four,attach shad with addldcrud Identiflar(s)) IA f �-32N ,/0,:5e> G/�0 - Qa r m -oaS,d 3 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 bellef)and 1 understand that the making of any willful false statement of materliel fact heroin subject me to the provisions of the penal law relative to the making end filing of false Instruments. rdATLt.Q.E aL.YE@_C.OPl7AC.T.INFORMA7lQN (Enfe/7 ever,manatees for fro boyar Note.fi huyar ishan 2 name nd cont association.corporation.on axe m ftspo sI* sir anUYy aBl re ilei M ildvtlwl pert Of fiduciary.Iherl■Mese end cOnM13 nhxmetron d on ndKdialAasponrDlo �� )5 parry who can answer quoBroiB radiatio tri transfer must be ernared Type sir pint clearly 1 SEILEP eialrA. DALE THOMAS BUYERSIGNAT{jRE COSTA, jR., TTE COSTA FPC%1ILY TRUS ' 20.7 "LAST NAME FIRST NATE 472-7030 •AREACODE •:ELEPNONENUJABEPIFs eeweee B SIC1UTtxffi Wir 150 FiTTiLCR=ST DRIVE .S%LT K%AMR °STREEI NAME lI ORI SIT NY 1195'/ ti41YOR TCM 'STATE 'ZIP CODE J BUYER'S ATTORNEY SAPERSTEIN m_ZVI l LABr NAME FIRSTNALE (516) 472-7C30DE ' 1 hIx AREA COTLLL+I.ONE NUMBER tar 99MM I al I 'Mill