The URL can be used to link to this page

Home My WebLink AboutL 12752 P 15 111111111111111111!!I Illll 11111 IIIlI 11111 IIIIIIIII 1111 1111111 lllil Illll IIII 1111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 11/09/2013 Number of Pages: 4 At: 11:34:21 AM Receipt Number : 13-0144317 TRANSFER TAX NUMBER: 13-10096 LIBER: D00012752 'PAGE: 015 District: Section: Block: Lot: 1000 054.00 05.00 028.001 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 $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: 13-10096 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 11121 I I RECORDED Number of pages `~1I 2013 Nov 09 1 i : 34: Z 1 At9 JUOITFI A. FASCFLE CLERK OF • This document will be public SUFFOLK COUNTY L D00012752 record. Please remove all P 015 Social Security Numbers DTtl 13-10096 Prior to recording. Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps 3 FEES . Mortgage Amt. Page / Filing Fee 1" Basic Tax Handling 5. 00 2. Additional Tax TP-584 Sub Total Spec./Assit.. Notation or EA-52 17 (County) Sub Total Spec. /Add. TOT. MTG. TAX EA-5217 (State) Dual Town Dual County R.P.T.S.A. Held for Appointment _r Comm. of Ed. 5. 00 w 1C Transfer Tax ~/[7?~ Mansion Tax Affidavit The property covered by this mortgage is Certified Copy or will be improved by a one or two 15. 00 family dwelling only. NYS Surcharge Sub Total YES . or NO Other ` Grand Total If NO, see appropriate tax clause on - page # of this instt ment. i 3 4 Disf'/r ° ^ ~•o o n~ 3',60 r 5 Community Preservation Fund R 13026523 1000 05400 0500 028001 Consideration Amount $ Real Properl Tax Service p T Agency R pTy A , I1 I CPF Tax Due $ Verification 27SEP Improved 6 Satisfactions/Discharges/Rdleases List 1,roperry:Uwners-tviaiung Address Vacant Land RECORD & RETURN TO: Andrew Kirwin, Esq. S & E Azriliant P.C. TD 36 West 44th Street, Suite 1100 New York, NY 10036 TD Mail to: Judith A. Pascale, Suffolk County Clerk... 7 • Title Company Information 310 Center'Drive, Riverhead, NY 11901 Co. Name Class Abstract Services Inc. www.suffolkcountyny.gov/clerk Title s Suffolk Count Recording & Endorsement -Page_ This page forms part of the attached D GC C~ made by: (SPECIFY TYPE OF INSTRUMENT) D.., ; + k< ~e be I tS as tO' The premises herein is situated in Iti.l~w k<Icw bo1,:cL s e05is.a5 ~rc_,~.e UFFOLKCOUNTY,NEWYORK, OY j t.biC/W/T Ff 0,..~; 4-i 03 r_t, iu»+be- I: IS sou ~In0 1.C TO In the TOWN of T. I: a k< I o« . b e t r{ Ls P= S 0 In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) - Executor's Deed - Individual or Corporation (single sheet) R 3 Y 6 Z S CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY i\ ~C THIS INDENTURE, made the ly day of August, in the year 2013 BETWEEN Dimitri Kelembelidis residing at 690 Washington Street, #I A, New York, NY 10014 and Thalia Kelembelidis PatsiS residing at 127 Winthrop Road, Roslyn Heights, NY 11577 as exeutors o= of the last will and testament of Dimitrios Kelempelidis dated June 13, 2006, late of New York, New York a/k/a Dimitrios Kelembelidis, deceased, party of the first part, and Thalia Kelembelidis Patsis residing at 127 Winthrop Road, Roslyn Heights, NY 11577 1 party of the second part, WITNESSETH, that the party of the first part, to whom letters testamentary were issued by the Surrogate's Court of the State of New York for the County of New York on May 3, 2013, with index #2013-154 8 and by virtue of the power and authority given in and by said last will and testament, and in consideration of the terms of the decedent's last will and testament and ten dollars, 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 buildings and improvements thereon erected, situate, lying and being in the Township of Southold, County of Suffolk, State of New York as more particularly described in Schedule A attached hereto and made a part herof. 1 1000 Premises known as 395 Dogwood Lane, Southold, New York S C, o0 3 05'.00 Premises to be used for residential purposes 1- TOGETHER with all right, title and interest, if any, of the party of the first part of, in and to any streets and o Z ff, dot roads abutting the above-described premises to the center lines thereof; TOGETHER with the appurtenances, and also all the estate which the said decedent had at the time of decedent's death in A said premises, and also 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 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 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 PRESENCE OF: J~ DIMITRI KELEMBELIDIS, EXECUTOR / J /il Ir'3 / _ / t THAL[A KELEMBELIDIS PATSIS, EXECUTOR ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York, County of New York, ss: State of New York, County of New York, ss: On the ly' day of August in the year 2013, before me, the On the t~l day of August in the year 2013, before me, the undersigned, personally appeared Thalia Kelembelidis Patsis undersigned, personally appeared DIMITRI KELEMBELIDIS , personally known to me or proved to me on the basis of , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and 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 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 the person upon behalf of which the individual(s) acted, executed the instrument. 16 YOtk instrument 119111111 1 am YOIk ggid BMW Milo CM + °o ilk, rlr , clelrllwbn kfirdt 22.26 ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK TAKEN IN NEW YORK STATE STATE State of New York, County of ss: *State of County of ss: On the day of in the year before me, the *(Or insert District of Columbia, Territory, Possession or Foreign undersigned, a Notary Public in and for said State, personally County) appeared ,the subscribing witness to the foregoing instrument, with whom I am On the day of in the year before me the personally acquainted, who, being by me duly sworn, did depose and undersigned personally appeared say that he/she/they reside(s) in Personally known to me or proved to me on the basis of satisfactory (if the Pm« ofresidence is in a city, include the street and street number irany, chef); evidence to be the individual(s) whose name(s) is (are) subscribed to that he/she/they know(s) the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), that by his/her/their to he the individual described in and who executed the foregoing signature(s) on the instrument, the individual(s) or the person upon instrument; that said subscribing witness was present and saw said behalf of which the individual(s) acted, executed the instrument, and that such individual make such appearance before the undersigned in execute the same; and that said witness at the same time subscribed the his/her/their name(s) as a witness thereto (add the city or political subdivision and the state or country or other place the acknowledgement was taken). Executors Deed U.S} roc0 SECTION: 054.00 BLOCK: 05.00 Title No. (L 3 K 6 7 5 LOT; 028.001 Estate of Dimitrios Kelempelidis by its Executors COUNTY OR TOWN: Southold, County of Suffolk Dimitri Kelembelidis and Thalia Kelembelidis Patsis TO Thalia Kelembelidis Patsis RETURN BY MAIL TO: DISTRIBUTED BY Andrew Kirwin, Esq S E h Aiant P.C. 501 1 Fifth Avenue, I5" Floor YOUR TITLE EXPERTS NewYork,NY 10017 The Judicial Title Insurance Agency LLC 800-281-TITLE (8485) FAX: 800-FAX-9396 SCHEDULE A All that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, County of Suffolk, State of New York, particularly described as follows: BEGINNING at a point on the northwesterly side of Dogwood Lane distant 317.64 feet northeasterly from the corner formed by the intersection of the northeasterly side of Kenny's Road with the northwesterly side of Dogwood Lane; said point of beginning is also where the northeasterly line of land now or formerly of Mary K. McGowan intersects the northwesterly side of Dogwood Lane; RUNNING THENCE along the northeasterly line of said land North 62 degrees 47 minutes 50 seconds West 85.99 feet to land now or formerly of Ralph L. and Una Belle Glover; RUNNING THENCE along the southeasterly line of last mentioned land, North 24 degrees 41 minutes East 81.80 feet to land now or formerly of John and Ivanka Kirincic; RUNNING THENCE along the southeasterly line of last mentioned land, North 31 degrees 43 minutes East 43.41 feet to land now or formerly of John and Gee Estelle Norris; RUNNING THENCE along said land, South 62 degrees 47 minutes 50 seconds East 86.17 feet to the northwesterly side of Dogwood Lane; RUNNING THENCE along the northwesterly side of Dogwood Lane South 27 degrees 12 minutes 10 seconds West 125.00 feet to the point or place of BEGINNING. BEING AND INTENDED to be the same premises conveyed to Dimitrios Kelembelidis, deceased, by deed dated April 13, 2006 and recorded in the Office of the Clerk of the County of Suffolk on April 17, 2006 in Liber 12445 Page 560. BEING AND INTENDED to be the same premises conveyed to lames Kelempeiidis, A/k/a Dimitrios Kelembelidis and Elaine Kelempelidis, his wife by deed dated January 26, 1988 and recorded in the Office of the Clerk of the County of Suffolk on February 5, 1988 in Liber 10534 Page 359 PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-52174NS): www.orps.state.ny.us FOR COUNTY USE ONLY p C1. SYYIS Code Now York State Department of Taxation and Finance C2. Date Dead Recorded I / d / 13 Office of Real Property Tax Services on 9y ear RP- 5217 C3. Book 1 1, CC Page I i J 1 I Real Properly Transfer Report (8110) PROPERTY INFORMATION 1 Prop" 395 I Dogwood Lane Location 1E ET Southold I 111971 cnr OR TOWN vLLAGE 11P000C 2. Buyer L Kelembelidis Patsis I Thalia J Name u39 Kum r COIAPMY H n I I X61 gRS:lagD^ ' 3. Tax Indicate wham future Tax Bills are to be sent Billing if other man buyer addmsa (at bottom or form) ~aT'FApF I Address cou- FIR1'TpalE l I I I I I STREET NUMSER AN TN/a/E ffrv OR 11TE 4. indicate the number at Assessment ? (Only N Part of a Parcel) Check as they apply: Roll parcels transferred on the deed I 1 ! 9 d Parcels OR Part of a Parcel ? 40. Planning Board with Subdivision Authority Exist 5. Dead I • 2 5 4B. Subdivision Approval was Required for Transfer Properly E'er X OR 1. X~. . I 4C. Parcel Approved for Subd~wisiopLwilht•,l Atap Provided Size ? : Qt /yt 1 1 6 Bellar I Kelembelidis, Exec. E/0 Dimitrios ~Kalembelidis t 0•`Ir1N 1~ju, a' Name (AST NANti (COMPANY - - rural WJAE Kalembelidis Patsis, Exec. E/O Dimitrios Kalembelidis A Ttaalia. I I L. tASrwLMErccrvuv - --PmsrraA-- - 7. Check the boa below which most accurately describes the use of the property at the time of sale: Check the boxes below as they apply: ? 8. Ownership Type is Condominium A X e Family Resden tm: E Agricultural 1 H Community Service 9. Now Construction on Vacant Land B 2 or 3 Family Resident al F Commercial J Industrial WA. Property Located within an Agricultural District C Residential Vacant Land G Apartment K Public Service toe. Buyer received a disctosure notice irdiealing ? I) Non-Residential Vacant Land H Entertainment/ Amusement 1. Forest that the property is in an Agricultural District - SALE INFORMATION 15. Chock one or more of theme conditions as applicable to transfer: 77. Salo Contract Data / N/A / A Sale Boman Relatives or Former Relatives i ear B Sale Between Related Companies or Partners in Business p C One of the Buyers Is also a Sailer 1IL Dale of Bak I Transfer I p l r y / 3J U Buyer or Seller is Government Agency or Lending Institution A1oriN Day year L Dead Type not warranty or Bargain and Sale (Specify Below ) F Sale of Fractional or Less than Fee Interest ( Specify Below ) 13, Full Sale Price G Stgis corn Change in Property Between Taxable Status and Sale Dates i ~ a 0 O J H Sale of Business Is Included in Sale Price ( Full Sale Price is the total amount paid for the property including personal property. 1 Other Unusual Factors Affecting Sale Price ( Specify Below) This payment may be in the form of rash, other property or goods, or the assumption of j None mortgages or other obligations.) Please round to the noamatwaolodolier rroum. ~xecutor'S Deed 14. Indicate the value of personal I 0 . 0.0 property Included In the sets _ ASSESSMENT INFORMATION - Data should rellect the latest Final Assessment Roll and Tax Bill 16. Year of Assessment Roll from 5 6 0 0 which Intel.. claim taken I 1 3 17. Total Assessed Value (of ell parcels In trens6r~~ 18. Property Class 21 1 0 1-LJ 19. School District Name I Southold 29. Tax Map Idena6er(s) I Roll IdentlBer(s) (If more than four, attach sheet with additional Identiflor(e)) District 100QSection 054.00 I I_ I Block 05.00 Lot 028.001 CERTIFICATION 1 earey, that all of dm Items or kdermatann entered on this farm am area and correct (to the best at my knowledge and hol" and 1 undsnted that also making of my argent take statement of - at fart herein wall wkleut non to the pwlide a of the penal host relatlre to the mWn9 and Nkq of false Instmmadr SELLER SIGNATURE BUYER CONTACT INFORMATION ~C- (Enhr:dumaron for use buyer. Note It dyer h Llc society. anooekoe, mryOromn. I ii amtl, company. ewte or aarsy seal. not an individual agent arfidrdary, aim a name and comae dmmaon I d an mdnwasrawm&Wo pwy who can mh euasdons ragrdrg e s transfer must be errs aa. SELLERINGIATURE / WE Type or print clearly.) BUY/ERS~IIG~NATURE Kelembelidis Patsis, Thalia 1291 usT NwE nRST rauc - WHEN ex:NrlrlarE WE BUYER'S ATTORNEY ARIEA CODE l TELEPHONE NUMOER Kirwin I Andrew 127 Winthrop Road LAST NAME F.Rm 4AUE-- STREETNWMR STAbbI mom 212 1 869-8220 Roslyn Heights NY 11577 AREA000E TELEPHONE NUMER , NEW YORK STATE ONORTOWN FFATE ZIP CODE COPY