HomeMy WebLinkAboutL 13105 P 772 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 05/25/2021
Number of Pages : 4 At: 11 :22 : 41 AM
Receipt Number : 21-0099632
TRANSFER TAX NUMBER: 20-33317 LIBER: D00013105
PAGE : 772
District: Section: Block: Lot:
1000 006 . 00 04 . 00 006. 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $550,000 .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 $200 .00 NO
Transfer tax $0 . 00 NO Comm.Pres $9,500 . 00 NO
Fees Paid $10, 020 . 00
TRANSFER TAX NUMBER: 20-33317
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pages RECORDED
2J21 t1au 25 11:22:41 RM
JUDITH R. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013105
Social Security Numbers P 772
prior to recording. DT# 20-33317
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
( 1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State)
TOT.MTG.TAX
��. Dual Town Dual County
R.P.T.S.A. Held forAppointment
Comm.of Ed. S. 00 Transfer Tax pr i r
Affidavit + . Mansion Tax
Certified Copy RD The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES orNO
Other
Grand Total 17a _� If NO, see appropriate tax clause on
page# of this instrument.
VQ CCUI ,;0 dCy-'> A.3,2l
4 Dist.10C 21027517 1000 00600 0400 006000 )0 5 Community Preservation Fund
Real Property F T S Consideration Amount$
TAgencye R13-MAY-2 CPFTax Due $ G,SUL
Verification
- -- -- -- - uGa3 Improved
Satisfactions/Discharges Releases List Property Owners Mailing Address
6 RECORD&RETURN TO:
Vacant Land X
Matthews& Ham
38 Nugent St TD
Southampton, NY 11968
TD
Attn Stephen L. Ham III, Esq TD
Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name FNT/CT
www.suffolkcountyny,gov/clerk Title
7404-010244
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Roger M Howard The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Jeffrey S Campbell and Ellen H Campbell In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
NY DOS-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Shut)iNYBTU 80021
CONSULT YOUR LAWYER BEFORE SICNING THIS INSTRUINEN'r-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the day of �e�o�n{ in the year 2021
BETWEEN
Roger M.Howard,residing at 215 Cider Brook Road,Avon,CT 06001,
party of the first part,and
Jeffrey S.Campbell and Ellen H.Campbell,husband and wife,residing at 253 Musketaquid
Road,Concord,MA 01742,
party of the second pan,
WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration paid by the
party of the second pari.does hereby grant and release unto the parry of the second pan,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 i mprovements thereon erected.situate,lying and being in the
Town of Southold,County of Suffolk and State of New York,more particularly bounded and
described in 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 March 15,2004 and recorded September 24,2004 in Liber 12345 Page 356 in the
office of the Clerk of the County of Suffolk.
TOGETHER with all right.title and interest,if any,of the party of the first pan 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 pan 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 incumbered in any way whatever,except as aforesaid.
AND the party of the first pan,in compliance with Section 13 of the Lien Law.covenants that the party of the first pan 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 pan 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 pan has duly executed this deed the day and year.first.above written.
1N PRESENCE OF:
Roger M.Howard
FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO. 7404.010244
SCHEDULE A-1
(Continued)
AS TO TAX LOT 1000-006.000-04.00-006.000
ALL that certain plot, piece or parcel of land, situate, lying and being at Fishers Island, Town of Southold, County of Suffolk
and State of New York, being bounded and described as follows:
BEGINNING at a monument on the Easterly line of Central Avenue, said monument being 5226.24 feet North of a point
which is 326.93 feet East of another monument marking the United States Coast and Geodetic Survey Triangulation
Station "PROS"and;
RUNNING THENCE along said Avenue line South 04 degrees 11 minutes 20 seconds West 164.39 feet;
THENCE South 85 degrees 36 minutes 00 seconds East about 159.00 feet to the shore of West Harbor;
THENCE following the meanders of said shore lie Northerly about 250.00 feet;
THENCE South 60 degrees 07 minutes 00 seconds West about 136 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 party of the first part, of in and to the
land lying in the street in front of and adjoining said premises.
END OF SCHEDULE A
Commitment for Title Insurance Printed: 02.03.21 @ 01:01 PM
Schedule A-1 Description NY-FT-FRVH-0 1 030.431004-SPS-1-20-7404-010244
'USBAGKN`Owi-EDGAfENTFo&vLtiiLOW winiiNNEN'YORKSTA7EOM.1': USEACKYOt91F.DGMENTFORN Bvow wTTmEvNEW YORKSTATF.O.VLY:
State ollNew York,County of I ss.: State of New York,County of )S$.-.
On the day of in the year On the day of in the year
before me,the undersigned,personally appeared before me,the undersigned,personally appeared
personally known to me or proved to me on the basis of satisfaetory personally known to me or proved to me on the basis of satisfactory
evidence to be the individual(s)whose name(s)is(are)subscribed to the evidence to be the individual(s)whose name(s)is(are)subscribed to the
within instrument and acknowledged to me that he/shehhey executed within instrument and acknowledged to me,that he/she/they executed
the same in his/her/their capacity(ies), and that by his/her/their the same in his/her/their capacity(ies), and that by his/her/their
signatures)on the instrument,the individual(s),or the person upon signature(s)on the instrument,the individual(s),or the person upon
behalf of which the individual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument.
Notary Public
Notary Public
ACKVOWLEDG:HENT FORt1 FOR USE WITHLV NEW YORK STATE ONLY: ACKVOrtT$DGmF.NT FOR,%f FOR USEOLUSIDF NEW YORKSTATE Ov.t:
(Neu•York Subscribing Witness Acknowledgrnew Certif'rratel torn of Siaie or Foreign General Acknou•led rnrfiis enl ertit
State of New York,County of )ss.. State of Connecticut,,County•of,} ` YGl I tj►1
(Complete Venue with State,Cowiny.Provinee or Municipatity)
On the day of in the year
before me,the undersigned,personally appearedOn theday of January in the year 2021
before me,the un rsigned,personally appeared
the subscribing witness to the foregoing instrument,with whom 1 am vV"
personally acquainted,who.being by me duly sworn,did depose and personally known to me or proved to me on the basis of satisfactory
say that he/she/they reside(s)in 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
(ifthe place ofresidence is in a cirv,include the street and.street number, the sante in his/her/their capacity(ies),that by his/her/their signature(s)
if any,thereqfithat he/she/they know(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
to be the individual described in and who executed the foregoing made such appearance before the undersigned in the
instrument:that said subscribing witness was present and saw said State of Connecticut,County of HGl'i42Y d
execute the sante:and that said witness at the same time subscribed (In.serr the city or otherpolitical subdivision azul the.wane or country or
his/her/their name(%)as a witness thereto. other place the acknowledgntentuwas taken)).
JENNA CARPENTER
�if� Notary Public.State of Connecticut
My Commission Expires Sept.30,2D24
BARGAIN&SALF.DEET)
W'ITn COVENANTS AGAINST CRANTOR'S ACTS
TITLFNo. DISTRICT 1000
SECTION 006.00
Roger M.Howard BLOCK 04.00
LOT 006.000
COUNTY OR TOWN SOUTHOLD
TO
Jeffrey S.Campbell and Ellen H.Campbell, RFCORDFDATREQUESTOF
husband and wife Fidelity National Title Insurance Company
RETURN BY AIAIL TO
FIDELITY NATIONAL TITLE Stephen L.Ham III
INSURANCE COMPANY Matthews&Ham
L"`°xroxArev 19:8 38 Nugent Street
Fidelity Southampton,NY 11968
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1 INSTRUCTIONS(RP-5217-PDF-INS):www.aps slate.ny.us
FdR COUNTY USE QNLY Nov York State Department of
cit.tsvnscod: 7
0 A Taxation and Finance
C2.Dam Dead Recorded lJ��]��- Office of Real Property Tax Services
J03- Y" RP-5217-PDF
C7.Book C4.Page Real Property Transfer Report(BMD)
PROPERTY INFORMATION
I-Property N/A CENTRAL AVENUE
Location
•From Ar"I R •alar:LME
SOU^_HOLD L•1SHERS -S_AND C6390
-W-ern TawN Y.LL.GG •2-Coca
3.Buyer CAMPBELL ,;FFFREY S
Name
•LAST TA mLcDR~ Mill L111k
CAMPBELL EL-..f'.N H.
IMT NAMCGRIPMY FIRSTRIwF
3.Tax Indcab where hauro Tax B:IIs are to be sant
Billing lamer Irian buyer addra"al bottom of form)
Address I .KT MULCO1W4.Y rwsT-E
ETREE'.LI RAND NOME a a":om melt ZP-CODE
4.Indicate the number of Asssaament 1 [:]Part of a Parcel (Only B Part of a Prevail Cheek as they appy:
Rall parcels transferred sfed on tib dead a of Parols OR
40.Planning Board s+m SLmd.vlidon Amhomy,Ejasffi
L Deed0.68
Properly •FaONI.Ler X (•)u 40.Subdivision ApDrwal was Roqured for Tmneft
Bim •DEPTH 'Arte s
4C.Prime!Approved ter subdivision with Map Provided
HOWARD ROGER N..
6.Seller .LAsT ,w„
Name Foal NAaL
IAerNMFj DDA%Y rw81 NYAI
-7.Select the description which most accurately describes the Cheek the boxes below n they appy:
ues althe propmQr d the time of sale: g.Ownership 1 ype is Condernimum
C.Rmdentkil V=dlt l and e.New Conswclion an a Vaunt Land
10A.Property Laraled within on Agricultural District
tae.Buyer recoved ad sclusum notice mdlratllg mat the p'xity le n an
Agricultural O.strict
SALE INFORMATJON1 I L Check one or more at these conditions as applicable to transfer:
A Sale Between Relatives or Former Rolaoves
11.Sale ContractDab 12/07/2020 B.Sacs between Related Companies ler Partners En Business.
C.One or me Buyers Is also a SaOor
D.Buyer ler Scher Is Govam
mo+t Agency or Londing Institution13.Data of 9alwTreneler F. Deed Type not warranty or Bargain and Sale(Spocly Below)
F Selo of Fractonal or Lass then Foo Interest(Specify Below)
'13.Full Sale Price 550,C00•(x) G.Sigl:5r ant Change in Property Between Taxable Stme and Salo Oates
H.Side of Business is Included In Sale Price
(FIA Salo Pr-cu Is the Intel amount paid for the property including personal property. l Other Unusual Factors Alacting Sale Rica(Spony Below)
This payment maybe In the farm of cash•other ofoporty or goods.or the asalmpdon at
mmt0oges d omni ohllgaWns.)Picone rdnoisiestd to the noisiest whofa dollar errlolml J.Nano
CammaHH-)on Condition:
14.Indicate the value o1 personal
property Included In the sale 0 .to
ASSESSMENT INFORMATION-Date should reflect the latest Final Assessment Rall and Tax Bill
16.Ysar of Assmffmnt Roll ham which Information taken(YY) 20 '17.Total Alarsad Value 800
Property Class 3;1 _ '10.School District Name L151iERS ISLAND
'30.Tu slop tdealMagayRoll IdentMens)(N Drees then four.attach shad,with additional idemlf naris))
700C-0^.6.00-54.DG-006.000
CERTIFICATION
1 Cerny that all of the Bats of IldommUon anbmd on this form am true and correct(to the best of my knowledge and bellof)and I understand that the making of any wilUW
fdse sbtomam of material fad heroin subject me to this.PMN gna GtMLPOnAl.WdUGIEtWa to the making and Ming of false Instrumams.
SF(I Fa aLGdAIDR BUMQONTAOLMFORNIMION
IEna rrJorinnionl for lti buyer NOW.If pryer Is LW.wwv.s adwor.Carpdellen.pn'.lack mrpwly.eauaw
arctic'air.Lal nal an IrorrlluY apem w mla:ery.tlwn a runt ane carrel Mwnnerian d an ilameuealmpemaN
ti...l part ono can a erser q"—.regwdrlp tics Male,rias to unless.Two or prim cis".)
!lLLER SaJMTLPE /F `
,_' / �4av/�9�aU3�8_$IGNAIURE CAM?BLL- JEFFREY S. 6 ELLEN H.
'LAST w1M! I 1145 r.w
SIS �t. ar 1l a� 2.3-1�
T' .-a.Y;•1 "ll Lw'p'.E LL•J"!-.E.
NA,�ar
eLTER r+1ATJRE /L
253 MUSKF.TAUU17 ROAD
'aT'tEE1%WIIER 'RTPEEI N.w
C.ONCORC MA 01792
GH Insam '31ATI, cm
HIMR'SAIIORNfiY
HAM S'T'EPHEN
.Axl NNIS IasT~
1631) 2.33-2500
I's I11 I w/
AREAC001. TELFPHONENL1N lid..abeaw)
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