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L 13010 P 165
I IIIII111111 Illll 11111 Illll Iilll VIII VIII VIII IIII II 111111 VIII VIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 04/30/2019 Number of Pages : 3 At: 10 : 35 :58 AM Receipt Number : 19-0084176 TRANSFER TAX NUMBER: 18-30679 LIBER: D00013010 PAGE : 165 District: Section: Block: Lot: 1000 031 . 00 09 . 00 014 .000 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 $390 . 00 TRANSFER TAX NUMBER: 18-30679 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County RECORDED Number of pages 2019 Gar 30 10:35:56 AM JUDITH A. PA'CALE CLERK OF This document will be public SUFFOLK COUNTY record.Please remove all L DO0013010 Social Security Numbers P 165 DT# 18-3OE•79 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee �� j Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. j r or EA-52 17(County) �_ Sub Total -1 Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. Dual Town Dual County Held for Appointment �y Comm.of Ed. 5. 00 Transfer Tax l� Affidavit • Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 Sub Total �j family dwelling only. YES or NO Other Q Grand Total I If NO, see appropriate tax clause on page# of this instrument. 4 1 Dist. l 19012655 1E000 03100 09000m 014000 00 5 Community Preservation Fund TaxlServProP erte y CWH ConsiderationAmount$ Agency Due Verification -- J Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Frank L.Buquicchio,Esq. TD Russo Law Group TD 3740 Express Drive South Islandia,New York 11749 TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Manor Abstract Inc. www.suffolkcountyny.gov/clerk Title a MN RC-1316-S 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed I p � made by: (SPECIFY TYPE OF INSTRUMENT) Cleo Gogates The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Gregory Georgoulakos 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 'J 1 Disf: 1000 Section:31 Block:9 Lot: 14 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 16th day of February,2017, between CLEO GOGATES,'27011akeview Terrace,East Marion,NY 11939,party of the first part,and sec,:I�i1jr .-0A GREGORY GEORGOLOUKOS,270 Lakeview Terrace,East Marion,NY 11939,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 valuable 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 Village of East Marion, Town of Southold, County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a point at the easterly or southeasterly corner of land of Salminen formerly of Ketcham, being the point on said Lake where the shore line thereof is intersected by the southerly line of land of Salminen formerly of Ketcham; RUNNING THENCE along the shore of Marion Lake, to a point thereon where said shore of Marion Lake is intersected by the easterly line of land of Gailly formerly of William Merrill;RUNNING THENCE in a northerly or northwesterly direction to the southerly line of land of Salminen formerly of Ketcham, hereinbefore mentioned; RUNNING THENCE in a general easterly direction along the land now or formerly of said Ketcham,to the point or place of BEGINNING. TOGETHER with the right of way as same is now laid out,over a private road, running from Bay Avenue along land formerly of East Marion Lane Improvement Company, Inc., land formerly of Charles Webb,land of Edith Moore,Laura Moore and land formerly of William Merrill to the land above described. The party of the first part,CLEO GOGATES,hereby retains a life estate in the premises herein conveyed. 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 party 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 party of the first part has duly executed th' deed the day and year first above written. ,ELE GOGATES IN PRESENCE OF: NYSBA's Residential Real Estate Forms(9100) ©2017 Matthew Bender&Company,Inc.,a member of LexisNexis. -I- 1 Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK ) COUNTY OF SUFFOLK )ss.: On the 16th day of February in the year 2017, before me, the undersigned, personally appeared CLEO GOGATES,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 she executed the same in her capacity,and that by her signature on the instrument,the individual,or the person upon behalf of which the indiv' al acted,executed the instrument. DION MILLS Notary Public,State of New York No.01 MI6322956 (signature and office of ividual taking acknowledgment) Commission in Suffolk Counttyy, Expires April13.26� Warranty Deed Title No. 16-3599 District 1000 Section 31 ' CLEO GOGATES Block 9 To Lot 14 GREGORY GEORGOULAKOS County or Town Suffolk Street Address 270 Lakeview Terrace East Marion,New York 11939 Return By Mail To: Frank 1.Buquicchio,Esq. Russo Law Group,P.C. 3740 Express Drive South Islandia,New York 11749 Reserve This Space For Use Of Recording Office • b INSTRUCTIONS(RM217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY New York State Department of C11 3,11111118 code 7. LA A Taxation and Finance C2.Date Dead Recorded , ,3 a q I Office of Real Property Tax Services eTiN Trev<l RP-5217-PDF C3.Book 3.Q C4.Page Real Property Transfer Report(8110) PROPERTY INFORMATION 1 Properly Location 270 Lakeview Terrace 'STREU NLAEER .STREET NNE East Marion 11939 Eric OR Taw VIUAGE '2P CD]E 2.Buyer Name GEORGOULAKOS GREGORY Ne 'WINAMEICOYPANY FRET NALG tAS1 NAMECOMPAW FIRST NAME ]'Tax Indicate where future Tax Bills are to tie sent Billing Address y Other than buyer address(stLASTN,�D�µ bottom of form) LY NY rmsT NAR STREETNUMRAMNYE CITY OR TOM STAIL LP CODE 4.Indicate the number of Ammsmenl f of Parcels OR ❑part of a Parcel (only If Part of a Parcell Check m they apply: Roll parcels transferred on the deed 4A.Planning Board with Subdivision Authority Exists ❑ 5.Deed ❑ 'ACRESproprop" •FRONTFEET \ QR 0'25 •DLpRt 4B.SubdiviagnApproval was Required for 7mnsfer Si>a 4C.Parcel Approved for Subdivision with Map Provided S.seller GOGATES CLEO Name 'LAST N4MC/CCYPANY FRSTNAYE LAST NAMEAMWANY FIRST hM1E '7.Select the description which most accurately describes the Check the boxes below as they appy: use of the property at the time of sets: S.Ownership Type is Condominium Land L New Construction on a vacant acanan A.One Family Residential ❑ 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 those conditions as applicable to transfer: A.Sale Botwsen Relatives or Former Relatives 11.Sol®Contract Data B Sale between Related Companies Or Partners in Business C One of the Buyers Is also a Seller '12.Dab of Saldhansfer D.Buyer or Seller is Government Agency or Lending Institution E.Decd Type not warranty or Bargain and Sale(Specify Below) F.Sale of Fractional or Less than Fee Interest(Speay,Below) Full Sole Price $0.00 G.Significant Change in Property Between Taxable Status and Sale Dana (Fut Sale Prez is the total amount pard for the property including personal property. H.Saler Business F is Included ti g Sale Puce I. Other Unusual Factors'Affecting Sale Price(Specify Below) This payment may be In the tam of cash,other property or goods,or the assumption of X J.Nona mortgages a other obligations.)Please round to the nearest whole doter amount. Comments)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 takenigm 17 '17.Total Amassed Value S3,100.00 '15.Property Class 2 1 0 _ 01 '19.School District Name Oyster Ponds '20.Tax snap ktentlflsr(s)IRofi tdentlfler(s)(lf more than four,attach shad with additional ldondfler(s)) a4--*--14- Aa/Jl- e I. oa 0o - 0/4/,000 CERTIFICATION I Certify that all of the Items of Information entered on this form are true and Contract(to the beat of my knowledge and belief)and I understand that the making of any willful false statement of material fact herein subject me to the provlslosaof.tis penal.latr_relative to the making and filing of false Instruments. LER SIGNATURE )9UYER CQNTA911HQBMATIM lEmer n sinnican for ine Ix ar NOW a buyer is LLC.souety.a a=aiion wrpamt.ah.Ford stock cwnpany mislo a ABrady VISIT f riot an egividsal agent a fiduciary.IML a name and esrxa t rrtamalion Id an indivAmYrmponsaxa /rj '� MV who Bah antiwar queatms F"11,6110 U's twdW must be ardeed Tvpe w print dwaft I I .IER SIGN{:URE (/ OA � T.URE GEORGOULAKOS GREGORY IAST NAYS rIRST AIAYF. 631 582-1919 Ya-- TFLEPNONE NUMBER CEN t1aW We BUYER PKMTF 47 GATE 270 Lakeview Terrace e r I 'STRMT MAWR 'SrREETNIM[ I f East Marion NY 11939 I 'MTV OR TosN 'STATE 7PCCDE ' BUYER'S ATTORNEY rlL I r f I Buquicchio Frank a LAST NNE FIRST NAME �1 I ' �31582-1919 TEIEAgN.MAiERIE.MM U)