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HomeMy WebLinkAboutL 12087 P 10 j/ ;)03'7' 0 I () /(ll~ ~dcSv Tax Map Designation Disl. 1000 Sec. 015.00 Blk. 05.00 Lot(s) 024.002 Ld.5~18~ NY 005 - Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation (Single Sheet) (NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING TIllS INS"fRUMENT . TIllS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY 15 Ii--- day of November THIS INDENTURE, made the BETWEEN NIKOLAOS THEMELIS, residing at 14 SereinCourt, Muttontown, NY I 1791 , in the year 2000 1~-.5"-~'1~z- party of the first part, and SCHEMBRI HOMES, INC. 2042 North Country Road Wading River, NY 11792 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 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 SEE SCHEDULE 'A' ATTACHED HERETO AND MADE A PART HEREOF The grantor herein is the same person as the grantee in Deed dated March 25, 1996 recorded November 6,1996 in Liber 11800 of conveyances at page 452. TOGETHER with all right, title and interest. if any, of the party of the first part of, 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 covenants that the party of the first part has not done or suffered anything whereby the said premises have been incumbered 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 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 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 execr.thiS deed the day and year first above written. ,,~~.. ~ ~ / , . Nr~OLAOS THEMELIS O'c0~ '-- USEACKNOWLEDGMENTFORM BE~JWIJHIN NEWYORKSTATEONLY: SlateofNeq:rk,countyof I~~ }ss.: On tlrJ J day of November in the year 2000 befo;l'the. the undersigned, personally appeared Nikolaos Themelis , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hislher/their capacity(ies), and that by hislher/their signature(s} on the instrument, the individual(s), or the person upon behalf h. the indivi I(s) acted, executed the instrument. H R BUe State 01 New VOl No O,~F1'j048888 ~ Qunllllod In N~sl9au c~~~~ 1:--1 CommissIon EXP"DII U ACKNOWLEDGMENT FORM FOR USE WITHIN N. YORK STATE ONLY, INelV York SI~b~CllblllF: Wllnc~s Ackllowledg III Certificate} State of New York, County of } ss.: On the day of in the year before me, the undersigned, personally appeared the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose and say that helshelthey reside(s) in (if the place of rej'idence is in a city, include the street and street number, if allY, thereof); that he/shelthey know(s) to be the individual described in and who executed the foregoing instrument; that said subscribing witness was present and saw said execute the same; and that said witness at the same time subscribed hislher/their name(s) as a witness thereto. BARGAIN & SALE DEED WITH COVENANTS AGAINST GRANTOR'S AcrS TiTLE No. THEMELIS TO SCHEMBRI HOMES, INC. FIDELITY NATIONAL TITLE INSURANCE . COMPANY OF NEW YORK _ INCORPORATED 192/1 ~,;f"""<;"u do Fidelity ..Q}~WN~/ M~mbe, N~w Y,,,k Slal~ Land1illeAssocia/ion w l.> u: u. o " z 2i II: o l.> W II: u. o w '" ::> II: o U. W l.> '" 0. '" '" s: I- W > II: W '" W II: USEACKNOWLEDGMENTFORMBEWWWITHIN NEWYORKSTATEONLY, Slate of New York, County of }ss.: On the day of in the year before me, the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to tHe within instrument and acknowledged to me that helshelthey executed the same in hislher/their capacity(iesJ. and that by hislher/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. ACKNOWLEDGMENT FORM FOR USE OurslDE NEW YORKSTATEONLY, lOut of State or Foreign General Acknowledgment Certificate} ...............................................}~ (Complete Venue with State. Coumry. Province or Municipality) On the day of in the year before me, the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hislher/their capacity(ies). that by hislherl their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument, and that such individual made such appearance before the undersigned in the (Insert the city or other political subdivision and the state or country or other place the acknowledgment was taken). DtSTRtcr SEcrION BLOCK LOT COUNTY OR TOWN RECORDED AT REQUEST OF Fidelity National Title Insurance Company of New York RETURN BY MAIL TO David Prokop, Esq. 131 Route 25A Rocky Point, NY 11778 12087ffOl0 Tille No.: L 253783 SCHEDULE A ALL that certain plot, piece or parcel ofland, situate, lying and being at Orient, in the Town of Southold. County of SulTolk and State of New York, known and designated as Lot No. 170 on a certain map entitled, "Map of Orient- By- The-Sea, Section Three, situate at Orient Point, Town of Southold, Suffolk County, New York, owned and developed by Woodhollow Properties, Inc., #3 Glen Lane, Glenwood Landing, New York, OttoW. Van Tuyl and Son, Licensed Land Surveyors, Greenport, New York", filed in the Office of the Clerk of the County ofSulTolk on October 16,1974 as Map No. 6160. TOGETHER with a right of way over all streets as shown on maps of Orient- By- The-Sea, SecLions One, Two and Three, Map Nos. 277, 3444 and 6160, respectively, as filed in the Office of the Clerk of the County of SulTolk. 7'" e ~t. dH9~' 1'~(ot.~. (fogether WiUl all righ~ tille and interest of, in and to any streets and (roads abutting llle above described premises, Lo llle cenLer line Lhereof. C.:r1ilicafc and Report of Tille . New York l~ , -=- , 1208jJG010 Number of pagel.j) [12 FlECEIVED $ :2 08' REAL ESTATE HOV 2- 7 2000 J ~ Serial # ~ r:rJ Ir,) (J:l .,.oj riECORDED 00 NOV 27 PI~ 3: 3 I TORRENS Certificate # TAANSFeF,"TAX eUR=OU< EDWf,RD P.I:Ot'IAlliC CLERI\ AND REGISTRAR OF SUI"FOLl{ COUNTY Prior Ctf. # 16581 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps 4 FEES Page / Filing Fee \~ 5 '5 Mortgage Amt. Handling TP-584 I. Basic Tax 2. Additional Tax Notation EA-52 17 (County) EA-5217 (State) 5 ;)5 _ (S~ Sub Total Sub Total <JI Spec.! Assit. Or Spec. / Add. TOT. MTG. TAX Dual Town Dual Connty Held for Apportionment Transfer Tax .;)D8 . ~ Comm. of Ed. 50~ R.P.T.S.A. Affidavit Certified Copy Other Sub Total 45 I'd. - Mansion Tax _ The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES or NO If NO, see appropriate tax clause on page # of this instrument. Reg. Copy GRAND TOTAL ~.j~-;'i'7- .~' Et::~.. ':'. '~)' ~ { "'\'1 ~ (~t ~ ar? Real Property Tax Service Agency Verification Dist. Section Block Lot 6 Community Preservation Fund Consideration Amount $ SoL-pOD 1000 015.00 05.00 024.022 CPF Tax Due $ - 0 - proved :s. . . J/l~:'~'._ __ ... acant Land J Satisfactions/Discharges/Releases List Property Owners Mailing Addre~s RECORD & RETURN TO: Prokop & Prokop, Esqs. 131 Route 25A Rocky Point, NY 11778 , j ,.~ ___...._..,'~.._-.~...- .....""......-._.......1>.,... ".J r.'- ~ j- (';" {,~ ,,, '.iI,..; D D I TD /0 .;, ~,:U:i::.~ 9 V Title # L rw; 3 Suffolk Count Recordin & Endorsement Pa e 8 Title Company Information l11is page fOIDlS part of the attached Deed N ikolaos Themelis (SPECIFY TYPE OF INSlRUMENT ) made by: The premises herein is situated in SUFFOLK COUNIT, NEW YORK. TO In the Township of In the VILLAGE or HAMLET of South old Schembri Homes, Inc. Orient BOXES 5 TIlRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (OVER) PLEASE TYPE OR PRESS FIRMLY W~G Or\! rnm .,':' ,. - .' INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222 fef CO\JNTYlifflE ONt.'{ .' ' er;$._ t'--l7.?i.Y 1:7. REAL PROPERTY TRANSFER REPORT / qs;~ ; '.r" 'PROPERTY INF ..!..lJ:tIloy?~_'. ...' ., :C4P.,U/, t, t', STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES C2. D..-.""ur"coflle. RP - 5217 RP-S217 Rev 3/97 1. Property I Location lS~R~E9 NUMBER P~1"'lrvi &ow T .~n,p STREET NAME cl~~"lii O,Iw.t 11Q'i7 21PCODE 2. Buyer Name J1t..~<lMI"Jt"..."". lne. FIRST NAME LAST NAME I COMPANY FIRST NAME 3. Tax Indicate where future Tax Bills are to be sent Billing if other than buyer address (at bottom of form) Address LAST NAME I COMPANY FIRST NAME STREET NUMBER AND STREET NAME CITY OR TOWN STATE ZIP CODE 4. Indicate the number of Assessment Roll parcels transferred on the deed U # of Parcels OR D Part of a Parcel (Only if Part of a Parcel) Check as they apply: DEPTH lOR I ACRES' . c;.kJ 4A. Planning Board with Subdivision Authority Exists 48. Subdivision Approval was Required ~.o,~:r!~tl~er 4C. Parcel Approved for Subdivision witti~..tOvided D D D 5. Deed Property Size FRONT FEET I X I 6. Serler Name Themeli.. LAST NAME! COMPANY Nikolaos FIRST NAME '-..... /' " '" LAST NAME! COMPANY FIRST NAME 7. Check the box below which most accurately describes the use of the property at the time of sale: A~' On~ Family Residential B 2 or 3 Family Residential C 'Residential Vacant Land D Non-Residential Vacant Land E ~ Agricultural F Commercial G Apartment H Entertainment / Amusement Check the boxes betow 8S they apply: 8. Ownership Type is Condominium ~ .,' .,-. I oOmmurnty $!wics ".L~~9?Jlsttuction on Vacant Land J Industrial 10A. Propertvlocated within an Agricultural District K Public Service 108. Buyer received a disclosure notice indicating L F rest that the property is in an Agricultural District D D D D . SALE I FORMATlQN 11. Sale Contract Date 8 / 1 Month. Day /00 Year 15. Check one or more of these conditions as applicable to transfer: A Sale Between Relatives or Former Relatives B Sale Between Related Companies or Partners in Business C One (J,f .the Buyers is also a SeUer D Buyer or S~IfE!ris Government Agency or Lending Institution E Deed Type not Warranty or Bargain and Sale (Specify Below) F Sale of Fractional or Less than Fee Interest (Specify Below) G Significant Change in Property Between Taxable Status and Sale Dates H Sale of Business is Included in Sale Price I Other Unusual Factors Affecting Sale Price (Specify Below) None 12. Date ~ Sal~,'y.F(I.nsfer 11 / 10 Month bay /00 Year 13, Full Sale Price I , , , , 5 , Q , 0 , 0 , 0 , 0 , 0 I ./ , , . (Full Sale Pric~ the total amount paid for the property including personal property. This payment may be in the form of cash, other property or goods, or the assumption of mortgages or other obligations.) Please round to the nearest whole dollar amount 14. Indicate the value of personal property included in the sale ASSeSSlj,lE1!ll! R 'l'IOlf." D.lash , ,-, , o'l;<iffllctt 1st , 0 , 0 I . ~in$1 Ass..."",.t fIOij and 1'sxBHI 16. Vear of Assessment Roll from C.. (1 I" I which information taken ~ 17. Total Assessed Value (of all parcels in transfer) 18. Property Class ~-U 19. School District Name I (~) \,..t, :.:~ ;-' y-- \,) ~ ~ (,. . \ ''-.J 20. Tax Map Identifier(s) I Rollldentifier(s) (If more than four. attach sheet with additional identifier(sll ; , ,I ~,.c; lJ , , /5 - 0- c2 y!o'J j. 1000-015.00-05 .OU-024.002 ~ .f' r the items of information entered on this form are true and co~t(to the best of my knowledge, and belief) and I undenw.d that the making statement of material fact herein will subject me to the provision. Or~Ia.W, re., Iad_e to the making.am1 filing of faIsi!. instnunenls. \ BUyeR ,\ BuyelllS AITOf$NIiV \ \' .......,-, \ \ , , BUYER SIGNATURE-, "-) y, \ ( \ ! /( ~f)j" "., <,' < ~~t \. ~ (\J ,.] LAST NAME C6LI ~(PA ARE CODE \ J, v~j ~ FIRSTNA J 31 L I TELEPHONE NUMBER ~ ~)O \" I ,4 ' ST~TNUM~ ~ I J 9rJ~AJ \' ~\M\Y\W' I ~\t Walt! 2 CllY _ TO N _---- STA P co E i.~. , t,.~! r- " ( nw. I i' I., ,,' l,\ (\, I , 'J' V \'-. -:./ SELLER SIGNATURE CITYrrOWN ASSESSOR COPY 11,1:)'00 DATE .