HomeMy WebLinkAboutL 12903 P 591SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 03/07/2017
Number of Pages: 3 At: 09:30:40 AM
Receipt Number : 17-0039349
TRANSFER TAX NUMER: 16-23616 LIBER: D00012903
PAGE: 591
District: Section: Block: Lot:
1000 022.00 04.00 010.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $1,787.00
Received the Following Fees For Above Instrument
JUDITH A. PASCALE
County Clerk, Suffolk County
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
$250.00
NO
TP -584
$5.00
NO
Notation
$0.00
NO
Cert.Copies
$0.00
NO
RPT
$200.00
NO
Transfer tax
$0.00
NO
Comm.Pres
$0.00
NO
Fees Paid
$515.00
TRANSFER TAX NUMBER:
16-23616
THIS PAGE
IS A PART
OF THE INSTRUMENT
THIS IS NOT
A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
uuRECORDED
2017 Mar- 07 09:30:40 All
JUDITH A. PASCALE
Number of pages CLERK OF
SUFFOLK COUNTY
L 400012903
This document will be public P 591
record. Please remove all DT## 16-23616
Social Security Numbers
prior to recording.
Deed/ Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps
3 FEES
Page /Filing Fee 15700
Mortgage Amt.
1. Basic Tax
Handling 20. 00
_ 2. Additional Tax
TP -584 '5 6D Sub Total
Notation Spec./Assit.
7y� or
EA -52 17 (County) �7 5jg) Sub Total w Spec. /Add.
EA-5217(State)TOT. MTG. TAX
R. P. T.S.A. Dual Town Dual County
Heid forAppointment
Comm. of Ed. 5. 00 Transfer Tax
9
Affidavit + �. Mansion Tax
�/ The property covered by this mortgage is
Certified Copy lJl� or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only. /
Sub Total w YES or NO ✓
Other � Gam,
Grand Total ✓ �. W If NO, see appropriate tax clause on
/•_ � � page 4of this instrumen . � I
1 d
4 1 Dist.
17007717
Real Properl
Tax Service P T S
Agency R LPA A
Verification 07 -MAR -1
6 Sat isfactions/Dischargees�
1000 02200 0400 010000
so s.Lirt P rpQ�rty Owners Mailing Add
-] G�-1 O 2-�J
5 Community Preservation Fund
Consideration Amount $ l _�_$ "CX)
CPF Tax Due $
Improved /
Vacant Land V
TD /0
TD `
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 1 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co. Name
www.stiffolkcountyny.gov/clerk Title #
8 Suffolk County Recording & -Endorsement Page
This page forms part of the attachedzt c)�a -C Ln CQ! 'j made
/ by: '1 ` SPECIFY TYPE OF INSTRUMENT)
�-X.JI qD(�- ,nU4-6I h The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of
"' in the VILLAGE
AA-)Cy�k own or HAMLET of Eon8 ff laccn
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
DISTRICT
1000
SECTION
022.00
BLOCK
04.00
LOT
010.000
OS -0120 WM
SUFFOLK COUNTY
REPLACEMENT DEED
THIS INDENTURE, made the day of , 2017
BETWEEN the COUNTY OF SUFFOLK, a municipal corporation of
the State of New York, having its principal office at the
Suffolk County Center, Center Drive, Riverhead, New York
11901, party of the first part, and
BILL THEOHARIS, ANTHONY THEOHARIS AND ANNA ARABOS, 79-10
34th Avenue, Apt. 2N, Jackson Heights, NY 11372, party of the
second part,
WITNESSETH, that the party of the first part, pursuant to
Resolution Number 983-2011 adopted by the Suffolk County
Legislature on December 06, 2011 and, thereafter, approved by
the County Executive on December 14, 2011, in consideration of
ten dollars paid by the party of the second part does hereby
remise, release, and quitclaim 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 any
buildings and improvements- thereon- erected, situate,
lying and being in the Town of'. Southold, County of
Suffolk and State of New York, and' acquired by Tax Deed
on June 02, 2011, from Angie M. Carpenter, the County
Treasurer of Suffolk County, New York, and recorded on
June 11, 2011, in Liber 12661, at Page 629, and otherwise
known as Lot No. 12, on a certain map entitled "Map of
Stars Manor", filed in the Office of the Clerk of the
County of Suffolk on September 19, 1963 as Map No. 3864;
and
FURTHER, notwithstanding the above description, it is the
intention of this conveyance to give title only to such
property as was acquired by the County of Suffolk by Tax Deed
on June 02, 2011, from Angie M. Carpenter, the County
Treasurer of Suffolk County, New York, and recorded on June
11, 2011, in Liber 12661 at Page 629.
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;
THIS DEED is given to replace a deed originally issued on
December 21, 2011, which has never been recorded and is
presumed lost and destroyed based upon the affidavit proffered
by Anthony Theoharis, dated February 6, 2017.
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.
SUBJECT to all covenants, restrictions and easements of
record, if any.
SUBJECT to any state of facts which an accurate survey
might show.
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1I? COUNTY USE ONLY
C1. SMS Code I J
C2. Data Dood Recorded L -
C3• Book fa_z/ (l
PROPERTY INFORMATION
INSTtTUCT NS(RM-5217-I'DF INS) www eros slate ny us
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Now York State Department of
- 1
IOC, r�
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Taxation and Finance
I
Office of Real Property Tax Services
C4. Page ,
RP- 5217 -PDF
i- _ J
I Real Property Transfer Report (8110)
1. PropertyC+-
Localion
i FEET hMa9ER
10 ILLI NJNL
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Ljsz MarTor. 939
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2. Buyer
Iec.:iar-s
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111'.11 8 An:.:i,)-iy
Name
• LW wwaicow`Aw
:.115. NAM
A: .,taft
Anna
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• • FIRS: NM1YI' -
3 Tax 'noicale where futJro rax D Its are to be sent
Billing II other iron b..yer addreSS(al bc.tom of form) -,;�y• vN, ;oy,•, "' rinst vnvl. '--
Address •
el•111.1 hJNI1LI+AY3MV= OIIYM'e:YY �•-• -•- :ilx'_ !"r,lG:-
4. Indicate the number of AssessmentI _i pan of a _weal (Only If Pan of a Pareol) Cheek as they apply.
Roll parents transferred on the dead a cr Parcels OR _
4A. P an -mg Board with S.etl v sen Aulheldy E■ sts l �
5. Dead
iS C)R / 4B. Subdni9•tr. Apa•uvx N+ws Real:Iroc for Trens'e•
Property •'RO\T rTf1 -31L.-Til •K.RES •_-
Slzs 40. Parcel Approved!m Su:,GNIs'c^ with eche p•rvinni _I
Co.lr.ty OL SJ. {;l F.
`1119: hen.
Nome
rA9+ 9AVEICOL'PAW •--
•7. Select the description which most accurately describes the
use of the property at the time of sale:
C. Reswunt(ai Vacant Land
SALE INFORMATION
11 Sale Contract Dale C 9 /23 12. 01 I.
12. Date of SalerTranshor G 1. / ' U /2 01 7
•13 Full Sale Price - • 78-7.00
[ F0 Sale Pnce •9 the win, amount pale for the prodCly Includ ng panumal prece•ty
T -1s payment -nay be n the form M cash o;rer ompa'ly, or goods, or I -e ass.mphon or
martgages or other eh :pa::ors ) Please round to Ine neeresf wrrolo dollar amount
• lint hNYL' ... _ _ . ... _.
Chock the boxes below as they apply:
It. Owne-ship Type s Ccndom:n..•n
9. New Concruclren a- a Vacon! I and
10A. Property Lo=ed Nn:hr1 an Agrimoulo lilstr ct
198. BUYS' Foosived a Clae O66rC -ellco 1ncicaling :h:ll the propenv Is in a'
Agicu%wall D sl•KI ._-
19. Chock one or more of these conditions as applicable to transfer'
HEA. Solo Bo:wcon 1.6-allvss or Fo-nor R61a:.vos
B Salo oeless n Relwec Companies or -�alrne•e 1n I_rus nese.
C One or Ina 3::yom Is also a Seller
D B..yer o• Se"or Is Government Agency or .c -ding 'ns: ll.t-nn
• ' 1 E. Dead Tyoe not'Alunan:y or Sarga n and Sills (SFecdy Below)
' 1- Sa'e of Fracl.onal or • ass :.9un i•ce.n:a•Cst !Spec ly Aelowi
( to S g-IIIran1 Change In Proce-ty Bolwes9 -rouble Status ane Savo Deas
I I N Sale of Rosiness is'ncluded P Sale Price
I. Other Unusl.a' Factom AIIec.Ing Solo once (Spoc•ly nuiew)
J. hone
•Commont(s) on Condition.
14. Indicate the value of personal
property Included In the sole -�� rcolarllr..11:11. Doud
ASSESSMEN I INFORMATION -Data should reflect the latest Final Assessment Roll and Tax Bill
19. Year of Assessment Roll from which Infarction laken(YY) •17. Total Assessed Value
119. Property Clean ? i 1 •19 School District Name +•,
12e. Tex Map Idontlllor(syRoll Identifler(s) (If more than four, attaeh sheet With additional Identifier(s))
10CC-022.00-C4 .0C 0:O.000
CERTIFICATION
I Certify that all of the Items of Information entered on this form aro true and correct (to the test of my knowledge and belief) and I understand that the making of any %wilful
/16,11880 statement of material feet herein subject me to the.Wvjsrons of the penal law relative to the making and filing of false instruments
��L n y y SELLER SIGNATURE BUYF.R CONTACT INFORMATION
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