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Home My WebLink AboutL 12720 P 763III SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 3 Receipt Number : 13-0018332 TRANSFER TAX NUMBER: 12-15738 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 100.00 03.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $15.00 NO Handling COE $5.00 NO NYS SRCHG EA-CTY $5.00 NO EA-STATE TP-584 $5.00 NO Notation Cert. Copies $0.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 12-15738 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 02/~5/2013 09:17:28 AM D00012720 763 Lot: 015. OO2 $20.00 $15.oo $250.00 $0.00 $60.O0 $0.00 $375.00 Exempt NO NO NO NO NO NO Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2013 Feb 15 09:1D28 *' JUDilH ~. PASCALE CLERK OF SUFFOLK COUHTV L D00012720 P 763 DT~ 12-15738 Deed/Mongagelnstrument Deed/Mortgage Tax Stamp ] Recording/Filingl Stamps 3 I FEES Page / Filing Fee Handling 20. 00 TP-584 5"- Notation EA-52 17 (County) EA-5217 (Staie) R.RT.S.A. Comm. of Ed. Affidavit Certified Copy NYS Surcharge 15. 00 Other 4 IDist. 13003044 Real Property Tax Service Agency Verification Sub Total 5. 00 Sub Total ~O GrandTotal ,~,.-~ 7~'~ ~/~t,, 1000 10000 0300 015002 ~(~ Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town Dual County.__ Held for Appointment __ Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES or NO If NO, see appropriate tax clause on page it __ of tl~is~struqaqn~t. . _ /o< ~-c~d ~/,:d. · -$ Community Preservation Fund CPF Tax Due $ Improved Satisfactions/Discharges/Releases List Propeay Owners Mailing Address RECORD & RETURN TO: Vacant Land " : ' ' ' .. Mail to: judith A. Pascale, Suffolk County Clerk ~ 7 J Title Company Information 310 Center Drive Riverhead, NY 11901 I~ , ~ ~ ~ '~ "~/~ www sunomcountyny gov/c~erK I ,,,~ ~ /~ , ~ Suffolk County Recording & Endorsement Page This page forms pa~ of the attached ~~ made by: (SPECIFY TYPE OF INSTRUMENT) ~~ ~~ The premises herein is situated in J SUFFOLK COU~Y, NEW YORK. ~'~ ~/a~-~:~3f~,~ or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) NY 005 - Bargain and Sale Deed with Covenant against Grantor's Acts lndivldual or Co~orafion (Single Sheet) (NYBTU 8002). CONSULT YOUR LAWYER BEFORE SIGNING Tills INSTRUMENT - THIS INSTRUMENT SIIOULD BE USED BY LAWYERS ONLY THIS INDENTIJRE, made the28 day of December , in the year 2012 BETWEEN ROXANE KASSAPIDIS, residing at 31-11 31st Avenue, Astoria, New York 11106, party of the first pan, and DIMITRIOS KASSAPIDIS, residing at 24 Gramaton Court, Bronxville, New York 10708, and ELIAS KASSAPIDIS, residing at 2000 Broadway, Apartment 24D, New York, New York 10023, as Trustees of the ROXANE KASSAPIDIS IRREVOCABLE TRUST, created under an agreement dated December 28, 2012, party of the second part, WITNESSETH, that the party of the first part, in consideration ofTen 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 build~ngs and improvements thereon erected, situate, lying and being in the Town of Southold, at Mattituck, County of Suffolk, and State of New York, known and designated as l.otd~lll~2 on a certain map entitled, "Sea Aire Estates" and filed in the Office of the Clerk of Suffolk on February 5, 1979 as Map No. 6780. TOGETHER with all right, title and interest, if any, of the par~y of the first part of, in and to any streets and roads abutting the above-described premises to the center Ii nest hereof; 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, thc 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 lxold 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, ~he party of the first part has duly executed this deed the day and year first above written. USE ACKNOWLEDGMENT FORM BELOW WITtllN NgW Yoeg Srn r~ ONt. r: State of New York, County of Q ue ens } s~: On thce'~ day of December in thc year 2012 before mc, the undersigned, personally appeared ROXANE KASSAPIDIS 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~l~at he/she/they executed the stone in his/her/their capacity(ies),~nd that by his/herlthc/.r signature(s) on the instrument, the ind)~ual(s), or the person upon behalf of which the individual{s) ~:~Lr,~~. /// No. 0'~ BOfO469'B3, New Yor~ Cou~ ACI~%'OWLEI)GMENTFoRM FOR USE WITHIN NEW YORK STATE ONLY; /New York Subscribing Witness Aclatowledgm~.nt Certificate! State of New York, County of } ss.: Oa the day of in the year before me, the undersigned, pemonally appeared the subscribing witness to the foregoing instrument, with whom l ar~ personally acquainted, who, being by me duly sworn, did depose and say that he/she/they reside(s) in ( if lhe place of residence is bt a city, #tclude the street oJld street number, if an); tt~ereo. O; that he/she/they 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 his/her/their name(s) as a witness thereto. USE ACKNOWLEDGMENT FORM BELOW WITIIhV NEW YORK STATE ONLY: Stale of New York, County of } ss.: On the day of in the year before me, the undersigned, personally appeared p~onally known to me or proved to me on the basis of satisfacto~ evidence to be the individual(s) whose name(s) is (arc) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hks/her/their capacity(iRs), and that by h~s/her/their signature(s) on the inslmment, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORK STATE ONLY: {Out of State or Foreign General Acknowledgment Certificate] (Complete Venue loth State. Country. Prov£nce or Municipality) On the day of in the year before me, the undersigned, personally appeared pemonally known to me or proved to me on the basis of satisfacto~ 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 ~me in his/her/their capacity(iRs), that by his/her/their signature(s) on the instrameat, the individual(s), or the person upon behalf of which thc individual(s) acted, executed the instrument, and that such individual made such appearance before the undersigned in the (Insert the ciD, or other political subdivision and the state or country or other place the acknowledgmetu was taken). TITLE NO. BARGAIN & SALE DEED Wl Tilt COVENANTS A OA ] N ,'c;1' GRANTOR'S AL'TS ROXANE KASSAPID1S TO ROXANE KASSAPIDIS IRREVOCABLE TRUST FIDELITY NATIONAL TITLE OINSURANCE COMPANY INCORPORATED 1928 DISTRICT SECTION 100 B~oc~ 03 LOT 015.0fl~ CO~.~TV o~ToW~ Suffolk RECORDED A T REQUEST OF Fidelity National Title lmurance Company RETURN B Y MAIL TO Philip V. Bouklas, Esq. Bouklas & Associates PLLC 137 Fifth Avenue New York, New York 10010 PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http:lMww.orps.state.ny.us or PHONE (518) 474-6450 Cl. SWlS Code I , REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES / '7, / RP - 5217 PROPERTY INFORMATION Tax Indicate v~me future T~x Bills 8re ;o be cant Billing d o[her th~n buy~r eWe;SS let bel~om of Addreec 4. Indicate the rwmb~ of Aeccaamen! [ [--1 Rail pareelu tt. ensfMred on the d~ I I e of Parcels OR Pa~ of a Pardi ~o~ I I o. I . I ......, , (O. ly if Pet of · lam.l) Q..~ m th~/~ 4A. Planning Board with Subclivbion ActhoHty E~;sts [] dB. Subdivision Approval was Required for Trsnsfm' [] 4C. Pa;gel App~ for Subdivision ruth Map Pr0vi~:l [] I 7. Cheek the b~x bM~w whi=h molt accurately de~Hbes the u~e M the properrf ~t the time of able: A ~ One Family Rasidemial !~ Agricultural i~ Communi~ Sewice 2 or 3 Family las:dentrol Commsrdal Industrial I) Non-Rasidamial Vacant Land Enterlainment / Amucamen[; Forest Check the boxes below as they apply:. g. Ownership Type is Condominium [] ,~. Fuli se,. ~. ~ ~ ~ .0.. 0 , 0 I (Full Sale Pri~e is tho total amount prod for thc pmpmly including personal propen'y. This payment may be in the form of cash. other property or goads, or the assumption of mortgagec or otber obllgafiona.) Pleaec round to the nearest witole dollar arnount. 14. Indicate the value of pmmMel j . , . . . . O. ()~0 I ~ Indud~d In the call ~ ! · 15. Ched[ one or rrmre d ~ condMom ec apldicable '~, binary. Said Bet'ween Related Companies or Padners in Businecs One of the Buyers ia also · Seller L) Buyer Or Seller is Governmerll~ A~.ngy or Lending Irlstitutlu~ Deed Type not Warranty or Sa~gain and Safe (Spe=ify Below} Sale of Fractional ar ~ than F~e Imerem (SesciFy B~low) Signi~caot Change in Property Between Taxable Status end Sale Dares r~sale of Businecs is Included in Sale Price Other Unusual F~ctors Affecting Sale Price (Speei~/Below) None I ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill l&YmofMaes~"emR°llfmm I ~ ,'~1 width irdornmtlon taken 17. T~al Aecececd Value Iof Ill pm'cala bi ~'anafer) I / . ~. (~. ~ I ! ! ! 20. Tax Map MenUfier(s) I RMI Idefltlflm(s) Iff mme than four, attadl sheet with additional identlflm~a)) , L,-I- 01 .00 , , O) CERTIFICATION I I rertlry Ilmt all or de items et inteormalJon mb=nd ~m Ibb I'orm ate Irue end cM'rtxl (to the best c~ [Ti)' Im(mL,'d~ add bellefl sad I umleraam] dud the nia]dm~ d' any ~i[ll'ul fa]he .daten~nt ~ material rm .~i..m ~JI)ject me to lite pnn Lfionq id' Ihe pemd bw' rt. lat]t~ to Ihe maldn~ and r,u~ o~ ra~e imtrume. K ~ / /~ BUYER BUYER'S ATrORNEY , I NEW YORK STATE COPY