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SIandard N.V.a.I.U. Form 8002 a8lllaln and Sale Deed, w111l covenants against Granlllr's Acls-Incfivfdual... CorporaUan
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT.THIS INSTRUMENT SHOULD BE
_ USED BY LAWYERS ONLY
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THIS INDENTURE, mada the 'l4ay rIJ'\J~ Thousand Seven.
BETWEEN
JAMES W. CLAY and MARY E. CLAY
500 Jackson landing
Matlltuck, New York 11952
party of the fllSt part, and
V1fflll.'D.t h. '_'/~
\r L I TSOUMAS and KATHY TSOUMAS 1 '1 t1 ...- r c
15-38150UlStreet ,._, I' .",
Whitestone. New Yor~'.11357, .
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party of the second p-art, . . "
WITNESSETH, that the party of the first part, In consideration of Ten Dollars and other valuable consideration
paid by the party of thellllCllnd pert. dollS hereby grent and relllll" unto the party of the second part, the heirs
or successors and auigns of the party of the seoond pert forever,
SEE SCHEDULE "N' ANNEXED
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SAID premises known.. 500 Jackson landing, Mattituck, New Yor~
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Being and intended to be the same premises conveyed to the Grantor herein by deed dated August 11, 1997
and recorded on August 22,1997 Offlce of the Clerk of SUffolk County In Llber 11847 at page 850.
TOGETHER with all rtght, tlUe and interest, If any, of the party of the first part in and to any streets and roeds
abutting the above desCllbed premises to the center lines thereof: TOGETHER with the eppurtenances and all
the estate and rights of the party of the fll'Bt part In and to said premises: TO HAVE AND TO HOLD the
premises herein granted unto the party of the seoond 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 fllSt 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, compliance with SecUon 13 of the Lien Law, covenanls that the party of the first
part will receive the conslderaUon for this conveyance end 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 wll apply the same fnt
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 ~ read "parties" whenever the sense of this indenture so requires.
IN WrrNESS WHEREOF, the party of the first part hilt' duly executed this deed tho day and yaar first abow.
written.
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" Title Number GNA5802S .
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Page 1
All the certain, plot piece or parcel of land, situate, lying and being at Mattituck,
Town of Southold, County of Suffolk and State of New York, known and
designated, as lot No.5 on a certain map entiUed, "Map of Jackson's Landing"
and filed in the Office of the Clerk of the County of Suffolk on March 28th, 1969
as map number 5280, being bounded and described as follows:
BEGINNING at a point on the Southerly side of Jackson's Landing, 450.86 feet
Easterly from the extreme Northeasterly end of a line connecting the
Southeasterly side of Mill Road with the Southerly side of Jackson's landing;
RUNNING THENCE Easterly along the Southerly side of Jackson's Landing
along an arc of a curve bearing to the left having a radius of 750.0 feet, a
distance of 100.0 feet;
THENCE South 11 degrees 46 minutes 20 seconds West, 203.74 feet;
THENCE Westerly along a tie line North 73 degrees 00 minutes West, 120.0 fe~t
to Lot No.4;
THENCE North 17 degrees 26 minutes 00 seconds East, 201.42 feet t9 the
. southerly side of Jackson's Lan~ing, th~'poin~'or place of BEGINNING.
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STATE OF NEW YORK .
I ". .;,'", V
COUNTYOF~
On the II I J day of l2uc.\, 2007 before me, the undersigned, personally appeared JAMES W . CLAY personally
known to me or proved &; me on the basis of saUsfactory evidence to be the Indlvldual~ whose nerne(st Is
(~l subscribed to the within Instrum~d acknowledged to me that ~hellhey executed the same In
~e"thelr capacity(IplII, and that by I er/thelr signaturels) on the instrument, the Indivldual("', or the
pe~ upon behalf of which the Indlvldua lI) acted, executed the Instrument
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~P.~
TARY PUBLIC
I:AN P. HEBBERD
Notary Pubic. S.... fill Wow ""
No. 5044616
~rlldinSlllfallCli.ntr II
Car.mussian Dp;"s.... 5, ZO_
STATE OF l'JawYfr'L
COUJTYOF ~L.
On J II day of au~ ' 2007 before me, the undersigned, personally appeared MARY E. CLAY
persorlallY known to me Dr proved to me on the basis of saUsfactory evidence to be the Indlvldual(1t whose
namelsl is ~usubscrlbad to the within instrum~and acknowledged to me that helllfi8ihty executed the
same In h~eir capaclly(~l, and that by h' elr slgnature.lll on the Instrume'?ir.'ihe Indlvldual~ or
the pefson upon behalf of which the Indivldualj.ri a , executed the Instrument.
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NO Y PUBLIC
1EA~P.=rNIW'AlR
NaIl" ~'504-4616
Q\lalif.... in Sulfdk eountt JJ
CllI1\IIllSslan CJpiIO$II". ~. ZQ
Bargain and Sate Deed
With t;:ovel1lnts Against Grantor's Ju:t
Tille No.: Qi (,l J:) .s-t-tJv.r
I
I CLAY
District:
SectIon: 113.00
Block: 04.00
Lot: 007.00
County Dr Town: Suffolk
Address: 500 Jackson Landing
Maltlluck, New York
TO
TSOUMAS
RECORD & RETURN TO :
Kimon'lnermos. Esq.
26-20 23n1 Avenue
Astoria, New York 11105
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Number of peges
TORRENS
. . RECORDED
2007 Sep 14 '02:51:25 PIt
Judi m R. Pascale
ClERI( (f"
SUFFW( coumv
L ??oo12522
P489
DlI 07-04926
Serial #
Certifieale #
Prior Or. #
Deed I Mortgage Instrument
Deed I Mortgage Tax Stamp
FEES
Reeording I Filing Stamps
4
('age I Filing Fee
Handling
TI'-5114
$'"
5"""_
Mortgage Amt.
I. BosieTax
2. Additional Tax
NOIalion
R.P.T.S..A.
CO/om. of Ed.
-f:s-- Sub TOIaI
?fl-
(
Sub Total
. EA-52 17 (County)
EA.52 J 7 (State)
;).7
SpeeJAssit:
Or
Spe<./Add.
5~
o
Anidavil
Reg. Copy
I..J" - Sub Talal
GRAND TOTAL
y . ).th~;;:
will be improved by a one ur two family
dwelling onl)'.
YES orNO_
I f NO. see appropriate tax <louse on page #
_ oflhis il\51rUmenL
Certified Copy
Other
,
Reall'ropert)' Tax ServiL.., Agency Verification
Jli... c:~;..... nlnool,. '..t
11300 0400 007000
Slamp
,
Dale
.
Improved
Initials
7 . Salisfactions/Discharges/Releases List Propeny Owners Mailing Add
RECORD & RETURN TO:
Vacantl.and
It)
t./ no,.j 7A c-It no ..r
').. ~ -)..ll l.. 1 "'#/ ~
(h,~1 &t II/OJ-
TO
TO
TO
9
Suffolk Coun
8 Title Company Information
Co. Name
Titlc/l .
'Ibis page fontlS pan of the aUachW
made by:
J/tV1rl /.,.,) .ct~
nIHL7 t: CLA7
VAf,LltJJ 1JounAJ
f=~ '^ aUn rN
UOXCS 5 UIRU 9 MUST nE WPEn OR PRlNIID IN Bl.ACK INK ONI. Y I'RlOR TO RECORDING OR FILING.
(OVER)
(SPECIFY 'IYPE OF INSTRUMENT)
The premises herein is siluat~ in
SUFFOLK COUNTY, NEW YORK.
JDUn~L_D
In the Township of
In the VillAGE
or HAMLET of
111111111111111111111I111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUIWY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of J:D8trumeDt I DEEDS/DDD
NUmber of Pages: 4
Receipt NUmber I 07-0086610
TRANSFER TAX NUMBER: 07-04926
Recorded I
At:
09/14/2007
02151125 PM
LIBER:
PAGE:
D00012522
489
DiBtrict:
1000
Section I Blockl
113.00 04.00
EXAJaNED AW CBJIRGBD AS FOLLOWS
$1,200,000.00
Loti
007.000
Deed Amount:
Received the
Page/Filing
COE
BA-C'l'Y
TP-584
RPT
TrllDsfer tax
Camm.PreB
Following Fees For Above J:nBtrument
"'-.,pt
NO
NO
NO
1m
1m
NO
NO
$12.00
$5.00
$5.00
$5.00
$30.00
$4,800.00
$21,000.00
Handling
NYS sacHa
BA-STA'1'I!l
Cert.Copies
SC'l'M
HaDBion Tax
$5.00
$15.00
$75.00
$0.00
$0.00
$12,000.00
Exempt
1lI0
NO
NO
NO
NO
1lI0
Fees Paid
$37,952.00
TRANSFER TAX NOMBERI 07-04926
TBJ:S PMB J:S A PART 01' '1'BE J:NSTRtlHENl'
THJ:S J:S NOT A BJ:LL
Judith A. Pascale
County Clerk, Suffolk County
C1. SWIS Code
PLEASE lYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473.7222
REAL PROPERTY mANSFER REPORT
STAlE OF NEW 'IORIC
STAlE IIlIARD OF IlEAL PIlOPEIlTY salV1CES
FOR COUNTY USE ONLY
RP - 5217
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3. T8. IndicICe where future Tax Billie... 10 be sont I
IIIIIng H__ __101 boIlom eI'or,", .
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(Only. - of 0 _ _......., oppIy:
.cA. Planning Board with Sutxllvilion Authority ExItts
.... Subdiv-.ion Approvlll WDI Required for Transfer
4C. .....1 Approvod lor s..bd"",ja;on wi1h Mof Pravldod
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^ ~Ona Family Ralidanlial
R 2 or 3 Flmil., Relidentlll
C Ruid.mlll VICInI Lind
V Non-Retidlntill V..ntllnd
I SALE INFORMATION ~
11. __D.,.
E ~ 1\;<1..1...01
F Commercial
G Apartment
H Enterulnmont I Amusemunt
I ~ CommunitY Service
J Indultrill
K Public s..;..
I. forni
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.. Ownership Type Is Candornlniwn
I. New COlllUucllon on V8Cllnt LAnd
'lOA. Property Lacaccd wllhln an Agrf~ DislricI:
lC11. Buyor -.... o dilcloluro notlco IncUcorIng
lhallhc praF*IY iI in III Agr"cullur.1 DiIlnct
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7. Check the box b.1ow which mnl: IIICIUrdely de.be. the .... of 111. praperty It thII time of ..Ie:
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Sale ScIlY<<Jert Relatives or Former RelI1ive1
Salo Butween RlIBbId Campllll.. Of Plrtner_ln Buain...
001 01 the Buyers I_ a110 . SIlIlar
Buyttr or Soller II Governmel1l Agency or lIInding Il1Itifution
Deed Typo not Warranty or BargBin .nd Sale (Spaclfy Solow)
SIlle 01 Fractional or Less than Foe 1n1W'nt ISpecify Below)
Signlllcant Ch.nge in Property Between TlWlbIo Staru. .nd SlIe 0111
Sill 01' Busineuls Includad in SIIIo Price
OIhor U.......I F....". A/locling Sola P\ico 1_ "'-I
None
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'3. Full _ PrIco
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(Fwl 5118 Price 1_ the tatal amount pakl forth. property including PlraoMl property.
This peyment mDY' be In the form 01 coh. Dlher property or goods. or the ..um~ion 0'
ItIOItpgII or OCher obIlg1tlonl.J PIN" round to the ,."" whole doIIIr IIJ'IOUnt.
,... In.......... val.. DI J*IOIIII I I 0 I 0 I
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ASSESSMENT INFORMATION - Ollla should ..n.el tho lotnt Finol A.....m..t Rallo.d Tox Bill
11.::~of~"::lrom I O:r I 17.T...._V....Ial.II_In_1
'I. ""'_ C1_
I ~ I :0 I-LJ 18. School_lei Nomo I
21.00 (10,1000
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20. TOIl ........_1 RaU ""_111 1II__....n laur, _ __ _ ___'lIIortoll
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I CERTlACATlON I.
I n.'I'tItf tImI'aII at tlwl&nal ull.ruraWUII en&l:nld 'ID I" rll"".1'Il' Irw'" "'C1I'1',..a. 110 du.'1uI ,,rill)' knowlcdJlt' ud bellcn and I undrnlluld dIId tilt llUlkina
of oy wUlIuI nd5r 1IIaIrml'lll ullBKltrial. 1'Il&"l1le'" wiU IIlhjed .. In lilt Dnn iAklli!lo IIr!be IlftW hi.. r\'balhr 10 Iht IIIIIkIDR aDd lling ." r..... IaliInuDrntL
BUYER BUYER'S ATIORNEY
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NEW YORK STATE
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