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Home My WebLink AboutL 12839 P 491 ...................... I II1H1 Ill Ilifi 11Th Ill1 Hill DIII 1111 III liD III I II 1111111111 HI 111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 11/04/2015 Number of Pages: 3 At: 02 : 34 : 14 PM Receipt Number : 15-0153621 TRANSFER TAX NUMBER: 15-09914 LIBER: D00012839 PAGE : 491 District: Section: Block: Lot: 1000 030. 00 02 . 00 116.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15.00 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 $250 . 00 TRANSFER TAX NUMBER: 15-09914 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1 r 2 RECORDED 3 . . 2015 Nov 04 02:34:14 PM Number of pages JUDITH P. PRSCRLE CLERK OF SUFFOLK COUNTY This document will be public L D00012839 record. Please remove all P 491 DT# 15-09914 Social Security Numbers prior to recording. Deed/Mortgage Instrument ,�/ Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 I Z7-1'0 /,Ajr.buli ./TL,,O,)4/1/ g FEES ---J 15.04 Front&Back of Deed($10)+Record&End Form($5) Mortgage Amt. Page/Filing Fee 1.Basic Tax Handling 20. 00 2. Additional Tax TP 584 5.00 Sub Total • Spec./Assit. Notation or EA-52 17(County) 5.00 Sub Total 45.00 Spec./Add. EA 5217(State) 125.00 TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. % .a Held forAppointment Comm.of Ed. 5. 00 4 Transfer Tax -- O . .; _;rANI, Mansion Tax Affidavit AerCopy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge Cultural Ed.Fund 15. 00 . 205.00 family dwelling only. Sub Total YES or NO Other ' 250.00 Grand Total If NO, see appropriate tax clause on page tt of this instrumen . 4 I Dist. 5 Community Preservation Fund Real Properi15030146 1000 03000 0200 116000 111111111111111111 I lConsideration Amount$—D — Tax ServicePTS I III CPF Tax Due $ Agency R CWH A Verification 21-OCT-1 _ Improved PCSZ 6SatisfacuunsurscnargVOes ppyOwnersMailingAddressRCRD List Property � n Vacant Land . J-CQ Q�t 1 I'lla rLSI. TD iO �O( J k) • a. TD 1 Z. ( !V 1t7S3 TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page _ This page forms part of the attached T t A Q ,I\004 made by: SPECIFY TYPE OF INSTRUMENT) ` The premises herein is situated in p QQJv< ,� SUFFOLK COUNTY,NEW YORK. , TO • In the TOWN of .1... -(..."-A=kAllJ p {�'' i,. IF �1 ,�' ' 'e ,�j In the VILLAGE . `i SC�J`� II 0 2.a/ „`:-rit,c,l_A,12 p or HAMLET of • BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) • ti —Bargain and Sale Dad,with Covenant against Gratnor's Acts individual or Coryaration(Single Sheet) `�.CONSUL"YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY, THIS INDENTURE,made the I g(6 day of March,in the year 2015 BETWEEN CHRIS LOLIS and HELEN LOLIS,his wife both residing at 43-01 76th Street,Elmhurst,New York 11373 party of the first part,and PANTELIS LOLIS residing at 29-36 169th Street,North Flushing,New York 11358,GEORGE LOLIS residing at 43-01 76th Street,Elmhurst,New York 11373,and ELENI LOLIS,Trustee of the LEFKOTHEA LOLIS 3't'PARTY SUPPLEMENTAL NEEDS TRUST,with an address of 43-01 76th Street,Elmhurst,New York 11373,as Tenants in Common. party of the second part, • WITNESSETH,that the party of the first part,in consideration of Ten(10.00)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 hamlet of East Marion,in the Town of Southold,County of Suffolk and State of New York,known and designated as Lot No.57 on a certain map entitled,"Map of Pebble Beach Farms,East Marion,Town of Southold,Suffolk County,New York",and filed in the office of the Clerk of the County of Suffolk on June 11,1975 as Map No.6266. SUBJECT TO the provisions of a Declaration recorded in the Suffolk County Clerk's Office on June 11,1975 in Liber 7855 at page 09,as amended by Liber 7914 page 40 and Liber 7969 page 272. • • SAID PREMISES BEING KNOWN AS 28-70 The Long Way,East Marion,New York 11939 . This deed is subject to a Life Estate reserved by each of the Grantors. • • 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 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 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 trustfund 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: ;---.7.-7'.. :;-- -- --/f/(--"--\------ Ov\s...t.;....5. ........j...e:r 1.,z), . STEVEN M.ADLER,ESQ. CHRIS LOLIS ' A ,,,,; 9 HELEN LOLIS • I V, . 'ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE , ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of Nassau,ss: State of New York,County of ,ss: On the r(14lay of March in the year 2015,before me,the On the day of in the year ,before me,the undersigned,personally appeared CHRIS LOLIS and HELEN LOLIS undersigned,personally appeared ,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 by 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 his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of which the in .,v. • 5. •,• ecuted the person upon behalf of which the individual(s)acted,executed the instrument. �1 instrument. / $3.01 1 ) d'llt Nor .4%. lc* Ntsrvo • ACKNOWLEDGEMENT BY SUBSCRI:ING WITNESS TAKEN ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK IN NEW YORK STATE STATE State of New York,County of , ss: *State of ,County of , ss: *(Or insert District of Columbia,Territory,Possession or Foreign On the day of in the year ,before me,the County) undersigned,a Notary Public in and for said State,personally appeared ,the subscribing witness to the foregoing instrument,with whom On the day of in the year ,before me the I am personally acquainted,who,being by me duly swom,did depose undersigned personally appeared and say that he/she/they reside(s)in Personally known to me or proved to me on the basis of satisfactory (if the place of residence is in a city,include the street and street number if any,thereof); evidence to be the individual(s)whose name(s)is(are)subscribed to the that he/she/they know(s) 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 to be the individual described in and who executed the foregoing the instrument,the individual(s)or the person upon behalf of which the instrument;that said subscribing witness was present and saw said individual(s)acted,executed the instrument,and that such individual make such appearance before the undersigned in the execute the same;and that said witness at the same time subscribed 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). Bargain and Sale Deed With Covenants SECTION:30 BLOCK:2 Title No. - LOT:116 • COUNTY OR TOWN:SUFFOLK CHRIS LOLIS and ELENI LOLIS TO PANTELIS LOLIS,GEORGE LOLIS,and ELENI LOLIS, Trustee of the LEFKOTHEA LOLIS 3rd PARTY RETURN BY MAIL TO: • SUPPLEMENTAL NEEDS TRUST DISTRIBUTED BY /*/*/% Steven M.Adler,Esq. Law Offices of Steven M.Adler,PLLC YOUR TITLE EXPERTS 390 N.Broadway The Judicial Title Insurance Agency LLC Suite 200 800-281-TITLE(8485) FAX:800-FAX-9396 • Jericho,NY 11753 • FOR COUNTY USE ONLY 1 , i 4!- New York State Department of Cl.WAS code i 1, , 3.12$ , $, ci , , Taxation and Finance C2.Date Deed Recorded I 1 1 /.0c//'g.®is Office of Real Property Tax Services Q3 ""°"a' On "'r RP-5217-PDF C3.Book I /Ta-t v I .r q i C4.Page 1 i i 719 i 1 1 Real Property Transfer Report(BMD) PROPERTY INFORMATION I 1.Proparty 28-70 The Long Way Location .STREET ISMER •STREET NAME East Marion 11939 •CITY OR MN VILLAGE -aFCODE 2.Buyer LOLIS, PANTELIS LOLIS, GEORGE Name •LAST NRll aro.esNY FIRST NAME LOLIS, ELENI - Trustee of LEF;COTHEA LOLIS 3/PTY SNT Mtn NFNER,CIPANY FIRST NAME ].Tax Indicate where future Tax Bills are to be sent Billing if other than buyer address(at bottom of form) LAST NNrecrispew FRET MC Address STREET Mp1epe55 NAME CITY OR TOWN STATE CR CODE 4.Indicate the number of Assessment 1 p of Parcels OR ❑Part of a Parcel (Only If Part of a Parcel)Check as they apply: Roll parcels transferred on the deed4A.Planning Board with Subdivision Authority Exists ❑ 5.Deed Party FRONT FEET X OR 0.49 4B.Subdivision Approval was Required for Transfer 0 •DEFTN 'ACRES Size • 4C.Parcel Approved for Subdivision with Map Provided 0 LOLIS CHRIS 6.Seller %ASTNAYEAWIFANy FRET NONE Name LOLIS HELEN LAST ARE.or wIY FIRSTNAME '7.Select the description which most accurately describes the Check the boxes below as they apply: use of the property at the time of sale: 8.Ownership Type is Condominium ❑ A.One Family Residential 9.New Construction one Vacant Lend ❑ WA.Property Located within an Agricultural District 0 106.Buyer received a disclosure notice indicating that the property is in an ❑ Agricultural District I SALE INFORMATION' 15.Check one or mom of these conditions as applicable to transfer: A.Sale Between Relatives or Former Relatives 11.Sale contract Date 03/16/2015 B.Sale between Related Companies or Partners in Business. C.One of the Buyers is also a Seller 03/18/2015 D.Buyer or Seller is Government Agency or tending Institution '12.Dale of SdaRrensfer E.Deed Type not Warranty or Bargain and Sale(Specify Below) F.Sale of Fractional or Less than Fee Interest(Specify Below) •17.Full Safe Price 0.00 G.Significant Change in Property Between Taxable Status and Sale Dates H(Full Sale Price Is the Idal amount paid for the property including personal property. I.Sale ronBusnesF corsAffecting included in Ser Price This payment may be In the farm of cash.other properly or goods,or the assumption of I.Other Unusual Factors Sak Price(Specify Below) i.None mortgages or other obligations.)Please round to The nearest whale dollar amount. Comment(s)on Condition: 14.Indicate the value of personal No Consideration Transfer to Children - Retained property Included lnthe sale .00 Life Estate. I ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I 18.Year of Assessment Roll from which information taken(YY) 15 •17.Total Assessed Value 4,800 •16.Properly Class 210 _ •16.School District Name Oyster Ponds School •20.Tax Map Identifier(s)/Roll Idendflai(s)(if more than four,attach sheet with additional identMer(s)) Sec 30, 31k 2, Lot 116 CERTIFICATION I I Certlfy that an of the Items of information entered on this form are true and correct(to the bast of my knowledge and belief)and I understand that the making of any willful lalee statement of material fact herein subject me to the.proylslons.of thesenal.law.relative to the making and filing of false Instruments. SELLER SIGNATURE BUYER D.NTACT INFORMATION - (ESe ixantian for eM boyar Not r buyer iseLraLnCaOday,association. sso cation.ecrpeatren poxly.riddb rcorona.!gado a J(�/1 iy ha cm Nrwa,qualms sartlng to Vendor mutt ee adored Type or print clearly.) SELLER SIGNATURE DATE BUYER SIGNATURE LOLIS Eleni •LAST 1055E 1TRST NAAE G/ (718) 639-3869 0C�L•✓'_____ _ 4; 'AR -MUNCIE NUSaEN ID Mat K RIMSIGwruRE DATE 9301 76th Street •STREET NUMBER -STREET NAME ) "I l l III X11 1 Lyi I ' 'I I' ElmhurstNY 11373 .I J 1it ' + Ii I) mhurOw1 ITATE LPfAOECJ ti I Ti I S+' I�(I I t'l �( �� 1l'' j }IS 1i j� I 1' BUYER'S ATTORNEY 1 }' 11 r % S ' yL I1 ij I 1 �1 ADLER STEVEN lit • �{ l'� I' ', } 1IA WTNAMtrRaTNASE�,� s R ��r�l � �}+, !..!1 r 1�'i �rdI ' (5.6) 876-1105�l'I l , i �i i '4 I ��S'" ifi f +' I AREA CODE TLIEFNIaNE wow IE.aaawam 1 , '�I ' , l \ I IL, 'kik, I ' , . 1 + ` II 1