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L 12755 P 104
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/05/2013 Number of Pages: 4 At: 10:30:33 AM Receipt Number : 13-0155852 TRANSFER TAX NUMBER: 13-12442 LIBER: D00012755 PAGE: 104 District: Section: Block: Lot: 1000 031.00 13.00 007.001 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 $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: 13-12442 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County • 2] RECORDED 2013 Dec 05 10:30:33 AM JUDITH A. PASC:ALE Number of pages CLERK OF SUFFOLK COUNTY L D00012755 P 104 This document will be public DT# 13-12442 record. Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps 3 FEES Page / Filing Fee 1 Mortgage Amt. 1. Basic Tax Handling 00 2. Additional Tax TP-584 Sub Total Spec./Assn. Notation jl or EA-5217(County) Sub Total Spec. /Add. EA-5217 (State) _ TOT. MTG. TAX r ~l Dual Town Dual County _ R.P.T.S.A. Held for Appointment r' Transfer Tax Comm. of Ed. S. 00 Affidavit + 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 W' If NO, see appropriate tax clause on page # of this instrument. cad • f 3 4 Dist. f ~ RInr4 1 '-7-) Lot,n 111, 5 Community Preservation Fund Reat Propel 13032465 1000 03100 1300 007001 Consideration Amount $ serf ato T s 11111 Jill JAgency R o , 111111111 CPF Tax Due improved DTY 6 Satisfa--.. Iress 0a) / RECORD & RETURN TO: Vacant Land V n -OL 4c5 r TD f} r :4 ?ncc S4 ©~l e TD GT p(04 o l TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co. Name www.suffolkcountyny.gov/clerk Title l 8 Suffolk County Recording & Endorsement Page This page forms part of the attached D ee'j made by: f ` (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. j TO In the TOWN of 5 0b ! "'~1 d ~CD~1 I In the VILLAGE or HAMLET of BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over c: NY 018 - Quitclaim Deed - Individual or Corporation (Single She,4 (NYBTU 8004) 31 . •(.3r 1 , l CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 3o day of SEPTEMBER, in the year 2013 BETWEEN VICKY STAVROLAKES, (aka "LAKES" aka "VICKY PAPSON"), residing at 63 Revonah Circle, Stamford, CT 06905 party of the first part, and VICKY PAPSON, TRUSTEE OF THE VICKY PAPSON REVOCABLE TRUST u/a/d December 6, 2012, residing at 63 Revonah Circle, Stamford, CT 06905 as to FIFTY ONE PERCENT (51%) and KIMBERLY STAVROLAKES residing at 1 l 1 Cedar Hill Road, Bedford, NY 10506 as to TWENTY FOUR and ONE HALF PERCENT (24.5%) and GEORGIANA STAVROLAKES residing at 506 Foxboro Drive, Norwalk, CT 06851 as to TWENTY FOUR and ONE HALF PERCENT (24,5%) ALL AS TENANTS IN COMMON. party of the second part, WITNESSETH, that the party ofthe first part, in consideration often dollars and other valuable consideration paid by the party ofthe second part, does hereby grant and release unto the party of the second pan, the heirs or successors and assigns ofthe party of the second part forever, ALL that certain plot, piece or parcel of land with the buildings and improvements thereon er cted, situate, lying and being in the `y-, 'Y `s'` k U SEE SCHEDULE "A" ATTACHED HERETO 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 parry 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 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 ofthis indenture so requires. IN WITNESS WHEREOF, the party ofthe first part has dul executed this deed the day and year first above written. IN PRESENCE OF: VICKY STAVROLAKES aka LAKES aka VIC PAPSON USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLY. USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLY: 'State of New York, County of WESTCHESTER ) ss.: State of New York, County of ) ss.: On the 30 day of SEPTEMBER in the year 2013 On the day of in the year before me, the undersigned, personally dppeared' VICKY before me, the undersigned, personally appeared personally STAVROLAKES, aka, "Lakes" aka Vicky Papson, personally known to me or proved to me on the basis of satisfactory evidence 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 to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by 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 his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the person upon behalf f which the individual(s) acted, executed the instrument. in ument. ` ANTHONY J. IACONIS Notary Public, State of New York ~ ~I"~ No.31-499021215 n__+v Qualified in Ue--y0ff ounty Commission Expires Feb. 10, 2U ACKNOiVLEDGMENTFORM FOR USEOUTSIDENEWYORK STATEONL Y. ACKNOWLEDGAfENTFORM FORUSEWITHINNEWYORKSTATEONLY. /Out afState or Foreign General Acknowledgment Certificate) (New York Subscribing Witness Acknowledgmenl Certificate) - - - - } Ss.: State of New York, County of ) ss.• (Complete Venue with State, Country, Province or Municipaliry) On the day of in the year On the day of in the year before me, the undersigned, personally appeared before me, the undersigned, personally appeared the subscribing witness to the foregoing instrument, with whom l personally known to me or proved to me on the basis of satisfactory am personally acquainted, who, being by me duly sworn, did evidence to be the individual(s) whose name(s) is (are) subscribed depose and say that he/she/they reside(s) in to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), that by his/her/ (f the place ofresidence is in a city, include the street and street number, if their signature(s) on the instrument, the individual(s), or the person any, ihereoj); that he/she/they know(s) to be the individual described upon behalf of which the individual(s) acted, executed the in and who executed the foregoing instrument; that said subscribing instrument. witness was present and saw said execute the same; and that said witness at the same time subscribed his/her/their name(s) as a witness thereto. QUITCLAIM DEED DISTRICT TITLFNO, SECTION 31 BLOCK 13 VICKY STAVROLAKES AKA "LAKES" aka VICKY PAPSON LOT 7-1 COUNTYORTOWN SOUTHOLD TO VICKY PAPSON REVOCABLE TRUST uad December 12,2012 RECORDEDATREQUES'TOF Fidelity National Title Insurance Company RETURN BY MAIL TO FIDELITY NATIONAL TITLE INSURANCE COMPANY ANTHONY 1ACONIS lNCOAPoPATPD 1928 DISERIO MARTIN OCONNOR & CASTIGLIONI, LLP I ATLANTIC STREET STAMFORD, CT 06901 cyt.~ LYe Fidelity Msndrer New YontSmre land nde MwMdon W O O O Q LL O Ifl fQ Metes and bounds description of Parcel 1 Map of Papson Filed Map # 11181, filed 11-09-2004 Suffolk County Tax Map # 1000-31-13-7.1 East Marion, Town of Southold, County of Suffolk Beginning at a point on the southerly side of Main Road (S.R. 25) at the intersection of the southerly side of Main Road (S.R. 25) and the northeasterly side of Truman's Path, said point being 2,770' more or less east of the easterly side of Old Orchard Road as measured along the southerly side of Main Road (S.R. 25); running thence easterly from said point of beginning along the southerly side of Main Road (S.R. 25) S 85° 32' 50" E 127.19' to Parcel 2 on the map of Papson; running thence southeasterly and southwesterly along said Parcel 2 the following three (3) courses and distances: 1) S 26° 11' 20' E 381.21' 2 S 26° 26' 20" E 400.00' 3) S 55° 37' 41" W 104.51' to the northeasterly side of Truman's Path; running thence northwesterly along the northeasterly side of Truman's Path the following six (6) courses and distances: 1) N 35° 48' 10" W 38.72- 2) N 31° 53' 10" W 108.40' 3) N 31° 06' 50" W 138.40' 4) N 25° 06'50" W 65.34- 5) N 24° 22' 40" W 300.89' 6) N 23° 18' 00" W 211.24' to the intersection of the southerly side of Main Road (S.R. 25) and the northeasterly side of Truman's Path and the point or place of beginning, containing within said bounds 2.29 acres. of NFL DALY fo co n hfo.5pp66 ~~P, ~yS~O 'AND INSTRUCTIONS(RP-5217•PDF-INS): www.orps.state.ny.us FOR COUNTY USE ONLY New York State Department of C1. WAS coda Taxation and Finance C2. Date Deed Recorded I I /0 5 / I Once of Real Property Tax Services aw YoI RP- 5217-PDF C3. Book) 5. S j Cd. Page 1 Real Property Transfer Report (8110) PROPERTY INFORMATION 1. Property :112C Route 25 (Main Road) Location 'G'REET WYBER 'efYEEI MME Sot :hold E . CITY OR -.OM VILNOE • LF COOL 2. Buyer Vicky PaDSOn Revocable Trust uad December 6 2012 trams •1A51 NAYFJCOwxAYa FReI NAMN Kimberly Stavrolakes and Georgians S=avrolakes 48f MAIFJCOMPANY IMeI nAlf. 3. Tam Indicate where future Tax Bas are to be sent Pa pson Vicky Billing g other than buyer address(at bottom of form) LAmT NAMECLWPANT F MST YAIIE Address 63 Revonah Circle Stamford CT 06901 STREET NLAMER AND NAME CITYORnTMN WATE mpC e. Indicate the number of Assessment 1 (only fi Pert of a Parcel) Check as they apply: Roll parcels transferred on the deed s or Pacers OR El Pan of a Penal Z sA. Planning Board with Subdivision Authority Exists ? e. Dead X OR L--V- eB.Subdivision Approval was Raqwred for Transfer ? sProperly 'FRONTFEET DEPTH •ACPE9 /C.Panxl Approved for Subdivision wah Map Provided ? Stavrolakes, Vicky (aka e. Sailer •LA1tMYLCaMWWY FIRS-HAW Maine 'Lakes" aka"Vicky Papson" LAST r1.E QOMPAN` Most NAME 7. Select the description which most mcurstely describes the Check the boxes below as they apply: use of the property at the time of min: s.Oweerohip Type is Coldomllsum ? C. Residential Vacant Land a.New Contsrutdion on a Vacant Land ? IeA. Property Located wdhln an Agnallural Dot" ? 108. Buyer received a disclosure notice indiesung that the property is in an ? Agricultural District ISALE INFORMATION 16.Check one or more sewn sasapplicable totrsns A. Sala Between Relatives or Forma Relatives It. sale Cataract Data 09/16/2013 B. Sole between Related Companies or Partners In Business. C. One of the Buyers is also a Salle •t2. Data of Seletrrarofer 09/ 0/2013 D Buyer or Seller is Government Agency or Lending InsaEmion x E. Dead Type not Warranty or Bargain and Selo (Specify Below) F Sam of Fractional or Leas than Fee Interest (Speay Below) '13. Full Sale Price .00 G Signdlesnt Change in Property Between Taxable Status and Sae Dates H Sale of Business is Included in Sale Price ( FW Sale Price Is the War amount polo for the property Including personal property. I. Other Unusual Factors Affect ng Sae Prim (Specify Below) This payment may be in the term of Cash, other property or goods, or the assumption Or i NOW mortgages or other obligations.) Reese round to me no~ whole dblaamourd. 'Comment(s) on Condition: 1e. Indicate the value of personal U property Included In the sale .00 Quitclaim ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill I 16. Year of Assossment Roll from which I for aden taken(M 12 '17. Total Assessed Value 1 r 800 •18.Property Class 4'1•b _A1 _ •19.School District Name Oyster Pond School •20. Tax Map Identifier(sylloll Idemlllerls) (If more than four, attach sheet with additional IdentlMr(a8 ~ooa 4761690- 31.-13-7.10 01 P"IFICATION I Certify that all of the Items of Information entered an this form are true and correct (W the best of my knowledge and belief) and I understand that the making of any willful false slelement of material fact heroin subject me to thaprovislmu of Ilia penal low raistwe to the making and filing of false Instruments. SELLER SIGNATURE BUYER CONTACT INFORMATION (Enter nlrcmawn -or are t6m Now I• bear a tLC Nows, asmcrft n, Garman. plot axe -P.T. awa or 3 emery out a Pa W INNINI cal apace a Wooly. than a na lla and contact in rrwxwn e. on % eNdAY aaPanrga Pa•h ANxt tin aww r (uaWdq regard no aw:Y1nYw roue ate orsum. Typo er Prtnl Clearly) SEDER SIaNAnxhE Ti pASIGNAT R Papson Vicky (8O1~ER \ • IASI IWWE rw51 NAME (203) 253-.382 'AREA CODE •fC'1AOIENtIYNER(G ea99aro1 aER 11AE DAW U X ~A..n X~~L5/l7 63 Ravonah Circle ~ • $TREET NJe&aA • siwcr -c V - ; Stamford CT 06905 'Cif-CRTOMN 11A:E -aPCmE BUYER'S ATTORNEY laconis Anthony I .AST NAME F05I NAME I I + (203) 358-0800 w1EACODE InfAWge NUt®ERIEa Wwaw) I I ( 1