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1 Illllll ilia Viii lull IIII! Illli 11111 Illii 111111111 Ills 1111111111E Illli IIII 1111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE j Type of Instrument: DEEDS/DDD Recorded: 02/19/2008 ~ Number of Pages: 4 At: 11:08:46 AM ~ Receipt Number 08-0014852 TRANSFER TAX NUMBER: 07-19138 LIBER: D00O12541 PAGE: 011 District: Section: Block: Lat: 1000 079.00 06.00 022.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Follovring Fees For Above Instrument Exempt Exempt PagelFilinq $12.00 NO Handling $5.00 NO COE $5.00 NO NYS SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $75.00 NO TP-584 $5.00 NO Notation $0.00 NO Cert.Copies $0.00 NO RPT $30.00 NO Transfer tax $0.00 NO Comam.Pres $0.00 NO Fees Paid $152.00 TRANSFER TAX NUI~BR: 07-19138 THIS PAGE IS A PART OF TAE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County _ _ ' ~ ~ ~ RElriaRaEt) Nunthrr lr,~•r. ~e~0$ Feh 2 ~ t i : t78: t~ht Judith p. Pa~c~ie rLERK QF This document will be public ~IJFFt7LY. i~ourar~r ' record. Please remove all ~ t~t~~~i~~a~ • Social Security Numbers iat ~ Ur;# G~-1913 prior to recording. IhcJ / 1.1,nt.~a~~~ 111!arunlclll Ured I V1,'trt~agr Tar titanli~ !tc'ra~rllim~ 1 I~ilin~+ tit;lnll,x i~fti.`+ 1'a+~,~ ! Filin:• Fri I•lanc3lilt~~ i, il(? S[~i~./:~sxit. ~ ti+rtaticllt ~r~"'"" f:f\-~~ 17 lt:~~urn~ t Suh'ii,IaE tilx~c:. /:\dd. E~~\-ti~S7 t~+t:lt~•r ~ '!'(')T.:t7"t'Ci.'1'r\\ ~ laual 'li~~~•n [)u:tl l'u11E11V ~ i lc isl ti,1• /\ltitt,intin~ llt (:t+ltllli. sat iitl. ~ tMl ~ * ~ 'I'r:nlst'crTae ~ ~9cut+i„lt Tai Tllc pr,+hrrn• ~u<<zreci h.• tlti. lln,r~,,a,~r i~ (:'rl•tilirJ (~t,l,~ _ +,r >,~'iil I,r imiyr„t•td tn_• a sate ur I~~•„ Nl'S tiur~hal•~r 1:?. 1~t7 ~ ~ S Iantiiv,!»•~~tlin~~ iutlr. t lthrl' _ ~ . (iC:tltll Ti~tal lf' \U. ~ec• ahpri,hriata• t:1\ ~1~111~c +~t1 io ~ - gist 08003656 >~aoo a~soo osaa o22oaa 4 Community Preservation Fund It~:l[ I'n, t p T ~ 1 ~NtNA q Cansi.dcrrtriotl< Atl~ctunt $ _:~r •la~ Srl•~'i~ 13-FE Vrril i~•:lti,•lt 5:lti.farti~attill'ti~r.•]tar~~c~/Itcl~:lscs l.ixt t'r„hcrty C)~i•ltrrs'~'laililty AJdre.x tiiM:C~.I"1t21) R!•:Ttalt\I 'I'tJ: \;Iraa~ I_:In~i 'I'I) Mail to: Judith A. Pascale. Suffolk County Clerk 7 '!'itlc Cnm :rntij Infi)i-m:~ti~rn ' 310 Center Drive, Riverhead, NY 11901 N,lnu ~~e.fv~ f~b~~r' Co/' . www.suffolkcountyny.go~/clerk •I•itl~ ~ _,SS _ -d x Suffoll~ Count ~ecordin indorsement ~'a e I'hl~ 11a.,C 1~11'111~ il;ll'L ~1t tltc attailllil Iltad~ h\': 1ti!'li{'[I~Y "f'YPL C)F~ lUS'1'1tt6~11.:N"1'I iL:~'1Q_rGt_. e:-_I*3_Ur!V~ 'I'hc I~r~ntises helrirl i..iill:lt,,~d in ~}-/'i~ ~~r_'N. S - sLIFFiII_h C:C)UNTl: NFi\1i ti'()ftti. '1'i') [It ttt~ 'I'C)\V\ c+I' --~tl~1 O f ~ . /t?~rr e. L3 yr",~+/.f ,_.~s.. ?Jlus~•~ 1,1 itl~ 11.1_Arr--_ D~ ~G /~Jf~lr"iG.,._f~;_44v_r'•vS 77'~.St' III.1•I~\MI.I~'I',~f l4t:)\l:5 b'1'l ll;l1 ti ~lliSl' 13F 1'Yf'F:f) {'!ft I'TtIN"CH t? IN Rl.r\t'h [NK C_)NI..~' PRIC}Ft 'I`ll klsC't71t1)Itit;r i i~![.litt i. DEED ~ ' t 'District: 1000 ' Section: 079.0(! Block: 06.00 Lat: 022.000 • Ma THIS INDENTURE, made this ~ day of , 2007 Richard C. Burns and Marie A. Burns, his wife, both residing at 210 S mit Drive, Southold, NY 11971, Party of the First Part, To Marie A. Burns, as Trustee of the Marie A. Burns Trust dated ~ .lune 13, 2007, with its principal place of business at 210 Summit Drive, Southold, NY 11971, Party of the Second Part, WITNESSETH, that the Party of the First Part, in cansideratian of Ten (510.00 Dollars paid by the party of the Sccand Part, does hereby grant and release unto the party of the Second Part, the heirs ar successors and assigns of the Party of the Second Part forever. SEE ATTA HED LEGAL DESCRIPTION. Premises known as and by 210 Summit Drive, Southold, NY 11971 ~Q©D Being part of the same premises conve~'ed to the parties of the first part herein by ~ deed recorded on 9123/1992 in Libcr 11543 Pg 576. b .Qr} TOGETHER with ail right, title and interest, if any, of the Party of the First Part in and to any streets and roads abutting the shave described premises to the center lines pa„a,~ 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 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 wi{! receive the cansideratian for this conveyance and will bald 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 f rst to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The ward "party" sha11 be construed as if it read "parties" whenever the sense of this indenture sa 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: 1~~'~~ ' Richard C. Burns ~ ' Marie A. urns ~ i i ~ ' I SCH1rDULE ~1 ALL that certain plot, piece ar parcel of land, with the buildings and improvements thereon erected, situate, ' lying and being in the at Bayview, neaz Southold, in the Town of Southold, County of Suffolk, State of New York, bounded and described as follows: ~ ' BEGINNING at an iron pipe on the easterly line of a 50 foot private road known as "Summit Road", 150.0 feet northerly along said easterly line from the northerly tine of a 50 foot private ~ mad known as Ed's Road; said easterly line of "Summit Road" being pazallel with and 400 feet westerly from the westerly boundary line (or its extension southerly) of land of Frank Stelzer, measured at right angles thereto, and said northerly line being parallel with and 382 feet northerly ~ from the northerly line of Main Bayview Road, measured at right angles thereto said point of ~ BEGINNING being the northwesterly corner of land conveyed by tfie party of the first part to i Wilson Main; from said paint of BEGINNING RUNNING along said easterly tine of said 50 foot private road known as "Summit Road", North 28 degrees 41 minutes, 30 seconds East, a distance of x30.0 feet; RUNNING THENCE along land of Bertani, South b0 degrees 02 minutes 40 seconds East, a distance of 125.0 feet; THENCE South 28 degrees 41 minutes 30 seo~nds West, a distance of 130.0 feet along land of F'IUglleS; THENCE along land of jackens, North GO degrees 02 minutes 40 seconds West, a distance of 1ti.0 feet to the point of BEGINNING:• TOGETHER with the right to use' ii? common with others, of a strip of land 50 feet in width as an easemen# to Corey Creek, said strip of land, being bounded on the ea'st+erly by land of Edson and on the westerly by land of Toedter and Dickinson. i j TOGETHER with a'ri,ght of way over said 50 foot private road known as "Summit Road" ' from the northwesterly corner of the premises southerly to said 50 foot private road known as "Ed's Road", and THENCE westerly over said "Bd's Road" to a 50 foot private road known as "Victoria Drive" and THENCE southerly aver said "Victoria Drive" to Main Bayview Raad. The party of the first part reserves ~ the might to dedicate the aforesaid roads known as "Summit Road", "Ed's Road" and "Victoria Drive" to the Tawas at Southold as public highways and the right to the use of said rights of way is subject and subordinate to such right of ~ uedication; :;nd the parties of the second part, by the acceptance of the deed herein, consent to such dedication and release the Town•of Southa].d from any liability for damages try reason thereof. STATE C)F NEW YC)RK, CC)tJNTY t)F SLJFFt)LK, ss.: 'Un June 13, 2047, before me, the undersigned, personally appeared Richard C. Burns and Marie A. Burns personalh~ known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same is their rapacity and that by their signatures on the instnemcnt, the individuals or the persons upon behalf of which the individual acted, executed the inst e MARK S. KOSAK biary Public State O. New Yark Nat Pu No. 4872252 Comm ss+fon Extai es Alki 14, 2p Section: 079.40 Black: 06.00 Lat: 022.OOU County or Town: Sut~'aik Address: 210 Summit Drive Southold, NY ! 1971 RETURN BY MAtL TC}: Mark S. Kosak, Esq. 330 Motor Parkway, Suite 302 Hauppauge, NY 117RR Y S r t h t~ ~ ~ti t ~i ; r t~ S ff J ~~t e t PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE {518 473-7222 FOR COUNTY USE ONLY I f ~ ~ ~ I REAL PROPERTY TRANSFER REPORT c~. swls code I , ~iJ ~ STATE OP NEW YORK C2. Date Dead Recorded I ~ / /J j Q~ I STATE 60ARD OF REAL PROPERTY SERVICES Month ~ Year l R p - 5217 C3. Book pl ~ t24. Page b - - . a4i . - xrsztT ~ 3+~n PROPERTY INFORMATION ~ 1. Property ~ ~ ~ v Q Location stn u ER sr AM~ GIYi7RTOWN ~ VILLAGE LIPCOTx: 2. Buyer Nsma LAST NAME/ NP M FyiSr E I I I LAST ltAME /COMPANY FIRST NAME S. Tax Indicate whBre future Tax Bills are to be sent BJRIng if other then buyer address let bottom of form) ~ I I Address LAST NAMF 1 GOMPAYY FINSf NAME i I 1 1 1 STREET NUMBER AND STREET NAME CITY OR TOWN STATE ~ Zr' CODE 4. Indk:ate the number of AssessrrraFit ~ !Only if Part of a Parceq Cheek as they aPPIY Roll pareNa transferred on the deed I I # of Parcels OR ? Part of a Parcel ~ Planning Board with Subdivision Authorittr Exlsts 5. Deed 7 +I6. Subdivision Approval was Required far Transfer property I I X I _ ~ oR I s ~ ` I Pemel Approved for Subdivision with Map Provided Slxe FRONT FEET ~ oEPrli ~ACAES / y~ s. sNler L_ ~ t ~L.~ I ~6~ ~ /U t ~ ~ I . LA$i NAMhltOMPANY FIRST AiMb I ~ I LAST NAME /COMPANY FIRST NAME 7. Cheek the box babes rrvFlkh most aoeuratey describes the use of the property m the time of sale: Check the boruTS below as they apply: 8.Ownership Type is Condominium A Ono Family Residential Agricultural i Community Serviq; 9. New Construction on Vacant Land B Z or 3 Family Residential F Commercial J Industrial 10J1 Property Lar:atad within an Agricultural District C Residential Vacant Land ApartmefTt K Public SE rviee 706. Buyer received a discbaure notice iTtdiceting ? n Non•ResidaTnial VacarTt Lend H Entertainment /Amusement L Forest that the properly is in an Agricultural District SALE INFORMATION 15. Cheek one or mare of tlwse candTtiorrs es applksllTts to iraTrafer. t 11. Sale Contract Dots A le Botwaen Relatives or former Relatives WbfI:11 D y Yrlar A Sale BB[VVeeli Rr:letcd Companies or Partners in Business C One of tho Buyers is also a Seller 12. Data of SBIe ! Transi~r U Buyer or Seller is GovemmeM Agency or Landing Institution F oRy Ycar E Deed Typo nfrt WarrarLty or Bargain and Sale iSpecify Below! Ssle of Fractional or Less than Fee Irfterest {Specify Below) 13. Full Sale Price I ~ , ~ ~ ~ I G Significant Change in Property Betv+reen Taxable Status and Sale Daa ' ~ e H Sale of Business is Ificludod in SBIa Price !Full Sale Prico q the total amount paid for Iha property including personal property. 1 Other Unusual Factors Affecting Setc Price (Specify Below! This payment may be in the form of cash, other property or goods, or tho assumption of j None ~ mortgages or other obligations.! frtease round to the nearest whole dol~~rr~amount. ~ 14. Indicate the vslua of personal V 1~ r 0 I property inetLrdad in the sale I ~ I ~ ~ ~ ASSESSMENT INFORMATION - Oata should reflect the latest Final Assessment Rall and Tax Bill 76. Year of Assessment Roll from ~ ~ which Irrformsttan taken 17. Total Assessed Value;oi all parcels b tranBfer) ! 9 18. Properly Class ~ L-I 19. School District 111ams L t~J I 26. Tax Map ktsrttiRarts} leRoll IdaTrtifisrtsl i1f mo/aB~tlran fnou]~r, attach sheet wNh addFtional ideMiRertst) I ~ ~V ~ ~2~~ ~V FVU~ t~}22'~ I - I CERTIFICATION i Ltrtiry that ail ur the items of infinntatlon entered en thLx brnt are true and eorr+ECt ttn the bLai of mg kttowkdim attd belk~ry end 1 urtdetztand that thfe making rrr art,Y wJlrut GtLtie yfutemenl rlr mu4rird race Iwrrein wi113rFbjL~et me to lire Imni~itrtK uC the penal roes retaltre to the malLinK and filing ur fbl~r }a+lrumentc. BUYER BUYER'S ATTORNEY RUYEP S:ONATURE DATE NAME flFtST NAME STREET N:JMDCR SIREEf NAME rAFTER ODF TELEPMOnE NUMlrEO ~ CIfY OR IOW STATE ODE ~ ,L NEW YORK STATE • ~ ' COPY ,3101 ~LER 57ONATUf1E DATE