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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 04/10/2013
Number of Pagss: 4 At: 02:29:48 PM
Receipt Number 13-0042041
TRANSFER TAX NUi+~ER: 12-19852 LIBER: D00012726
PAGE: 118
District: Section: Block: Lot:
1000 043.00 04.00 031.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Fila.ng $20.00 NO Handling $20.00 NO
COE $5.00 NO NYS SRCHG $15.00 NO
EA-CTY $5.00 NO EA-STATE $125.00 NO
TP-584 $5.00 NO Notation $0.00 NO
Cert.Copies $0.00 NO RPT $60.00 NO
Transfer tax $0.00 NO Comm.Pres $0.00 NO
Fees Paid $255.00
TRANSFER TAX NUMBER: 12-19852
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASGALE
County Clerk, Suffolk County
• ~ ?1 2?
Number of pages REC7RDECj
'~U1' RC~r 1~i E12:2'~t4,3 F'h1
,rUC~IT#i R. FO>>:RLE
CLERK 4F
This document will be public _!iFF17LY•. ~_OliNTS'
record. Please remove all L [~out712726
F 11S
4T# 12-19;~5>
Stamp Recording /Filing Stamps
r
Page /Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 ~ _ Sub Total
Notation SpecJA '
v or
EA-52 17 (County) 7 Sub Total ~ Spec. /Add.
EA-5217 (State) TOT. MTG. TAX
~ / Dua[ Town Dual County_
R.P.T.S.A.
~ ~ Held for Appointment
Comm. of Ed. 5. 00 ~ Transfer Tax
Affidavit +(Y,,, Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 ~ ~ family dwelling only.
Sub Total YES or NO
Other
Grand Total , If NO, see appropriate tax clause on
- f page # oft ~ _i ~~ent.
~I
4 Dist. 13008876 1.000 oasoo oaoo 03/000 5 Community Preservation Find
Real Property P T S IIEIII`~n~lll~ll~~lll~llll~~l~I~Il~lllllllu Consideration Amount $
Tax Service R POL A I III II Il Il II I'ul
Agency o4APR-1 CPF Tax Due $
Verification ~
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO: Vacant Land
Chr~S -~'~1e, ~l`~-~t'5~.~'I'~h~:~C~ - der' TD
23 ~rk~•a-a .~"tY~r~ TD
~ ~ 1 A 11"1~? 2 ~ 1 ICJ TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Com an Information
310 Center Drive, Riverhead, NY 11901 Co. Name
www.suffolkcountyny.gov/clerk Titte #
g Suffolk Count Recordin & Endorsement Pa e
This page forms par[ of the attached ._J e.~C~ made by:
(SPECIFY TYPE OF INSTRUMENT)
~ f
1r~1 5 The premises herein is situated in
~~-4-~~ ~ ~ic~~~S SUFFOLK COUNTYY, NEW YORK.
r~ , TO ~_Q In the TOWN of l"'rr'~r
V ~ S ~IE.J:.+~ In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-OIO/..IOIOBk4
over
QUIT CLAIM DEED
d'-
THIS INDENTURE made this ~yday of March, 2013 between Gus Kautsoumbelas, residing at 138-19
14th Avenue, Whitestone NY 11357 and Christine Koutsoumbelas-Loew residing at 4823 Earlston
Drive, Bethesda, MD 20816, As Tenants in Common,
Parties of the first part,
and
Gus Koutsoumbelas with 50% Interest, residing at 138-19 14th Avenue, Whitestone NY 11357,
Christine Koutsoumbelas-Loew with 25%a Interest and Peter A. Loew with 25% Interest residing at
4823 Earlston Drive, Bethesda, MD 20816, As Tenants in Common,
Parties of the second part;
WITNESSETH that the' party of the first part, in consideration of ONE OR MORE DOLLARS
($1.00), lawful money of the United States, paid by the party of the second part, does hereby grant and
release unto the party of the second part,
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected,
situate, lying and being near Greenpart, in the Town of Southold, County of Suffolk and State of New
York, bounded and described as follows:
Beginning at a point on the easterly side of Wood Lane distant 257.53 feet northerly from the corner
formed by the intersection-of the Easterly side of Wood Lane with the northerly side of Bay Road;
Running thence along the easterly side of Wood Lane North 2 degrees 55 minutes East, 60 feet to land
now or formerly of L'Hommediue;
Running thence along said land South 87 degrees OS minutes East 100.00 feet to land now or formerly
of Biddulph;
Running thence along said land South 02 degrees 55 minutes West, 60.00 feet to land now or formerly
i of TCllcatt;
Running thence along said land North $7 degrees OS minutes West, 100.00 feet to the easterly side of
Wood Lane to the point or place of beginning.
I
This conveyance is made and accepted subject to any and all easements, covenants and restrictions of
record affecting said premises.
Bein the same remises as conve ed t - w wh
g p y o Gus Kautsoumbelas and Christine Koutsoumbelas Loe o
ac aired title b Deed, dated 3/18/2010 and recorded 3/24/2010 in Liber 12620, Pa a 26 in the Suffolk
q Y g
County Clerk's Office.
1
, Tax Account No.: ~ 43.-4~-31
Property Address: 280 Wood Lane, Greenport NY L 1944
Property Class Code: 2l0
TOGETHER with the appurtenances and alI 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.
This conveyance is subject to the trust fund provisions of Section 13 of the Lien Law.
IN WITNESS WHEREOF, the parties of the first part have hereunto set their hands and seals the day
and year first above written.
In Presence of i,a.~_ ~ (L.S.)
Gus Koutsoumbelas
In Presence of C~ue~v - (L.S.)
Christine Koutsoumbelas-Loew
STATE OF NEW YORK
' COUNTY OF Qv.~~eN~; ss.:
i On the ~ ~a~_ day of March, 2013 before me, the undersigned, a Notary Public in and for the
State, personally appeared Gus Koutsoumbelas personally known to me or proved to me on the basis of
satisfactory evidence to be the individuals whose names are subscribed to the within instrument and
acknowledged to me that they executed the same in their capacity, and that by their signature on the
instrument, the individual, or the person upon behalf of which the individual acted, executed the
instrument.
Y Ct.
Notary Public
VINCENT C. PAPA, JR
Notary Pubtic, State of New York
No. o~ -sa2ot t ti
Qualified in Queens County
- Term Expires March 30, `L.r
i
i
F ss..
h dersi ned a Notar Public in and for the
a of March 2013 before me t e un
On the ~ d y g Y
State, personally appeared Christine Koutsoumbelas-Loew personally known to me or proved to me on
the basis of satisfactory evidence to be the individuals whose names are subscribed to the within
instrument and acknowledged to me that they executed the same in their capacity, and that by their
signature on the instrument, the individual, or the person upon behalf of which the individual acted,
executed the instrument.
otary ublic
ANN ~ `,FF''~i ,
~ J~''' ~pRY P~. lC~~:
D : SSlDN :
EkPJR ES z
~ 2119/20 J ~
'
•
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
' INSTRUCTIONS (RP-5277-INSI: www.orps.state.ny.us
FOR COVNTY USE ONLY ' i CQ2 C~
' Ct. SWIS Code I ~ ~ ,V~ , ` 1 New York State Department of
Taxation and Finance
C2. Data Daed Retarded I ~ ~ / ~ V / V I Office Gf Real Property Tau Services
aY `"r RP- 5217
C9. Book 1 I , ~1 C6. Page Real Property Transfer Report (8110)
PROPERTY INFORMATION
Properly ~a 0 1ANE I
Locatlon -
dIZ 1 I //~~y I
i G1Y ON lowx ~y VLL/A~npE'(5 2dCOnE
2. Buyer L ~ ~SUr/~e'BTi!/J~ /J`~/
jM~-
Name I ~ S~t'//A6~'Lo~ I Ci!/~ +.37/~(l~.'
~,mr~i~/ 1
j 9. Tu Indxate where fuNre Tax BIOS ero to be sent .
Bliling d oOLev than buyer address (at txrirom W loon) I ~ I
Address
I I
Mar WO STR~ErNNIE LIrY cr~'-
L Indleero aLS number M AsaeasmeM / ~ -~I (Only H Part o1 a Pareaq Chsek os thoy apply:
Rolt parcels trenafarrotl OIt the deod I - --L~-~ y ~ Parcels OR lul Part of a Porxl Planning Board with Subdivision Aullgnly Exisrs
S. Dwd 4B. Subdmsron Approval was Required far Trensfar
Sixa ny ~ )t OR ~4.. _ ~
Q~J dC. Parcel ApProvod for Subdivision wiN MaD Pmvltled
6. Seller 1 ~QG?SOU~B~LI7~ . ~~T~J~ - _ ~
Name J~~~s/T
r1~uE~cowu.r 13§fr~w~_-__
~,I ~/)oU~?6~~ BELRS - LDEld ~N~¢/sJidE i
7. Cheek Ilre box below whteh most seeuralaly dssedbas fha uw ed tlls proparry rn the Ome of eels: Cheek the boxes below as they appy: ?
& Ownership Type's Condominium
A Ot Ona Family Residential f: Agricuburel 1 Community Service 9. New Cerstrucbon on Vacant Lard
R ~ 2 or 3 Famiry Rasidonbel F' Commercial J Industrial , 00. Property Located wlihln an AgnL~uxural Dlstrlct
Residential Veeont Lond G AperMenl K Pul%ic Servlce 108. Buyer received a distlosure notice indiraOng ?
p I Non-Residbn0al Vaeent Lend 11 Enrenammant / Amusement I, Forest that the property s In an Agnatwral Dlstriu
SALE INFORMATION 44 ,S. Chock one or moro of thwo conditions as eppllcablo to bansfer:
Sale Contract Dato I / ~ /n~ I A sale Between Relatives ar Fomwr ReMdves
o~Tn ~y ~9ar H Sale Balvrean RelaWd Companies or PeMers in Business
I C One of the Buyere i8 also a Seller
72. Data or Sala ! Trenafsr I ~ ~ ! T ~ I D Buyer or Setter is Gow:mment Agerlry or Lending tnsOtuOon
E Deed Type not Warrenry a Bargmn and Sale (Spedty Below )
f Sale aF Freclional or Less then Fw Irdereal (Spedry Bebw )
Fall Sak Pdu G SignlOcant Cherlge in Property BeNVeen Ta+te0le Status and Sale Dates
I y--`~-. ; • ~ • ~ I H Sale of Business is IrLduded m Sale Price
(Fut Sala Pnce is the Wtal 8moem paid for Iha progeny inGuding personal properly. I Other Unuwal Faemra AHegirg Sale Pries (Spedry Bsbw )
This payment may be in Ole form of cash, other properly or goods. a the assumption of J None
mortgages or other oMigalions.) Please mood m Ih0 rlbareal wrtolo doParamount.
,4. Indicate the value of paroonal ~ Q • 0 Q
property Included In 11LS sale ' I
ASSESSMENT INFORMATION -1 D/ata~shlould reOeLK the latest Final Assessment Roll and Tax Bill /1
,B. whleh lnlomre0en takanl from t~l tT. Total Assessed Value (of all parcels In trensf/or/l~'~ / , v r! f
16. Property Class I A~~ .0 I U ,B. School Distrlet Namo ~ eJ I
20. Ta: M,,a//p IdardHiea~r([a) ! Rolr IdantHMr(a) I H moro than four, alteeh shoat wRh addldonal IdentlSer(s)
I Yf• - r I I I
~ .~I~U J~IV OC/ I I _ I
CERTIFICATION
1 arafy epee a0 M ftLS Heme o/ IrrWrnuaon wtarrxl on llrle farm ero erw end wrreee Ito are hwe of my Ynoerledge wd wllef) wd 1 waeroewd the! ar rnerrre d wy wllNul
falw efe[wwne d material /see Mreln ede wh}cl rw m ore arovleleru or ore oensl law rwdiw ee elre rrrerme and alrq oe felw InetrureenK
/d S LLER SIGNATURE 3 /f/~ BUYER CONTACT INFORMATION
d~ f^~s~ ~ ~ / j (Enmr efama•.ien rer ma txryw. Neu: tr txryar is LI.C. aadsq. asaodaeon. mrpaream. roils aocl~
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SEl1J7t SrGx1nURE lVllL Type m Print el-eeldy.)
BUYER l~ NATU 3/~//~ Ld~/y
I ~~'//3 LAar x~wE I wxsr YllaE
a - - [3 i
BUYER'S ATTORNEY ,~L~//~.({ ~amEOwLOFE xuy/~aEJ)a ,1{j/[J!
LAST NMIE ~ /r FIRST rNIC ~~OJ I /.Tr~•- r^
/(7~ errlEEr xUL~ER 8'rYcEr F1~LE
4'~/1ebpE IFI FRieF&YJMIER
IDE~/f~sd,y I /nd ,
NEW YORK STATE cm a+rowx srLYE :r+cooF
COPY