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WARRANTV DF.KD,WITH .'ULLCOVENANTS
(INDIVIDUAL' ~ CORPORATION) (Form SODS)
THIS INDEIYTUR/,:. made the L day of September. 2003.
between PHAEDRA SAVAS. rt.~iding 011680 Uenry's Lanc.-. Pn.-omc. New York 11958.
party of the first part. and
1680 HENR '{'S LANE LJ..c. Pcconic Nc-w York. having its principal office at 1680 Henry's Lane. Peconic.
Nc:....' York 11958
party ofthe second part.
WITNESSI:.~TH, that the pony of the fint pArt. for no monetary c:onsidcn.tion. does hereby gr.mt and
release unto the pany oCthc sc."C:ond pan. the heirs or succr'S5ors and assigns of_he party aCme second part
forever. the individual int~15 oCtile party orllle first pan in
ALL that cenain plol. piece or p:arcrl of land. ~'ilh the buildings IUld imprO\'C'mcnts thereon erected,
siluau:. lying and being in Ihe:' County ofSurrolk. City and Sl:1tc: of New York. bounded and described u
rl)lIo~"S:
BI::GINNING at a plot piece ofparccl orland and being a. PC'<:onic. in the To~-n of
Soulhold., County of Suffolk and State of New .....ork. known and designated as Lot No.
44 as shown on the Map of Peconic Homes. Section 2. filed in the office of the Clerk
of the County oCSuITok on November 29.1967. as Map No .5001.
BEII'\G AXD rNTE.~~ED TO DE the same pre-mises ilS con\:eyed to the grantors
herein by Liber 6884 cp 429 in the Suffolk Count)"s Clcl"k Office
and mull:' commonly known as 1680 Henry's Lane, NC'w York (the ''premisesn)
TOGETlIER ",'ith all right. title and interest. ifany. orlbe pany oflhe finl pari in and lo lIDy sttccts
and :roadl abuuinJ:. the above drscribt:d premises to the eCDu:r lines then:of,
7'OGETIIER with the' appurtenances and all the estate and rights ofthe party of the first pan in and 10
said premises.
TO riA VE AND TO HOLD the premises herein granted unto the pany ofthr second part. the heirs or
successors and assigns of the pany of the second part forever.
..eND lhe party ortbe.- first part COVCIUIDts as follows;
FIRST. ThaI said p:uty of the fitSl part is sci.t:cd orlhe said premises in fceo simple, and has good right
to con\"ey the lame;
S/::CONIJ.. That the.- p:lrty oflhc second part shall quietly enjoy the said premises;
TIIIRD. That the said premises are fl'ff from encumbrances, except as aforesaid;
"'OURTH, That the pany of me firsl part will execute or procure a.n)' further necesSllry assurance of
Ihe tille 10 said premiscs;
FI"'TH. That said party orthe: rust p:lrt will forever WDITIIot lhe tille to said premises.
The word "party" shall he construed as ifit read "parties" ",-henever the scnse oflhis indenture so
requires.
IN WITNESS WHEREOF, the paI1Y ofthe first pan.... duly executed this deed the day and year firs'
above v,,'ritteD.
IN PRESENCE 0/",
PH,\UORA SA V AS
NVC'flln70548Ov1
.1.
.,
Acknowlerlgmcnt by a Person Within New York StR,le (RPL f 309-a)
STATEOFNEWYORK ,
COL;NTY OF NEW YORK ) ss.:
- )
On the t:> th day of September. 2003. before me. the unde-rsigned. personally appeared I~~
Savas, personally kno"'"I11O Jnl:! or proved to me on the basis of satisfactory IC'vidence to be the individua~
whose narnc:06 is (~ subscribed to the with~~ instrllment and acknowledged to me that she ex<<Uted the same
in her C'apaC'it~. and lhal b:~ her signatu~ on lhe instrument. the indj,,'idUDI~. or the penon upon behalf
of which "ndivid C'x,<<utrd me instrument.
I
\':idual a3king acknowledgment)
'-nj.r;m,n:l.-FQX
~;.;.._~"~:.:.~- ',--"
n. _}IO:, ~'o."'itl 07~"'"
00..... fl... t..~~~--:.-::;").,-'.7
District 1000 ---Y-'::~
"I.,I.I_I""'~ ,,1't
81""1<<<- a
LotS
Count)" or Town SUFFOLK
Street Addresa: 1680 Henry's Lane. Pcconic. New York 11958
Return B,' M.n To:
Paul M. Frank. Esq.
Alston &: Bird LLP
90 Park A venue
Xcw York. NC''A" York 10016-1387
PHAEDRA SAVAS.
To
1680 HENRY'S LANE LLC
c~n......'__m__-
NYCOln70S#l)vJ
-2-
~2
l
NUlnbcr of pales
TORRENS
"3
RECOlU>ED
2004 Feb 26 09:35.19 AM
Ed~.rd P.R~ine
CLERK OF
3UFFCU( COUNTV
L 000012303
P 471
DTt 03-30768
Seri.I"
CertlfiCllt. ,,_
Deed I Mort&&lCl hlSlnament
Daed I Mort.... Tu Stamp
FI!BS
1
1
llecording / FllinS S.....p.
Prior C1f. /I
;',
4
.Iap: I FilinS Fee
1
MOltS_go Ami.
I. Basic Tax
Ha"dllIlS
11'-S84
2. Additional Tax
Notation
Sub Totel
EA-S2 17 (Colll1ly)
EA-S217 (Slale)
Sub ToIal
Otber
Sub Tots!
Spec.! Assl..
Or
Spoc./Add.
TOT. MTG. TAX
Dual Town Dual County_
HcJd for Apportionment a--
Trans~erT.x .- _
Man.ioa Tax _
The property covCll'Dd by this mort PIC i. or
will be improvod by a one or twu family
dwellioS only.
YES 0'1'10_
IrNO. .ee appropriate lIIx clause on PII&e"
_ of Ibis instrument
S~
R.P. T.5.A.
Comm.orEd.
1u-_
Affidayit
CcrtWlOd COPJI
Reg. Copy
GRAND TOTAL
l
Real Property TIIlt Scrvi.., Apncy Verilicsti...
Dis~. _ _ Section _. B lock_ __ _
1000 07400 0200 005000
.,Lot
6 Community Preservation Fund
Consideration Amount $
Stamp 04007429
om. W~
Initia" ~
7 Satisfactions/Discbarges/Release. Li.t Property Owners Mailing Add
IlECOIW & IUl:TUltN TO:
CPI" Tax Due
s
Improved
Vacant Land
This pnge fonns port of the oltocltcd
~O..ul m. ~mf)k. e~.
A\~Y"'\ ~ 61.d LLP,
qo R::uK ~e
~.Q.u.)'/D("k, N~ 100lto
Suffolk: County Recording & Endorsement Page
. Deed
(SPEOFY lYPE OF INS1RUMENT)
1D
1D
1D
~
Tillot#
8
made by:
Y hn ('rim... 3:Lua~
tune (/(1_
,
The premises hetein is silU<lled in
SUFFOLKCOUNIY, NEW YORK.
~~o{cL
-' LD <i(D
TO
Herv'"L/ ~
10 the Township of
10 the VlU...AGE
or HAMLET of
ilOXES 5 n-.IRU 9 MUST BE TYPED ORI'RINmD IN BLACK INK. ONLY PRIOR ~ REOOROING ORFlLlNO.
11111111111111111111111111111111 11111 111111111 11111111
111111111111 11111 11111111
SUFFOLK COUNTY CLBRK
RBCORDS OFFICB
RECORDING PAGB
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBBR: 03-30768
Recorded:
At:
LIBER:
PAGE:
02/26/2004
09:35:19 AM
D00012303
471
PHAEDRA SAUAS
1680 KINRYS LANE LLC
District.: Section: Block:
1000 074.00 02.00
EXAMINED AND CHARGED AS POLLOWS
Deed Amount: $0.00
Lot:
005.000
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Piling $9.00 NO Handling $5.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $50.00 NO
TP-584 $5.00 NO Cert.Copies $0.00 NO
RPT $30.00 NO SCTM $0.00 NO
Transfer tax $0.00 NO COII1III.Pres $0.00 NO
Pees Paid $124.00
TRANSFER TAX NUMBER: 03-30768
THIS PAGE IS A PART OP THE INSTRUMENT
THIS IS NOT A BILL
Edward P.Romaine
County Clerk, Suffolk County
FOR COUNTY USE ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: hnp:// www.orps.state.ny.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
C1. SWIS Code
1 $-~, 7,3, S<, ~ <71
10r,c..J
"'.,
O:?-I ';<6
Month Day
C3. Book I) ,.;: J ~ 101'31 C4. Page 1
PROPERTY INFORMATION
C2. Date Deed Recorded
1. Pro~y L1680
locatIon STREET NUMBER
Southold
CITY OR TOWN
2 Buyer L 1680 Henry t sLane LLC
Name I.AST NAME I COM"ANY
~AST r-iAMEI COMPANY
3. Tax
Billing
Address
Indicate where future Tax Bills are to be sent
if othllr than buyeracdress lat bottom offorml
L
STI1EETNUMBERA'lJDSTREHNAME
,7':"7,/
Henry's Lane
SfflEETNAME
L-.
LAST~MEICOMPANY
W.".I
JJIIt
VILLAGe
FIRST NAME
FIRST NAME
~~ # of Parcels OR D Part of a Parcel
CITY 011 TOWI>.I
4. Indicate th. numbeT of AssltSsment
Roll parcels transf.rred on the deed
5 Deed
Proparty
Sj"e
L .J X 1
FIlONTFEET
DEPTH
6.Sall.r
Name
Savas
lAST NAME I OOMf'ANY
L___
1./\'91 NAME/COMPANY
10aL
ACRES
. 5
FIRST NAME
7 Ch.ck the box below which most aceurat81y d&scrlbes the use of the property at the time of sale:
flFlSTNAME
A~ One Fam'ly Residential
B 20r3FamilyResidential
C Residentiill Vacant Land
o Non-Residential Vacant Land
E~A9'i,"""'" l~
F Commercial J
G Apartment K
H Entertainment I Amusement L
SALE INFORMATION
11. Sale Contract Date
~/
12. Date of Sale { Transfer
13. Full Sale Price
L_"
_I
Day Year
1
MO'llh
Do,
Year
Community Service
Industrial
Public Setvice
Forest
STATE OF NEW YORK
STATE BOARD OF REAL PROPE;:lTV SERVICES
RP - 5217
)U>.:UL7 R~v3ln
peconic
~
I 0, 0 ~ 0
ZIP CODE
~___..J
F!RSTNAM~
STATE
ZIPCOOE
IOnIy if Part of a Parcell Check as tI1ey applv:
4A. Planning Board with Subdivision Authority Exists 0
48. Subdivision Approval was Required tor Transfer 0
4C. Parcel Approved for Subdivision with Map Providttd 0
Phaedra
Check th8 baKes below as they apply:
8. Ownership TYPll is Condomin;um
9. New Construction on Vacant Land
1M. Property Located within an Agricuitural District
108. Buyer received a disclosure notice indicating
thlltthe property is in an Agricultural District
D
D
D
D
15. Check one or more of these condi1ions as applicable to transfer:
01
A
B
C
D
E
F
G
H
J
1
, ,
(Full Sale Price is the lotalam<lunt paid forrhe propertvincluding personal property.
.This payment may be in the form of c.ash. other property or goods, or the assumption of
mortgages or other obligation!:_] Please round to the nearest whole dollar amount.
t4. Indlcat8 the value of personal I 0 J 0 I
property Included In the sale , ..-1, .
ASSESSMENT INFORMATION. Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from I p~ 17. Total Assessed Value (of all ..reels In transfer) I
which Inlo",,8tion tak.n
18. Property Class
~:~-L.J 19. SchOOl District Name I
Southold
20 Tax Map Identfflerlsll Roll Identmerlsl (If more th8n four, attach sheet witl1 additionelldentlfler{s))
L~ist 1000: See 73
I Block: 2 Lot IS
CERTIFICATION
Sale Betwe-en Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One 01 the Buyers is also a Seller
Buyer or Seller is Govemment AgE!ncy or Lending Institution
Deed Type not Warranty or Ba/gain and Sale (Specify Below)
Sale of Fractional or less than Fee Interest (Specify Belowl
Significant Chenge in Property Between Taxable Status and Sale Dates
Sale of Business;s Included in Sal8 Price
Other Unusual Factor. Affecting Sale Price (Specify Below)
None
,
5 6 0 0 1
,
,
BUYER
I cardey that aU of the items of Infonnation ente~d on this forttl are true and COrTeet (to the best of my knowledge Ilnd heHef) and.' understand that the maki~
of any willful fal1ie statement of material fact herein will subject Me to the Drovisions of the oenal law relative to the making and filin~ of rlll~e instruments.
BUYER'S ATTORNEY
1680
By:
1680
Henry~.gLLane
STIlEH NAME lAFTEFl SALE)
peconic
CITV 011 TOWN
SELLER
ilr.:, .,tiM:>, ~CW~
SElLERSIGNA1URE
phaedra Savas
J"", 12. 20r/1
DATE I
NY
11958
STATE
ZIP CODE
I p''/d.r;.103
~"
Frank
LAST NAME
212
AREA CODE
Paul
rr,
FIASTNAME
210-9540
fELEPHONENUMBEFl
NEW YORK STATE
COPY