HomeMy WebLinkAboutL 12292 P 752
..
c ) d.d--1~
P 7')L
,
/000 - 7 () - I ~ ~ ;Z 0 '--/
6t1 _ ~1lp.:Y.:a.T.U.i'wmI~B.qa::D.md...obM.
'IIIilb.o!l(.~""':lIa"."x"'...-...-Ic1!."lrCo#lCJl";,,,,""'II.lli
--.<; ;:tw~~~=~
CONSULT TOUR LAWYI!R sel"OHI! BlQMNG THIIII..TAUlENT _lltI8 rN8TR~T 8t1Ol.1.D BE USED BY LAW'fERS ONLY
DUS INDENTI.""RE. mad.: Oil Decerrber 31. 2003
wtT\VIlIa'i
Theodore Laoudis and Angela Laoudis, as Tenants in common, residing at 23
Van Buren Court, Cresskill, NJ 07626
putY Qflhe i..... part~and
Irene Apostolpoulos, Trustee of the Theodore Laoudis and Angela Laoudis
Qualified Personal Reisidence Trust, having an address of 216 Truman Drive,
cresskill, NJ 07626
party of the lIIeCOnd p""~
\\.'1TNRSSF..TII. IhaI dle p41rt)" of t:lw ftnl pari. in cOlIS'idl:rtdion of Ten Dollar_.and oCb..... Ya1uab~ con51idel".tioll paid by
the party oft-" -.c::ond part, doe-I hneby grAnt .."d relealPC unto .... paI1y of dle M'COIld part,. Ib: llC'in or lucc:e..olY and
.~ orlhe party of.be ..x:ondparl f~wr.
ALL thai e.e-rtain plol. piece or parcel of land., with Ihc bnildinp and improllelDft"Il. thereon erec-d. .itmte, lying and
be.. in the
Part A:
Town of Southold, County of Suffolk and State of New York, known and
dee:ignated as Lot 4 on a certain map entitled, "Paradise by the Bay, II and
filed in the Office of the Clerk of the oounty of Suffolk on 11/4/76 as Map
No. 6463, as more fully described in Schedule A attached hereto.
Being the same premises conveyed to the party of the first party herein by
Dee,j dated 6/1/01. record~d 6/14/01 in Liber D00012134, Page 206.
Being also known a6 635 Kimberly Lane, Southold, NY which is: indexed. on the
Suffolk Co;)unty Tax Map in Dist. 1000. Sec. 70, 81.13, Lot 20.004.
Part B:
Being the same premises conveyed to the party of the first party herein by
Deed dated 6/1/01, recc-rded 6/1';'/01 in Liber D0001~124, Page 207.
Being also known as 405 Kimberly Lane, Southold, NY which is ind~ed on the
Suffolk County Tax Map in Dist. 1000, Sec. 70, Bl.13, Lot 20.035 as more
fuLly described in Schedule B attached hereto.
TOOErHHR with.3l.1 riahl. titJc..:and. were.... if an)'. o(lb: party orllle' rll'ld part in....."llo all). ....eetll..fld roam abuning IIX'
above oucribed prani-n to the Ct'I1Ie1' line. br.l'of; TOOJ:rrHHR. wilh tbe appu1cUU1C..->>: Uld alllhe ellt. and rip of
Il~JHll1.Y of the fint..-& in and to _idpremiR_; Tel HAVIl AND TO 1I0LDtM pmIIwlIberringnntedunto rb: part). of
tlw wcond part. 1be lwin or iIUP..~lJOI'. ancI. aw:igJllll ofllc part)' of lhe ..oeond part rlK"C'w:r.
A..'=D tilt' pMty oflb: ran. p;u1-'::oYlm&nllllbatlhc party ofltlC lint part b.. not done or lllfJ'end lUlylbing wbereb)" the ...id
Pn:lIDM:III}~ b..'C.". cllCUIIlbt.'fCd ill allY W&)' whak:\ler. e:xmpl ... afDnr'Nid.
AND the part). or Lhe finl part. in compliance with ~ian I J of the Lien Law. coven.uv:s tb:LI: the rart)" of lhl: Iin. pm
\lIo;1t receive the c:om:ideralion fClr lh. COnveyAnCe and. will hold the- risJrt: to rc.:m'e such cOIUidentiofllUf a. trwt J\and to be
arplied f"1l'1It for h pnrpoft of pI)'iing Ih: co.. of the itUprOWDlcnt :and will apply the I:UlM!' .lnl to d~ p&)'IUC'nl of &he COIK
ofdw improwment Nfore usingAn)' pm of EbI: tot:Ll oftlwNIDe rOl' any or:lwrpurpollC'.
1'he word "r-ut)'" IIMIl be cOl..rucd &11I if il R'ad ''parties'' wbmewor the IIe'IIIC ottllis indcnlure so requires.
IN
s
arL. p~
THEODORE LAOUDIS
~~"..-e1",
ANGEL 0
:1
,
ACKNOWLlDCllleNT IliI NRWYORK wrAT. ,.1.1....)
State ItlNew York. CO_I)' 0' SL:
On WON me. Ibe ....mi8JlDd,.
pc:I'lIDOa.lly appearcd
pefllOnaDy known to me Dr' prowd to me on It. basi, of NIi...
factoI')' CYidenoe to be lbe indivi4W.{I) wboR name(s) . (aR)
.m.c..libed to I" within inltrument and aoknowLedsltd 10 me
lhat hl~Jm./t"Y CM'outc-d the Ame in bi.Jtu:.r/tbeir capa-
city(illl), and that by hi.lher/thelr signature(s) on tho
inmmDcnt. the- individuales). or the penon upon behalf of
which Ihe inclvimal(.) aded. cwcuted the imlnaacnt.
(Aruftr.. rutd G/Ik... ~"'IItib.wbl4l t&b..C'.....owI........C1
AI~..BIT OIIT-.DIlNI.W YOAK8T,.ft ft'PLiloe-Il'
Stale .lIr NJ
Coaaly.r Passaic::
'1.:
On 1~:/Jl/03 befortlme.theUl"r~.
perwonlUyappeued Thecodore Laoud1s and
Angela Laoudis
pc:I'lon..lly'known 10 me or pnrwd to me on the bU. of _i...
factCll")" evidence to be the individual(s) who. 1llIIIM(') i. (.-eo)
subKriibed to the within imlrument and aakDowledpd to me
that lxIJ.bthhey executed lhe II&IIIC in hi,lIwrltJ.ir capaci-
ey(JeI). and thai byhil:Jber'lUx-ir signature(s) on dx imtrument.
the inclividual(l}. or the per~n upon beb:Llf ot which the
individual'.) acted. ex<<nJ1cd the inlcrUlJlcnt. and lhal loch
individUlII made mch ~e before die u.odr.ni.sr-d in
Pat:.-:!Irs.:>n, Passaic County, UJ
(lItH'" 1::100' cor pM! "aNI .ttzt, ",. C'"....". Ol~ oHlI.. pIG.;, .C'.
bwlvJldl~ lII\I I
JOAN
IIlJTARY PllBLIC Of NEW JERSEY
IIY CQIIIlIS6ION EXPIRES FEll. 2', 200'3
J81lII'Iin Inb 6.tar llrdl
'Wn1I C01'BIANT AGAI..... GRIoJII'I'C8,'. Ac..
Title No.
THEODORE LAOUDIS AND ANGELA r.;~OUDIS,
AS TENANTS IN COMMON
TO
IRENE APOSTOLOPOULOS, TRUSTEE OF THll
THEODORE LAOUDIS AND ANGELA LAOUDIS
QUALIFIED PERSONAL RESIDENCE .rRUST
~......flr_oI._...,..OfDIa
AGKNOWL&DCI........ av -....cRIaING WlTNUal,a8J
St.rr or :NJ
c.DIlIIly.r Passaic
} ..,
lla '2.{0'{0 3 ber....me.tboundon~
pencaallyippaicd Theudore Laoudis
and Ang<9:1a Laoudis
11. u.xibing witne.l(el) 10 the- foregoing, NIrUIDCnl. with
whom I am penonally &C~ecl. who. beinM; by me duly
IWorn,. did depow and. MY a..t '-~ rnideCI) in (II' rl(,
~1t&C11 ",....."".11 "'. c:qv. '1IC1vtU 11M nrHtaMllnltl _HT.VIIII,)';
IINNItJ:
::!) Van Buren Ct:.
ere.skill, NJ 07626
o.theJ"~b>>w(,)TheOdore Laoudla
and Angela Laoud1s
to be h indiviclual{l) deecri"bed .. and .ilo accUlcd tbe fOl'C'.
aoina inftrumenl:; !bat Mid dJIoribkta; witDe_C_) w.. (were)
prelelJl.md uw laid. Theodore Laoudis
and Ang~la Laoudis
eM'cule Ihe same,; and tbat laid wim.-<:el) at the MIllO time
-m1Cl'ibed. hi.,fwrl1:heir rwme{ll) AI & witne8(a) tbn'eto.
(. t'ldMt1fIUIdItNftfI1YIYtSllJt'IIIMI"ft'9.'t.r,Ila:rl~'"
6ftM,fII"..WIIIIry"',."'I'6u"acbI"""lIfeIttMrr.a. And th&t laid
IUbloribina witn...(el) madC' luch appearance belore .
~in
Paterson, i ty,
)
SE<'"I1ON 70
BLOCK 13
LOT::!Il.OD'" and. 20.035
COUNIY OR TOWN Suffolk
IlETVRN mt l'tlAIL TO:
ROBERT A. BERt'STEIN, ESQ.
CLEMENTE, MUELLER & TOBIA, PA
PO BOX 1:1 96
218 RIDGEOALE AVE.
MORRISTOWN, NJ 0796.3
"
~.
:
. -
SCHEDULE "A" DESCRIPTION
(Tax Lot 20.4) "A" . . .
ALL that certain plot, piece or parcel of land, sltua~e,.lylng and p~lng II) the
Town of Southold, County of Suffolk and State of New York, ~l1oY'!1 arid
designated as all of Lot 4 l;In Map of Paradise by the Say, f1!~dJr th~ Office of
the Clerk of the County of Suffolk on 11/4/1976 as Map NumpQr 646~, when
taken together are more particularly.bounded and describeClas fo!!ows:
BEGINNING at a point on the easterly side of Kimberly Lime, 'tIliJ fQllowlng (4)
courses from the extreme southerly end of the arc of a cimiii co~i1eCt!~g the
. ., '. J' .
southerly side of Pine Neck Road with the easterly side of Kimberly Lane:
. '. ..",. .J,~.. =.': . ":-.i . .
1) Along an arc of a curve bearlng'to the left havlrig a radi~s.Qf 25.GB.feet, Ii .' . .
'-distance along said curve of 39.27 feet; '. . .' .....;,
2) South 03 degrees 53 minutes 10 seconds Ealit 193.66 fe~!; .' : '. .
3) Along an arc of a curve bearing. to the right haVing a ra~ll,Is Of 160~.Q~f!!et,;, .' ..,,::>'
a distance along said curve of 115.18 feeti . : . . '. . . .', :,:':.
4~ Along an arc of a curve bearing to the right, havlng.a r~9i",~ '~f 1,~g~~q:. a.' . . :.'.
distance along said curve of 188.27 feet to the premises abol.l~:t~ bl' ~~liglb~~i
. . '. ..... . ...:'.~.: .;::" '.~~Z:. ..' . . .::' ,.r::" .
THEN~E southerly along the easterly side of Kimberly Li!fle~fi.eJolloYjj!'ist(~J~.: . . :":.'.;;~;::' .
courses and distances:' . ~. ;', '. "'::".' ." ,"::tr,.:..
.....' .. ':;~..~1'i!'~.i'
1) Sout!! 06 degrees 58 minutes 50. seconds:Welit'1;8!!'~7.fei!ti ..' '..::;~;'~;')~~~r:; ':,
'.. ." ,i',. "'~:' ..j,.~.~~.,~::.~. :~::i.
2) Along an arc ~f a curve bearing to.the left,-having a rac:!l\ls'of 4~!ilOg,;fft~'fr':';:::{f:t;~,;. 't~..
distahce along said curve of37 97feet. '. .,,~. ~ ,..::....;<;.~ ~ .
THENCE North 89 degrees 14 ~inutes ~o s~0.1\~~~f~'\~9.~;f~~t~~~lilt"it .~5. 'iiA.{:'
. high water mark of Jockey' Creek as sho~n ori.r!l~d'.r:v'fi!'Pi ;":;" :', . " ....i5!..;,:;.r ";~~~' .> 'ff;
.. '. . ,~.<;;.i1'~ s~r\~' .~~.t~.
.THENCE ~Iong the mean high ~ater mark'Rf JC!f:I<~y:.~.~eek.'.~~.R~r.F.:i'~tt~l~~~f~,' :'i
the following (3) c~urses and dfstances:_ .' . . '. . . i. ~..!t~..- . '. :~<
" . ..-....:0........... ow
1)North 17 degrees 11 minutes 29 second~E~~f1'01:9,~f~~t;: .~~. ..;'~~~J~~~~. . ,1.
:" . .: I" ..' ,: :':~':, '.' . :~;"~,:-,:~'~~~lf~l. -
.2) North' 12 degrees 17 rriil1utes 40 seconds.E~it~;f1:'99;f~et.:~:;;';.,; . ,;:~;,';~~:(;,l:~~.;, .
~. '. ~.:.' ~-:... . Of: ':.::"'. :..;. . '~...' :" \~i\j.i~~;r;~y~:E-~~.....\:
........ .
3) North 04 degrees 52 minutes 25 seconds East 19.02 feet;
THENCE North 37 degrees 42 minutes 30 seconds West 59.23 feeti
THENCE North 61 degrees :34 mlnute~ 30 seconds West, 20.57 feet;
THENCE South 88 degrees 18 minutes 10 seconds West, .45.14 feet;
THENCE North 02 degrees 09 minutes 55 seconds West, 25.57 feetj
THENCE South 85 degrees 2!l mInutes 30 seconds West, 28S..Q7 feet to.the
easterly side of Kimberly Lane and the point or place of BEGI~NING;
.,
~,
,.. "
"
"
,',
. '-
"
SCHEDULE 'II " DESCRIPTION
(Tax Lot 20.35) "B"
ALL that certain plot, piece or parcel of land, situat~, lying and being In the,
Town of Southold, County of Suffolk and Stat~ of New York, known and '
designated as part of Lot 3, on Map of Paradise by the Bay, flied 111 the Off!c;!! of
the Clerk of the County o,f Suffolk on 11/4119.76 IIs'Map Number 6463 !!nd a 10
foot strip which lies between Lot 3 and 4 above mentioned, said Lot p~rt of, Lot
and 10' foot strip, when taken together are more particularly 6ciunded'lind'
described as follows;' " " .
BEGINNING at a pOint on the ,ea~terly side of, Kimberly Lane, tile f!?II?Yi!I1!1 (3)
courses from the extreme soutl1erly end of tile arc of a curve connec;f!,ng (!ie
southerly sIde of Pine Neck Road with the easterly slde,6f Kimberly !-ane:
1) Along an arc of a curve bearing to the left haying a r'adlus'of25.0il-,h!Elt,!i!
distance along said curve of 39.27fe'etj , , ',' ' , J' ;,'
2) South 03 degrees 53 minutes 10 seconc!s East 193:66 feet; ..
3) Alo,ng an arc of a c~rve bearing to the right having a 'r,~i,u!i,_~f 1~~~i9~fl!~t,
a distance along said curve of 115.18 feet to the premises about tcr.,a~' ,
described; ", , ' .
'... .
,- ..,',
THENCE North 89 degrees 52 minutes 50 seconds East'267.3Heet;, ",\",;~-- '
~::~: :::: :::: :::::: :::~!: :::::1:: .~J~;:!;i);
Thence North 85 degrees 48 minutes 25 s!;'c,o~~ East 1. r1 t!letj ,';;;;:~,;,R~;:j}}j~~, ~-\! _
. . ..' .' . ":~;'~"'......;.~::..;;'~r-lf& r.(\" <.
THENCE South 02 degrees 09 minutes 55 seco!1d,!3--,I;ast49.~Q:f.~!II;, ;;~:"::<~<",{:;:;%~\!'il(~ ";',
. . ,". ; '. . . ': :.. ..'....'.'" ~ ; !~,'~.:'.\;.O{;;.~:..~ifJ...~ ," .
THENCE South 05 degrees 48 minufes 32,SePRri~$\'V~li!t19'~UIj:~~; ,j"tjfA~k~;::, ':~;r :s.-~>
THENCE South 8~ degrees 20 minutes 30:#~4:~d.~W~~t :!85.~i:'i~~d~1#itJ ' , '~~:~;';,
easterly side of Kimberly lLane; , ~ ' ''', :::.-" ':,~-::h:I",I.i!\:.l~~_,,~~':.'
THENCE northerly along the easterly side of Kimberly Lane, along an arc of a
curve bearing to the left having a radius of 1,600.00, a distance along said , ,
curve of 188.27 feet to the point or place of BEGINNING.
.
-- . A!
It :z I
Number o'r pllges
TORRENS
~
RECORf:lEC>
2003 Dee 31 10.~7.43 ~"
Edward P. Roma ine-
CLERK OF
SUFFOLK COUHT~
L 000012292
P 752
. DTI 03-22401
Scrialll'
Certificate #
Priur Clf. '#
IIx-cd . Murtguge III!'ilrUment
Deed 1 Mongago 'ax S,amp
FF.ES
I
.."
.Ie
[;A.52 17 (County)
5'
5lJ
SO
Sub Tota]
30
."
"
Mon.. ~mL
'.1.
I. BBSic:nix'
2. Additional Tax
Sub To,.) .'
Spec. I Asiit.
or,'. -:
Spec. 1 Adc;I,
TOT. Mm TAX': .. . .-
. ....(\ II,t', '..
. . J?ual ITci~ ..:-2.:.. D~!l1 Coun~y _' ~
. . . .. \
. Held J~r.~ppoi~t~n~ ~,
Transfer Tax ':. ~.
Mansion'~
Page I Filing rcc
rs
HtlIxlling
5 ..llQ..
<"
TP.584
Notaliull
EA.5217 (Su"o)
Camm. ufEc..l.
5.1l!:L
R.P.T.S.A.
SLlh Tolal
/~(,.do
/S"t,."S:
. .
The property covered bY this motcaa" is
or will be improved by a onc or two
ram~ly dwclJing only.
YES .0rNO
If NO; see appropriate tax clau~ on
page # of this instrument.
AlTida"il
. ~orli;;::9.4~
~.
Reg. Cnpy
(p .as-
Olher
4 ~lriCllf'
Real
Property
Tux Sen."ice
Agoncy
V.:riCic:Jlion
IS--
Gmnd 1"oIal
"
~"2811w 5
,:,:,1:'/
ConiniunU Preservatlon' Fund
03053403 1000 07000 1300 020035 /
1000 07000 1300 020004 V
Consideratiop Amount
CPF TWl Duo
so
SO
Improved .
~JlisraclionlDi!\chart:c.'1lReICIUC List Properly Owners Mailing Address
....:J ~, RECORD & IIF:ruRN TO:
'Iobort A. Bernstein, Esq.
Clemente, Muener & Tobia, P.A.
J'O Bo. 1296
Morristown, NJ 07961-1196
973/455-8008
Vacant Land
TD
10
TD
TD
7
TItle Company Infonnlltlon
Co. Name
TilleN
~ Suffolk County Recording & Endorsement Page
-nlis ~ge rt1rm" part of the illlncht..-d _ Deeod
m:l(le by:
(SPECIFY TYPE OF INSTRUMENT)
Theodnre I.Rnudl" and A.ng~l. Laoudl!l,
Tenant. In Common
TIle premiliis herein is situated in
SUI'I'OLK COUNTY, NEW YORK.
In Ihe Township of Southnld
In the VILLAGE
or HAMLET of
ROXES 6 THROUGH K MUSTRI;TYPr,D OR PRINTED IN BI.ACK INK ONLY PRIOR TO RECORDING OR FILING.
(ovcr)
TO
Irrne.)l\pgstoIpoJllAL..Irustee
.1
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGB
Type of Instrument: DEEDS/ODD
Number of Pages: 5
TRANSFBR TAX NUMBER: 03-22401
Recorded:
At:
LIBER:
PAGE:
12/31/2003
10.27:43 AX
D00012292
752
ANGELA LAOUOIS
THBODORE LAODIS AND ANGELA LAOUDIS QUALIFIED
District: Section: Block:
1000 070.00 13.00
BXAJaNBD AND CHARGED AS FOLLOWS
Deed Amount: $0.00
Lot:
020.035
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15.00 NO Handling $5.00 NO
COB $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO BA-STATB $50.00 NO
TP- 584 $5.00 NO Cart. copies $6.25 NO
RPT $50.00 NO SCTM $0.00 NO
Transfsr tax $0.00 NO Comm.Pres $0.00 NO
Feas Paid $156.25
TRANSFER TAX NUMBER: 03-22401
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk. Suffolk County
b~~
(Y6\~:)
,,(>7.::.;g'31
FOR CITY USE ONLY A
C1. County Code ~ C2. Date Deed L./.2
Recorded ~lor1tn
1-.3//031
Oil)' Y....
C3. Book /,r><~,,;J I c; ,;2,J C4. Page I
OR
IC5.CRFN
PROPERTYINFQRMATION
1.Pl'(lperty 1635
Location STREET NUMeH'
7: 4-;;(
I Kimberly Lane
STllEET.......e
2. Buyer ~postoIPoulos, Trustee
NlIme lAST..'-"'E'COMPANY
L
w.-
-
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SeRVices
RP - 5217NYG
(R....l1/2l1112)
I Southold
BOROUGH
111971
Z~CODE
I Irene
f'1I5TNA"'~
---.-I
lAST"AIdE/COM"""
"R5TN.....E
3.TII" Indlcale where futu,e Tax Bills are to be senl
Billing lflllherthanbuyer~ddre5s(8Ibottomofform} I
AddI'llS$
LASTNAUE/CQI,(rANY
L
5rR~l! Nu"aER AND STREET NAM'
FIRST""""
C,TvCRTOWN
I NY I
STATE
l,pCOoE
4. lndlcat&the numbtlr of ASlIenment
RlIllpercelslr.n$fe....donthedMd
10 0
2-.J#ofP3I'C1I15 OR DPBrtOI<1PlIfCBI
3 . 1 . 6 I
......l-'lannln51 BoardApproval-NJAfor NYC
48. Agricull~ml District NO~OO . N1A for NYC
Check the bo)(.. below lSthey.pply:
6. OWnership Type is Condomini~m
1. New Construction onVac:anl Land
D
D
_-.-.----J
5.0e-ed
Pro~rty L
Size
I X I
D~prt<
; OR I
fRONlfff
6. Seller ~oudls
Name '.....TNMEIOO...PAHY
~oudis
LASTNA"""CO"PN<IY
ACReS
I Theodora
.'Jt$T.....t.lf
1 Angela
F'Rlll........E
g. Check the box below which most accuralltly oMlliCribBIIi the Uflt 01 the property atth. time of ule:
A IIZl One Family R8si<HlnUel C D Resid.nti;11 VaC\'lnt Land E B Commerdal G 0 Entertainment I Amusemenl I D Industrial
[3 D 2 or 3 Family Residential D D Non-Residential Vacant Land F Apertment H 0 CornmunityServ,ce J 0 Public Service
I SALE INFORMATION I 14. Check one or mol'll of the lie c;ondlllon' as .ppllcable 10 transfer:
10. Sale Conl'lIctO.te L...
Moo,lh ~, Year
11. D..teol Sale IT...n,,'., ~~ 31 2003
Moo'h ~, Year
12. Full Sale Price
j j j
(FuIISaleF'riceislhelO1alamo~nlpaidfurtheproper1yincllldingpersOll..I property
This poymo,1t may be inlhe form ofcilllih. other property or goods. Or \he au umptionof
mortgages <lr othe. obligations_l PI..aseroundlolne'ntarvslwho1edollar{lm(Junl.
01
A
B
C
o
E
F
G
II
I
J
Sale Between FWletlvea Or Former Relatives
Se'eBetween RelaledCompanlell or Partners in 8usiness
One of the 8uyers is also a Seller
8uyeror Seller Is Government Ager.cy or Lending Inst;tutkJn
Deed Type not Warrenty o. Bargain and Sale (Specify 8elow I
Sale of fractional or Lessthllll F(lelnt(lfesl(SpecifySelowj
SignifJcantCnangain Property Between Taxable Status and Sale Datas
Saleof8usiness Is InCluded inSele Price
Other Unus~el Fectors Aff(lcllng Sale Price (Spedfy Below)
Nooo
13. Indlcat.thevlllue ofp.",omd
property Included In the ...1. ~ j
I ASSESSMENT INFORMATION - Data should raf1ectlhe lal8s1 Final Assessment Roll and Tax Bill
o I
15. Building Class
~O
16. TotaIA.s....dV.hl. (Of'lip"c;fIl"lntransfer}1
4
5 4
o
o
11. Borough, Block and loti RollldenUf!er(sj (lflTlorethanth..., atfac;hsheetwlthaddltlonalldentlfier(s))
I Southold, Blk 13, Lot 20.004
II Southold, Blk 13. Lot 20.035
II
CERTIFICATION I ~.rtlfy fh~I...1I or lilt i1~111' .rlnform.llon cnt~red on Ibl. fan. are true .nd ~o...~'" (llllh.t MOl cfmy knowledge and btHer) ...nd I ~..dU'I...od th~llh"
m~kinlllf any ....rnlul f"I..-llatement uf mater;al fad berel.. win ",bj""t me to Ih. provillon. ofth. p...allaw ",Iatlve to tho making and filii'll: ar r.ll~ inlltUmonu.
- ~
..J~A:!.~
JUNE APOSTOLPO , TRUSTEE
276 I Truman Dr
12131103
~"
UTREeT..L'''OfR
STREE' ........E '~fTER""LE)
Crasskill
N
S'~TE
T 107626
llPOOO<'
c:'lYCRT(l'......
BUYER'SATTORNEY
:.AST.......t
fiRST".....E
lELEPHOHENU"lI€R
~czI~ ~
..U.tRIiIGN...TURE I
112/31103
THEODORE LAOUDIS
ANGE~~~
12{31{03