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1111111 IIII 11111 IIIII 11111 IIIII fflfl IIIII 1111f ILII IIII flllilf11i111111111111111 - SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 09/12/2018 Number of Pages : 4 At: 03 : 41 : 14 PM Receipt Number : 18-0170656 TRANSFER TAX NUMBER: 18-04910 LIBER: D00012978 PAGE : 115 District: Section: Block: Lot: 1000 136 . 00 02 . 00 009. 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 .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 $250 .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 $520 . 00 TRANSFER TAX NUMBER: 18-04910 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County S RECORDED ti 201 O Sep 12 03:41:14 PM Number of pages JUDITH R. PASCALE CLERK OF SUFFOLK COUNTY This document will be public L DCP0115 & record.Please remove all DT# 18-04910 Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Mortgage Amt. Page/Filing Fee 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 5 Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) C2150_ TOT.MTG.TAX Jnr Dual Town Dual County R.P.T.S.A. ��/ Held for Appointment Comm.of Ed. 5. 00 Transfer lax ` s Affidavit �. Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 4—� family dwelling only. Sub Total v 0 YES or NO Other _ Grand Total Sao . If NO, see appropriate tax clause on tv page# of this instrument. 07,320 4 Di: 109.000 5 Community Preservation Fund 18030561 1000 13600 0200 009000 Real Pro T Consideration Amount$ —U' Ver fca' R CPF Tax Due Agenc P 1 IIIIIIIIIIlII[IIIlII[[IIIIII�lI[IIII[IIIOI1111 $ Improved 5 Satisfactions/Discharges/Releases List Property Owners Mailiffy-Ad dress RECORD&RETURN TO: CC. I U Burner Law Group,P.C. 12 Research Way TD East Setauket,NY 11733 TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 1 —Ti le 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 Warranty Deed made by: (SPECIFY TYPE OF INSTRUMENT) Frank Licari The premises herein is situated in SUFFOLK COUNTY,NEW YORK, TO In theTOWN of Southold John Passarello In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over WARRANTY DEED WITH FULL COVENANTS (INDIVIDUAL AND CORPORATION) FORM 8003(short version),FORM 8008(long version) CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING, THIS INDENTURE,made the 110 day of 9t�A '2019,between FRANK LICARI,385 ORCHARD LANE,SOUTHOLD,NEW VOlkK 11911,party of the first part,and JOHN PASSARELLO,842 OAK HARBOUR DRIVE,JUNO BEACH,FLORIDA 33408,party of the second part, WITNESSETH,that the party of the first part,in consideration of No Dollars and No Cents ($0.00)and other,valuabie consideration 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 in the Town of Southold,County of Suffolk,State of New York,more particularly described in Schedule A attached hereto; BEING AND INTENDED TO BE the same property conveyed to the Grantor herein by deed dated 12/29/1986 and recorded on 12/29/1986 in the Office of the Clerk of the County of Suffolk in Liber 10203,page 523. 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,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. AND the party of the first part covenants as follows: FIRST_—That said party of the first part is seized of the said premises in fee simple,and has good right to convey the same; SECOND.—That the parry of the second part shall quietly enjoy the said premises; THIRD.—That the said premises are free from encumbrances,except as aforesaid; FOURTH.—That the party of the first part will execute or procure any further necessary assurance of the title to said premises; FIFTH.—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 parry of the first part has duly executed this deed the day and year first above written. FRANK LICARI NYSBA's Residential Real Estate Forms(9/00) ®2018 Matthew Bender&Company,Inc.,a member of LexisNexis. 1 f Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK ) COUNTY OF SUFFOLK )ss.: On the 3<S day of in the year before me,the undersigned,personally appeared MANKAMCARI,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 executed the same in his capacity(ies),and that by his signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s) acted,a ertnsUfu m. ( ,nature and office of individual taking ackno vle g ROBIN DAlFO Notary Public'Me State of New Ybtk No.01 574 pualifi�xl in Suffolk C.a22 15 Commission Expires1 WARRANTYDEED Title No. District 1000 Section 136.00 FRANK LICARI Block 02.00 To Lot 009.000 JOHN PASSARELLO County or Town SUFFOLK Street Address 3295 STILLWATER AVENUE CUTCHOGUE,NEW YORK 11935 Return By Mail To: Nancy Bumer Burner Law Group,P.C. 12 Research Way East Setauket,New York 11733 Reserve This Space For Use Of Recording Office NYSBA's Residential Real Estate Forms(9100) ©201 R Matthew Bender&Company,Inc.,a member of I.exisNexis. 2 , Schedule A ALL that certain plot,piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, County of Suffolk, State of New York, known and designated as Plot A on a certain Map entitled, "Map of M.S. Hand, Section 2," and filed in the Office of the Clerk of the County of Suffolk on May 13, 1939, as map No 1280. INSTRUCTIONS(RP-5217-PDF-INS):www.orps.stato.ny.us FOR COUNTY USE ONLY New York State Department of c1.swlsCodeJ ' Taxation and Finance C2.Date Deed Recorded —1 / 12— IF I Office of Real Property Tax Services Y— RP-5217-PDF C3.Book ),2-. ,—],gl C4.page Real Properly Transfer Report(8110) PROPERTY INFORMATION 1.Property 3295 Location STILLWATER AVENUE 'SI RbET NLAAM i 5TRCEh„M` CUTCHOGUE 11935 'CITY OR ium WI LACiE 24 C011k 2'Name PASSARELLO JOHN LAST wwF,i.OWMI FINST NIDE LARI NMECOIAPAW FlR81 NAME 3.Tax Indicate whom future Tax Bills are to be sent Billing d ogler than buyer add.'ess(at bottom of form) usr NANrprrxwvwr Address FIRST NAME STREETNUaaFRAAVNAME cry ON TOWN RTATC LPCOOF 4.Indicate the number of Assessment (only If part of a Parcel)Check as they apply: Roll parcels transferred on the deed 1 11 of Parcels OR part o1 a Parcel LAA.Planning Board with Subdivision Authority Exists E]S.Dead Property •FnON1 FFFr , 'aLPn. OR •ACRss 0.2 4B.Subdivision Approval was Required for Transfer size 4C.Parcel Approved for Subdivision with Map Provided e.Sailer LICARI FRANK LASTNAMFAAWrIMY Nems FIRS NAS LAST NAMECOMPANY FIRST VAMC '7.Solect the description which most accurately describes the Check the boxes below as they apply: use of the property at the time of sale: 8,Ownership Type 1s Condominium ❑ C.Residential Vacant Land 9.Now Construction on a Vacant Land ICA.Property Located within an Agricultural District 70B.Buyer received a disclosure notice that the property is in an ❑ Agricultural District SALE INFORMATION 15.Check one or more of these conditions as applicable to transfer: X A.Sale Batman Relatives or Former Relatives 11.Sale Contract Date B.Salo between Related Companies is Partners in Business. C.One of the Buyers Is also a Seller 12.Date of Salefrrensfer D.Buyer or Seller is Government Agency or Landing Institution E.Dred Typo not Warranty or Bargain and Sala(Specify Below) F.Sole of Fractional or Less than Fee Interest(Spmaty Below) •73.Full Salo Price $0.0Q G.Significant Change In Property Belwuon Taxable Status and Salo Dates (Full Sale Price is the total amount id far the H.Sala of Business is Included in Sale Price Ie property including personal property. 1.Other Unusual Factors Affecting Salo Price(Specify Below) This Payment may be in the lorrrt d Cash,other Iaoperty or geode,or the assumptorl 01 mortgages or othor obligations.)140080 round ru the nouresf whole dollar amount J.None Comment(Q on Condition: 14.Indicate the value of personal property Included In the sale $0,00 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Rol)and Tax Bitf ie.Year of Assessment Roll from which Information taken(YY) 18 '17.Total Assessed Value $100.00 '18.Property Class 3 1 1 _ So- '19.School District Nemo Mattituck-Cutcho ug a UFSD '20.Tax Map Idontlflar(alfRoll Idendffer(s)(If more than four,attach sheat with additional identlflar(s)) 1000-136.00-02.00-009.000 CERTIFICATION 1 Certify that all of the items of Information entered on this form are true and correct Ito the best army knowledge and belief)and I understand that the making of any willful false statement of materiel feet herein subject me 10 the p[gy)e106114f ih9 peniLIDW-1 eladve to the making and filing of false Instruments. $ELLER acLtCaNADRE 1341 9&C011UMNE0MMlQN (Enke rdll is no o hr the payer.in or fi buyer b ron anome a9eadWbn,rIts mono am iecce company.state or �_�r'TY��—•f•a�)�r�+- /�/aC��•anl�rir�.L) cooly ayt is rxa an rxMWuN again or atluuery.IMxI a name one eanlael Mnmelxn of res InenlJuaeraeppnlpla parry rarrarg who n RMIAM questions reyvthe transfer must ae entered.Type or print steady.) Ski I ER SICAIAIUNF GATE HUYU&SICNATURE PASSARELLO JOHN 'LAST NAME nHsT NNAF ttAA�r NN 631 335-6533 eIYTE pfUYCR RIGNATUR C�nTC 'HILA COOL '1Urft J-WWRID Wearer 842 Oak Harbour Drive 'SIRPETNUNaCR 'si HErruu* Juno Beach FL 33408 Y11}OR TOWN ' , f JWYFHS gQOJ&NEX 'STATE YY ctx* 1 Burner Law Group,P.C. 5 aA57NALE Polar NAME y 1 (631) 941-3434 ARPA oam TCu PNc o,.."..,..as ,