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Home My WebLink AboutL 12505 P 600CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, mede the /~ ,rtl day of Apdl, two thousand seven, BE~NEEN MARY R. GOSS, now residing at 1822 Woodrlng Road, P.O. Box 248, Sanibel, Florida 33957, party of the first part, and ISLAND HEALTH PROJECT, INC., a New York not-for-profit corporation, with offices at (no #) Crescent Avenue, P.O. Box 344, Fishers Island, New York 06390, party of the second part, WITNESSETH, that the party of the first part, without consideration, 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 at Fishers Island. Tow~ of Bouthoid. County of Suffolk and State of New York, being more parficelady bounded and described as set forth on Schedule A hereto. BEING AND INTENDED TO BE the same promises conveyed to the party of the first part by deed, dated August 11. 1980 and recorded In the Office of the Suffolk County Clerk on September 3, 1980 Uher 8878 page 185. SUBJECT fights of wa]/described on Schedule A hereto and reverter described below. This conveyance is made by the party of the first part to the party of the second part on the condition that the subject premises are utilized by the party of the second part, Its successors and assigns, solely for not-for-prof'~ medical or other not. for. pmffi charitable purposes, including purposes reasonably misted to and in furtherance of the use of the premises adjoining the subject premises on the south and east (SCTM No. $000-006.00-06.00- 020.007) for a physician's resideoce and home office and/or medical clinic. In the event the subject premises are ever used for any other purpose (except to the extent the same remain vacant and unoccupie.cl. ), then'and In that event the subject premises shell revert to the party of the second part or her helms and assigns. TOGETHER with all dght, title and Interest, if any, of the party of the first part in and to any s{reets and muds 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 §irst 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 flint part, In compiianca with Section 13 of the Uen Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive sucfl 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 pumese. 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: Slmtdard N.Y.B.T.U. Fomt 8002 - Bargain and SaJe Deed, vdlh Covenanl agW~t Grantor'. Acre- Uniform Aoknowledgrnen! SCHEDULE A to DEED Party of the First Part: Mary R. Goss Party of the Second Part: Island Health Project, Inc. Deed Dated: April ~', 2007 ALL that certain plot, piece or parcel of land. with the buildings and improvements thereon erected, situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, more specifically bounded and described as follows: BEGINNING at a monument at the intersection of the easterly line of Mansion House Ddve and the northeasterly line of Central Avenue, said monument being 3679.36 feet North of a point which is 1906.68 feet West of another monument marking the United Slates Coast and Geodetic Survey Triangulation Station 'PROS"; and THENCE RUNNING along said Central Avenue line South 71 degrees 27 minutes 10 seconds East, 100.00 feet to an iron; THENCE North 11 degrees 46 minutes 00 seconds East, 129.86 feet; THENCE North 78 degrees 14 minutes 00 seconds West, 7.22 feet; THENCE North 10 degrees 49 minutes 00 seconds East, 100.00 feet to an iron pipe; THENCE North 82 degrees 40 minutes 00 seconds East, 180.00 feet to a monument; THENCE North 18 degrees 05 minules 40 seconds West, 141.80 feet to a monument; THENCE South 71 degrees 14 minutes 30 seconds West, 263.00 feet to the easterly line of said Mansion House Drive; THENCE along the said Mansion House Drive line South 20 degrees 15 minutes 30 seconds East, 33.60 feet to a monument; THENCE along the said Mansion House Drive line South 07 degrees 15 minutes 30 seconds West, 238.46 feet lo the point of BEGINNING. CONTAINING 1.25 acres, more or less. SUBJECT TO a right of way ten (10) feet in width for a pole line, the center line of said right of way being described as follows: BEGINNING at a point on the westerly line of the above described tract, said point being 3875.35 feet North of a point which is 1881.71 feet West of said "PROS' monument, and thence running South 86 degrees 20 minutes 00 seconds East, about 107.00 feet to an easterly line of the above described premises. SUBJECT TO a right of way ten (10) feet in width for a water line, the center line of said right of way being described as follows: BEGINNING at a point on the westerly line of the above described tract, said point being 3837.53 feet North of a point which is 1885.07 feet West of said 'PROS" monument, and thence running North 83 degrees 30 minutes 40 seconds East about 108.00 feet to an eastedy line of the above described premises. SUBJECT TO a right of way ten (10) feet in width for a pole line, the center line of said right of way being described as follows: BEGINNING at a point on the westedy line of the above described tract, said point being 3816.80 feet North of a point which is 1889.19 feel West of said 'PROS' monument, and thence running North 72 degrees 42 minutes 10 seconds East, about 115.00 feet to an easterly line of the above described premises. TO BE USED ONLY WHEN THE ACKNOWLEDGMENT I$ MADE IN NEW YORK STATE Slate of New York, Counly or ss: Slats of' New'Yo.d~, County of ss: On the day of in the year before me, the undersigned, pemonelly appeared On the day o1' in Ihs year before me, the undemigned, personally appeared personally known to me or proved to me on the basis of pemonally known to me or proved to me on the ba~is or satisfsolmy evidence to be the Individual(s) whoss name(s) ere sstlsfsutory evidence to be the Individuals whoso names are · ubsc~ibed to the within Inslrument and acknowledged to me that subsur~3ed to the within instrument and acknowledged to me that he/she/theyexsoutadthessmeinhia/her/theircape¢lty(Iss), and he/she/they exacuted the same in his/her/their cepec~Uss, end that by his/her/their signature(s) on the instrument, the that by their signalures on the instrument, the individuals, or the individual(s), or the person upon behalf of which the IndivldualCs) persen upon behalf of which Ihs individuals acted, executed the acted, executed the instrument, instrument. Notary Publ!c (signature and office of indMdual taPang acknowledgment) Notary Public (mgnatum and ofrme of Indivldust taking acknowledgment} TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE Commonwealth of Virginia County of O~c.-~,r--~C. ss: . On the [~' day of April In the year 2007, bet'om me, the undersigned, personally appeared Mary R. Goss personaIJy known to me or proved to me on the basis of salisfactory evidence to be the individual whose name is subscribed to the wllhin instrument and acknowledged to me that he executed the same In hm capacity, and that by his signature on the Instrument, Ihs individual, or the pemon upon hehalt'of which the Individual acted, executed the instrument, and that such Individual made such appearance before the undemignad in the ~ ~t,.\~ c~ ~ T ,~ ~...~C in [he Commonwealth of Virginia. ·. (insert the C~ty or other polilica-I subdivision) J '".,' (slgnatu re end office of Indlvtclusl taF;ing acknowledgment) BARGAIN AND SALE DEED WITH COVENANT AOAJNST ORANTOR'S ACTS Title No. MARY R. GOSS TO ISLAND HEALTH PROJECT, INC. DISTRICT 1000 SECTION 00O.00 BLOCK {36.00 LOT 019.000 COUNTY OR TOWN SUFFOLK - SOUTHOLD STREET ADDRESS (no #) CENTRAL AVENUE FISHERS ISLAND, NY 06390 RETURN BY MAIL TO;. Number of pages This document will be public record. Please remove ail Social Security Numbers prior to recording. Deed / Mortgage Inslrument 3 Page/Filing Fee J'~ ~' Handling 5. O0 TP-584 ~ "' Deed / Mortgage Tax Stamp FEES Notation EA-52 17 {County) EA-5217 {State) R.P.T.SA. Corem· of Ed. Affidavit Certified Copy NYS Surcharge Other Sub Total 15. 00 SubTotal Grand Total IDIsi' 07014857 zooo oo~o-b~66 bzgooo 4 I Real Prop: Tax Se~ic ~ ~Ud~Uon~is~h~rg~M~s~ Lis~ Prop~r~ ~n~ ~iling RECO~ & R~RN T~ STRPH~N L. IIAM, III, ESQ. MAr~ HEWS & HAM 38 NUOENT ST~ SOUTHAMPTON, NY i 196~ 8 PECOR0¢_O 20O7 HaU 17 09;21:14 apl .l'udith R. Pascsle · JFFOLK COUHT~' L /)00012505 P 600 Recording / Filing Stamps i. O00 e Amt. 1. Basic Tax Additional Tax Sub Total Spec./Ass[t. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County Held for Appointment A Transfer Tax - ~.~ Mansion Tax The property cove~ed by this mortgage Is or will be improved by a one or two family dwelling only. YES or NO If NO, see appropriate tax clause on page # of this instrument. Community Preservation Fund Consideration Amount $ CPF Tax Due $ - O ~' Improved Vacant ~nd TD TD Mail to: Judith A. Pascale, Suffolk County Clerk I 7 I Title Company Information 310 Center Drive, Riverhead, NY 11901IC°'Name www.suffol kcountyny.gov/clerk iTltle# (._~ .7.(/01 ~</,.~.? Suffolk County Recording & Endorsement Page This page forms part of the attached by: MARY R GOSS Dcc, d (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated In SUFFOLK COUNTY, NEWYORK. made TO In the TOWN of SOUTHOLD ISLAND HEAL'IH PRO$1~CT. INC. In theVILLAGE or HAMLEI'of FISHERS ISLAND BOXES 6 THRU m MUST BE TYPED OR PRII~I~D IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (overJ SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEEDS/DDD Number of Pages= 4 Receipt ~,--~er = 07-0047825 'TRANSFER TAX NUMBER: 06-33554 District: 1000 Deed Amount: Recorded: At: 05/17/2007 09=21:14 AM LIBER: D00012505 PAGE:. 600 Sec tion: Block: Lot: 006.00 06.00 019.000 ~XAMINED A~D CE~RGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/FilAng $12.00 COE $5.00 EA-CTY $5.00 TP-584 $5.09 RPT $30.00 Trans£er tax $0.00 TRANSFER TAX NUMBER: 06-33554 NO Handling $5.00 NO NYS BRCHG $15.00 NO EA-STATE $165.00 NO Cert. Copies $5.00 NO SCTH $0.00 NO Connn. Pres $0.00 Fees Paid $247.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Exempt NO NO NO NO NO NO Judith A. Pascals County Clerk, Su££olk County PLEASE' TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: hKp://www, orps.state.ny.us or PHONE (518) 473-7222 COUNTY USE ONLY · i ~.-~ C'"~ I c~ swm coa~ ~/~-~ ~ ~ ~ I ~L PROPER~ ~SFER R~RT . . . RP - 5217 I Ixl Ionl , , , .1 .2 .5 I GOSS SALE INFORMATION I / / I Mane ~ZFu~B~P'd~ I ...... 0, 0 , 0 I I ~SSME~ INFOR~TION - Dam ~ld ~flem t~ lat~ R~I ~nt RMl and Tax Bill l&Prq3MtyCIMa 13.1 .2 I-II le. Swod~P~m[ Fishers Zsland OtMr UnummJ F,~So~ ~ ~ Prtce (Specify J None donation · . . I.. I .0 .0 I ½ m m ~n Tu M~ IdmIBl~M I R~I Id~mEml~l ~ nmm g~n Mu~, m~d~ ~m v,~h .ddglonM Idm~m~l I 1000-006.00-06,00-019,000 I I I I I I I I CEBnF,CA'nor~ I - or any wUWul ~dse datem~m ii nmm{~l fid h,Jrdn ,ALII suhJ~v~ me lo I1~ Brm~ M the ~ ~ ~ ~ ~ M!~ ~ ~ ~ ~ W~ BUYER ~, ~'/~= L.K,.-.~ ..~,r ,03/;; (no ~P) I Crescent: Avenue Fishers I~land 06390 BUYER'S ATTORNEY [ Stephen L. m III (631) I 283-2400 I NEW YORK STATE COPY 1o3/=1/o7