HomeMy WebLinkAboutL 13148 P 772 1111111111111111111111111111111111111111111111111111111 ' � ,,r.. =���
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 03/25/2022
Number of Pages : 6 At: 11 :05 :16 AMn?-
Receipt Number , : 22-0051810 f
TRANSFER TAX NUMBER: 21-28716 LIBER: -: D00013148
PAGE : 772 =.
District: . Section: Block: Lot:
1000 084.00 01 .00 006 .011
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 .00
Received the Following Fees For Above Instrument
Exempt ., Exempt
Page/Filing $30 . 00 NO Handling $20 . 00' ;, : NO f'.
COE $5 . 00 NO NYS SRCHG $15 . 00' NO
EA-CTY. $5 . 00 NO EA-STATE $125 , 00,E";�' :,;-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 $405 . 00
TRANSFER TAX NUMBER: 21-28716
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE ; r,
County Clerk, Suffolk County ; , s
i
�I F D
Number of pages RECORDED
2022 Mar 25 11:0`:15 At1
uDiTH H. PASCOLE
This document will be public CLERK. OF
record. Please remove all SuFFOL1; COWTI�
Social Security Numbers L D0901314S
F 772
prior to recording.
D7# 21-28715
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Mortgage Amt.
Page/Filing Fee
1. Basic Tax
Handling 20. 00 2, Additional Tax
TP-584 - Sub Total
Spec./Assit.
Notation / or
EA-52 17(County) Sub Total � y Spec./Add.
EA-5217(State) � — TOT.MTG.TAX
Dual Town Dual County_
R.P.T.S.A. Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit � ��� Mansion Tax
The property covered by this mortgage is
Certified Copy — or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
, Sub Total YES or NO
Other Grand Total If NO,see appropriate tax clause on
•
- J page# of this instrument.
4 Dist 220`108111000 09400 0100 o06011 C(a,01/ 5 Community Preservation Fund
Real Prop TS Consideration Amount$
Tax Sergi PDT1[ A 1CPF arc Due $
Agenc; OS-tMgR_
Verificat: _--
_ ------�—� Improved�_
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: ��� Vacant Land
TD
Sheryll Law, PC / TD
633 East Main Street,Suite 2
Riverhead, NY 11901 TD
Mail to; ,Judith A. Pascale, Suffolk County Clerk 7 Title Com an Information
310 Center Drive, Riverhead, NY 11901 Co.NAWe
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached T)PO' made by:
(SPECIFY TYPE OF INSTRUMENT)
kii The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.�f
TO In the TOWN of
I.lt(/1i1 1A _ lh r w li%i4In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RE RDING OR FILING.
11-0I01.30108kk (over)
WARRANTY DEED WITH FULL COVENANTS
(INDIVIDUAL AND CORPORATION) '
FORM 8003 (short version), FORM 8008 (long version)
CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER BEFORE SIGNING.
THIS INDENTURE, made the 2nd day of November, 2021,
between John Burns, 189 Hensel Drive, Shepherdstown, West Virginia 25443 and Althea Burns, 331 6th
Street , Greenport,New York 11944,
party of the first part, and
David Burns, Trustee of the John Burns Irrevocable Trust dated November 2, 2021, 22 Ridgeway Road,
North Reading, Massachusetts 01864,
party of the second part,
WITNESSETH, that the party of the first part,,in consideration of Ten Dollars and No Cents
($10.00) 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
See Schedule "A" attached hereto.
BEING AND INTENED TO BE the same premises conveyed to John Burns and Althea Burns on
November 2, 2021. 122CoedCA& o4 ne ��d�t Cw�4�,Clerk� ��•� Qn t�b�ZG2.L
►n C,�be� 13►3� cP Get BEING AND INTENDED TO BE the premises commonly known as 6145 Bridge Lane,
Cutchogue, New York 11935.
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, 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 costs 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.
AND the party of the first part covenants as follows: .
District: 1000
NYSBA's Residential Real Estate Forms(912000) -1- (0 2021 Matthew Bender&Company,Inc.,a member of LexisNexis.
FIRST.—That said party of the first part is seized'of the said premises in fee simple, and has
good right to convey the same;
SECOND. —That the'party of the second part shall quietly enjoy the said premises;
THIRD. —That the said premises are free from encumbrances, except as aforesaid;
FOURTH. —That the party of the first part will execute or procure any further necessary
assurance of the title to said premises;
FIFTH. —That said party of the first part will forever warrant the title to said premises.
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 a ove written.
By: John Burns
By: AI Burns, by D Bu ,as Agent
IN PRESENCE OF.-
District:
F.District: 1000
NYSBA's Residential Real Estate Forms(912000) -2- 0 2021 Matthew Bender&Company;Inc.,a member of LexisNexis.
ttt .
FIDELITY NATIONAL TITLE INSURANCE COWANY,-
;'- PO. 1l 140A;83323SLfl~�' '�a 'r+
1 -
SCHEDULE.A-1(Description)
ALL that certain plot, piece or parcel-of land with the buildings and improvements thereon-erected, situate, lying and .
being at Cutchogue,Town of Southold,.County of Suffolk and State of New York, known and designated as Lot No. 1 I
on "Map-of Syloret Estates" fdcd in the Office of tate Clerk on 06f08C16'as Map No.'6390, being mora particularly
bounded and described as follows:
BEGINNING at a,point 'on the southerly side of Bridge Lane distant 814.23 feet.west from the inter=don of the
northerly side of Middle Road and the southerly side of Bridge Lane; ,
THENCE South 43 degrees 20 minutes 20 seconds West,369.15 feet; '
THENCE North 46-degrees 23 minutes 20 seconds West,150.00 feet;
THENCE North 43 degrees 20'rninutes 20 seconds East,368.44 feet to the southerly side of Bridge lane;
THENCE Souris 46 degrees 39 minutes 40 seconds East 150.00 feet along the'southerly side of Bridge Lane,to said.point
or place of BEGINNING.
THE POLICY 70 BE ISSUED under this commitmieru will t>raure the title to suds bei&W and improvements on the premises which
by law Wwrfmte real properly.
FOR COAVEYANCING Oft Y.•Together with oil dw rigk We and tromm of thepany ofthefirst part, of in and to the laird lying
in the street'in fray!of and ad,joining said premises,-
SCHEOULEA-1(Drsertod")
Acknowledgment by a Person Within New York State (RPL § 309-a)
STATE OF NEW YORK }
ss..
COUNTY OF SUFFOLK }
On the 2nd day of November in the year 2021,before me, the undersigned, personally
appeared John Burns, 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 executed the same in his capacity(ies), and that by his signature(s)
on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted,
executed the instrument.
(signature anice of i Vividual taking acknowledgment)
KASEY J.COSGROVE
NOTARY PUBLIC, State of New York
No. 01 CO6086831
Qualified in Suffolk County
Commission Expires February 03,20Z
District: 1000
NYSBA's Residential Real Estate Forms(912000) -3- C0 2021 Matthew Bender&Company,Inca member of LexisNexis.
Acknowledgment by a Person Within New York State (RPL § 309-a)
STATE OF NEW YORK )
} ss..
COUNTY OF SUFFOLK }
On the 2nd day of November in the year 2021, before me, the undersigned, personally
appeared David Burns, 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 she executed the same in her capacity(ies), and that by her signature(s)
on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted,
executed the instrument.
(sign ture an ice of i vidual taking acknowledgment)
KASEY J. COSGROVE
NOTARY PUBLIC, State of New York
No. 01C06086831
Qualified in Suffolk County
Commission Expires February 03,20a—?
District: 1000
NYSBA's Residential Real Estate Forms(9/2000) -4- 0 2021 Matthew Bender&Company,Inc„a member of LexisNexis.
INSTRUCTIONS(RP-5217-POF-INS):1NWw.orps slate.ny.us
FOR COUNTY USE ONLY '1 r, }NBMIIY0111$t%li btlpBltB1#Pg
C1.swig Cod. I ff,'7 ill I Taxation and•Finance:
tiOffioe of Rail "Tani 8ervloes
C2.Date Dead Recorded � 3 / /2 Z R P
Grill RP- 5217-PDF
Ca.Book $ C4.Page L-,.", ,� Real Property Transfer Report(WIG)
PROPERTY INFORMATION
1.Property 6145
Location Bridge Lane
•SiPEEr h4MBER •STFEEi NAME
Cutchogue 11935
•clrreN lowly VWoh •rP CODE
2.Boyar Davis Bums Trustee of the John Burns Irrevocable Trust,dated 11/2/2021
Name
°WTNAMF6D,iANY FWaf WNE
EMT NA,E01OMPAW HIGH hlwh
].Tax Indicate where future Tax Bds are to be sent Burns John
Billing if other then buyer address(at bosom of form) LA,-NANES GRfIA ' FIRST kat E
Address
189 Hensel Drive Shepherdstown W1/ 25443
STMEThUMMRANDNAME CI•T ON IIRN STATE rP WDE
4.Indicate the number of Assessment 1 a of Parents OR ❑Pah of a Parcel (Only if Part of a Parcel)Check as they apply:
Roll parcels transferred on the deed_— 4A.Planning Board with Subdivision Authority Exists ❑
L Dead \ OR 1.27 4B.Subdivision Approval was Required for Transfer ❑
Property •FedW FEET °DEPTH 'AGES '
size 4C.Panel Approved forSubdlwslon with Map Provided ❑
Burns John
e.Sailer LAST WAWdCCMPAW FRS.'NAME
Name Burns Althea
AST hAPE/CCMPAIRT FAST NAME
' '7.Select she description which most accurately describes;the Check the boxes below as they apply:
use of the properly at the time of sale: B.Ovinemnhp Type is Condominium ❑
e.New Construction on a Vacant Land ❑
A.One Family Residential — 111A.Property Located within an Agricultural DLetrct ❑
108:Buyer received a disclosure notice indicating that the properly is in an
Agricultural District ❑
SALE INFORMATION1 16.Cheek one ormoro ofthe"conditions ss applicable to tranebr.
A Sale Between Relatives or Former Reletvas
11.Sala Contract Data B.Sale between Relawd Companies or Partnere In Business
C.One of the Buyers is also a Sailer
'12.Data of Salefrrenafer November 2,2021 D.Buyer or Seiler is Government Agency or Lending Insiilubon
E Dead Type not Warranty or Bargain and sola(Specify Below)
F.Sale of Fracbonel or Less than Fee Interest(Specify Below)
full Sob Price $0.00 G.Significant Change In Properly Between Taxable Status and Sale Dates
H.Sala of Buenas,Is Included in Sale Prim
(Ful Sale Price s the total amount p♦Itl for the property including personal property I Other unusual FactOre Affecting Sale Price(Specily,Belay)
This payment may be In the form of cash,other property or goods,or Via assumoti,m of x J.None
mortgages or other obligations)Please round fo pre mrmW whDle dollar amount.
COmrmM(s)on Condition:
14.Indicate the value of personal
property Included In the onto $0.00
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from which InfomstIon laken(YY) 21 '17.Total assessed value 4,800
•11.Property class 2 1 0 _ '1e.School Illsfrlct Name Mattituck School District
•20.Tax Map Idenfiller(syRoll Identifer(e)(If more than four,attach sheet with additional Idant ftor(s))
1000-084.00-01.00-006.011
CERTIFICATION
I Certify tial all of the-1 of Information entered on this form are trus and correct(to the best of my knowledge and belleQ and I understand that the making of any willful
false statement of material fact herein subject me to the plliviskine OLNIa.gani hi mietive to the making and filing of totoe Imabruments.
,,�},�, I N RE BUYER CONTACT INFORMATION
(Firer w.snot
an v ar d.rer.Nate.fi burro Is hen s ctolyname enoomect islion.form ion wiont rd"ock mlrespo ible or
P":hr.s rq an md,ndud anent m adneq,thens name arc IN M ararma Print
t AB Ildxd,L■Ieeepvwhle
1'a DSL/ party wro rare Brower euD■hcna rapa:anp Me L•ansrer mu■t M el■erea Type or pfnt e1■■ay)
BELLERSIDNATURE fCIATE
BUYER SIGNATURE Burns David
WT NAW RRmT NAME
a631 1�` 631 506-8440
1 W+EACodE "ELEPHCNE NUMBER p3:MNe1
ffJrER RL ]ATE
22 Ridgeway Road
1 1 I�, ■ 'BTFFFT Y 1161FR 'S'FFFT NAME
North Reading MA 01864
TwCRTQMN 'iTATE 'aPcooll
h r I ( BUYER'S ATTORNEY
1
y NONE
ir LAST NAME RRaT MIWE
f I+ r ATEACCCF. TELEPH7NUMBERL NUR III..MMOM