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L 13190 P 518
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 2/22/2023 Number of Pages: 4 At: 7 :36 : 49 PM Receipt Number: 23-0025512 *ELECTRONICALLY RECORDED* Transfer Tax Number: 22-18785 LIBER: D00013190 PAGE: 518 District: Section: Block: Lot: 1000 031 .00 11 .00 013 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $900,000 . 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 Notation $0 . 00 NO Cert.Copies $0 . 00 NO RPT $200 . 00 NO Mansion Tax $0 . 00 NO EA-CTY $5. 00 NO EA-STATE $125. 00 NO TP-584 $5. 00 NO Comm.Pres $15,000 . 00 NO Transfer Tax $0 . 00 NO Transfer Tax Number: 22-18785 Fees Paid $15,395. 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County RECORDED Numberof pages 4 2/22/2023 7:36:49 PM VINCENT PULED CLERK OF This, o(,,.ament wilt be rublic SUFFOLK COUNTY L D00013190 Soca i Svcurfty Numbers P 518 prior to recor'dhq, 22-18785 Deod f Mortgage Instrument Deed 1 Mortgage Tax Stamp Recordinrq t Filing Stamps FEES Raga)Filing Fee .00 Mortgage Arnt. 1.Basic Tax --- Handling 20. 00 2. Additional Tax TP-584 5.00 SuhTota1 Notation0.00 apecJAssit, or EA-5217(County) 5.00 Sub Total 50.00 Spec,JAdd. - EA-5217(State) 125.00 TCT.MTG.TAX R.P.T.&A. 200.00 Dual Town Dual County I-tetd for Appointment Comm.of lWd. S- Transfer Tax 0.00 Affidavit * �* Mansion Tax 0.00 Certified Copy 0.00 The property covered by this mortgage is or WH be improved by a one or two NYS Surcharge 15, 00 345.00 family dwelling only. Stab Total. _ YES or NO Other 395.00 Grand Total If NO,see appropriate tax cruse on page# of this tnstrumant. 4 1 Dist. Section Block Lot 5 Commun y Preservation Fund 23006793 Real property Cori i.ci�ratiQz A.rr ou rzt$90 0,0 0 0.0 0 Tax Service P s R CWHA 15 000.00 Agency 2i17i2023 CPT( Tax Du ■ Verification Improved X � ars actrons� a�esa eases €s rope Hers a�ts�g rens RECORD&RE!URN TG: vacantl.and New York Title Abstract Services, Inc_ TD 10 2510 Montauk Highway Bridgehampton NY 11932 TD� TD Mail to: Vincent Puled,Wfolk County Clerk 71 Title Company 1nformabon 310 Center Dive, Riverhead, NY 1190-1 Co-Name www.au'ftcalkcountyny.govlclerk Title Suffriolk -County Recordling & Endorsement Page This page forms part of the attached DEM -made 4y, (SP CIFYTYP OF INSTRUMENT) The prernise5 herein issituated in SJFFOLK COUNTY, NEW YORK TO In tt*TOWN of SOUTHOLD 1 n the\ALLAGE or HAMLET of soxEs6 THRU 8 MU7 IED YPED OF,PRINTED 1N BLACK INK ONLY PNOR To RECORDING OR FILING, av Bargain and Sale Deed with Covenants Against Grantor's Acts THIS INDENTURE,made the Oh day of January,2023 BETWEEN Branko Jozic and Vicky V.Jozic,residing at 12960 Main Road,East Marion,New York 11939 parry of the first part,and George Dimou,residing at 206-06 Lori Drive,Bayside,New York 11360 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 party of the second part,the heirs or successors and assigns of the party 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 See Schedule A Being and intended to be the same premises described in deed dated 8/27/2021 and recorded 10/21/2021 in Liber 13125 Page 609. TOGETHER with all right,title and interest,if any,of the parry of the first part of,in and to any streets and roads abutting the above-described premises to the center lines thereof; TOGETHER with all the appurtenances and all the estate and rights of the parry 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 parry 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 ofthe 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"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. IN PRESENCE OF: y ' Brank/Jo it / y Vicky V.iozk/ USE ACKNOWLEDGMENTFORMBELOW WITHINNEW YORK STATE ONLY: USE ACKNOWLEDGMENT FORM BELOW WITHINNEW YORK STATE ONLY: STATE OF NEW YORK,COUNTY OF QUEENS ss.: STATE OF NEW YORK,COUNTY OF Ss.: On the 6`s day of January in the year 2023,before me,the On the day of ,in the year undersigned, a notary public in and for said state, before me,the undersigned,personally appeared personally appeared Branko Jozic and Vicky V.Jozic, personally known to me or proved to me on the basis of Personally known tome or proved to me on the basis of satisfactory evidence to be the individuals whose names satisfactory evidence to be the individual(s) whose are subscribed to the within instrument and acknowledged name(s)is(are)subscribed to the within instrument and to me that they executed the same in their capacity,and acknowledged to me that he/she/they executed the same that by their signatures on the instrument,the individuals, in his/her/their capacity(ies), and that by his/her/their or the pers n u on behalf of which the individual acted, signature(s)on the instrument,the individual(s),or the executed e i me person upon behalf of which the individual(s) acted, t executed the instrument ne AA Schmidt WrARY PUBLIC,STATE OF NEW YORIC Registration No 01S04909758 Qualified New York County Commission Expires November 2,2026 ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORK STATE ONLY: (Out of State or Foreign General Acknowledgment Certificate) ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONLY: (New York Subscribing Witness Acknowledgment CeniEcate) STATE OF ,COUNTY OF Ss.• STATE OF NEW YORK,COUNTY OF SS.: On the _ day of ,in the year 2016 On the day of ,in the year ,before me, before me,the undersigned,personally appeared the undersigned,personally appeared personally known to me or proved to me on the basis of the subscribing witness to the foregoing instrument,with satisfactory evidence to be the individual(s) whose whom I am personally acquainted,who,being by me duly name(s)is(are)subscribed to the within instrument and sworn,did depose and say that he/she/they reside(s)in acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), that by his/her/their (if the place of residence is in a city,include the street and street signature(s)on the instrument,the individual(s),or the number,if any,thereof);that he/she/they know(s) person upon behalf of which the individual(s) acted, executed the instrument,and that such individual made to be the individual described in and who executed the such appearance before the undersigned in the State of foregoing instrument;that said subscribing witness was ,County of present and saw said (Insert the city or other political subdivision and the state or country or execute the same;and that said witness at the same time other place the acknowledgment was taken). subscribed he/her/their name(s)as a witness BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS Title No. ! / ! YV 2_L DISTRICT: 1000 SECTION: 031.00 Branko Jozic and Vicky V.Jozic BLOCK: 11.00 LOT: 013.000 COUNTY OR TOWN: Suffolk TO PREMISES: 10940 Main Road East Marion,New York 11939 George Dimou Recorded at Request of RETURN BY MAIL TO REZA EBRAHIMI,ESQ. VAN COTT LAW,P.C. 30 WEST MAIN STREET RIVERHEAD,NEW YORK 11901 New York Title Abstract Services, Inc. www.NewYorkTitle.com Title Number: NYTA-62709-S-22 Page 1 SCHEDULE A DESCRIPTION Amended 1/5/23 ALL that certain plot, piece or parcel of land,situate, lying and being at East Marion,Town of Southold, County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a point on the southerly side of Main Road,said point being distant 1,550.00 feet easterly from the corner formed by the intersection of the easterly side of Bay Avenue and the southerly side of Main Road; THENCE along the southerly side of Main Road, South 80 degrees 58 minutes 40 seconds East, 98.50 feet to the westerly side of a 16.5 foot right of way; THENCE along said westerly line of said 16.5 foot right of way,South 23 degrees 20 minutes 10 seconds East,221.90 feet; THENCE South 85 degrees 16 minutes 00 seconds West, 182.08 feet; THENCE North 01 degrees 00 minutes 00 seconds West,204.32 feet to the southerly side of Main Road at the point or place of BEGINNING. 1 FOR COUNTY USE ONLY Cl- swis Cade 14 F 7 F 3 F S F S F 9 I IS);www.otps-state.nyms C2_ nate need Recorded 1 2 / 22 / 20231 New York State Department of Month nay year Taxation and Finance C3_ Book 1 L,3,1 ,9, 0 1 C4_ Page 1 , i 5 i 1i S 1 Office of Rik of Property Tax Services RP- 15217-P©F PROPERTY INFORMATION I heal Property Transfer Repon(W10) PROPERTY INFORMATION I.Property 1Q?]0 Main Road Location .. ..._... ............�. _............._.......... •r.Yfx F-E:T N::?.49ER �'arsa�7 rFALtE Fast Marion 11939 '2 P CODE 2,Buyer IIi:ncsx G2U2:[SN Name 3,AST NAht�ICfJrAF'MrT F'RS�NAME ••"•�•••�� LAST NAr.�MCrlr'nn1' 6:f:ST NAMC . 3.Tax indicate where future Fax Sias are to be sent Sifting tf of her than buy&r addres s{al bottom cf form) LASTNY VJCOt�ANY �.M...�.. FIRSYNAME Address S`TZEET NUNi3E AND—.9QTY DR T[,— �A'""a ZIiY CT?UE 4.Indicate the number of Assessment1 Part of a Parae€ (only i£Part of a Parcel)Check as they apply: poll parcels transferred on the deed ..m -9 Of parce€s OR 4A.Planning Board with Subdivision Authority F-dsts ❑ S.Deed _ OR Q..5 0 48.Subdivision Approvai woe Ragui red for Transfer ❑ Property •FRoN rLEr 'DEPTH 'Acke-s Size .40.Parcel Approved tar Subc!M mon with Map Provicied ❑ . Bozic B.ra�lk❑ S.Seller -L.vsT NAM'E11Wl'—Y hwme oz c Vicky V. FFe a'r NAM E LnST NAfhEiCO'�A�Atvry -7.Select the description which most accurately describes th0 Ciheck the}coxes below as they apply. use of:the properly at the time of sale: S.Ownersbip Type is Condominium ❑ A. One Family Residential s.New Construction on a Vacant Land 10A,Property Located within an Agricutturar District ❑ "f oia.Sugar,reeelv&d a disclosure notice indicating that the property is in an ❑ AgrirultLirat MsWct BALI- 1NF5f2Pv1AT1ON 76.Check one or more of these coed itis ns as apPlicablo to transfer: A-Sale Between Relativas or P=ornnar Relatives 77.Sale Contract DateS,Safe between Refatsd Companies or Per-En era in aU9inass, O-One of the t3uyars is siso a Sel tet- 0. er0.Buyer or Seller is Gavem ma nt Agency or Lending Inslitutiort 12,Date of SaiefTransfer E-Deed Type not Warranty or Bargain and Saie(Specify"ow) F-Saie of Fraclio real Or Less than Fee interest(SpecKy setow) '13.Full Sale Price 900,C-00 ,00 G.Signifloant Change€r-Property Between Taxabl0 Status and Sale tastes FI-Sale of 8uslness is Included M Sate Priice {Fuil Sale price is the total amount paid For the grapes y inclydl ng personal property- l- Other Unusua€Factors AffcC'ng Sales Priors(Specify$e:OW) This payment may be in the form aGagYF,other pro petty or•goads,Or the assurnprion Of Ld .)-None mortgages or other obFt]attons-)pease mtu.7d!a the nearest wh ois Jaffar amount- "Commeni[s]on Condition: 14.1nd€cate.the value of personas 0 .00 property included en this sale _ ASS FSSM ENT tNFORMATION-•Data should rOect the latest F inai Assess rnant Roll and Tax€3111 16.Year of Assessment ROi from which information takenCM 22 '17.Tota€Assessed Value 5,7 00 .t a-Property Glass 210 - "t S.School District€lance OyS It --p 0:Rd S 1201 Tax Map identifier(s)IRON idetrttfiertsj(i£more than four,attach sheet with addhionat identiffer(s)] mg00--037._fFQ-lI.CC-0;13.000 CERTIFICAtONJ I Certify that at of the items of information entered on this form ate true and correct(to the best of my knowledge and belief)and 1 understand that the making of any willful false statement of material fact tiro rein subject me to the_prov3:.$.>;PL;;S,Sf t,0 a al law relative to the making and filing of false instruments. BtfYERTA„ (, FORMATION (EntSr ixhlDniTaiitill%or the buyer-rdot®:'.f txtyer ix l..L.C,sOCl ety.aasoCi6tiOn,CM'01 tIPn,Jn�l stack atata of � entity fiat i9 nol an Individual agars or Td-dgry,then a nam. con aid tact mi'MMaiion of an fnclMdvgFlm3—ible/r C - party-hQ can answer qua tions regarding the allL9fw must he entered.Type br print CfRar y-) SE"F-LEA SF0.ATF]RE I]imou George ri■yaML�"�" FlriS�F%AAFS ry ^']•7� pY{T pO.OpE •• •••• ••••••••iENC TCr9f351VFAR] �`/Ert giGtJAT E F7aT. r Lo ].)v.iye B1 'ET Nf3„ f-< " 'a-asa"r NAM[ F rt € r F € I ?3a.y5icte_....,......_.YY ------- LIY—.. 1136€] OR'SOti h, gTATE '7JP WLR 8 YE,!,$.;A•LT[]RNEY 3 ! Ebr..'a)7i.mie Fsq. Rel-c'i. ..........____.....__ I..AST NA�� FlR9T NACA r r 3 # ' F 1531] 939-'2332 _. APF,A Woe TE EPHCNE N-I WE �9)