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HomeMy WebLinkAboutL 12735 P 515 1111111 IIII IIIII IIIII IIIII IIIII IIIII IIIII 11111 IIII Ills 111111 IIIII 11111 fill IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 07/05/2013 Number of Pages: 6 At: 04:40:13 PM Receipt Number 13-0081676 TRANSFER TAX NU1~ER: 12-27147 LIBER: D00012735 PAGE: 515 District: Section: Block: Lot: 1000 113.00 07.00 019.017 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $625,000.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $30.00 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 $2,500.00 NO Comm.Pres $9,500.00 NO Fees Paid $12,265.00 TRAMSE'ER TAX NUMBER: 12-27147 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASGALE County Clerk, Suffolk County oa Number of pages RECORDED 2D13 Jul OS U4: 46: 1's PM JUDITH A. PA~CALE This document will be ublic CLERK OF p 3UFFOLI', COUtJTY record. Please remove all L 6~OU12735 Social Security Numbers P 515 prior to recording. Dr# 12-27147 Deed /Mortgage Instrument Deed /Mortgage Tax Stamp Reco ding /Filing Stamps 3 FEES Page /Filing Fee 30 ~ Mortgage Amt. 1. Basic Tax _ Handling 20. 00 2. Additional Tax _ TP-584 ~ f Sub Total Spec./Assit. Notation _ _ or EA-52 17 (County) ~ Sub Total ~ J Spec. /Add. EA-5217 (State) ~5 ~ TOT. MTG. TAX _ r,~ = Dua] Town Dual County R.P.T.S.A. BUJ Heid for Appointment 5. 00 ~ Comm. of Ed. ' ' Transfer Tax + Mansion Tax Affidavit 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 ~ d 5 ~ YES or NO Other rr~~ C Grand Total d~~ J ~ If N ee appropriate tax clause on . ge of this instrument. 6 (Q-(4~~ 4 Dist. jpoU ~ 5 ommunity Preservation Fund Real Property 13016706 iooo 11300 0700 oieas~ Consideration Amount $ d~~ Agency R DTY A Verification 5 UN 1 ~Il~~ill~~1»~1Il~lill~li~~~ll~ll~il~~l~llllll (CPF Tax Du $ 50~-' 2 _ _ Improved, S~ 6 Satisfactiotisiuiscnarge"s/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land ~~J , TD I D 3i - ~ 9 ~ TD ~S ~zir 111 ~ Z TD y Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Com an Information 310 Center Drive, Riverhead, NY 11901 e www.suffolkcountyny.gov/clerk Title # y ~ 8 Suffolk Count Recordin & Endorsement Pa e This page forms part of the attached made by: (SPECIFY TYPE OF INSTRUMENT) .~-61CG~v i-3h.a n c~~ The premises herein is situated in SUFFOLK COUNTY, NEW YORK. n ' TO In the TOWN of ~~~i /1~-t°fX~ ~(~C.(~1'11~ In the VILLAGE or HAMLET of ~/1`.ti~C~ BOXES 6 THRU 8 MUST BE TYPED OR PRIN'T'ED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. ia-oiw..~0l08kk (over . f~l~sr~y~3~S NY005 -Bargain and Sale Deed with Cavmant against Grantor's Acts individual or Corporation (Single Shttt) (NYBTU 8002) ' ~ CONSULT XOUR LAWYER BEFORE SIGNING THIS WSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the day of , in the year 2.~~ 3 BETWEEN MARK W. BOECKMAN residing at 1100 Miller Road, Mattituck, NY, 11952, JOSEPH A. BRANCATO, JR., GREGORY BRANCATO and ALEXANDER BRANCATO, all residing at 70 Fox Boulevazd, Massapequa, NY, 11758, and VANESSA BRANCATO residing at 314 127`" Street NE, Washington, DC, 20002, being the sole heirs and distributees of SUSAN A. BRANCATO, and ARLINE BOECKMAN, residing at 760 Tallwood Lane, Mattituck, NY, 1 1952 parry of the first part, and NIKOLAOS GIAKOUMIS and KAY MARIA GIAKOUMIS, his wife, both residing at 684 Park Avenue, Manhasset, NY, 11030 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 orparcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Tax Map SEE ATTACHED SCHEDULE "A" Designation By this conveyance, ARLINE BOECKMAN hereby releases, relinquishes and terminates her life use Dist. and estate in the premises and her power to appoint her life use and her power to appoint the remaining 1000 interest in the premises, which use and powers were reserved by ARLINE BOECKMAN by deed dated 01/17/00 and recorded 02/01/00 in the Suffolk County Clerk's Office. By this conveyance, ARLINE Sec. BOECKMAN certifies that she has never exercised the aforesaid power to appoint her life use and/or 113.00 the remainder interest in the premises. B1k GRANTORS herein being one and the same as Grantees in Deed dated Ol /17/00 and recorded 02/01 /00 07.00 in Leber 12017 page 720. Lot(s) SAID PREMISES being known as and by No. 760 Tallwood Lane, Mattituck, New York, as shown 019.017 on the Suffolk County Land and Tax Map as District 1000, Section 113.00, Block 07.00, Lot 019.017. 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 patty of the first part covenants that the party of the first part has not dons or suffered anything whereby the said premises have been encumbered 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 executed this deed the day and year first above written. IN PRESEN O ~ J H A% CATO, ~GOR B NCATO E CATO T VANESSA BRANCATO INE BOEC tMAN m Of m y G m -i N N D n m T C V> m O T m n O a 0 z c~ 0 ~800-E~9j9L5•~~~~000~~ m •any t/eMetR _ o~IOdaOaNi 'Sl~d?!lSflM uopmwrrY ~Al PSI arerS ~~A ^~N ~9+~fY ZOiti Ax `'dI2IOJ.SV 8Z6l O~TlnrodaOJN/ 3f1x3A~ NMOZM3N 6i-I£ x~iO~M3~{30,[NVdTAIO~ •bss `slianozo xxar ~~AIV2If1SAlj ~7.LI,I,'IVP[oii.vj~j.Li.I'I~QIg Q17IYW.SB N?/IlL~ >(so,~ Mauro ,Cuedwoa aauds.dnsuI aply ieuopddu,G~apig .~o.cs3nS~uiYaa<aboaaa a3FM s?K `SITdil0~I0 dI~IVYd 1CV?I Pua SII~lIlO?IVIO SOV'IOAIx 2I'I033IIS AfMO,j,~IO,I.LNf10~ Q,i, Li0'6i0 a0'j xHFDI~30S 3xI'RI'd PIIE `OZtl~x'dilH VSSaxeA oo'co ~oo~$ PuE osaoxvxs x~axex~~e `oavoxexg axo~~xs oo•sii ~m~aas `•ar `ozeoxr7xg •~~xaasor `xvt~xoaog •ri xx~ OOOi .,J,7,.,.s,Q ~ 'ont~~u7, s.rJV s.ao~vao.rsruvov sirrvNana~ tram Q$$Q 3'iVs ~8 hICVJ21Vg •(ualn7 mm ruam$pajxora(azr ay7 aanjdaay7o 'olazay; ssadn?M a se (s)auceu nay;(~ay(s~y ao ~Lqunoa ao a7n7s ay7 pun uo~srn7P4ns 7nJpgod aayto ao ~fi7a ay7 laarul) paquasgns awi; awes aq;;e ssau;iM p~ES 2eyl pue `.aides ay) a;naaXa ay7 ui piles Mes pue;uasazd seM ssau7~M $u~quosgns pies;eq7 `.;uawnd7sue pauSis/apun ay; alo;aq aaus~eadde yaps apaw ~enpinjpui yans;eyi 3u~o8aao; ay; pa;noaxa oyM pue ui paquosap Ienp~n[pu[ adp aq o; pus 7uau,nnsu? ay; pa;naaxa'pa;oe (s)Teddptnipu~ adg yo~yM,to;~eyaq uodn uosaad aq3 ~o `(s)jenpin~pw ay; `7uaumd7sw adu uo (s)azdueu&s (s)MOUx rCay1/ays/ay 7ey7 !((oaaayl ~~Cun 11ayI /iaq(szy ,Cq 7ey1 `(sai)~~oedea nay;payjsty u[ awes aq; pa;noaxa Jr 'aagrunu 7aaa7s pun 7aaa7s ay7 apnjJUr '~(77a o ui sr aouap:saa jo aanjd ay7 j) ,faq;(agsjay ;ey; aw o; pa$pa~MOdixoe pus ;uawnAS,n w~iM ay; o; pagposgns (a/e) st (s)auceu asoyM (s}~enpinipw ay7 aq o1 aauapina vt (s)apisal ~(ay;/ays/ay;ey; ~(es rtao3oe;sues;o sisEq ay7 uo aw o7 panoid ~o aw of u.aou>f ,S~~euoslad pue asodap pip `uaoms ,C~np aw,Sq 8uiaq `oqM `pa7u~enboe,C~~euosaad ' ails i woyM L{71M `luawn.gsu~ $u~o$a~o; ay; 07 ssawlM $u~gpasgns ay7 pa/eadde ,C~~euosiad `padr$isiapun aq7 `aw a/o3aq ` lea,S aq1 u3 30 Sep ay; up paieadde ~ij~euosdad `pau$~sdap,m ay7 `aw a/o~aq .Iea,C ay7 ui ,jo ,Cep ay7 up (rGgndw7unyy ~o a~uuwd ~~)unoJ 'a7n7s yr)m anua^ ara7dwoJJ :•ss { :•ss { ;o ~uno~'~io~ MaN3o a7g7S (a)na f law 7uaw8pajmou:jaY jnaaua~ uH7aaoq to amlSJo lrrp) (amJ frua,7 7uaw8palmorgay ssaulr~ Surquosgns ~ao,~ mad() , ~~CJ~Y~.S~fI~iV~~O~YINCi~lYHO,~IAC~IIIF~IMCMdUd :.{TNQ.TLY,I,SY7lO~j.f13AjA~IL~3S(jBQ~/It2/O,~.G~JMAI~DY I t . IuawnASU! ayd pau~axa `Pa,oe (s)lenP?n~Pu! ~ Yuaurnpsdn ay; pasnaaxa'pa7ae (s)[ettP!ATPu~ ay7 yo!i[M3o,~eyaq uodn uosdad adp ao `(s)lenP~n~pui ay, `iuawdu7sdn ayi a7il yanIM30,~yaq uodn uosdad a7g'm `(s)lenPinjpdn ay7 Yuawd~sdn ay7 uo (s}acdgecd$}s nay7(rayrs!y ,Cq ~A pus `(saT~(7~aedea nay?/~ay/siy u~ aunes uo (s)auueu8~s naydpaq~y ,Cq 7ecP Pice `(sat),C7~,7edeJ nay7pay/s~y ut aides ay, pa7lvaxa ,Cay,~ays~aq 7eg1 aw o7 pa8pajaod,>)ae pus ;uaudtu7su~ uig1?M ayi pa7noaxa ,Sa,p(ays(ay 7e<P aw of pa$pa(MOUKae pue,uawdwsuc u~cM aq? ~ F~L (ails} s< (s~uceu asogM (s)IenP}n~pui acp aq ap aouapua alp o; pagc~sgns (ace) st (s~uceu asoyM (s)IEnP!nEPu! ay, aq o; aauapina sues;o sdseq ay7 uo aw o7 panoid w aw oil umou>( 6neuosiad tfcagae3sges 3o s!seq ay7 uo aw o; panudd w aw aq umoux ,Cpeuos.dad pareadde lgettosdad `pauSds>apun aq7 `aui ato;aq pa>eadde ~Cpeuosrad `pau8~srapun agl'aw ado3aq n>a,C ay; to 30 Sep ay7 up yea,( ay, m 30 ,Cep ayl up ss { ;o ,~uno~'~aoi Mau ~o a;e;g :•ss { ~o ~unoa `afaot Mau,{o a7e7S :dTNQ9lYLSXNO,~M9~(NIFLLL11M0739WNOdlN~1'.9Q~'L1f0ADIJY3S~j l~[ZVQ3lYiS~INO,{M3~jAlfflLL!l.t10738h'NOdIN~VDQ37M0A0IJY3S(f 1 STATE OF NEW YORK ) ~J, ) ss.: COUNTY OF ~~hrv~'n On J ~'~`'L ~ 3 , 2013, before me, the undersigned, personally appeared MARK W. BOECKMAN 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 inhis/herltheir 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. ~°t J~~l4?~4 A1,'. G.y~c otary Public arY Public, Slate Qualifieq'lOrCHsQg~87 ewYork Commission ~ rchmoRd Aires ~ CO~nty STATE OF NEW YORK ) an. ~ 2a. JS COUNTY OF ~(J~ 13 Z4 ?3 On . 20 ] 3, before me, the undersigned, personally appeared JOSEPH A. BRANCATO, JR., 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 inhis/herltheir capacity{ies), and that by his/herltheir signature{s) on the instrument, the individual(s), or the person upon behalf of which the individuals} acted, executed the i Not~.~~,r~S rd Y Publi C1yECKO Notary ublic c, Srata s,~y Qualified~iQ~IC~`16p8sg~ eiv York Camm?ssion Exyf~ ~°nd COUn~ pan 7 toy STATE OF NEW YORK ) IS ) SS.: COUNTY OF ~~1 ) On J~J~ , 2013, before me, the undersigned, personally appeared GREGORY BRANCATO 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 inhis/herltheir capacity{ies), and that by his/her/their signature{s) on the instrument, the individual(s), or the person upon behalf of which the individuals} acted, executed the instrument. gARSARA.1.l~RSCH ~ tary Public Notary Public, State of Newyork No. 01 ERfit 04755 Qualified in Nassau Counrij ` commission Expues 5~1~~le l ' STATE OF NEW YORK ) } 55.: COUNTY OF ~QSS~ ) On JUG , 2013, before me, the undersigned, personalty appeared ALEXANDER BRANCATO personally known to me or proved to me on the basis of satisfactory evidence to be the individual{s) whose names} is (are} subscribed to the within instrument and acknowledged to me that helshe/they executed the same in his/herltheir capacity(ies), and that by his/her/their signatures} on the instrument, the individual(s), or the person upon behalf of which the individual{s) acted, executed the instrument. BARBARA J. BRSGH No~iry Public, State at New York No.01ER610•~755 N ary Public Qualified En Nassau Court'j Commission Expire; y sl ~~i t 6 STATE OF NEW YORK } ) 55.: COUNTY OF ) On 2013, before me, the undersigned, personally appeared VANESSA BRANCATO 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 inhis/her/their capacity(ies), and that by hislher/their signature(s) on the instrument, the individuals}, or the person upon behalf of which the individual(s) acted, executed the instrument. BARBARA d. BRSCH Notary Public, State of New VorK N ary Public Na. 07 E>'i6i 04755 Qualified En Nassau Count'j Cammisslon Expires JG u slip r~~ STATE OF NEW YORK ) ss.: couNTY oF~~C hrrOn CL) On 3, before me, the undersigned, personally appeared ARLINE BOECKMAN personally known to me or proved to me on the basis of satisfactory evidence to be the individuals} whose names} 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/herltheir signature(s) on the instrume ,the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrumen • Jdh1cS t~. C!-IECKOSf{y Pub 'c Notary Public, State of Nevy York No. Oi CH6085$77 Qualified in Richmond C Commission Expires Jan. 7, 2 IS SCHEDULE "A" ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon, erected, situate, lying and being at Mattituck, Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: BEGINNING at a point located the following four (4) courses and distances from the point on the westerly side of Cox Neck Road which marks the division line between the southerly side of land now or formerly of John Simicich, Jr. and Catherine Simicich and the northerly side of land now or formerly P. Neudeck; 1) Along land now or formerly of P. Neudeck South 77 degrees 40 minutes 41 seconds West 250.00 feet; 2} South 59 degrees 25 minutes 45 seconds West 406.63 feet to the northeasterly corner of land now or formerly of James D. Norris Estate; 3) Along said lands now or formerly of James D. Norris Estate South 63 degrees 14 minutes 31 seconds West 505.27 feet; 4) Again along said land now or formerly of James D. Norris Estate South 33 degrees 00 minutes 09 seconds East 169.23 feet to the northeasterly corner of the parcel herein described and the point of BEGINNING. RUNNING THENCE again along said land now or formerly of James D. Norris Estate South 33 degrees 00 minutes 09 seconds East 425.59 feet to land now or formerly of Fred P. Jens; THENCE along said land now ar formerly of Fred P. Jens South 53 degrees 24 minutes 51 seconds West 222.12 feet; THENCE through land now or formerly of Jahn Simicich, Jr. and Catherine Simicich North 33 degrees 00 minutes 09 seconds West 464.48 feet; THENCE again through land now or formerly of John Simicich, Jr. and Catherine Simicich North 56 degrees 59 minutes 51 seconds East 221.68 feet to the point ar place of BEGINNING. TOGETHER with the benefits and subject to the burdens of anon-exclusive right of way for ingress and egress to Cox Neck Raad, described as follows: BEGINNING at a paint on the westerly side of Cox Neck~Road which paint marks the division fine between the southerly side of property now or formerly of John Simicich, Jr. and Catherine Simicich and the northerly side of property now or formerly of Neudeck and running thence the following courses and distances: 1) South 77 degrees 40 minutes 41 seconds West 250.00 feet; 2} South 59 degrees 25 minutes 45 seconds West 406.63 feet; 3} South 63 degrees-14 minutes 31 seconds west 505.27 feet to a monument marking the northwesterly corner of property now or formerly of James D. Norris Estate and thence continuing along said fast mentioned land South 33 degrees 00 minutes 09 seconds East 194.23 feet and thence South 56 degrees 59 minutes 51 seconds West 50 feet; and thence the following four courses and distances: 1 }North 33 degrees 00 minutes 09 seconds West 275.00 #eet; 2} North 63 degrees 14 minutes 31 seconds East 559.38 feet; 3) North 59 degrees 25 minutes 45 seconds East 413.00 feet and 4} North 77 degrees 40 minutes 41 seconds East 25$.03 feet to the westerly side of Cox Neck Road; thence South 12 degrees 19 minutes i 9 seconds East 50 feet to the point or place of BEGINNING. PLEASE TYPE OR PRESS FIRMLY WHEN WRRING ON FORM INSTRUCTIONS (RP-5217-INS): www.orps.stab.ny.us FOR COUNTY USE ONLY o- C1. SVYIS Coda I ~ , [l , 9 I New York Slab DepaRmant of / ~ Taxation and Finance C2. Data Dsed Ret:orded I ~ / ~ / I Office of Real Property Tax Services 11 y leaf RP- 5217 C9. Book I I , Z 7 n J I C4. Page L; ~ 5 ~ a~ I Real Property Traneter Report (8110) PROPERTY INFORMATION Property I 760 ; Tallwood Lane I LODed011 911 I Mattituck I 111952 I crrr Da ~owY vnurcE ar moE 2. Buyor I GIAKOUMIS I NIKOLAOS I Name i NNAE ~ FgBI W1ME I GIAKOl1MIS I KAY MAHIA I F 9. Tax Irrdkate where 4nure Tax Bllls are b 6e wm Bllllno Ir otl+er man txryar address (at honorrr d farm) I I I Addrow I I I I I ~T~~r .YaER MD SigEE: rU1WE GIY Oa Indleeta dto number of AesoaemoM (Only N PeR d a Persil) Cheek ee they apply: Roll parc¦Is trenshrred on the dwd I ~ I N d Parcels OR Pen d a Parcel 4A. Planning Board with Subdivision Authority Exists ? S. D¦ed IB. Subdivision Approval was Required for Trenarer ? She rtl' I ~r~~ x ~~f OR I a 3 • ~ I eC. Panxl Approved for SubdiWsbn vAth MaD Provkled ? a Sella BOECKMAN MARK W. AND ARLINE Naf"0 JR. JOSEPH A. I BRANCATO ; GREGORY, ALEXANDER AND VANESSA I ~ttTlaWki'LD11 F 7. Chask tM box below whleh most aesurelaly desedbse the use d the properly a<the tlms d wb: Check the boxes below es shay apply: a. Ownership Type is CDndominlum ? A X One Famay Residenllel Agdwlturel I Community SeMce 9. New Conswerion on Natant Land ? 13 2 or 3 Femlty Resldamial I' Commerdal J Industrial 10A Properly l.orated within an Agdalturel District ? (r Rasidanlisl Vacant LarM C Apartment K Public Servxe taB. Buyer received a dlsGOSUm ratiea indiratirq ? p Non•Resbenlial Vecam Lantl EnlerhulmeM I Amusement L Forest that dre Pmpeny is in an Agdcullurel District SALE INFORMATION 75. Cheek one ar more d tlrwe eondiaone as eppllcahle ro transfer: t 1. Sato contract Data I 04 / 19 / 13 I A Sala Between Relatives «Fomrar Relallves ~iw H Sala BaMrean Related Companies a PeMare in Business C One d the Buyers Is also a Seser 12. Data d Bsls / Trenshr / / ~ / 13 U Buyer Dr Seller is GovemmeM Agency or Lending Insgwlion Yanm Year ~ Deed Type not Warranty ar Begeln arM Sale (SpaDdy Below ) F Sele d Fractional ar Lass man Fee Interest (Speofy Below ) 79. Full Sah Prtee I 6 2 5 Q 0 0 U • U G Significant Charge in Progeny Behveen Taxabb Status and Sala Dales • I H Sale d Business is Induded in Sala Price ( Fug Sale Price Is the total amoum pakl kr the preperly Irrduding personal property. 1 Other Unusual Faders Aflactirg Salo Price (Seedy Below ) This payment may be In me farm d cash, dlYlr property a goods. or the assumption d J mortgages or dher obligations.) Please mood m IAa rrearesr whole dosaramowx. te. Indlcah tM value d personal I . p 0 I - propaAy Included In the solo ~ ASSESSMENT INFORMATION -Dale should reBecl the latest Final Assessment Roll and Tax Bil! n C 78. Ywr d Assessment RWI hen, r~ r/.(, +y Total Assntled V¦lua (of all parsala In Vanefar _ _ B ~ I whoeh Inhrmotlon token I ~ rrr!!! 7S. ProporryClass Irk 1 l~ I-U fS.SchadDlstdctNsme I r~ _ ~G1Gl~C~ I 20. Tax Map IdenllRar(s) l Roll IdeMSMr(s) (M moro than four, atheh ehwt Wbh atldltlonal Idontiaer(s) ) I Dist 1000; Sec 113.00; Blk 07.00; Lot 0191017 I I I I _ I CERTIFICATION 1 army that ell ¦r 1h¦ Ibm¦ d Mwm¦!Iw ¦rn¦nd w Mb Term are wrr¦ and eerrwe Ito Yr¦ Ewe M try lnwdada¦ ¦rre 6arMry one 1 unWnrene !hot ar. m¦tlna M ¦ny wI1MY1 IW¦ et¦tawnr a ¦rt¦I Iwr canto wilt ¦uy¦el rrr¦ to the pwwlW ne M 1M pawl Iw r¦1¦tlve b rb maldna we terry M r.w Inetrum¦rrte. SE R SIGNATURE BUYER CONTACT INFORMATION IErnar nlamo•~on for tlw toyer Nola: If buyw s LLC, esdeCr• erexlalan. cerponvpl, tale sxvh tamaeny, eYele M aYxy N¦I u not ¦n IMrNd<al agent or rtlJd¦ry. Ihpl a name gntl CanLxl u110nn¦lgn I a an ntlhduowaeporredo pegywho can anrww quwean raerrtlrq tae xarwlnr nluY m arxamd. Da7E YYW a PdM ehergr.) BUYER SIGNATURE ~ i I' k _ ~ O ~ G ~ S~I_A~.o_vr_±ti~ l ~r~ -ilyA ~ AKOUMIS pA1C _`,S 1(~ I 3 6S ~ Q ~ e a BUYER'S ATTORNEY .sEa IELErigNE ¦IMBFfr GLOIJMIS I JOHN p usr YNIE Fra9T was 6 6 ~ I e ~i~ 1~ 9TRF:T NDEflFR 57nEET YAY'c 718 I 746-3440 ~nnFa edDE 7ELErgbre wYOr:q dA t1}?t/A t o th I~ Y I ~ I O 3 s NEW YORK STATE err oq lownT 67.yE zmcoos COPY