HomeMy WebLinkAboutL 12825 P 87SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 07/23/2015
Number of Pages: 8 At: 11:23:22 AM
Receipt Number : 15-0097945
TRANSFER TAX NUMBER: 14-31503 LIBER: D00012825
PAGE: 087
District: Section: Block: Lot:
1000 023.00 01.00 002.007
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0.00
Received the Following Fees For Above Instrument
JUDITH A. PASCALE
County Clerk, Suffolk County
Exempt
Exempt
Page/Filing
$40.00
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
$240.00
NO
Transfer tax
$0.00
NO
Comm.Pres
$0.00
NO
Fees Paid
$455.00
TRANSFER TAX NUMBER:
14-31503
THIS PAGE
IS A PART
OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pages
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
RECORDED
2015 Jul 23 11:23:22 Ate
JUDITH A. PASCALE
CLERK OF
SUFFOLK COUNTY
L D00012025
P OE'
DT# 14-31503
Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recofding• / Filing Stamps
3 FEES
Page / Filing Fee
Handling 20. 00
TP -584
Notation
EA -52 17 (Co
EA -521 (State) _
R.P.T S.A.4
CO .O 5. 00
Affidavit
Certified Copy
NYS Surcharge
Other
Sub Total
15. 00
Sub Total
Grand Total
Mortgage Amt.
1. Basic Tax
2. Additional Tax _
Sub Total _
Spec./Assit.
or
Spec./Add.
TOT. MTG. TAX _
Dual Town Dual County_
Held for Appointment
Transfer Tax
Mansion Tax
The property covered by this mortgage is
or will be improved by a One or two
family dwelling only.
YES or NO
If NO, see appropriate tax clause pn
?age #�1'_ of thi&.indtrument. ---
4 D,st _ 15018429 E� 5 Community Prese ation Fund
Real Property CPvIT " 11111Jill111�JI1ll1Jill11111111 Consideration Amount $
Tax Service �Agency 5 CPF Tax Due $
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
" RECORD /& RETURN TO: Vacant Land
W i 11"A ivt (, , 60J'7' -'US E5 @ TD 10
TD
MAT -Ti 7'c.cG/C t N� I� �Sa TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 L Title Compawy Information
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/clerk Co,Name FIDELITY NATIONAL TITLE
Title# tS- `7YoY- Cl B"L(o2
8 Suffolk Countv Recordijig & Endorsement Page
This page forms part of the attached 'Q- made by:
(SPECIFY TYPE OF INSTRUMENT)
i' i rn (O �!%Nkc- [ [ L The premises herein is situated in.
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of
�Q In the VILLAGE
or HAMLET of -So
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12o104..10/03kk
(nver)
pT S
Doc I D:
15018429 R VIT A
13tilUL-15
Tax Maps
District
Secton
Block
Lot
School District
Sub Division Name
1000
02300
0100
002007
1000
02200
0300
023002
ORIENT -EAST MARION
1000
02200
0300
023003
ORIENT -EAST MARION
1000
02200
0300
038000
ORIENT -EAST MARION
r15—IS+Z-I
NY 005 - Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation (Single Sheet) (NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
Delive4ed (12-0117_01_5
THIS INDENTURE, made the d Ll day of June in the year 2015
BETWEEN
NY Prime Holding II, LLC, 219-26 Peck Avenue, Queens Village, New York 11427
party of the first part, and
Joseph Berov, residing at 14895 Main Road, East Marion, New York 11939
party of the second part,
WITNESSETH, that the party of the first part, inconsideration 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 or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the
at East Marion, Town of Southold, County of Suffolk, and State of New York, being more
particularly bounded and described as follows:
See, Schedule A attached hereto and made a part hereof
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by
Deed dated June 9, 2014 and recorded in the Office of the Clerk of Suffolk on June 4, 2015 in
Liber 12819 of Deeds at Page 372.
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 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 encumbered in any way whatever, except as aforesaid.
AND the party of the first part, in compliance with Section I I 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: NY PR
BY:
AUGAROV, Managing Mromber
USEACKNOWLEDGMENT FORM BELOW WITHIN NEW YORKSTATEONLY
State ofN�/ewYork, County of Suffolk }ss.:
On theZ 7 day of June in the year 2015
before me, the undersigned, personally appeared
Laser Yadgarov
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 helshe/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.
EUGENE KHAVINSON
NOTARY pr BBLIC-ITATEOf NEW YORK
nd CountY
DtotAf,y PUBLTres June 11. 20�
My Cemmtssion Exp
"6F -NE
ACKNOWLEDGMENT FORM FOR USE WITHLNNEW YORKSTATE ONLY
lNew York Subscribing Witness Acknowledgment Certificate)
State of New York, County of } ss.:
On the day of in the year
before me, the undersigned, personally appeared
the subscribing witness to the foregoing instrument, with whom 1 am
personally acquainted, who, being by me duly sworn, did depose and
say that he/she/they reside(s) in
(if the place of residence is in a city, include the street and street number,
if arty, thereof); that he/she/they know(s)
to be the individual described in and who executed the foregoing
instrument; that said subscribing witness was present and saw said
execute the same; and that said witness at the same time subscribed
his/her/their namc(s) as a witness thereto.
BARGAIN & SALE DEED
W rm COVLNAM AGAINST 6RANTO)R'S ACTS
TITLE No.
NY PRIME HOLDINGS II, LLC
TO
JOSEPH BEROV
FIDELITY NATIONAL TITLE
INSURANCE COMPANY
INCORYONATEU I928
Fidelity 4&,.1"
M�m6rr NeuYrrrk 5earc land Trll�A.cn,cwrinn
USEACKNOWLEDGMENT FORM BELOW WITH/NNEW YORK,STATEONLY.•
State of New York, County of } ss.:
On the day of in the year
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 (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.
ACKNOWLEDGMENT FORM FOR USEOUTmENEW YORK STATE ONLY.•
10ut of Stare or Foreign General Acknowledgment Certificutel
................................................. }ss.:
(Complete Venue with State. Country. Province or Municipality)
On the day of in the year
before me, the undersigned, personally appeared
personally known to me or proved to me on the basis of satisfactory
evidence to he the individual(s) whose name(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), 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
(hisert the city or other political subdivision and the state or country or
other place the acknowledgment was taken).
DISTRICT
SECTION
BLOCK
LOT
COUNTY OR TOWN Southold
RECORDED AT REQUEST OF
Fidelity National Title Insurance Company
RETURN BY MAIL TO
WILLIAM C. GOGGINS, Esq.
P.O. Box 65
Mattituck, New York 11952
Fidelity National Title Insurance Company
TITLE 10. F15-7404-98429-SUFF
SCHEDULE A-1 (Description)
Parcel I (Tax Lot 1000 - 22 - 3 - 38)
ALL that certain plot, piece or parcel of land, situate, lying and being at East Marion, Town of Southold, County of
Suffolk and State of New York, being bounded and described as follows:
BEGINNING at a point the following five courses and distances from the intersection of the westerly and southerly sides
of the land now or formerly of Treasure Island Cove, LLC and land now or formerly of Domeluca LLC and the northerly
line of Main Road (State Route 25):
1) North 6l degrees 28 minutes 00 seconds West; a distance of 124.39 feet;
2) Tl-IENCE North 84 degrees 54 minutes 20 seconds West, a distance of 337.58 feet:
3) THENCE North 66 degrees 00 minutes 00 seconds West a distance of 140.90 feet;
4) THENCE North 46 degrees 04 minutes 00 seconds West, a distance of 127.88 feet,-
5)
eet;5) TlIENCE North 15 degrees 30 minutes 00 seconds West, a distance of 20.00 feet to the point or place of
BEG1\N°NNG.
RUNNING THENCE along the northerly side of land of Qualified Terminable Interest Property Trust the following oxo
courses and distances:
1) South 74 degrees 30 minutes 00 seconds West, a distance of 130.00 feet;
2) South 72 degrees 30 minutes 00 seconds West, a distance of 121.48 feet to the high water mark of Dam Pond;
THENCE along the high water mark of Dam Pond the following courses and distances:
North 10 degrees 47 minutes 41 seconds West a distance of 112.89 feet;
TI- ENCF North 62 degree; 09 minutes 43 seconds West, a distance of 62.29 feet;
THENCE North 00 degrees 14 minutes 53 seconds Nest, a distance of 94.06 feet_
THENCE North 31 degrees 47 minutes 05 seconds East, a distance of 56.60 feet;
THENCE North 62 degrees 00 minutes 41 seconds East a distance of 187.69 feet;
TIEENCE North 32 degrees 55 minutes 02 seconds East a distance of 50.01. feet to the land now or formerlv of Domeluca
LLC:
THENCE along said land, South 15 degrees 30 minutes 00 seconds East, a distance of 353.96 feet to the point or place of
BEGI1"NfNG.
Fidelity National Title Insurance Company
TITLE NO. F I 5-7404-98429-SUFF
SCHEDULE A-1 (Description)
(Continued)
Parcel I I (Tax Lot 1000 - 23 - I - 2.7)
ALL that certain plot, piece or parcel of land, situate, lying and being at East Marion, Town of Southold, County of
Suffolk and State of New York, being bounded and described as follows:
BEGINNING at a point or place of beginning, said point being the intersection of the westerly side of the land now or
formerly of Treasure Island Cove LLC and the northerly line of Main Road (State Route 25); running along the northerly
side of Main Road, State Route 25 South 63 degrees 44 minutes 58 seconds West a distance of 50.00 feet to the beginning
of a curve tangent to said line;
THENCE southwesterly a distance of 652.73 feet along the curve concave to the southeast, having a radius of 2898.00
feet and a central angle of 12 degrees 54 minutes 18 seconds;
THENCE South 50 degrees 50 minutes 40 seconds West tangent to said curve, a distance of 470.77 feet to the land now
or formerly of BroAn, Hulse, Kalin and Quintana;
THENCE along said land North 39 degrees 09 minutes 20 seconds West a distance of 61.76 feet to the average high water
mark of Dam Pond;
THENCE along the average high water mark of Dam Pond in an easterly and then northerly direction, Norlh 68 degrees
51 minutes 02 seconds East a distance of 103.10 feet;
THENCE North 41 degrees 24 minutes 02 seconds East, a distance of 136.77 feet;
THENCE North 58 degrees 29 minutes 47 seconds East, a distance of 282.45 feet;
THENCE North 47 degrees 55 minutes 12 seconds East, a distance of 2 10.3 9 feet;
THENCE North 43 degrees 43 minutes 41 seconds East, a distance of 138.33 feet;
THENCE South 07 degrees 59 minutes 55 seconds East, a distance of31.07 feet;
THENCE North 59 degrees 06 minutes 50 seconds East, a distance of 145.52 feet,-
THENCE
eet;THENCE North 00 degrees 41 minutes 45 seconds West, a distance of 42.32 feet;
THENCE North 88 degrees 37 minutes 39 seconds West, a distance of 83.33 feet;
THENCE North 82 degrees 26 minutes 24 seconds West, a distance of 223.40 feet;
THENCE South 85 degrees 17 minutes 36 seconds West, a distance of 198.70 feet;
THENCE North 62 degrees 30 minutes 54 seconds West, a distance of 165.78 feet;
THENCE North 42 degrees 39 minutes 04 seconds West, a distance of 110.55 feet;
THE POLICY TO HE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which
by law constitute real property.
FOR CONVEYANCING ONLY. Together with all the right, title and interest of the part of the first part, of in and to the land lying
in the street in front of and adjoining said premises.
SCHEDULEA-1 (Description)
Fidelity National Tittle Insurance Company
TITLE NO. F35-7404-98429-SUFF
SCHEDULE A-1 (Description)
(Continued)
THENCE North 03 degrees 06 minutes 08 seconds East a distance of 19.36 feet to the land of Qualified Terminable
Interest Property "Crust; and
THENCE along said land the following two courses and distances:
I) North 72 degrees 30 minutes 00 seconds East, a distance of 121.48 feet;
2) THENCE North 74 degrees 30 minutes 00 seconds East, a distance of 130.00 feet to the land now or formerly of
Domeluca LLC;
THENCE along last mentioned land, South 15 degrees 30 minutes 00 seconds East, a distance of 20.00 feet;
THENCE South 46 degrees 04 minutes 00 seconds East, a distance of 127.88 feet;
THENCE South 66 degrees 00 minutes 00 seconds East, a distance of 140.90 feet;
THENCE South 84 degrees 54minutes 20 seconds East, a distance of 337.58 feet;
THENCE South 61 degrees 28 minutes 00 seconds East a distance of 124.39 feet to the point or place of BEG[NNING.
THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which
by Imv constitute real property.
FOR CONVEYANCING ONLY: Together with all the right, title and interest of the part of 1he first part, of in and to the land lying
in the street in front of and adjoining said premises.
SCIIFDULEA-t (Description)
Fidelity National Title Insurance Company
TITLE NO. F15-7404-98429-SUFF
t SCHEDULE A-1 (Description)
(Continued)
Parcel III (Tax Lot Parcel 1000 - 22- 3 - 23.2)
ALL that certain plot, piece or parcel of land, situate, lying and being at East Marion, Town of Southold, County of
Suffolk and State of New York, being bounded and described as follows:
BEGINNING at a point of beginning said point being the following five courses and distances from the intersection of the
westerly side of the land now or formerly of Treasure Island Cove LLC and land now or formerly of Domeluca LLC and
the northerly line of Main Road (State Route 25);
THENCE North 61 degrees 28 minutes 00 seconds West, a distance of 124.39 feet;
THENCE North 84 degrees 54 minutes 20 seconds West a distance of 337.58 feet;
THENCE North 66 degrees 00 minutes 00 seconds West, a distance of 140.90 feet;
THENCE North 46 degrees 04 minutes 00 seconds West a distance of 127.88 feet;
THENCE North 15 degrees 30 minutes 00 seconds West a distance of 865 feet to the southwesterly comer of land of
Domeluca LLC and the northerly line of Dam Pond,
RUNNING TI IENCE from said point or place of beginning along the northerly line of Dam Pond North 82 degrees 30
minutes 00 seconds West, a distance of 340.00 feet to the land of Gillispie and Vaughan;
THENCE along the land of Gillispie and Vaughan North 00 degrees 37 minutes 05 seconds West, a distance of 145.00
feet to the southerly line of the Long Island Sound;
THENCE along the southerly line of the Long Island Sound South 81 degrees 30 minutes 00 seconds East a distance of
300.00 feet to the land now or formerly of Domeluca LLC;
THENCE along last mentioned South 16 degrees 08 minutes 24 seconds East, a distance of 150.00 feet to the point or
place of BEGINNING.
THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which
by law constitute real property.
FOR CONVEYANCING ONLY: Together with all the right, title and interest of the part of the first part, of in and to the land lying
in the street in front of and adjoining said premises.
SCHEDULER-1 (Description)
Fidelity National Title Insurance Company
TITLE NO. F15-7404-98429-SUFF
SCHEDULE A-1 (Description)
(Continued)
Parcel IV (Tax Lot 1000 - 22 - 3- -23.03)
BEGINNING at a point of beginning said point being the following six courses and distances from the intersection of the
westerly side of the land now or formerly of Treasure Island Cove LLC and land now or formerly of Domeluca LLC and
the northerly line of Main Road (State Route 25);
THENCE North 61 degrees 28 minutes 00 seconds West a distance of 124.39 feet;
THENCE North 84 degrees 54 minutes 20 seconds West, a distance of 337.58 feet;
THENCE North 66 degrees 00 minutes 00 seconds West, a distance of 140.90 feet;
THENCE North 46 degrees 04 minutes 00 seconds West, a distance of 127.88 feet;
THENCE North 15 degrees 30 minutes 00 seconds West, a distance of 865 feet;
THENCE North 82 degrees 30 minutes 00 seconds West a distance of 340.00 feet to the southwesterly corner of the land
to be described;
RUNNING TI-IENCE from said point or place of beginning along the northerly line of Dam Pond North 82 degrees 30
minutes 00 seconds West a distance of 340.00 feet to the land now or formerly of Beaumont;
THENCE along the last mentioned land North 15 degrees 00 minutes 00 seconds East, a distance of 150.00 feet to the
Long Island Sound;
THENCE along the Long Island Sound South 81 degrees 30 minutes 00 seconds East, a distance of 300.00 feet to land
now or formerly of Domeluca, LLC;
THENCE South 00 degrees 37 minutes 05 seconds East a distance of 145.00 feet to the point or place of BEGINNING.
THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on rhe premises which
by law constitute real property.
FOR CONVEYANCING ONLY: Together with all the right, title and interest of rhe part of the first part, of in and to the land lying
in the street in front of and adjoining said premises.
SCHEDULE.4-1 (Description)
)R COUNTY USE ONLY New York State Department of
C1. Stu" cede 1 q,7 , `, , 43, $,CI I I Taxation and Finance
C2. Date Deed Recorded 1 `-' 7/OL 3A 5
a 1
'""a
ow Yq
C3. Book K O. S C4. Page i , , 03 r7
PROPERTY INFORMATION
W,
Office of Real Property Tax Services
RP- 5217 -PDF
Real Property Transfer Report (BMD)
I. Property
14895
Main Road
Location
CITY OR TOM STATE
aFCODE
4. Indicate the number of Asesssmwd 4
'61NEEi NUMBER
'STREET rASE
Roll parcels transferred on the deed sof Partreb
Southold
. CITY ORTOwI
East Marion 11939
YLLADE ' 7YCODE
7. Buyer
Berov
Joseph
Marna
• WTWIEf Ed/P11NY
FRET NIWE
WT MALWJCDLWANY
]. Tex Indicate where future Tax Bills are to be sent
Billing if other than buyer addressfat bottom of form)
Address
FIRST TAME
WTRuuocowwn RRSTNKE
erREEr NLKWRArDNUU
CITY OR TOM STATE
aFCODE
4. Indicate the number of Asesssmwd 4
[-]Part of a Parcel Only If Part of a Parcel) Check as 9W appy:
❑
Roll parcels transferred on the deed sof Partreb
OR 4A. Planning Board with Subdivision Authority Exists
S. Deed OR
0.00 4B. Subdivision Approval was Required for Transfer
❑
Property -FROr FEET -DEPTH
'ACRES
F1Agricultural
Slxs
4C. Parcel Approved for Subdivision with flap Provided
NY Prime Holding II, LTC
IS.
Check one or more of these conditions as applicable to transfer:
6. Seller' MST MAMF.CTRPArw
Fa9Txwa
Name
11. Sale Contract Date
WT NAMEVOW"y
nnsk Iw[
'7. select the description which most accurately describes the
Check the boxes below as they apply:
use at the property at the time of sale:
5. Ownership Type is Condominium
❑
C. Residential mreM 6rNMl r-
O f.+Q
9. New ConstiucDOn on a Vacant Land
fall. Property Located within an Agricultural District
❑
108. Buyer received a disclosure notice indicating that the property is in an
F1Agricultural
District
SALE INFORMATION1
IS.
Check one or more of these conditions as applicable to transfer:
A. Sale Between Relatives or Former Relatives
11. Sale Contract Date
B. Sale between Related Companies or Partners in Business
C One of the Buyers is also a Sailor
•
9
D. Buyer or Setter is Government Agency or Lending Institution
17. Data el SelaRrene(er `i /
E. Deed Type not Vtfarremy of Bargain and Sale (Specify Below)
F. Sale of Fractional or Law than Fee Interest (Speciy Below)
Full Sale Price 0 , pl i
G. Significant Change in Property Between Taxable Status and Sale Dates
N Sale of Business is Induded m Sale Price
( Full Sok Price is the total amount paid for the property including personal property.
I. Omer Unusual Factors Affecting Sale Price (Specify Below)
This payment may be in the form of rash, other properly or goods. or the assumption of
J. None
mortgages Or Other Obligations.) Please round to the nearest whole doser amount.
Commengs) on Condition:
14. Indicate the value of personal 0 ,fel)
property Included In the Sale
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from which Information taken(yY) 2014 '17. Total Assessed Value i (e O0
'18. Property Class 210 323 317- _ '19.School District Name Oysterponds
'20. Tex Map IdentdBer(sYRetl IdentOags) (lf more than four, attach sham with addklonsl Identiffarjs))
1000-022.00-03.00-038.000 1000-023.00-01.00-002.007 1000-022.00-03.00-07.3.002 1000-022.00-03.00-023.003
CERTIFICATION
I Cantly that all of the items of Information entered on this form are Wa and correct (to the best of my knowledge and belles) end 1 understand that the making of any willful
blue slabMont of material fact heroin subject me to the.provlelons.of the penal.law.relatve to the making and filing of false Instruments.
SELLER LG.NAJURE 5..UYER.Q0 TIJCTJNEORMATJ.ON
NY P(Enter rdarmation for eco buyer. Nan r. buyer is LLC wAly. anaoucn. corporation hint Mock company, ruts r
ng I I,_ LLC euity Im is =an irdindrl sent w foudery, Seri a nskka"cw= clam wa of i n wdNdwv rparR6i.
psrly wiw row ars r qur8rs raBidng the trmdw must be rtrsd TypM r pnt cwry )
LaMR a gerov Berov Joseph
IA.T.UIiE
• WT NAYL FRET NwE
BUYER Sr MTLM DATE
Joseph Berov
'AREA CODE 'TELEPHONE NUSBER IS, WIN W)
14895 Main Road
•ITMIT NUMBER 'STREETNAME
East Marion NY 11939
'CRY OR TOM STATE RP CODE
BU.Y.ER'S. AT.T•ORNEY
Goggins William C.
LAST NAPE FIRST TAME
(631) 298-4818
AREA CODE TELEMM MM.wER {Er elleern