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L 12728 P 445
IIIIIIIIIIIIVIIIIIIIIIIIIIVIIIIIIIIIIIIIVIIIIIIIIIII Illlll VIII VIII Illl Illl SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 05/02/2013 Number of Pages: 3 At: 03:00:14 PM Receipt Number 13-0052248 TRANSFER TAX NLJN~ER: 12-21643 LIBER: D00012728 PAGE: 445 District: Section: Block: Lot: 1000 126.00 05.00 013.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15.00 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 $250.00 TRANSFER TAX NUMBER: 12-21543 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PA,SCALE County Clerk, Suffolk County 0 Numbero,TpageS. ~ ~ ' P.ECUP.GEG 201' Mau iJ1 03:00:14 Pft This document will be public JUGITIi R. PRSCGLE recor~~. Please remove all GLERV. OF 4UFFOLk; COUNT4' L 600012725 P 445 GT# 12-21E43 Stamp Recording /Filing Stamps Page /Filing Fee , Mortgage Amt. Handlirn~ _ fir! 00 1. Basic Tax 2. Additional Tax TP-584 .S Sub Total Notation Spec./Assit. EA-52 1 (County) S~ Sub Total `T'S or Spec. /Add. EA-5217 (State) 1 ~ S ~ TOT. MTG. TAX R.P,T.S.A. ~ Dual Town Dual County Held for Appointment Comm. of Ed. 5. 00 ~ Transfer Tax - Affidavit Mansion Tax Certified Copy The property covered by this mortgage is . or will be improved by a one or two NYS Surcharge 15. 00 ~O ~ family dwelling only. Sub Total YES or NO Other c Grand Total J ~ !f N0, see appropriate tax clause on _ ~ page # ~f t ~s~in;t~3 ant. 4 Di:Yt. 13008726 5 Community Preservation Fund 1000 12600 0500 013000 Real Property P T S Consideration Amount $ ~ Verificat on 02-APR- p IlII11IIllIIIIIIIIIIIIIIIIIIIfIIIQIN~IIIIIIIIII CPF Tax Due $ d' i Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN T0: ~C/~ Vacant Land CONNORS AND SUI_L1'?AN TD ' ATTORNEYS-AT-LAW,1'LLC ' ~ 7408 Fij1h Avenue- Suite Z TD Brooklyn, New York 11109 ' TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co. Name wvvw.suffolkcountyny.gov/clerk Title # 8 Suffolk County Recording & Endorsement age This page forms part of the attached ~1~~"~~~c~y'~`-"~, made by: (SPECIFYTYPE OF INS RUMENT) _ The premises herein is situated in ANASTASIOS P.ARIANOS AND ANNA PARIANOS SUFFOLK COUNTY,NEw YORK. TO In the TOWN of hfARIA POUBOURIDIS, as Trustee In the VILLAGE ~ / / _ ~ or HAMLET of ~~,d~~-~-~iJC BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over QUITCLAIM DEED CONSULT YOUR LAWYER BEFORE SIGN]NG THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the day of ,Two Thousand Thirteen BETWEEN ANASTASIOS PARIANOS and ANNA PARIANOS, his wiFe, both residing at 79-21 21"Avenue, East Elmhurst, New York 1 1370, party of the first part, and MARIA POUBOURH)IS, residing at 227-18 57~' Avenue, Bayside, New York 1 1364, as Trustee of the Anastasios and Anna Parianos Trust, parry of the second part, WITNESSETH, that the party ofthe first part, inconsideration often dollars and other valuable consideration paid by the party of the second part, does hereby remise, release and quitclaim 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 at Mattituck, in the Town of Southold, County of Suffolk and State of New York, known and designated as and by the Lot Number 108A on a certain map entitled "Amended Map of Property of Mattituck Park Properties, Inc., Mattituck, N.Y.", made by Daniel R. Young, Surveyor, and which said map is on file in the Office of the Clerk of the County of Suffolk. Aprox. 150' X 50'- TOGETHER with the right to said party of the second part and the heirs, successors and assigns ofthe party ā¢ of the second part to use in common with the other owners of lots shown on said map, the tract shown on said map as Sigsbee Park for park purposes, under such conditions, limitations and restrictions as Mattituck Park Properties, Inc., may impose. Such use to be such as in the unrestricted judgment of said Mattituck Park Properties, Inc., will not unreasonably interfere with the use and enjoyment of said Sigsbee Park by the other owners of lots on said map. THE PARTY OF THE FIRST PART named herein are the sole /~fye~time beneficiaries o~Party of the Second Part, the "Anastasios and Anna Parianos Trust" dated irf~v~i~ , 2013, during the lifetimes of the Party of the First Part and ate entitled to a vailable veter is and senior exemptions as provided under RPTL subsections 458(7), 458-a(5) and 467(9), and the school tax relief (STAR) exemption as provided under RPTL section 425. TOGETHER with al! the right, title and interest, if any, of the party of the first part 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, 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 appl led 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. I1V WITNESS WHEREOF, the party ofthe first part has duly executed this deed the day and year first above written. IN PRESENCE OF: r ~ A~d~ sā~ ~ W]'I'N~S ANASTASIOS PARIANOS ~il.~.~,l~~Q' ~ OJ ANNA PARIANOS R ARIA POU OURIDIS Standard N.Y.B.T,U. form 8004 -Quitclaim Deed -Uniform Acknowledgment (single sheet) FOCm 2216 ' TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE ' State of New York, County of Queens ss: State of New York, County of Queens ss: On the day of ~~~1 in the year 2013 On the day of Ls~~ an the year 2013 before me, the ndersigned, personally appeared before me, the and signed, persona appeared MARIA ANASTASIOS PARIANOS and ANNA PARIANOS POUBOURIDISpersonallyknowntomeorprovedtomeon personally known to me or proved to me on the basis of the basis of satisfactory evidence to be the individual whose satisfactory evidence to be the individuals whose names are name is subscribed to the within instrument and subscribed to the within instrument and acknowledged to me acknowledged to me that she executed the same in her that they executed the same in their capacities, and that by capacity, and that by her signature on the instrument, the their signatures on the instrument, [he individuals, or the individual, or the person upon behalf of which the individual person upon behalf of which the individuals acted, executed acted, executed the instrument. the instrume~ signature office of individual taking acknowledgmenQ (signature and o ice of individual taking acknowledgment) HALYNA KORCHAK HALYNA KORCHAK NOTARY PUBLIC, STATE OF NEW YORK NOTARY PUBLIC, STATE OF NEW YORK NO.O1K06130181 N0.01K06130181 QUALlF1ED IN KINGS COUNTY ~ QUALIFIED IN KINGS COUNTY 7111120 COMMISSION EXPIRES?/11/20 ~~j PIKES -+y GOMMISSION EX TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State (or District of Coiumbia, Territory, or Foreign Country) of ' On the ~ day of in the year 2013, 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 names(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/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 in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgmenQ UITCI,AIM DEED SECTION 12604 Q D BLOCK d.~ Title No. LOT !'/3d~'~ ' COUNTY Suffolk f~ ~ ANASTASIOS PARIANOS STREET ADDRESS Z7z0 and ANNA PARIANOS ~ /~~-~u-G[ j TO MARIA POUBOURI©IS, as Trustee Recorded at Request of COMMONWEALTH LAND T[TL)r INSURANCE COMPANY RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRRERS Distritwted by Connors and Sullivan Attorneys-at-Law, PLLC VINTAGE ABSTRACT CORP. 7408 Fifth Avenue -Suite 2 2124 FLATBUSH AVENUE Brooklyn, New York 1 1209 BROOKLYN, NY 11234 718.377.0200 Tel: (718)238-6500 Z- 3~-'d W V LL ' LL Q z 0 rc 0 U W C LL Q W tIl 7 K LL W V LL r4 W~ K W w W PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM ' INSTRUCTIONS (RP=5217-INS): tiaww.orps.state.ny.us FOR COUNTY USE ONLY Q C Q ā¢ CS. SWIS Code I ~f' , / , ? ,6 I New York State Department of f Taxation and Finance Cz. Dace Head Recorded I 5 / ~ / ~3 I Office a Real Property Tau Services r`rr RP- 5217 C3. Book C4. Page ~7' Resl Property Trens(er Report (8H0) PROPERTY INFORMATION ,~oo ~j/p v^ 7. Property ~ ~ CT O F--'~_~~~ lecstlon I txlY OR TORN - SQ~ ,JV _ I w ~ V ~V~ I LP CODE I 2. Buyer I PO BU OURIDIS I MARIA, ~~j~~ Namo IAST NAAe r PAY1 FlRSr rwrt: 11 ~1'F?aETWePA.94 I n>s Taal- _J s. fax Indlrsle where fuWro Tax Bills ors to be sent I PARIAN05 ANASTASIOS I Billing H other than buyer address (at bottom W farm) Drsrrau,~ rLarnwv ' I ran'e~a+~ Atklroae I 79-21 21st Avenue I East Eltahurst IN Y 111370 Diu. IL631r8EYnFla^-_ IZTcxT 11~' slu 4. Indluta tho number of Assessment / (Only II Part of a Peres!) Cheek es IMy apply: Roll pereels trenskrred on the deed I I # or Parcels OR ? Pert W a Porcol ? 4A. Planning Board with Subdivlslon Autltonty Exlsta 5. Dead 48. Subdivision Approval was Requlretl roc Trensfer ProParty X `..,~~r_ J OR Ly, , IFS , a S I 4C. Parcel Approved mr Subdivision with Map ProvMed Sim s. seller I PARIANOS ANASTASIOS I Name NAME /COMPANY Fri$r NAME PARIANOS A'~i1irA I I ~trraaAEr --~IRastawF 7. Cheek tM box 6ebvr whleh most ucuremty dsscrl6es the use of the property K the time of solo: Cheek the boxes below as awry apply: ? S. Ownership Typa is Cardaninium A One Family Resitlendal E: AgrieWWral I Community Service 4. New CorlsWGipt on Vacant Lend 13 2 tx 3 Fertxy Residential F Commerda! J IndusVial tOA. Property Located within an Agruwlturel Disbict Resitlendal Vacant Land G Apartrnent K Pudic Sarnce 10B. Buyer received a disdosure ndice indicating ? I) NorFROSidenaaY Vacant Land H Enmrpinmsnt / AmusomoM L Forest Otot the property Is in an Agrialturel District SALE INFORMATION 73. Cheek ono a more of these condlaona as epplleeble b trensfor: ~ 77. Salo Contrast Dam I / / / ~ / A Salo Between Relative3 or Fomwr Ralaliv65 ~sy -Year (j Sale BoMiean Related Canpanies ar Partners in Business ~7 C Ono al aw Buyers is also a Seller 72. Dam M Sale ! Transfer I / / / Z / I D Buyer a Seller is Govammant Agenry a Landing Insbuaian aWnlh rear ~ Dead Typo not Wartanty or Baryam and Sale (Sprrcity Bolow 1 F sale a FrectiorNd a Leas than Fee Inmrest (Speay Below ) . rr O O I (t SigniRrant Charge in Properly Between Taxable Stelae and Salo Oates 73. Full Sam Prle4 I /(/e f( Sale or Buainees is Indutlbd in Sele Price ( Full Sale Pdce is are total a~mounl paidyrar the propony including perwnal pmparty. l Other Unusual FoGas Heeling Sale Pdce (Speafy Below ) This peymanl may be is the farm W cash, When property or goads, ar the auumptim M J Nona l mortgages a other obligations.) PNesa raaMto tiro nearest whore do4arenmrmr. ~ ,'`I 1ā_ ~ ; 74. Indleam the velus of psreonal s~ O ~ I ~ C 'f ~/t,( Properly Included In aw Selo ~--'-i- vv ASSESSMENT INFORMATION -Data should reflect the latest Final Assessment Rol! and Tax Bill 18. Year of Assossment RWI from Z Torel Assesed Valve (of all parcels In transhr ~ f O which informalbn mken t& P.ap.rty Class ~ ICU 74. SehoW OktAW Nems I / ~ I 20. Ta: Map Iderdlaor(a) !Roll IdenlHlar(s) (If more Ihen four, eaaeh sheet wNh edditlonal IdenaaaMs) ) ~ doh - /~~.o - os oa I I I - d/3 Oo I _ I CERTIFICATION 1 eertly Net an M 1M Items M eNernteUen emend en Ihh hoe ue Irrre end eeneet Ih are [rn! M my Ynswhdae erM eellef) aM 1 uaaenrWtl tlW 7M rireklria M cry MINYa hies eWemwrt d meteAel het Main vela eupeet me m the CreNNene of the Nnel tear nhtlw h the m.mrra mra Olkg N hies petmmenh. 8ELLER SIGNATURE BUYER CONTACT INFORMATION r (EMx infamaam far tlro pryer. NoOO: 0 beYw a LLC, today. mm®hn, mporaean, taint stork /L company estaro w nMy tlwl Is nd on ndMdul spew a fdudary. Cleo a name and conwd Ilxor::ioeam .l uui~ ~ / of m ineriCira7realxmaido wary vein ran anvwsr queEaww ragardro are eamrar must he rnkaed. - SFLER SIGNATURE ; TASIOS PARIANOS'"TE ~ Trw err~etMdyI BUYER SIGNATURE ® ~c POUBOURIDIS I MP,RIA yA~~-~jr ~ ~~~3~ J / /Z / Iwsv wA~ r1asT'NASr.E7 ~~r RaleNArw~ % bRIDIS w I 77Z ~ 7`/ BUYER'S ATTORNEY AREA COnE IELEPFICNE NNNaLR COMO I IDA 227-18 57th Avenue WTWIMP rmsT NAME I SI REErMaeER STREET NAIE 718 I 238-6500 AREwcooE' TELEr1aI~Eraa4ltR BFlySlde I NY I 11364 NEW YORK STATE I emaRrtxvN srAta aPWrtlE COPY