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Home My WebLink AboutL 12909 P 234 1111111 IIII 11111 IIIII IIIA IIIII II111 VIII VII I I I I I IIII 1111111 IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 04/19/2017 Number of Pages : 3 At: 12 :03 : 12 PM Receipt Number : 17-0065743 TRANSFER TAX NUMBER: 16-28085 LIBER: D00012909 PAGE : 234 District: Section: Block: Lot: 1000 038 . 00 03 .00 009. 002 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $10 . 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 $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 $515 . 00 TRANSFER TAX NUMBER: 16-28085 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ao RECORDED 2017 Apr 19 12:03:12 PM Number of pages 3 JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY This document will be public L D00012909 P 234 record. Please remove all DTII 16-28095 Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 ✓ Sub Total Notation SpecJAssit. or EA-52 17(County) y Sub Total -r� Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County_ R.P.T.S.A. Held for Appointment Comm.of Ed. 5. 00 Transfer Tax X3� Mansion Tax Affidavit � The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 )4io- family dwelling only. Sub Total YES or NO Other Grand Total � 'S If NO,see appropriate tax clause on page# of this instrument. 4 Dist. 5 Community Preservation Fund 17004250 1000 03800 0300 009002 Real Props T Co ideration Amount$ 1 D Tax Serv. q R ply A lIIII�I 111II IIIIIII�IIIIII�IIIIIII CPF T Due $ 0 Agencs Verificati t]2-FEB-17 Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address I� RECORD& RETU�R�N+TO: Vacant Land J � 7--JS q L TD fi r- 5Pr,�,cI' /� TD / TD Vr2 W(a_ Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Com an Information 310 Center Drive, Riverhead, NY 11901 Name www.suffolkcountyny.gov/clerk Title# S Suffolk County Recording & Endorsement Page This page forms part of the attached AeA5-�Q made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in OAC 'X nr 0,9SUFFOLK COUNTY, tNEW YORK. TO In the TOWN of J 0(I/UVO40 ppn � 1-6c- / In the VILLAGE ✓I`�H�— L GC- or HAMLET of -IrAj7W4 A&V BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12 0106.1 NOBkk (over) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the' �j day of January 2017 BETWEEN GEORGE TSATSOS,residing at 1513 West Huron Street,Chicago,Illinois 60642 party of the first part,and SAMTSA,LLC,6331 West Estes Avenue,Chicago,Illinois 60646 party of the second part. WITNESSETH,that the party of the first part,in consideration of TEN and nol100th($10.00)dollars paid by the parry of the second part,does hereby grant and release unto the party o1 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 Village of East Marion,in the Town of Southold,County of Suffolk and the State of New York,known as plot No.50 on a certain map entitled:Map of Marion Manor,situated at East Marion,Town of Southold,Suffolk County,New York, surveyed November 25,1952,by Otto W,Van Tuyl and Son,Licensed Surveyors in Greenport,New York,owned and developed by Peter Blank and Son,East Williston,Lang Island,New York and filed in the Office of the Clerk of the County of Suffolk on March 18,1853 as map no.2038 BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated December 7, 2004 and recorded in the Suffolk County Clerk's Office on February 15,2005 in Litter D00o12371 at page 818 TOGETHER with all right,title and interest,it 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 HOLDVthe ' 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 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"when ever 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 GEORGE TSATSOS Standard N.Y.B.T.U,Form 9002-Bargain and-Sale Deed.vrith Covenant agaimt Grantor's Acts-Uniform Ack—Aedg-0 Form 3290 ACKNOWLEDGEMCNTTAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of ,ss: Slate of New York,County of ,ss: 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 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 individuals)whose name(s)is satisfactory evidence to be the individual(;)whose name(s)is (arc)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that helshellhey executed the same in his/her/their me that he/shehhcy executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by hisllter/their signature(s) on the instrument,the individual(s),or the person upon behalf of which instrument•the individual(s),or Ihe.person upon behalf of which the individual(s)acted,executed the instrument. the individual(s)acted,executed the instrument. NOTARY PUBLIC NOTARY PUBLIC ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK TAKEN IN NEW YORK STATE STATE 1, State of New York,County of sN: Slate of ILLINOIS ,County of Coot si: On the day of in the year On the 04 day of January in the year 2017 , before me, the undersigned,a Notary Public in and for said before me,the undersigned personally appeared State,personally appeared , GEORGE TSATSOS the subscribing witness to the foregoing instrument,with whom personally known to me or proved to me an the basis of am personally acquainted,who,being by me duly swom,did satisfactory evidence to be the individual(s)whose name(s)is depose and say that h0sh0lhcy residc(s)in (if the place (arc)subscribed to the within instrument and acknowledged to of residence is in a city,include the.street and street number if me that he/shcAhey executed the same in hisIberhheir any thereof);that helshe/they know(s) capacity(ics). that by hislhcJtheir signaturc(s) on the instrument,the individual(s)or the person upon behalf of which to be the individual described in and who executed the the individual(;)acted,executed the instrument,and that such foregoing instrument:that said subscribing witness was present individual make such appearance before the undersigned in the and saw said execute the same; and that said witness at the same time (add the city or political subdivision and the stale or country or subscribed his/her/their name(s)as n witness thereto, other place the acknowledgement was taken). -MG��0"'), w, NOTARY PUBLIC NOTARY PUB OFFICIAL SEAL MAGDALENA CYBULSiCA NOTARY PUBLIC-STATE OF ILLINOIS Bargain and Sale Deed MY COMMISSIONEXPIRES:08/19/17 With Covenants --- COUNTY: SUFFOLK TOwwCITY:EAST MARION/SOUTHOLD GEORGE TSATSOS PROPERTY ADDRESS:850 East Gillete Drive,East Marion,N.Y. TO SAMTSA,LLC SECTION: 038.00 BLOCK: 03.60 Title No. WT: 009.002 RETURN BY MAIL TO: DISTRIBUTED BY Theodora Tsalsos 6331 West Estes Avenue ^^^ Chicago,Illinois 60646 JUDICIAL TITLE T:B00-381-TITLE F:800-FAX-9396 .1 INSTRUCTIONS(RP5217-PDF-INS):www.orps.s(e(e.ny.us FOR COUNTY USE ONLY OftwXosk$$do C1.SWIS Coda C2.Dtrte Dead Recorded 1 /9 /7 � � RP-5217-PDF OW YMca.seek I /, .t, 4, O,4.J C4.P 1 1 1 Raaf 1 ago 1 Z,,3 Property Transfer Roport(SRO) PROPERTY INFORfiIATION 1.PLOoGSO�n 8„ A rl' G/LL E/ /Y•E •soar Ma.•Ner1 •@mwrxAaa JV err ld 62 •earaR raysl ,rLAaE •�txxx 'Buyer N@mme -A"1354_ ZZIC •WTNAMIMMPAW FW@ KW IAar NAANNOWAW FeeTNAME a.Tax Indicate where future Tax Bills are to be sentX�Billingj/yn'jq. Address C I other than buyor aildress(at botlan of form) Uwr MAMt CWrANr ee nr HANE Atldr n 6 33/ 6!AST gff QW. PI&C49a 1L— 60646 IMIEUMNeCt MID NAME anroamwM VAnr ErDooe A Indicate the number of Assessment ❑Fart o7 a Parcel (lh,y n PaR of a Perch)Check av tfray apply: Roti percale Iran-faired an the deed�s d 1`61001- OR sA.Planning Board with SubdMdon Authority Exists ❑ S.Dead X OR 0.00 46.Subdk4don Approval was Regrlhad for Transfer ❑ Pro" •I@mNr FeEr .D�,S •� Stu 4C.Paled Approved for SubdMsbn with•Msp Provided ❑ 6.8efier �/=-r Rtote— •!ABT NAIASCOMPAW P3W WaE Name IW NA Ea-OMP.WY Fear MMA[ '7.Shed the description which most accurately describes the Check the boxes below an they apply: use of the property atale time of da)& e.Ownership Type is CondominiumS. ❑ A�D�VAK v��-Vr 4/ M A ProNow ertyLoadedJon Within a VecAg Land ❑ �- 1 DA.Properly Loceletl wlaln an Apd-u9ure1 lXetrlG ❑ 10B.Buyer received a dodosure notim indicating!goat the property is In an ❑ Agricultural District SALE INFORMATION 1 s.C oak ono or mom d shave conditions as applicable to transtler. cal A.Sate BetweenReluilm or Fonder ReloOvn 11.Sale contract Dam A�f 6 f 2�v 71 B. d ad@ between Related Companies or Partner in Business. f C.One the&yam Is also a Seller 12 Gato of SablTraavfar 'D.Buyer or Seller k(wvemment Agency or Lendi g Institution E Geed Type,ed Warranty or Bargain and Sdo(Specify Babe) F.Sats of Fractional or am aFee Inbred(Spedly Bak* *13.Full Salo Price 0.SlgrAcand Change In Property Bolwesn Taxable Statue and:ale Dows H.Sats rI Bud (Full Salo Prim Is the total amount ki for the property Including porero end properly. 1.Other Uhwuo[ eW F a indidsd b Sera pries dor@ Aftsdirg Sege Prim(Seedy Below) Tele palrlwd may be in as farm of cash,other property or goods.or the asan-tpGon or mm iusues or other obfgations.)Pleeee round to Mie newasr laws dmw amount. J.Nrmc H ment(@)on Condition: 14.Indkeee On value of personal propult,Included In the sale '•00 ASSESSMENT INFORMATION-Data should retrad the latest Final Assessment Roll and Tax Bill IL Yew ofAsso»mant Rollfrom which Information teltw,(YY) fe/6 `17.Total Assessed Value •S� 5�,� DO '11I.ProportyCloss . VAC. «AW _ /•� '19.SchoolDistrict Name 9. -ty- A /� '20.Tax Map 1do,Wfler(sYRoll Idem fier(s)(If more than four•atmeh ghost with addidonal Idonfiller(a)) DOO ..•� !�� 91.2 CERTIFICATION I Cordy that all of the Name of Infonmason entered on this form art We and correct(to the bed of my knowledge and bdlaf)and I understand SNR at making of arty WI ful 1 IDS ammm nt at material fast heroin subject me to rhe nMY1210na of the none Inv r*IWV @ to the making and filing of fabs Instruments. RFI1 CR .gt=R CONTACT INFORMATION (Enlerkdrmafbn W the Byer.Nob: ye Iflerro LLC.eodyae e , .bdk r,—p—tom J ktobak ownprw.odel.or p• croImhL not an IrolMarr egara ar maandery.M •nems Wid OMMA kwdasrr aren WAMduawaeprdNe pony who oars r�uawr air-on@naum+a to Wrw nokr must be eared.Type pieddoorw .91191rDNATMRE onTe !3"r/t+r�t�5 ,, 'cc �f BUYER 3lQtJ TA URE �Jlelr J OJ �O�fD�// �+l •:/1@T v NAMS FAar1UME ✓/ PAInfA CoM •raEPNOxe NUMBEA III.oulm WYEIlerNArlmE - PAIN ri 6 331KIE.l3� "rAr AVAWVA _ I •emEETNuaeer �e,aEerNAMaM + Cie/EGD �_ 64646 •emmrawN •sore .21P cow BWER'S ATTORNEY �•.Mmn rtK Fier MMta + sits 6.4-t- 6N 7 AREA CODE TMJPHME NUMBER PC 1111 l