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L 12749 P 213
111111! IIII 11111 IIIII Illll IIIII !1111 IIIII 11111 llll Ill! 111111 II111 lull 1111 IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 10/21/2013 Number of Pages: 4 At: 03:16:09 PM Receipt Number : 13-0134404 TRANSFER TAX NUMBER: 13-07980 LIBER: D00012749 PAGE: 213 District: Section: Block: Lot: 1000 038.00 01.00 008.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $250.00 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 $380.00 TRANSFER TAX NUMBER: 13-07980 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County FIT RECORDED r 2013 Oct 21 03:16:09 PM Number of pages X111 JUDITH R. PRSCALE CLERK OF SUFFOLK COWU TV This document will be public L D00012749 P 213 record. Please remove all DT# 13-07930 Social Security Numbers prior to recording. Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps 3 FEES Mortgage Amt. Page /Filing Fee 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. EA 52 17 (County) S_ Sub Total Spec. /Add. EA-5217 (State) TOT, MTG. TAX R.P.T.S.A. Dual Town Dual County - Held for Appointment Comm. of Ed. 5. 001.1 Transfer Tax Affidavit • 6 4 Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 3 family dwelling only. Sub Total YES or NO Other _ Grand Total 30 _ If NO, see appropriate tax clause on page # of this instrument. kz-10 IN 4 Di 13028666 1000 03800 0100 008000 )~000 5 Community Preservation Fund Real Pre P T S II 11 ii Consideration Amount $ Agen ifies 8-0 T-A Ilhll~l~lllllllll~~l~lllll~~lllll~ll~lllll~lll~l CPF Tax Due $ p _ Ver Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land Wl~~ts}}ldISISOfirA~t~r d SqK eV»S QLL Cr TD a) pv 4 I'el ?1 WC.1y -R7 e TD - ~S~o/'r~ 1Ny I X103 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 www.suffolkcountyny.gov/clerk Co. Name to; I~f~lUeS+ ncy 's OR g: Title # 8 Suffolk County Recording& Endorsement Page This page forms part of the attached 00-0 G made by: n (SPECIFY TYPE OF INSTRUMENT) ES-f-CT-e 01' Ckj!; I(t4_SG1~S The premises herein is situated in ,~Se r S 1 AS EXec.wlo SUFFOLK COUNTY, NEW YORK. TO In the TOWN of 5~1 I -IS Q t S In the VILLAGE or HAMLET of GCtSf[JW f'~7?~ BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over Form 8005-A(3/00) - Executors Deed-Individual or Corporation (single sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made the 20 day of, December 2010 BETWEEN Jack Kaselis residing at 46-09 34th Avenue Astoria NY , 11101 as executor of the last will and testament of Maria Kaselis late of who died on the Tenth day of October , Two Thousand and Eight party of the first part, and Jack Kaselis, residing at 46-09 34th Avenue Astoria NY , 11101 party of the second part, WITNESSETH,that whereas letters testamentary were issued to the party of the first part by the Surrogate's Court, Queens County, New York, on and by virtue of the power and authority given in and by said last will and testament, and/or by Article 11 of the Estates, Powers and Trusts Law, and inconsideration of 01 dollars, paid by the party of the second part, does hereby grant and release unto the party of the second part, the distributees 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 Attached Schedule A TOGETHER with all 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 also all the estate therein, which the party of the first part has or has power to convey or dispose of, whether individually, or by virtue of said will or otherwise; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the distributees or successors and assigns of the party of the second part forever. AND the parry 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. Subject to the trust fund provisions of section thirteen of the Lien Law. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN W!TNI?SS WfIFREOF;tFe party of the first part has duly executed this dc-;l the day and year first above written. IN PRESENCE OF: L 'k Kaselis I [ice c._,10 ' 6 J Acknowledgement taken in New York State Acknowledgement taken in New York State State of New York, County of Queens ss: State of New York, County of, ss: On the 20 day of December in the year 2010 , before me, the undersigned, personally appeared On the day of in the year Jack Kaselis 1 C xe C coo r 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 personally known to me or proved to me on the basis of (are) subscribed to the within instrument and acknowledged to satisfactory evidence to be the individual(s) whose name(s) is me that he/she/they executed the same in his/her/their (are) subscribed to the within instrument and acknowledged to capacity(ies), and that by his/her/their signature(s) on the me that he/she/they executed the same in his/her/their instrument, the individual(s) or the person upon behalf of which capacity(ias), and that by his/her/their signature(s) on the the individual(s) acted, executed the instrument. instrument, the individual(s) or the person upon behalf of which the individual(s) acted, executed the instrument. ALEXANDER SOTIRAKIS Notary public, State of New York o, OISO205473 Qualified in Kings County commission Expires May 11, 201j 4L Acknowledgement by Subscribing Witness taken in New York State Acknowledgement taken outside New York State State of New York, County of ss: "State of County of, ss: '(or insert District of Columbia, Territory, Possession or On the day of, in the Year, Foreign Country) before me, the undersigned, personally appeared On the day of n the year the subscribing witness to the foregoing instrument, with whom I before me,the undersigned, personally appeared am personally acquainted, who being by me duly swum, did depose and say, that he/she/they reside(s) in personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is that he/she/they know(s) (are) subscribed to the within instrument and acknowledged to me to be the individual described in and who executed the that he/she/they executed the same in his/her/their capacity(ies), foregoing instrument; that said subscribing witness was and that by his/her/their signature(s) on the instrument, the present and saw said individual(s) or the person upon behalf of which the individual(s) execute the same; and that said witness at the same time acted, executed the instrument, and that such individual made subscribed his/her/their name(s) as a witness thereto. such appearance before the undersigned in the (add the city or political subdivision and the sate or country or other place the acknowledgement was taken). Title No.: DISTRICT 10 0 9 Jack Kaselis SECTION 03800 BLOCK 0100 LOT 008000 TO COUNTYOR TOWN Southold Jack Kaselis, RETURN BY MAIL TO: Coritsidis, Sotirakis, & Saketos PLLC 25-61 Steinway Street Distributed by Astoria NY TitleyeA www.titlovest.coni Zip No. 11103 U V m O U O O V u C h. O m y C O m U y N_ S F W C it Southold, County of Suffolk and - -State--of New.: York,._..bounded -fond described as follows: BEGINNING at a monument on the Easterly line of Shipyard Lane, .770.28 feet Southerly along said Easterly line from the Main Road, being the southwesterly . corner of land heretofore: conveyed, by, Joseph Cherepowich and Sophie Cherepowich, his wife, also known as Joseph -Czerepowich and Sophie Czerepowich, to Donald Boerum; and thence along said .land of Boerum, North 65°26;20" East 150.00 Meet to a monument; thence along other land of Joseph Cherepowich and Sophie Cherepowich, his wife, also known as Joespeh Czerepowich and Sophie'Czerepowich, South 24°24120" East 72.61 feet to an iron pipe; thence along land heretofore con- veyed by' Joseph dt erepowlch and Sophle Cherepowich, his wife also known as idie'Oh C-zerep©wich and Sophie,Czerepowich to Sbshovskip : South-"94'V40", West, 150'~ 0 fleet to.:an ^Aeoh : pipe on the'. gasterly ..line, o'f...Shipygrd ' Lane thence;. along.=-said.:,Ea~tert'y . line of. Shipyard Lane., .two -courses .as 6tlows.:=;(1):,N,6 # i`'23°53'20T" 'Kest".-15.37 feet to e monument;','thence•--(2) North 24°33'40" West, 59.63 feet to the point or place of BEGINNING. Premises being known as and by Shipyard Lane, East Marion, New York PLEASE TYPE UR PKESS MMMLY VVIytN V1/HII INCI UN FUKIVI INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE (518) 473-7222 FOR COUNTY USE ONLY C1. SWIS Code A-i I zi9 I REAL PROPERTY TRANSFER REPORT f STATE OF NEW YORK C2. Date Deed Recorded I J0 / 21 O / 1 ' STATE BOARD OF REAL PROPERTY SERVICES -7 ..I1L reb i RP - 5217 C3. Book I t.~ 11 21 E 1 1 IQ I C4. Page I r LI I d-1- xfkt.. RP.5:17 IT,, Y97 PROPERTY INFORMATION 1. Pnspomy 1 ?0L- 1 r_3I?NpWj4K.p Li4~~ 1 Location STREET NUMBER STREET NAME I Ems y-HorJ I c~oLrr-Hc~u~ I //9S~ CrvaR,owty wLLAGC aP f:OaE 2. Buyer 1 /4 /95• EC-I S I v0 C I memo UST NAME r EONPANT clear NAME 1 I I UST NAME I COMrANY FIRST NAME a. Tax Indicate when future Tax Bills am to be sere Billing if outer than buyer address let bortom of fermi Address LAST N wullcc MPANT IIIIRT NAML I -a9 ':3 AmIX lAt IN 0 / 1 STREET NUMBER AND STREET NM.4 Ow Or TOwN STATE ZIP CODE 4. Indicate the number of Assessment 10* B Part of a Parcel) Check as they apply: Roll parcels transferred on the dead L 9 of Parcels OR ? Pert of a Parcel 4A. Banning Board with Subdivision Authority Exists 6 Deed 4B. Subdivision Approval was Required for Transfer Prop" I FRONT f[ET I X I IxrM I OR I ara<s 1 4C. Parcel Approved for Subdivision with Map Provided El Size 6. Seller 1-2041 oLloo ] A~'rt1 k-- Name LAST NAME I COMPANN -Fxvi- I~r~ OF ~~ie/~ /~•7 ~rJ E~.l.S I LAST NAME r COM-- FAST NAME r 7. Cheek the box below which most accurately describes the use at the property at the time of sand: Check the been below as they apply. 6. Ownership Type is Condominium A One Family Residential E Agrrcultural I Community Service S. New Construction on Vacant Land El B 2 or 3 Family Residential F Commercial i Industrial 10IL Property Located within an Agricultural District ? C Residential Vacant Land G Apartment K Public Service IOB. Buyer received a disclosure notice indicating El D Non-Residential Vacant Land H Entertainment I Amusement L Forest that the property is in an Agricultural District SALE INFORMATION 15. Check one or mom at these conditions se applicable to trarMler: 11. Sole Contract Date I rZ / 2 ZaQ A Sale Between Relatives or Former Relatives aaea4 Day Yale R Sale Between Related Companies or Partners in Business 2 zG Z~l C One of the Buyers is also a Seller 12. Dnte of Sale I Transfer I) Buyer or Sailor is Government Agency or Lending Institution March Day You E Deed Type not Warranty or Bargain and Sale (Specify Below) F Salo of Fractional or Law than Fee Interest ISpocify Below) (i Significant Change in Property Between Taxable Stories and Sate Dates 13. Full Sale Price I 0.0.0 I 11 Selo of Business is Included in Sale Price IFulI Sala Price is the total amount paid for the property including personal property. I Other Unusual Factors Affecting Salo Price (Specify Below) This payment may be in the form of cash, other property or goods, or the assumption of J None mortgages or other obligations.) Please round to the aaarest whole dollar amount. rsfin t{ /ann:.rLr>4 14. Indicate the value of personal I e). 0 U I property included In the safe is ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 16. Year of Ass ant Roll from I I which lafomuadon taken 117. Total Assessed Value fall all parcels in tramhrl I ' • • y ! ! ! 16. Property Clow 14 • ( 1-LJ 19. School District ft.. I 0 b S f &jc-ea red S I 20. Tax Map Identaierls) I Roll Identifier(s) 16 more then four, much shoat with adtetionel idMM.,sll S: 0 3 it : a i• op L - OOSM,, 1 I I I I I I CERTIFICATION I certify thin oil of the Items of bdimmlkm entered an this from are trite and cumrl I lo the best of my kwmlcdltt and hdk[) and 1 understand dim the making or tiny willful false statement of material fart herein will MLljec1 meta the pro isinm of the panel law relative to thr mukinif and filing of falw ittstrunients, BUYER BUYER'S ATTORNEY/ / l r, Cla~r~ f I cJ0`r r U R N N • RE DATE UST NAME / FIRST NA9L 1- J- SIaECTNUMeER SIRE MFTENUMI AREA CODE TEIEPNONE NUMMR crrv on Toxin srATE a Cape. SELLER NEW YORK STATE COPY ~C Egan A)-M /V IrER SIGWTUBE DATE