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HomeMy WebLinkAboutQueen Street (part of)Southold Town Board - Letter Board Meeting of February 12, 2008 RESOLUTION 2008-173 ADOPTED Item # DOC ID: 3594 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2008-173 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON FEBRUARY 12, 2008: WHEREAS, Mydon Resorts, Inc. has made application to the Town Board of the Town of Southold to dedicate certain roads in Greenport, New York, to be known as "part of QUEEN STREET", as shown on the site plan entitled "Eastern Long Island Kampground", approved by the Southold Town Planning Board by resolution adopted on September 11, 2006, together with the release executed by the owner thereof; and WHEREAS, the Southold Town Superintendent of Highways has inspected the said highways and has advised the Town Board that said proposed highways comply in all respects with the specifications for the dedication of highways in the Town of Southold; now, therefore be it RESOLVED, that in accordance with Section 171 of the Highway Law of the State of New York, consent bev and the same hereby is~ given to the Superintendent of Highways to make an order laying out the aforesaid highways~ to consist of lands described in said application as shown on certain maps attached to said application~ and be it FURTHER RESOLVED, that the Town Clerk bev and she hereby is, authorized and directed to forthwith cause the dedication, release~ and deed to be recorded in the Office of the Clerk of the County of Suffolk, New York. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Thomas H. Wickham, Councilman SECONDER: Louisa P, Evans, Justice 2008 Generated February 13, 2008 Page 34 TOWN OF SOUTHOLD: STATE OF NEW YORK COUNTY OF SUFFOLK In the Matter of the Application of MYLDON RESORTS, INC., for the Laying Out of New Highways in Greenport, Town of Southold, Suffolk County, New York, to be known as: "part of QUEEN STREET", Greenport, New York CONSENT We, the undersigned, being a majority of the Town Board of the Town of Southold, in the County of Suffolk and State of New York, having duly met at a regular meeting of the said Town Board on the 12th day of February, 2008, and having duly considered the application of MYDON RESORTS, INC. dated the 26th day of October, 2006, for the laying out of new highways at Greenport, in the Town of Southoid, to be known as part of QUEEN STREET, do hereby consent that/~uch laying out be made in accordance with said petition. Eli~.~c~,g'~ ~o~vrj/C!erk- . Pe~e~ Ha¥is, Hwy. Super. Vi6¢en't M. Orl~do~ Gounoilman b~ J. K~s~i, Jr2 CounCilman -- WiJliam RulandvCo~cil~a~ qhoma Wic a 'CS n Peconic Bay Region Community Preservation Fund Please print or type. ~;chedule A Information Relating to Conveyance Name (individual: last. first, middle initial) Grantor [] Individual ~ Corporation [] Pamiership ~] Other Grantee lqi'DON RESORT$~ INC. Marlin* address PO BOX 89 City State ZIP code GREENPORT NY 11944 Name (individual; last, first, middle initial) ~ Indiviclual TOWN OF SOUTHOLD ~] Corporation Mailing address PO BOX 1179 [] Partnership City State ZIP code ~ Other SOUTHOLD NY 11971 Location and description of property conveyed Social Security Number Social Security Number . I Federal employer idenl, number Social Secuity Nnm~er Social Secuity Num)er Federal employer idenl. !ti ~ Tax map designation Section I Block ~ 1000 40 3 Lot IQ P/O 5 UEEN STREET Date of conveyance Type of property conveyed (check applicable box) [] hnproved ~ Vacant land Address Dual Towns: IS Tow,._~ OUTHOLD · Condition of conveyance (check all that apply) a. Coaveyance of fee interest b. Acquisition of a controlling interest (state percentage acquired _ %) c - Translkr of a controlling interest (state percentage transfer red %) d - Conveyance to cooperative housing corporation e - Conveyance pursoant to or in lieu of foreclosure or enforcement of security f, - Conveyance which consists of a mere change of identity or form of ownership or organization g. - Conveyance for which credit (or tax previously paid will be claimed h, - Conveyance of cooperative apartment(s) i. - Syndication J. - Conveyanceofairrightsordevelopment rights k. Contract assignment l. Option assignment or surrender m. Leasehold assignment or surrender n. Leasehold grant o, Conveyance of an easement p. Conveyance for which exemption is claimed (complete Schedule B. Part II) q. - Conveyance of property partly within and Schedule B - Community Preservation Fund pardy without the state/ r...'~2Other (describe) Part I 'Computation of Tax Due 1 Enter amoont of consideration for the conveyance (from line 1 TP584 Schedule B) ................................. 2. Allowance (see beIow) ......................................................................................................... 3. Taxable consideration (subtract line 2 from line 1) ........................................................................ 4. 2% Community Preservation Fund (of line 3) make certified check payable to SUFFOLK COUNTY CLERK 5. Property not subject to CPF Tax (See Schedule C) ........................................................................ 1 O For recording officer's use Amount received Date received Transaction number Allowanoe: Eust Hampton Shelter Island Southampton Riverhead Southold $250,000.00 Improved $250,000.00 Improved $250,000.00 Improved $150,000.00 Improved $150,000.00 Improved $100,000.00 Vacant Land (Unimproved) $100,000.00 Vacant Land (Unimproved) $100,000.00 Vacant Land (Unimproved) $ 75,000.00 Vacant Land (Unimproved) $ 75,000.00 Vacant Land (Unimproved) Schedule C (continue~d) Part 11- Explanation of Exemption Claimed in Part I, line 1 (check any boxes that apply ) The conveyance of real property is exempt from the real estate transfer tax for the following reason: a. Conveyance is to the United Nations, the United States of America, the state of New York or any of their instrumentalities, agencies or political subdivisions (or any public corporation, including a public corporafion created pursuant to agreement or compact with another state or Canada) b, Conveyance is to secure a debt or other obligation c Conveyance is without additional consideration to confirm, correct, modify or supplement a prior conveyance ........... [] d. Conveyance of real property is without consideration and not in connection with a sale, including conveyances conveying realty as bona fide gifts e Conveyance is given in connection with a tax sale [] f Conveyance is a mere change of identity or form of ownership or organization where there is no change in beneficial ownership, (This exemption cannot be claimed for a conveyance to a cooperative housing corporation of real property comprising the cooperative dwelling or dwellings,) g Conveyance consists of deed of partition h. Conveyance is given pursuant to the federal bankruptcy act i Con.veyance consists of he execution of a contract to sell real property:without the use or occupancy of such property or the granting of an option to purchase real property without the use or occupancy of such property ........................ [] j. Conveyance or real property which is subject to restrictions which prohibit the use of the entire property for any purposes except agriculture, recreation or conservation, pursuant to Section '~449-ee (2) (j) or (k) of Ad cie (See required Town approval, below). ........................... 31-D of the Tax Law, k. Conveyance of real property for open space, parks, or historic preservation purposes to any not-for-profit tax exempt corporation operated for conservation, environmental, or historic preservation purposes ......... ;, ........ ~ [] I Other list explanations in space below (Grandfather/Contract) ...... The conveyance ~s approved for an exemption from the Community Preservation Transfer Tax, under Section 1449-ee of Article 31-D of the Tax taw. (See j in Schedule C) T~)wn Attorney or other designated official Penalties and Interest Penalties Any granlor or grantee failing to file a return or to pay any tax within the time required shall be subject to a penalty of 10% of the amount of tax due plus an interest penalty of 2% of such amount for each month of delay or fraclion thereof after the expiration of the first month after such return was required to be filed or the tax became due. However, the interest penalty shall not exceed 25% in the aggregate. Interest Daily compounded interest will be charged on the amount of the tax due net paid within the time required. *****By signing the following, the buyer and seller further represent and attest to the fact that for property lying Within Southold Tr~W~, a validly executed contract was in effect prior to March i~; 1999 and that for all other towns Subject at the CPF tax, a validly executed contract was in effect prior to April 1, 1999.' Seller Buyer Signature (both the grantor(s) and grantee(s) must sign)'. The undersigned certify that the above return, including any cediflcafion, schedule or attachment, is to the best of his/her knowledge, true and complete, HYDON ~SORTS~ INC. //~Q - (/ Grsnto(., ~t'~RON ~. 6OLD~TEIN BY: TO~'I~ OF SOOTHOLD Graatee SCOTT A. RUSSELL~ SUPERVISOR Page 3 of 4 TP-584 (11.04/ Schedule C- Credit Line Mortgage Certificate (Tax Law, Article 11) Complete the following only if the interest being transferred is a fee simple interest. I (we) certify that: (check the appropriate box) 1. [] The real property being sold or transferred is not subject to an outstanding credit line mortgage. 2. [] The real property being sold or transferred is subject to an outstanding credit line mortgage. However, an exemption from the tax' is claimed for the following reason: [~ The transfer of real property is a transfer of a fee simple interest to a person or persons who held a fee simple interest in the real property (whether as a joint tenant, a tenant in common or otherwise) immediately before the transfer. [] The transfer of real property is (A) to a person or persons related by blood, marriage or adoption to the original obligor or to one or more of the original obligors or (B) to a person or entity where 50% or more of the beneficial interest in such real property after the transfer is held by the transferor or such related person or persons (as in the case of a transfer to a trustee for the benefit of a minor or the transfer to a trust for the benefit of the transferor). [~] The transfer of real property is a transfer to a trustee in bankruptcy, a receiver, assignee, or other officer of a court. [] The maximum principal amount secured by the credit line mortgage is $3,000,000 or more, and the real properly being sold or transferred is not principally improved nor will it be improved by a one- to six-family owner-occupied residence or dwelling. Please note: for purposes of determining whether the maximum principal amount secured is $3,000,000 or more as described above, the amounts secured by two or more credit line modgages may be aggregated under certain circumstances. See TSB-M-96(6)-R for more information regarding these aggregation requirements. [] Other (attach detailed explanation). The real property being transferred is presently subject to an outstanding credit line modgage However, no tax is due for the following reason: [] A certificate of discharge of the credit line mortgage is being offered at the time of recording the deed. [] A check has been drawn payable for transmission to the credit line mortgagee or his agent for the balance due, and a satisfaction of such mortgage will be recorded as soon as it is available. 4. [] The real property being transferred is subject to an outstanding credit line mortgage recorded in (insert liber and page or reel or other identification of the mortgage). The maximum principal amount of debt or obligation secured ::~ by the morigage is . No exemption from tax is claimed and the tax of is being paid herewith. (Make check payable to county clerk where deed will be recorded or, if the recording is to take place in New York City, make check payable to the NYC Department of Finance.) Signature (both the grantor(s) and grantee(s) must sign) hoN/ undersigned cert~ that the above information contained in schedules A, B, and C, including any return, certification, schedule, or ment, is to thC'b,~st of bis/her knowledge, true and complete. ~ ' ~ g Title ~ Grantee signature ' Title bye' .yro~ W. Cotdstein SCOTT A. RUSSELL, SUPERVISOR Reminder: Did you complete all of the required information in Schedules A. B, and C? Are you required to complete Schedule D? If you checked e, f, or g in Schedule A, did you complete Form TP-584 ~? Have you attached your check(s) made payable to the county dark where recording will take place or, if the recording is in New York City. to tile NYC Department of Finance? If no recording is required, send your check(s), made payable to the Department of Taxation and Finance directly to the NYS Tux Department, RETT Return Processing PO Box 5045. Albany NY 12205-5045 Page 4 of 4 TP-584 (11/04) Schedule D - Certification of exemption from the payment of estimated personal income tax (Tax Law, Article 22, section £., Complete the following only if a fee simple interest or a cooperative unit is being transferred by an individual or estate or trust. Part I - New York State residents If you are a New York State resident transferor(s)/seller(s) listed in Schedule A of Form TP-584 (or an attachment to Form TP-584), you must sign the certification below. If one or more transferors/sellers of the real property or cooperative unit is a resident of New York State, each resident transferor/seller must sign in the space provided. If more space is needed, please photocopy this Schedule D and submit as many schedules as necessary to accommodate all resident transferors/sellers. Certification of resident transferor(s)/selier(s) This is to certify that at the time of the sale or transfer of the real property or cooperative unit, the transferor(s)/seller(s) as signed below was a reside~ New York pay estimated personal income tax under Tax Law, section 663(a) upon the sale or Signature Print full name Date Date Print full name Date Print full name Date Note: A resident of New York State may still be required to pay estimated tax under Tax Law, section 685(c), but not as a condition of recording a deed. Part I! - Nonresidents of New York State If you are a nonresident of New York State listed as a transferor/seller in Schedule A of Form TP-584 (or an attachment to Form TP-584) but are not required to pay estimated personal income tax because one of the exemptions below applies under Tax Law, section 663(c), check the box of the appropriate exemption below. If any one of the exemptions below applies to the transferor(s)/seller(s), that transferor(s)/seller(s) is not required to pay estimated personal income tax to New York State under Tax Law, section 663. Each nonresident ?~msferor/seller who qualifies under one of the exemptions below must sign in the space provided. If more space is needed, please photocopy this Schedule D and submit as many schedules as necessary to accommodate all nonresident transferors/sellers. : If none of these exemption statements apply, you must complete Form IT-2663, Nonresident Real Property Estimated Income Tax Payment Form, or Form 1%2664, Nonresident Cooperative Unit Estimated Income Tax Payment Form. For more information, see Payment of estimated personalincome tax, on page I of Form TP-584-]. · t Exemption for nonresident transferor(s)/seller(s) This is to certify that at the time of the sale or transfer of the real property or cooperative unit, the transferor(s)/seller(s) (grantor) of this real property or cooperative unit was a nonresident of New York State, but is not required to pay estimated personal income tax under Tax Law, section 663 due to one of the following exemptions: [~The real property or cooperative unit being sold or transferred qualifies in total as the transferor's/seller's principal residence (within the meaning of Internal Revenue Code, section 121) from to. (see instructions). Date Date [] The transferor/seller is a mortgagor conveying the mortgaged property to a mortgagee in foreclosure, or in lieu of foreclosure with no additional consideration. [~The transferor or transferee is an agency or authority of the United States of America, an agency or authority of the state of New York, the Federal National Mortgage Association, the Federal Home Loan Mortgage Corporation, the Government National Mortgage Association, or a private mortgage insurance company. Signature Print full name Date Signature Print full name Date t Peconic Bay Region Community Preservation Fund Please print or type. ~;chedule A Information Relating to Conveyance Grantor Name (individual: Iast. first, middle initial) ~ Individual [] Corporation I~ Partnership ~ Other Grantee [] Individual [] Col~2oration [] Parmership ~ Other IIX/DON RliSORTS~ INC. Mailin v address PO BOX 89 State ZIP code 3RT NY 11944 Name (individual; last, first, middle initial) TOWN OF SOUTHOLD Mailing address PO BOX 1179 City State ZIP code SOUTHOLD NY 11971 Location and description of property conveyed Social Security Number Social Security Number . I I Federal employer idenl, number Social Secuity Number Social Security Number I_ Federal employer idenl. Tax map designation Address Village Town Dist Section Block Lot 1000 40 3 P/O 5 QUEEN STREET GREENPORT SOUTHOLD · ~plicable box) Date of conveyance Improved ~]Vacantland I [ 06 1 Dual Towns: Condition of' conveyance (check all that apply) a Conveyance of fee interest b. Acquisition of a controlling interest (state percentage acquired %) c Traasfcr of a controlling interest (state pe~cemage transferred %) d. Conveyance to cooperative housing - Conveyance pursnam to or in lieu of t'o~eclosure or enforcement of security interest f. - Conveyance which consists of a mere change of identity or form of ownership or organization g. ~ Conveyance for which credit (or tax previously paid will be claimed h. - Conveyance of cooperative apartment(s) i. - Syndication j. - Conveyance of air rights or development rights k. Contract assigmnent I. Option assignment or surrender m. Leasehold assignment or surrender n. Leasehold grant o. Conveyance of an easement p. Conveyance for which exemption is claimed (complete Schedule B. Part II) q. - Conveyanceofpropertypartlywithinand partly without the state/ Schedule B - Community Preservation Fund Part I - Compntation of Tax Due I Enter amount of consideration for the conveyance (from line 1 TP584 Schedule B) ................................. 2. Allowance (see below) ......................................................................................................... 3 Taxable consideration (subtract line 2 from line 1) ........................................................................ 4. 2% Community Preservation Fund (of line 3) make certified check payable to SUFFOLK COUNTY CLERK 5. Property not subject to CPF Tax (See Schedule C) ........................................................................ For recording officer's use A~nount received I Date received Transaction number Allowance: East Hampton Shelter Island Southampton $250,000.00 Improved $250,000.00 Improved $250,000.00 Improved $100,000.00 Vacant Land (Unimproved) $100,000.00 Vacant Land (Unimproved) $100,000.00 Vacant Land (Unimproved) $:i verhead Southold $150,000.00 Improved $150,000.00 Improved $ 75,000.00 Vacant Land (Unimproved) $ 75,000.00 Vacant Land (Unimproved) Schedule C (continued) Part 11- Explanation of Exemption Claimed in Part I, line I (check any boxes that apply ) The conveyance of real property is exempt from the real estate transfer tax for the following reason: a. Conveyance is to the United Nations, the United States of America, the state of New York or any of their instrumentalities, agencies or political subdivisions (or any public corporation, including a public corporation created pursuant to agreement or compact with another state or Canada) ..... b Conveyance is to secure a debt or other obligation o Conveyance is without additional consideration to confirm, correct, modify or supplement a prior conveyance ........ [] d Conveyance of real property is without consideration and not in connection with a sale, including conveyances conveying realty as bona fide gifts e Conveyance is given in connection with a tax sale [] f Conveyance is a mere change of identity or form of ownership or organization where there is no change in beneficial ownership, (This exemption cannot be claimed for a conveyance to a cooperative housing corporation of real property comprising the cooperative dwelling or dwellings,) g Conveyance consists of deed of partition ........ h Conveyance is given pursuant to the federal bankruptcy act Conveyance consists of the execu on of a contract to sell rea property w hout the use or occupancy of such proper~y or the'granting of an option to purchase real property without the use or occupancy of such property ............ Conveyance or real property which is subiect to restrictions which prohibit the use of the entire property for any purposes [] except agriculture, recreation or conservation, pursuant to Section 1449-ee (2) (j) or (k) of Article 31-D of the Tax Law. (See required Town approval, below), - ................ k, Conveyance of real property for open space, parks, or historic preservation purposes to any not-for-profit tax exempt corporation operated for conservation, environmental, or historic preservation purposes,_ .................. ! Other hst explanations in space below (Grandfather/Contract) ..... rathe conveyance is ap'proved for an exemption from the Community Preservation Transfer Tax, under Section 14'49-ee of Article 31-D of the Tax law. (See j in Schedule C) T~)wn Attorney or other designated official Penalties and Interest Penalties Any grantor or grantee failing to file a return or to pay any tax within the time required shall be subiect to a penalty of 10% of the amount of tax due plus an interest penalty of 2% of such amount for each month of delay or fraction thereof after the expiration of the first month after such return was required to be filed or the tax became due. However, the interest penalty shall not exceed 25% in the aggregate. Interest Daily compounded interest will be charged on the amount of the tax due not paid within the time required. ***** By signing the following, the buyer and seller further represent and attest to the fact that for property lying within Southold T(~',X~, a validly executed contract was in effect prior to March 1; 1999 and that for all other towns subject at the CPF tax, a validly executed contract was in effect prior to April 1, 1999. Seller Buyer Signature (both the grantor(s) and grantee(s) must sign),. Tine undersigned certify that the above return, including any certification, schedule or attachment, is to the best of his/her knowledge, true and complete, MYDON ~I~SORTS~ INC. (] c~a~to( MYRON ~d/. GOL13~TEIN BY: TOWN OF SOUTHOLD Grantee SCOTT A. RUSSELL, SUPERVISOR ~OR COUNTY USE ONLY INSTRUCTIONS: http://www.orps.state.ny, us or PHONE (518) 473-7222 Cl. SWlS Code I I I I I I C2. Date Deed Recorded I Month / Day / Year C3. Book I I I I r J C4, Page ~ REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES RP- 5217 RP-$217 Rev 1. Property Location ] r Queen Street I Greenport I 2. Buyer r TOWN OF SOUTHOLD I 3. Tax Indicate where future Tax Bills are to be sent Billing if other than buyer address (at bosom of form( [ Roll parcels transferred on the deed ] I # of Parcels OR ~'~ PaY[ of a Parcel 5. Deed PropertyL Jxl IORI 6. Seller $ ~J~]~X ~ ]~ ~ Z~X ~ ~]l~ii~X]~x [MYDON RESORTS~ INC. LAST NAME / COMPANY [ FiRST NAME 7. Check the box below which most accurately describes the use of the property at the time of (Only if Part of a Parcel) Check as they apply: 4A. Planning Board with Subdivision AuthoriW Exists [] 4B, Subdivision Approval was Required for Transfer [] 4C, Parcel Approved for Subdivision with Map Provided [] Check the boxes below as they apply: 8. Ownership Type is Condominium B r 3 Family Residential F }.~ Commercial - Industrial C [_~ Residential Vacant Land ~ Apartment tgA, Property Located within an Agricultural District [] Pubgc Service 10B. Buyer received a disclosure notice indicating [} LJ Non Residential Vacant Land H ~ Entertainment / Amusement Forest that the proper~ is in an Agricultural District [] 11. Sale Contract Date [ / I A Sale Between Relat yes or Former Relatives le to transfer: I~lonth Day Year B Sale Between Related Companies or Partners in Business 12. Date of Sale / Transfer / / 06I Month Day Year 13. Full Sale Price I I I I I I ~ , I Oi 0 I 0 ] (Full Sale Price is the total amount paid for the proper~y including personal property, This payment may be in the form of cash, other property or goods, or the assumption of mortgages or other obligations,) Please round to the nearest whole dollar amount, 14. Indicate the value of personal ] ~ I I 0 0 0 I property included in the sale ~ i ~ i ~ C One of the Buyers is also a Seller D Buyer or Seller is'Government Agency or Lending Institution E Deed Type not Warranty or Bargain and Sale (Specify Below) F Sale of FracBonaJ or Less than Fee Interest (Specify Below) Significant Change in Properly Between Taxable Status and Sale Dates Sa[e of Business is Included in Sale Price ~1 Factors Affecting Sale Price {Specify Below) J None I ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 16. Year of Assessment Roll from j(~ , ] 17, Total Assessed Value (of all parcels in transfer} ] which information taken 18. PropertyCJass ' ~ [,¢'-~ ,B. Schoo/ District Name ' ~-~./~ O~ ~ 20. Tax Map Identifier(s) / Roll Identifier(s) (ff more than four, a~ach sheet with additional identffier(s)) L 1000-40-3-p/o 5 I L ] I CE IEIOA ,O I I certify that all of the items of information entered on this form are true and correct (to the best of my knowledge and beBeD and I understand that the malting of' any willful f~]se statement of material fact herein will Sill!jeer me to the provisions of the penal law relative to the making and filing of false instruments. BUYER 53905 ] Main Rd (PO Box 1179) BUYER'S ATTORNEY , 7T& C-.J'7; ? NEW YORK STATE COPY Number of pages TORRENS SedaI # Certificate # Prior Ctf. # Deed. Mortgage Instrument Deed / Mortgage Tax Stamp f---~-'~ecording / Filing Stamps FEES Page / Filing Fee Handling 5, .00 TP-584 Notation EA-5217 (County) EA-5217 (State) R.RTS.A. Comm. of Ed. 5, 00 Affidavit Certified Copy Reg. Copy Other K93_.%. o4.9. oo o3. oo Real Property Tax Service Agency 'Verification Sub Total Sub Total Grand Total J L6t ..... Satisfaction/Discharges/Release List Property Owners Mailing Address RECORD & RETURN TO: PATRICIA A. FINNEGAN, ESQ., TOWN OF SOUTHOLD P.O. BOX 1179 SOUTHOLD, NY 11971-0959 TOWN ATTORNEY Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec. / Assit. or Spec. / Add. TOT MTG TAX Dual Town _ Dual County Held for Appointment Transfer Tax Mansion Tax The property covered by this motgage 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 tiffs instrument. "--~O~unity Preservation Fund Consideration Amount $. 0 CPF Tax Due $ Improved Vacant Land TD X TD TD '7 [ Title Company Information Co. Nmme Peconic Abstract, Inc. [~e# PAC-3771 Suffolk County Recording & Endorsement Page This page forms part of the attached MYDON RESORTS, INC. TO TOWN OF SOUTHOLD DEDICATION AND RELEASE (SPECIFY TYPE OF INSTRUMENT) The premisis herein is situated in SUFFOLK COUNTY, NEW YORK. SOUTHOLD In the Toxvnship of made by: In the VILLAGE or HAMLET of GREENPORT BOXES 6 THROUGH 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. TOWN OF SOUTHOLD: STATE OF NEW YORK In the Matter of the Application of Mydon Resods, Inc. for the Laying Out of Rereherga:lBe~acf41: New Highways in Greenport, Town of Southold, County of Suffolk, New York to be known as: part of Queen Street, Greenport, New York x DEDICATION\ AND RELEASE X MYDON RESORTS, INC., being the owner of certain land in the Town of Southold, County of Suffolk and State of New York, and included with which land are proposed highways known as Queen Street, Greenport, New York~cm¥.RE~EX xBx,~,~described in the above entitled matter dated ~_o/26/o~.. NOW THEREFORE, in consideration of Ten Dollars ($10.00) to us in hand paid by Peter Harris, Superintendent of Highways of said Town of Southold, and in further consideration of layir)g out of the new highways known as QUEEN STREET:a:~I" ' ~L~o hereby release and dedicate to the Town of Southoid all the land heretofore owned by us within said proposed highway as follows: · The highways knosw~taeS Q.uaee,,n' Street asd~i~;~]~Jtda~.~ho~W~noaur~das designated on a certain ~ent~tf(¢~ ~1~ xe:(~ ~ ~ t ~_ ~-~ r,o ~ ~/~u~%t~r~po~in the Town of Southold, County of Suffolk and State of New York, filed in the Office of the Clerk of the County of Suffolk. ~xxxxxxxxxxxx~eS~~xxx~ And we do release the said Town of Southold from all damages by reason of the layout of the said highways. DATED: /~-~¢- ,2006 STATE OF NEW YORK ) ) SS.: COUNTY OF SUFFOLK ) fl~/o,n Resorts, ~/1~. , By: IV~ron GCstein, PreSident On the ~. eT ~ day of o~-r¢~-&, 2006 before me the undersigned a notary public n and for sa d State, persona y appeared Myron~Goldstein, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. Notary Public MARGARET C. RUTKOWSK1 Notary Public, State of New York No. 4982528 Qualified in Suffolk County Commission Expires June 3, SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE T~pe of Instrument: DEEDS/DDD Number of Pages: 3 Receipt Number : 08-0026994 TRANSFER TAX NUMBER: 07-22208 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 040.00 03.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing $9.00 NO Handling COE $5.00 NO NYS SRCHG EA-CTY $5.00 NO EA-STATE TP-584 $5.00 NO Notation Cert. Copies $5.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 07-22208 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County 03/25/2008 10:17:39 AM D00012545 121 Lot: 005. 000 Exempt $5.00 NO $15.00 NO $165.00 NO $0.00 NO $30.00 NO $0.00 NO $244.00 % Number of pages ,5 This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2008 Mar 25 I0:!7:39 Judith A. Paso.Me CLERK OF SUFFOLK COUNTY L D00012545 P 12I IT# 0, ~Uc, Deed/Mortgagelnstrument Deed/MortgageTax Stamp I Recording /Filing Stamps FEES 31 Page / Filing Fee Handling S. O0 TP-584 Notation EA-S2 17 (County) ~.~ EA-5217 (State) R.P.T.S.A. Comm. of Ed. 5. 00 Affidavit - Certified Col:-I~ NYS Surcharge 15. 00 Other 4 ]Dist. 10( RealProperty Tax Se~ice Agency Verification 6 8 Sub Total SubTota, '-- GrandTotal 2qq- 08007141 looo 04000 0300 005000% Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Patricia A. Finnegan, Esq., Town Attorney Town of Southold P.O. Box 1179 Southold, NY 11971-0959 5 Mortgage Amt. t. Basic Tax 2, Additional Tax Sub Total Spec./Assit. or Spec./Add. TOT. MTG. TAX Dual Town __ Dual County __ Held for Appointment Transfer Tax Mansion Tax The property covered 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. '3-'-21 Community Preservation Fund Consideration Amount $ o,oo ~P~Tax Due $ o.oo Improved VacantLand TD 10 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY www.suffolkcou ntyny.gov/clerk 11901 C7o. IName Tite# Title Company Information Peconic Abstract. Inc. This page forms part of the attached by: Mydon Resorts, Inc. Suffolk County Recording & Endorsement Page Bargain and Sale Deed (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK. made TO In theTOWN of Southold Town of Southold In the VILLAGE or HAMLET of Oreenport BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) IMPORTANT NOTICE If the document you've just recorded is your SATISFACTION OF MORTGAGE, please be aware of the following: If a portion of your monthly mortgage payment included your property taxes, *you will now need to contact your local Town T ax Receiver so that you may be billed directly for all future property tax statements. Local property taxes are payable twice a year: on or before January 10,h and on or before May 31,,. Failure to make payments in a timely fashion could result in a penalty. Please contact your local Town Tax Receiver with any questions regarding property tax payment. Babylon Town Receiver of Taxes 200 East Sunrise Highway North Lindenhurst, N.Y. 11757 (631) 957-3004 Riverhead Town Receiver of Taxes 200 Howell Avenue Riverhead, N.Y. 11901 (631) 727-3200 Brookhaven Town Receiver of Taxes One Independence Hill Farmingville, N.Y. 11738 (631 ) 451-9009 Shelter Island Town Receiver of Taxes Shelter Island Town Hall Shelter Island, N.Y. 11964 (631 ) 749-3338 East Hampton Town Receiver of Taxes 300 Pantigo Place East Hampton, N.Y. 11937 (631) 324-2770 Smithtown Town Receiver of Taxes 99 West Main Street Smithtown, N.Y. 11787 (631 ) 360-7610 Huntington Town Receiver of Taxes 100 Main Street Huntington, N.Y. 11743 (631) 351-3217 Southampton Town Receiver of Taxes 116 Hampton Road Southampton, N.Y. 11968 (631) 283-6514 Islip Town Receiver of Taxes 40 Nassau Avenue Islip, N.Y. 11751 (631) 224-5580 Southold Town Receiver of Taxes 53095 Main Street Southold, N.Y. 11971 (631 ) 765-1803 dw 2/99 Sincerely, Judith A. Pascale Suffolk County Clerk BARGAIN AND SALE DEED WI'TH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR~COi~PORATION) STANDARD NYBTU FORM 8007 CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE, made the ~] $~ay of ~4r~c-M, 2008 between MYDON RESORTS, INC.,a New York corporation having its principal place of business located at 690 Queen Street, Greenport, New York 11944 party of the first part, and TOWN OF SOUTHOLD, a New York municipality having its principal place of business located at 53095 Main Road, Southold, New York 11971 party of the second part, WITNESSETH, that the party of the first part, in consideration ofTen Dollars and other valuable consideration, paid by the party of the second part, d~es hereby grant and release unto the party of the second part, the heirs or suclgess6rs and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, to be utilized for the widening of Queen Street, Greenport, Town of Southold, County of Suffolk and State of New York, more particularly described as follows: COMMENCING at the point of BEGINNING; said point being distant North 50 degrees 52 minutes 10 seconds East 186.91 from an iron pipe marking the northeasterly corner of land of Susan Ellsworth; from said point of beginning running thence North 50 degrees 52 minutes l0 seconds East, a distance of 19.23 feet along the southerly side of CR 48; thence South 11 degrees 17 minutes l0 seconds East, a distance of 690.92 feet; thence South 08 degrees 17 minutes 20 seconds East, a distance of 60.00 feet; thence South 81 degrees 42 minutes 40 seconds West, a distance of 17.00 feet; thence North 08 degrees 17 minutes 20 seconds West, a distance of 59.56 feet; thence North 11 degrees 17 minutes 10 seconds West, a distance of 681.50 feet to the point of BEGINNING. BEING AND INTENDED TO BE part of the same premises as conveyed to the party of the first part by deed dated December 5, 1974 and recorded in the Suffolk County Clerk's Office on January 6, 1975 in Liber 7777, page 150. This conveyance is made in the regular course of business actually conducted by the party of the first part. 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 HA VE 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 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" 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 oF: NYSBA Residential Real Estate Forms on HotDocs*(9/00) ® Copyright Capsofl Development -I. State of New York ) ss: County of Suffolk On this~/day of mf)~--+/ , 2008, before, the undersigned, personally appeared MYRON W. GOLDSTEIN, personally known to me or proved to me on the basis of satisfactory evidence to the be individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(les), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. Notar[j Pubic MARGARET C. RUTKOWS~ Notary Public, State of New York No 4982528 Quailed In Suffolk Count~ Commissio~ Expires June 8,,, ,:P,~C'// NYSBA Residential Real Estate Forms on HotDocs (9/00) ~ Copyright Capsofi Development -2- SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEDICATION Number of Pages: 3 Receipt Number : 08-0026994 District: 1000 & RELEASE Recorded: At: 03/25/2008 10:17:39 ~ Page/Filing COE TP-584 Cert. Copies Received the Following Fees For Above Instrument Exempt Exempt $9.00 NO Handling $5.00 NO $5.00 NO NYS SRCHG $15.00 NO $0.00 NO Notation $0.00 NO $5.00 NO RPT $30.00 NO Fees Paid $69.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County LIBER: D00012545 PAGE: 122 Section: Block: Lot: 040.00 03.00 005.000 EXAMINED AND CHARGED AS FOLLOWS Number of pages TORRENS Serial # Certificate # Prior Cfi. # Deed. Mortgage Instrument 31 Page / Filing Fee q Deed / Mortgage Tax Stamp FEES Handling 5. 00 TP-584 Notation EA-5217 (County) Sub Total EA-5217 (State) R.P. TS.A. Comm. of Ed. Affidavit Certified Cop~ Reg. Copy Other ~1000 4 IDistrict Real Property Tax Service Agency Verification 61 al 5. O0 PATRICIA A. FINNEGAN, ESQ., TOWN OF SOUTHOLD P.O. BOX 1179 SOUTHOLD, NY 11971-0959 SubTotal 5~~'' IS ~' Grand Total ~0~ ~t''-~ ' 1000 04000 0300 00500 ) 5  Consideration Amount CPF Tax Due Satisfaction/Discharges/Release List Property Owners Mailing Address RECORD & RETURN TO: TOWN ATTORNEY RECORDED 2008 Hat 25 i0:17:39 RM Judith R. Pascale CLERK OF SUK?OLK COUNT? L D00012545 P i22 Recording / Filing Stamps Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec. / Assit. or Spec. / Add. TOT MTG. TAX Dual Town __ Dual County __ Held for Appointment __ Transfer Tax Mansion Tax The property covered by tiffs motgage 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 $o Improved Vacant Land x TD o! Title Company Information Peconic Abstract, Inc. Name ~e# PAC-3771 Suffolk County Recording & Endorsement Page This page forms part of the attached DED,ICATION AND RELEASE made by: (SPECIFY TYPE OF INSTRUMENT) MYDON RESORTS, INC. TO TOWN OF SOUTHOLD The premisis herein is situated in SUFFOLK COUNTY, NEW YORK. SOUTHOLD In the Township of In the VILLAGE or HAMLET of GREENPORT BOXES 6 THROUGH 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING (nvor~ Dear Taxpayer, Your satisfaction of mortgage has been filed in my office and I am enclosing the original cop: br your records. If a portion of your monthly mortgage payment included your property taxes, you will now r :ed to contact your local Town Tax Receiver so that you may be billed directly for all furore prol:~ ~ tax bills. Local property taxes are payable twice a year: on or before JanuaD' 10th and on or before 7.. ay 31st. Failure to make payments in a timely fashion could result in a penalty. Please contact your local Town Tax Receiver with any questions regarding property payment. ..-..~. Babylon Town Receiver of Taxes 200 East Sunrise Highway North Lindenhurst, NY 11757 (631) 957-3004 Riverhead Town Receiver of Taxes 200 Howell Avenue Riverhead, NY 11901 (631) 727-3200 Brookhaven Town Receiver of Taxes 250 East Main Street Port Jefferson, NY 11777 (631) 473-0236 Shelter Island Town Receiver of Taxes Shelter Island Town Hall Shelter Island, NY 11964 (631) 749-3~38 East Hampton Town Receiver of Taxes 300 Pantigo Place East Hampton, NY 11937 (631) 324-2770 Smithtown Town Receiver of Taxes 99 West Main Street Smithtown, NY 11787 (631) 360-7610 Huntington Town Receiver of Taxes 100 Main Street Huntington, NY 11743 (631) 351-3217 Southampton Town Receiver of Taxes 116 Hampton Road Southampton, NY 11968 (631) 283-6514 Islip Town Receiver of Taxes 40 Nassau Avenue Islip, NY 11751 (631) 224-5580 Southold Town Receiver of Taxes 53095 Main Road Southold, NY 11971 (631) 765-1803 Sincerelv. TOWN OF SOUTHOLD: STATE OF NEW YORK In, the M~tter of the Application of Mydon Resorts, Inc. for the Laying Out of I~er, et~r§e:Be~,'Y~c~t New Highways in Greenport, Town of Southold, County of Suffolk, New York to be known as: part of Queen Street, Greenport, New York X DEDICATION\ AND RELEASE M,Y~ON RESORTS, INC., being the owner of certain land in the Town of Southold, County of Suffolk and State of New York, and included with which land are proposed highways known as Queen Street, Greenport, New York:~q~q[E~EX ~¢J~ik~descri,bed in the ab.ove entitled mat~er d~ted 10~26/06. ~ NOW THEREFORE, in consideration of Ten Dollars ($10.00) to us in hand paid by Peter Harris, Superintendent of Highways of said Town of Southold, and in fudhe~ consideration of la~igg out of the new highways known as QUEEN STREET x~~~o hereby release and dedicate to the Town of Southold all the land heretofore owned by us within said proposed highway as follows: X The highways known.as Queen Street al~:kt~iL:~l~F~t, as shown a,n~da · slte a is,± mpgro · S designated on a certain ,~nt~ I~llilR:(~,~ sl~u~atr~reenpo~, n the Town of Southold, County of Suffolk and State of New York, filed in the Office of the Clerk of the County of Suffolk ~l~xxxxxxxxxxxx~;~88~,'~.,~M~(l~xxx~ And we do release the said Town of Southold from all damages by reason of the layout of the said highways. DATED: /o- ~¢, - , 2006 )~on Resorts, By: rv~r~n OCstein, President STATE OF NEW YORK ) ) SS.: COUNTY OF SUFFOLK ) On the ~. ~' day of oc'r-~,~'~, 2006, before r~e, the undersigned, a notary public in and for said State, personally appeared Myror~Goldstein, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. N~tary Public MARGARET C, RUTKOWSK] Notary Public, State of New York No. 4982528 Qualified in Suffolk County Commission Expirml June 3, :~'~ ALI., that certain plot, piece or parcel of land, to be utilized for the widening of Queen Street, Greenport, Town of Southold, County of Suffolk and State of New York, more particularly described as follows: COMMENCING at the point of BEGINNING; said point being distant North 50 degrees 52 minutes 10 seconds East 186.91 from an iron pipe marking the northeasterly corner of land of Susan Ellsworth; from said point of beginning running thence North 50 degrees 52 minutes l0 seconds East, a distance of 19.23 feet along the southerly side of CR 48; thence South 11 degrees 17 minutes 10 seconds East, a distance of 690.92 feet; thence South 08 degrees 17 minutes 20 seconds East, a distance of 60.00 feet; thence South 81 degrees 42 minutes 40 seconds West, a distance of 17.00 feet; thence North 08 degrees 17 minutes 20 seconds West, a distance of 59.56 feet; thence North 11 degrees 17 minutes 10 seconds West, a distance of 681.50 feet to the point of BEGINNING. .PATRICIA A. F1NNEGAN TOWN ATTORNEY patricia.i~nnegan@town.southold.ny.us KIERAN M. CORCORAN ASSISTANT TOWN ATTORNEY kieran.corcoran@town.southold.ny.us LORI M. HULSE ASSISTANT TOWN ATTORNEY lori.hulse@town.southold.ny.us SCOTT A. RUSSELL Supervisor Town Hall Annex, 54375 Route 25 P.O. Box 1179 Southald, New York 11971-0959 Telephone (631) 765-1939 Facsimile (631) 765-6639 OFFICE OF THE TOWN ATTORNEY TOWN OF SOUTHOLD MEMORANDUM To: From: Ms. Elizabeth A. Neville, Town Clerk Lynne Krauza Secretary to the Town Attorney Date: April 11,2008 Subject: Eastern Long Island Kampground/Dedication I am enclosing the original, recorded Bargain and Sale Deed and the original, recorded Dedication and Release in connection with the referenced matter. I am also enclosing a copy of the resolution authorizing this dedication. We will retain copies in our file. If you have any questions, please do not hesitate to call me. Thank you for your attention. /Ik Enclosures cc: Members of the Town Board (w/o encls.) Southold Town Board - Letter Board Meeting of February 12, 2008 RESOLUTION 2008-173 ADOPTED Item # DOC ID: 3594 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2008-173 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON FEBRUARY 12, 2008: WHEREAS, Mydon Resorts, Inc. has made application to the Town Board of the Town of Southold to dedicate certain roads in Greenport, New York, to be known as "part of QUEEN STREET", as shown on the site plan entitled "Eastern Long Island Kampground", approved by the Southold Town Planning Board by resolution adopted on September 11,2006, together with the release executed by the owner thereof', and WHEREAS, the Southold Town Superintendent of Highways has inspected the said highways and has advised the Town Board that said proposed highways comply in all respects with the specifications for the dedication of highways in the Town of Southold; now, therefore be it RESOLVED, that in accordance with Section 171 of the Highway Law of the State of New York, consent beT and the same hereby is~ given to the Superintendent of Highways to make an order laying out the aforesaid highways~ to consist of lands described in said application as shown on certain maps attached to said application; and be it FURTHER RESOLVED, that the Town Clerk beT and she hereby is~ authorized and directed to forthwith cause the dedication~ release~ and deed to be recorded in the Office of the Clerk of the County of Suffolk~ New York. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Thomas H. Wickham, Councilman SECONDER: Louisa P. Evans, Justice Gcncrz~tcd February I3, 2008 Page 34 Southold To~m Board - Letter Board Meeting of February 12, 2008 AYES: Ruland, Orlando, Krupski Jr., Wickham, Evans, Russell Generated February 13, 2008 Page 35 TOWN OF SOUTHOLD: STATE OF NEW YORK COUNTY OF SUFFOLK In the Matter of the Application of MYLDON RESORTS, INC., for the Laying Out of New Highways in Greenport, Town of Southold, Suffolk County, New York, to be known as: "part of QUEEN STREET", Greenport, New York CONSENT We, the undersigned, being a majority of the Town Board of the Town of Southold, in the County of Suffolk and State of New York, having duly met at a regular meeting of the said Town Board on the 12th day of February, 2008, and having duly considered the application of MYDON RESORTS, INC. dated the 26th day of October, 2006, for the laying out of new highways at Greenport, in the Town of Southold, to be known as part of QUEEN STREET, do hereby consent that×~uch laying out be made in accordance with said petition. cott A. Russell, Supervisor stice Louisa P. Evans, CoUncilman Eli ,Z.'~.,b( ,u'~ I~c/., .~,'-¢,~¢-; ,~;1¢o w r~gle r k- - V ~?~~,/~,/~/~ Peter Harris, Hwy. Super. i cent M. Orlando, Councilman Albert J. Kr/r/~,¢st(i, Jr., CounCilman William I~/! Ruland, Cou~qcilr~an nomas H. Wicl~ham, PATRIC[A A. FINNEGAN TOWN ATTORNEY patricia.finnegan@town.southold.ny.us KIERAN M. CORCORAN ASSISTANT TOWN ATTORNEY kieran.corcoran@town.southold.ny.us LORI M. HULSE ASSISTANT TOWN ATTORNEY }ori.hulse@town.southold.ny.us SCOTT A, RUSSELL Supe~wisor Town Hall Annex, 54375 Route 25 P.O. Box 1179 Southold, New York 1]-971-0959 Telephone (631) 765-1939 Facsimile (631) 765-6639 OFFICE OF THE TOWN ATTORNEY TOWN OF SOUTHOLD March 17, 2008 RECEIV=:D MAR 2 0 2008 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 Sout~oid?own Clerk Re: Eastern Long Island Kampground Road Dedication Dear Ms. Moore: I am pleased to enclose the following original road dedication papers in connection with the referenced matter, which are now ready for recording with the Suffolk County Clerk, and which have been signed by Supervisor Russell. Combined Real Estate Transfer Tax Return (Form TP-584)(please insed the conveyance date and the date Mr. Goldstein signed this form); Peconic Bay Region Community Preservation Fund (please insed the conveyance date); Real Property Transfer Report (Form RP-5217)(please insert the date of transfer); and Dedication and Release, including Suffolk County cove¢ sheet. With respect to the original Bargain and Sale Deed, we were provided a copy only. The original deed should be in your file. Please make certain that the "Record and Return to" section on the cover sheet reflects Patricia A. Finnegan, Esq., Town Attorney, Town of Southold, P.O. Box 1179, Southold, New York 11971-0959. Finally, I am enclosing copies of the resolution and consent authorizing this dedication for your records. Patricia C. Moore, Esq. March 17, 2008 Page 2 If you have any questions regarding this matter, please do not hesitate to call me. Thank you for your assistance. KMC/Ik finclosures cc: Members of the Town Board (w/encls.) /- Elizabeth A. Neville, Town Clerk (w/encls.) Peter Harris, Superintendent of Highways (w/o encls.) James Richter, Town Engineer (w/o encls.) P-5~4 (11,'04'~ New York State Depadment of Taxation and Finance Combined Real Estate Transfer Tax Return, Credit Line Mortgage Certificate, and Certification of Exemption from the Payment of Estimated Personal Income Tax See Form TP-584-I, Instructions for Form TP-584, before corrrpleting this form. Please print or type. Schedule A-- Information relating to conveyance Grantor/Transferor [] Individual [] Corporation [] Partnership [] Estate/Trusl [~ Other Grantee/Transferee [] Individual [] Corporation [] Partnership [] Estate/Trust [] Other Name (if individual; last, first, middle initial) MYDON RESORTS~ INC. Mailin~ address PO BOX 89 City State ZIP code GREENPORT NY 11944 Name (il individual: last, first, middle ~nifia/) TOWN OF SOUTHOLD Mailing address PO BOX 1179 City State ZIP code SOUTHOLD NY 11971 Social security number Social security number Federal employer ident, number ~ Social security number Social security number Federal employer ident, numar I t-- 7 Location and description of property conveyed Tax map designation Address City/village Town County Section Block Lot -- QUEEN STREET GREENPORT SOUTHOLD SUFFOLK 4O 3 P/O 5 Type of property conveyed (check applicable box) I [] One- to three-family house 5 [] Commercial/Industrial 2 [] Residential cooperative 6 [] Apartment building 3 [] Residential condominium 7 [] Office building 4 [] Vacant land 8 [] Other Date of conveyance month day year Percentage of real property conveyed which is residenfia! real property 100.00 % (see instructions) Condition of conveyance (check all that apply) a. [] Conveyance of fee interest b. [] Acquisition ct a controlling interest (state percentage acquired %) c. [] Transfer of a controlling interest (state perceotage transferred ~. [] Conveyance to cooperalive housing corporation e. [] Conveyance pursuant to or [u lieu of foreclosure or enforcement of security interest (attach Form TP-584 1. Schedule E) f. [] Conveyance which consists ct a mere change of identify or form of ownership or organization (attach Form TP-584 1, Schedule F) I. [] Option assignment or surrender m. [] Leasehold assignment or surrender g. [] Conveyance for which credit for tax previously paid will be claimed (attach Fornl TP-584 1, Schedule G) Il. [] Conveyance of cooperative apartment(s) [] Syndication [] Conveyance of air rights or development rights k. [] Contract assignment n. [] Leasehold grant o. [] Conveyance of an easement p. [] Conveyance for which exemption from transfer tax claimed (complete Schedule B, Part fi.Z) q. [] Conveyance of property partly within and partly outside thestate~ -- , r. [] Other (describe)A._¢~ Pag,e 2 of aT ' TP'584 (11/04) Schedule B -- Real estate transfer tax return (Tax Law, Article 31 ) Part ! - Computation of tax due 1 Enter amount of consideration for the conveyance (if you are claiming a total exemption from tax, check the exemption claimed box, enter consideration and proceed to Part 11I) ............................ [] Exemption claimed 1. 2 Continuing lien deduction (see instructions if property is taken subject to mortgage or lien) ....................................... 3 Taxable consideration (subtract line 2 from line 1) ................................................................................................. 4 Tax: $2 for each $500, or fractional part thereof, of consideration on line 3 ...................................................... ~ 5 Amount of credit claimed (see instructions and attach Form TP-584.1, Schedule G) ................................................ 6 Total tax due* (subtract line 5 from line 4) ............................................................................................................. Part l! - Computation of additional tax due on the conveyance of residential real property for $1 miIlion or more 1 Enter amount of consideration for conveyance (from Part 1, line 1) ..................................................................... 1. 2 Taxab~ec~nsiderati~n(rnu~tip~y~ine1bythepercentage~ftheprem~seswhich~sresiden~ia~rea~pr~perty~assh~wninSchedu~eA) ..... 3 Total additional transfer tax due* (multiply line 2 by I% (.01)) .............................................................................. Part [!! - Explanation of exemption claimed on Part ], line 1 (check any boxes thatapply) The conveyance of real property is exempt from the real estate transfer tax for the following reason: a. Conveyance is to the United Nations, the United States of America, the state of New York, or any of their instrumentalities, agencies, or political subdivisions (or any public corporation, including a public corporation created pursuant to agreement or compact with another state or Canada) ............................................................................................................................................. a b. Conveyance is to secure a debt or other obligation ........................................................................................................................... b Conveyance is without additional consideration to confirm, correct, modify, or supplement a prior conveyance ............................. c Conveyance of real property is without consideration and not in connection with a sale, including conveyances conveying realty as bona fide gifts ...................................................................................................................................................................... d e. Conveyance is given in connection with a tax sale ............................................................................................................................ e f. Conveyance is a mere change of identity or form of ownership or organization where there is no change in beneficial ownership. (This exemption cannot be claimed for a conveyance to a cooperative housing corporation of real property comprising the cooperative dwelling or dwellings.) Attach Form TP-584.1, Schedule F ................................................................... f g. Conveyance consists of deed of partition .......................................................................................................................................... g [] ri h. Conveyance is given pursuant to the federal Bankruptcy Act ............................................................................................................ h [] i. Conveyance consists of the execution of a contract to sell real property, without the use or occupancy of such property, or the granting of an option to purchase real property, without the use or occupancy of such property ............................................... i [] j. Conveyance of an option or contract to purchase real property with the use or occupancy of such property where the consideration is less than $200,000 and such property was used solely by the grantor as the grantor's personal residence ~ and consists of a one-, two-, or three-family house, an individual residential condominium unit, or the sale of stock in a cooperative housing corporation in connection with the grant or transfer of a proprietary leasehold covering an individual residential cooperative apartment ....................................................................................................................................................................... j k. Conveyance is not a conveyance within the meaning of Tax Law, Article 31, section 1401 (e) (attach documents supporting such claim) ................................................ .., .......... .., ........................................................................................................ I. Other (attach explanation) ......... ~, ........ .~ .... .~,.~.~.. , ...0......~ .................................................................... *Please make check(s) payable to the county clerk where the recording is to take place. If the recording is to take place in New York City, make check(s) payable to the NYC Department of Finance. If a recording is not required, send this return and your check(s) made payable to the NYS Department of Taxation and Finance, directly to the NYS Tax Department, REq~- Return Processing, PO Box 5045~ Albany NY 12205-5045. Page 3 of 4 TP-584 (11/04) Schedule C -- Credit Line Mortgage Certificate (Tax Law, Article 11 ) Complete the following only if the interest being transferred is a fee simple interest. I (we) certify that: (check the appropriate box) 1. [] The real property being sold or transferred is not subject to an outstanding credit line mortgage. 2. [] The real property being sold or transferred is subject to an outstanding credit line mortgage. However, an exempt on from the tax - is claimed for the following reason: [~ The transfer of real property is a transfer of a fee simple interest to a person or persons who held a fee simple interest in real property (whether as a joint tenant, a tenant in common or otherwise) immediately before the transfer. [] The transfer of real property is fA) to a person or persons related by blood, marriage or adoption to the original obligor or to one or more of the original obligors or (B) to a person or entity where 50% or more of the beneficial interest in such real property after the transfer is held by the transferor or such related person or persons (as in the case of a transfer to a trustee for the benefit of a minor or the transfer to a trust for the benefit of the transferor). [] The transfer of real property is a transfer to a trustee in bankruptcy, a receiver, assignee, or other officer of a court. [] The maximum principal amount secured by the credit line mortgage is $3,000,000 or more, and the real property being sold or transferred is not principally improved nor will it be improved by a one- to six-family owner-occupied residence or dwelling. Please note: for purposes of determinin9 whether the maximum principal amount secured is $3,000,000 or more as described above, the amounts secured by two or more credit line mortgages may be aggregated under certain circumstances. See TSB-M-96(6)-R for more information regarding these aggregation requirements. [] Other (attach detailed explanation). The real property being transferred is presently subject to an outstanding credit line mortgage. However, no tax is due for the following reason: [] A certificate of discharge of the credit line modgage is being offered at the time of recording the deed. [] A check has been drawn payable for transmission to the credit line mortgagee or his agent for the balance due, and a satisfaction of such mortgage will be recorded as soon as it is available. 4. [] The real property being transferred is subject to an outstanding credit line mortgage recorded in (insert liber and page or reel or other identification of the mortgage). The maximum principal amount of debt or obligation secured by the mortgage is No exemption from tax is claimed and the tax of is being paid herewith. (Make check payable to county clerk where deed will be recorded or, if the recording is to take place in New York City, make check payable to the NYC Department of Finance.) Signature (both the grantor(s) and grantee(s) must sign) /~ undersigned cert~ that the above information contained in schedules A, B, and C, including any return, certification, schedule, or I atllachment, is to thCb,~st of his/her knowledge, true and complete. ~ ~DON RESOI~'~S/ INC. ~ Town of~outhold~3 y/ ~" ' C~anfor signature Title Title b( Myro~ W. Goldstein SCOTT A. RUSSELL~ SUPERVISOR Grantor signature Title Grantee signature Title Reminder: Did you complete all of the required information in Schedules A, B, and C? Are you required to complete Schedule D? If you checked e, f, or g in Schedule A, did you complete Form TP-584 1 ? Have you attached your check(s) made payable to the county clerk where recording will take place or, if the recording is in New York City, to the NYC Department of Finance? If no recording is required, send '/our check(s), made payable to the Department of Taxation and Finance directly to the NYS Tax Department, RETT Return Processing, PO Box 5045. Albany NY 12205-5045 Page 4 of 4 TP-584 (11/04) Schedule D - Certification of exemption from the payment of estimated personal income tax (Tax Law, Article 22, section £., Complete the following only if a fee simple interest or a cooperative unit is being transferred by an individual or estate or trust. Part ! - New York State residents If you are a New York State resident transferor(s)/seller(s) listed in Schedule A of Form TP-564 (or an attachment to Form TP-584), you must sign the certification below. If one or more transferors/sellers of the real property or cooperative unit is a resident of New York State, each resident transferor/seller must sign in the space provided. If more space is needed, please photocopy this Schedule D and submit as many schedules as necessary to accommodate all resident transferors/sellers. Certification of resident transferor(s)/seller(s) This is to certify that at the time of the sale or transfer of the real property or cooperative unit, the transferor(s)/seller(s) as signed below was a Signature required to pay estimated personal income tax under Tax Law, section 663(a) upon the sale or unit. Print full name Date Date Print full name Date Print full name Date Note: A resident of NewYork State may still be required to pay estimated tax under Tax Law, section 685(c), but not as a condition of recording a deed. Part [[ - Nonresidents of New York State If you are a nonresident of New York State listed as a transferor/seller in Schedule A of Form TP-584 (or an attachment to Form TP-584) but are not required to pay estimated personal income tax because one of the exemptions below applies under Tax Law, section 663(c), check the box of the appropriate exemption below. If any one of the exemptions below applies to the transferor(s)/seller(s), that transferor(s)/seller(s) is not required to pay estimated pemonal income tax to New York State under Tax Law, section 663. Each nonresident ?~nsferor/seller who qualifies under one of the exemptions below must sign in the space provided. Jf more space is needed, please photocopy this Schedule D and submit as many schedules as necessary to accommodate all nonresident transferors/sellers. If none of these exemption statements apply, you must complete Form IT-2663, Nonresident Real Property Estimated Income Tax Payment Form, or Form IT-2664, Nonresident Cooperative Unit Estimated Income Tax Payment Form. For more information, see Payment of estimated personal income tax, on page 1 of Form TP-584-[. Exemption for nonresident transferor(s)/seller(s) This is to certify that at the time of the sale or transfer of the real property or cooperative unit, the transferor(s)/seller(s) (grantor) of this real property or cooperative unit was a nonresident of New York State, but is not required to pay estimated personal income tax under Tax Law, section 663 due to one of the following exemptions: [] The real property or cooperative unit being sold or transferred qualifies in total as the transferor's/seller's principal residence (within the meaning of Internal Revenue Code, section 121) from to (see instructions). Dale Date [] The transferor/seller is a mortgagor conveying the mortgaged property to a mortgagee in foreclosure, or in lieu of foreclosure with no additional consideration. [] The transferor or transferee is an agency or authority of the United States of America, an agency or authority of the state of New York, the Federal National Mortgage Association, the Federal Home Loan Mortgage Corporation, the Government National Mortgage Association, or a private mortgage insurance company. Signature Print full name Date Signature Print full name Date Signature Print full name Date Signature Print tull name Date PATRICIA'A. FINNEGAN TOWN ATTORNEY patricia.finnegan@town.southold.ny.us KIERAN M. CORCORAN ASSISTANT TOWN ATTORNEY kieran.corcoran@town.southold.ny.us LORI M. HULSE ASSISTANT TOWN ATTORNEY lori.hulse@town southold.ny.us SCOTT A. RUSSELL Supervisor Town Hall Annex, 54375 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1939 Facsimile (631) 765-6639 OFFICE OF THE TOWN ATTORNEY TOWN OF SOUTHOLD To: From: Date: Subject: MEMORANDUM Ms. Elizabeth Neville, Town Clerk Kieran M. Corcoran, Esq., Assistant Town Attorney February 7, 2008 Eastern Long Island Kampground Road Dedication Attached are the following documents in connection with the referenced matter: 1. Original Application; 2, Copy of Dedication and Release; 3. Copy of Deed and conveyance documents; 4. Dedication Search; and 5. Original Consent of Town. The resolution authorizing this dedication will be on the Agenda for the 2/12/08 Town Board meeting. I have sent you copies of the Dedication and Deed documents, as I am preparing them for signature by Scott and for recording. Kindly send us a copy of the fully executed Consent form for our file. Once the Consent has been fully executed, we will call the attorney for the developer and advise them to come to our office to pick up the original Dedication and Release and original Deed and conveyance documents for recording with the Suffolk County Clerk. TOWN OF SOUTHOLD: STATE OF NEW YORK COUNTY OF SUFFOLK In the Matter of the Application of MYLDON RESORTS, INC., for the Laying Out of New Highways in Greenport, Town of Southold, Suffolk County, New York, to be known as: "part of QUEEN STREET", Greenport, New York .................................. -,- ........... : .............. X CONSENT We, the undersigned, being a majority of the Town Board of the Town of Southold, in the County of Suffolk and State of New York, having duly met at a regular meeting of the said Town Board on the 12th day of February, 2008, and having duly considered the application of MYDON RESORTS, INC. dated the Vil~ent M. Orl~'~do~ Councilman 26th day of October, 2006, for the laying out of new highways at Greenport, in the Town of Southold, to be known as part of QUEEN STREET, do hereby consent that~~ out be made in accordance wjth said petition. Scot~,. Russell, Supervisor 'c Louisa~ P. Evans, Co~ncilman Peter Ha~is, Hwy. Super. Albert J. Kr/~?'s~i, Jr2 Co~n~il~lan f' William ~ Ruland,~ou/ncil~:~'a~n If you have any questions regarding this matter, please do not hesitate to call me. Thank you for your attention. KMC/Ik Enclosures cc: Members of the Town Board (w/o encls.) TOWN OF SOUTHOLD: STATE OF NEW YORK x In the Matter of the Application of Mydon Resorts, Inc. for the Laying Out of New Highways in Greenport, Town of Southold, APPLICATION County of Suffolk, New York to be known as: part of Queen Street, Greenport, New York x To the Town Superintendent of Highways of the Town of Southold, in the County of Suffolk and State of New York; The undersigned petitioner, MYDON RESORTS, INC., a New York Corporation, having its principal place of business at 690 Queen Street, (PO Box 89), Greenport, New York, as owner of a strip of land adjacent to Queen Street, hereby applying to the Town Superintendent of Highways outlays out new highways known as Queen Street ¢t~]~1~¢.76~ liable to be assessed for highway taxes hereby apply to the Superintendent of Highways to lay out new highways and recharge basin area at Queen Street, Greenport, in the Town of Southold, County of Suffolk and State of New York, as follows: 1. The highways known as Queen Street:~~.Z21~,~'.~, as site plan shown and designated on a certairfrfig;CCentitled "~p~k Eastern LoDg Kampgrounds situate at Greenport in the Town of Southold, County of Suffolk and State of New York, filed in the Office of the Clerk of the County of Suffolk. 2. Maps of said proposed highways are annexed hereto and made part of the application, together with a release and applicatk#to the Town of southold by petitioner herein, over whose property said highways are to run, Island DATED: By: I~, on G/~dstein, President STATE OF NEW YORK ) ) SS,: COUNTY OF SUFFOLK ) me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. ' Notary Public MARGARET C. RUTKOWSI~ Notary Public, State of New York No. 4982528 .. Qualified In Suffolk COunty _ Commission Explre~ June 3, ~007 TOWN OF SOUTHOLD: STATE OF NEW YORK In the Matter of the Application of Mydon Resorts, Inc. for the Laying Out of New Highways in Greenport, Town of Southold, County of Suffolk, New York to be known as: part of Queen Street, Greenport, New York X DEDICATION\ AND RELEASE X MYDON RESORTS, INC., being the owner of certain land in the Town of Southold, County of Suffolk and State of New York, and included with which land are proposed highways known as Queen Street, Greenport, New York~'~N'RE~EX ~ik~described in the above entitled matter dated 10/26/06. ~ NOW THEREFORE, in consideration of Ten Dollars ($10.00) to us in hand paid by Peter Harris, Superintendent of Highways of said Town of Southold, and in further' consideration of layir;g out of the new highways known as QUEEN STREET:~m~I': x~]~t~'l~l}.~/~lo hereby release and dedicate to the Town of Southold all the land heretofore owned by us within said proposed highway as follows: · The highways knosw~taeS Q.uaee,,n' Street designated on a certain ,(~l~n~t~-¢~ I~R:~~~u~atr'~r~port, in the Town of Southold, County of Suffolk and State of New York, filed in the Office of the Clerk of the County of Suffolk ~¢txxxxxxxxxxxx~867~t~lV~t~N~xxx.x And we do release the said Town of Southold from all damages by reason of the layout of the said highways. DATED: /o- ~; - , 2006 /~o.n Resorts, ~. , By: I~r~n GCstein, President STATE OF NEW YORK ) ) SS.: COUNTY OF SUFFOLK ) On the ~. ¢' day of o¢-r~,~6'&, 2006, before .~,e, the unders gned, a notary public in and for said State, personally appeared Myron Goldstein, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument, N~tary Public MARGARET C. RUTKOWSKI Notary Public, State of New York No. 4982528 Qualified in Suffolk County Commission Expires June 3,. ,,~ ~c, BARGAIN 2AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8007 CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING rms NDENr /Var, made the ]~ O'day of ~[U,..~. , 2006 between MYDON RESORTS, INC.,a New York corporation having its principal place of business located at 690 Queen Street, Greenport, New York 11944 party of the first part, and TOWN OF SOUTHOLD, a New York nmnicipality having its principal place of business located at 53095 Main Road, Southold, New York 11971 party of the second part, WITNESSETH, that the party of the first part, in consideration of Ten Dollars and other valuable consideration, paid by the party of the second part, does hereby grant and release unto the party of the second part, tbe heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, to be utilized for the widening of Queen Street, Greenport, Town of Southold, County of Suffolk and State of New York, more particularly described as follows: COMMENCING at the point of BEGINNING; said point being distant North 50 degrees 52 minutes 10 seconds East 186.91 from an iron pipe marking the northeasterly coruer of land of Susan Ellsworth; from said point of beginning running thence North 50 degrees 52 minutes 10 seconds East, a distance of 19.23 feet along the southerly side of CR 48; thence South I 1 degrees 17 minutes 10 seconds East, a distance of 690.92 feet; thence South 08 degrees 17 minutes 20 seconds East, a distance of 60.00 feet; thence South 81 degrees 42 minutes 40 seconds West, a distance of 17.00 feet; thence North 08 degrees 17 minutes 20 seconds West, a distance of 59.56 feet; thence North 11 degrees 17 minutes 10 seconds West, a distance of 681.50 feet to the point of BEGINNiNG. BEING AND INTENDED TO BE part of the same premises as conveyed to the party of the first part by deed dated December 5, 1974 and recorded in the Suffolk County Clerk's Office on January 6, 1975 in Liber 7777, page 150. This conveyance is ~nade in the regular course of business actually conducted by the party oftbe first part. TOGETHER with all right, title m~d 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 HA VE AND TO HOLD the premises herein granted unto the.paR of the second part, the heirs or successors and assigns of the party of the second part forever, z,: .. AND the party of the first part, covenants that the party o~"t~ }5r~t 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" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first I above written. / IN PRESENCE OF: ,1,5 NYSBA Residential Real Estate Fomls on HotDocs*(9/00) DON RESORfi~C has duly executed this deed the day and year first Copyright Capsoft~ Development State of New York ) SS: County of Suffolk On this\'"~ay of ,2006, before, the undersigned, personally appeared MYRON W. GOLDSTEIN, persona'fly known to me or proved to me on the basis of satisfactory evidence to the be individual(s) whose name(s) is (are) subscribed to the 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 signature(s) on the instrument, the individual(s) or the person upon behalf of which the individual(s) acted, executed the interment. /~ NYSBA Residential Real Estate Forms on HotDocs¢ (9/00) C ' opyr gl Capsolt Deve opmen TP-584 (11/04) New York State Depariment of Taxation and Finance Combined Real Estate Transfer Tax Return, Credit Line Mortgage Certificate, and Certification of Exemption from the Payment of Estimated Personal Income Tax Recording office time stamp See Form TP-584-I, Instructions for Form TP-584, before completing this form. Please pdnt or type. Schedule A -- Information relating to conveyance Grantor/Transferor Social security number [] Individual [] Corporation ~ Partnership [] Estate/Trust [~ Other Grantee/Transferee Nam e (it ind v dual; last, first, middle initial) MYDON RESORTS~ INC. Mailinq address PO BOX 89 City State ZtP code GREENPORT NY 11944 Name (if individuah last, first, middle initial) [] Individual TOWN OF SOUTHOLD [] Corporation Mailing address [] Partnership PO BOX 1179 [] Estate/Trust City State ZIP code [] Other SOUTHOLD NY 11971 Location and description of property conveyed Social security number Federal employer ident, number 11-3522719 Social security number : Social secur ty number Federal( (~empI°yer(cP ~)O ~ ?ident' n.~m~r Tax map designation Address City/village Town County Section Block Lot QUEEN STREET GREENPORT SOUTHOLD SUFFOLK 40 3 P/O 5 Type of y conveyed (check applicable box) 1 [] One- to three-family house 2 [] Residential cooperative 3 [] Residential condominium 4 [] Vacant ~and 5 [] Commercial/Industrial Date of conveyance 6 [] Apartment building 7 [] Office building I 06 8 [] Other month day year Percentage of real property conveyed which is residential real property 100.00 % (see instructions) Condition of conveyance (check all that apply) a. [] Conveyance of fee interest b. [] Acquisition of a controlling interest (state percentage acquired %) c. [] Transfer of a controlling interest (state percentage transferred %) :. [] Conveyance to cooperative housing corporation f. [] Conveyance which consists of a mere change of identify or form of ownership or organization (attach Form TP-584, 1, Scl~edule F) g. [] Conveyance for which credit for tax previously paid will be claimed (attach Form TP-584.1, Scbedule G) h. [] Conveyance of cooperative apartment(s) i. [] Syndication e. [] Conveyance pursuant to or in lieu of j. [] Conveyance of air rights or foreclosure or enforcement of security development rights interest (attach Form TP-584.1, Schedule E) k. [] Contract assignment For fecord#~g ofhcer's use Amount received I Date received Schedule B, Part I $ I. [] Option assignment or surrender m. [] Leasehold assignment or surrender n. [] Leasehold grant o. [] Conveyance of an easement p. [] Conveyance for which exemption from transfer tax claimed (complete Schedule B, Part Ill) q. [] Conveyance of property partly within and partly outside the state r. [] Other (describe) Schedule C -- Credit Line Mortgage Certificate (Tax Law, Article 11) Page 3 of 4 TP-584 (11/04) Complete the following only if the interest being transferred is a fee simple interest. I (we) certify that: (check the appropriate box) 1. [] The real property being sold or transferred is not subject to an outstanding credit line mortgage. 2. [] The real property being sold or transferred is subject to an outstanding credit line mortgage. However, an exemption from the tax' is claimed for the following reason: [] The transfer of real property is a transfer of a fee simple interest to a person or persons who held a fee simple interest in the real property (whether as a joint tenant, a tenant in common or otherwise) immediately before the transfer. [] The transfer of real property is (A) to a person or persons related by blood, marriage or adoption to the original obligor or to one or more of the original obligors or (B) to a person or entity where 50% or more of the beneficial interest in such real property after the transfer is held by the transferor or such related person or persons (as in the case of a transfer to a trustee for the benefit of a minor or the transfer to a trust for the benefit of the transferor). [] The transfer of real property is a transfer to a trustee in bankruptcy, a receiver, assignee, or other officer of a court. [] The maximum principal amount secured by the credit line mortgage is $3,000,000 or more, and the real property being sold or transferred is not principally improved nor will it be improved by a one- to six-family owner-occupied residence or dwelling. Please note: for purposes of determining whether the maximum principal amount secured is $3,000,000 or more as described above, the amounts secured by two or more credit line mortgages may be aggregated under certain circumstances. See TSB-M-96(6)-R for more information regarding these aggregation requirements. [] Other (attach detailed explanation). The real property being transferred is presently subject to an outstanding credit line mortgage. However, no tax is due for the following reason: [] A certificate of discharge of the credit line mortgage is being offered at the time of recording the deed. [] A check has been drawn payable for transmission to the credit line mortgagee or his agent for the balance due, and a satisfaction of such mortgage will be recorded as soon as it is available. 4. [] The real property being transferred is subject to an outstanding credit line mortgage recorded in (insert liber and page or reel or other identification of the mortgage). The maximum principal amount of debt or obligation secured by the mortgage is . No exemption from tax is claimed and the tax of is being paid herewith. (Make check payable to county clerk where deed will be recorded or, if the recording is fo take place in New York City, make check payable to the NYC Department of Finance.) Signature (both the grantor(s) and grantee(s) must sign) (~)?~/t~_ S0.,uedersigeed cert~ that the above information contained in schedules A, B, and C, including any return, certification, schedule, or ~qment, is to thxC'b/~st of his/her knowledge, true and complete. ~ - ~an~or signature ~ ~ Grantee signature Title b~/ ~ro~. Ootds[e[n SCOTT A. Grantor signature Title Grantee signature Title Heminder: Did you complete all of the required information in Schedules A, B, and C? Are you required to comp e e Schedule D? If you checked e, f, or g in Schedule A, did you complete Form TP-584.17 Have you attached your check(s) made payable to the county clerk where recording will take place or, if the recording is in NewYork City, to the NYC Department of Finance? If no recording is required, ser~d '/o ~r check(s), made payable to the Department of Taxation and Finance, directly to the NYS Tax Department, RETT Return Processing PO Box 5045, Albany NY 12205-5045. Page 2 of 4 TP-584 (11/04) Schedule B -- Real estate transfer tax return (Tax Law, Article 31) Part ! - Computation of tax due I Enter amount of consideration for the conveyance (if you are claiming a total exemption from tax, check the exemption claimed box, enter consideration and proceed to Part lll) ............................ [] Exemption claimed 2 Continuing lien deduction (see instructions if property is taken subject to mortgage or lien) ...................................... 3 Taxable consideration (subtract line 2 from line 1) .......................... ' ...................................................................... 4 Tax: $2 for each $500, or fractional part thereof, of consideration on line 3 ...................................................... '!5 Amount of credit claimed (see instructions andattach Form TP-584.1, Schedule G) ................................................ 6 Total tax due* (subtract line 5 from line 4) ............................................................................................................. Part t! - Computation of additional tax due on the conveyance of residential real property for $1 million or more 1 Enter amount of consideration for conveyance (from Part 1, line 1) ..................................................................... 1. 2 Taxableconsideration (multiplyline Ibythepercentageofthepremiseswhichisresident~alrealproperty, asshowninScheduleA) ..... 3 Total additional transfer tax due* (multiply line 2 by 1% (.01)) .............................................................................. Part It! - Explanation of exemption claimed on Part 1, line 1 (check any boxes that apply) The conveyance of real property is exempt from the real estate transfer tax for the following reason: a. Conveyance is to the United Nations, the United States of America, the state of New York, or any of their instrumentalities, agencies, or political subdivisions (or any public corporation, including a public corporation created pursuant to agreement or compact with another state or Canada) ............................................................................................................................................. a b. Conveyance is to secure a debt or other obligation ....................................................................................................... b c. Conveyance is without additional consideration to confirm, correct, modify, or supplement a prior conveyance ............................. c ,~1. Conveyance of real property is without consideration and not in connection with a sale, including conveyances conveying realty as bona fide gifts ...................................................................................................................................................................... d e. Conveyance is given in connection with a tax sale ...... ........................................ e .~. Conveyance is a mere change of identity or form of ownership or organization where there is no change in beneficial ownership. (This exemption cannot be claimed for a conveyance to a cooperative housing corporation of real property comprising the cooperative dwelling or dwellings.) Attach Form TP-584.1, Schedule F ................................................................... f g. Conveyance consists of deed of partition .......................................................................................................................................... g h. Conveyance is given pursuant to the federal Bankruptcy Act .............. . ................................ h i. Conveyance consists of the execution of a contract to sell real property, without the use or occupancy of such property, or the granting of an option to purchase real property, without the use or occupancy of such property ............................................... i j. Conveyance of an option or contract to purchase real property with the use or occupancy of such property where the consideration is less than $200,000 and such property was used solely by the grantor as the grantor's personal residence ~ and consists of a one-, two-, or three-family house, an individual residential condominium unit, or the saFe of stock in a cooperative housing corporation in connection with the grant or transfer of a proprietary leasehold covering an individual residential cooperative apartment ....................................................................................................................................................................... J k. Conveyance is not a conveyance within the meaning of Tax Law, Article 31, section 1401(e) (attach documents supporting such claim) ........................................................................................................................................................................ k t. Other (attach explanabon) .................................................................................................................................................................... I ?lease make check(s) payable to the county clerk where the recording is to take place. If the recording is to take place in New York City, make check(s) payable to the NYC Department of Finance. If a recording is not required, send this return and your check(s) mede payable to the NYS Department of Taxation and Finance, directly to the NYS Tax Department, RE%I- Return Processing, PO Box 5045, Afhar~y NY 12205-5045. Page 4 of 4 TP-584 (11/04) Schedule D - Certification of exeiiil~[ion from the payment of estimated personal income tax (Tax Law, Article 22, section £.., Complete the following only if a fee simple interest or a cooperative unit is being transferred by an individual or estate or trust, Part ! - New York State residents If you are a New York State resident transferor(s)/seller(s) listed in Schedule A of Form TP-584 (or an attachment to Form TP-584), you must sign the certification below. If one or more transferors/sellers of the real property or cooperative unit is a resident of New York State, each resident transferor/seller must sign in the space provided. If more space is needed, please photocopy this Schedule D and submit as many schedules as necessary to accommodate all resident transferors/sellers. Certification of resident transferor(s)/seller(s) This is to certify that at the time of the sale or transfer of the real property or cooperative unit, the transferor(s)/seller(s) as signed below was a resid New York e is not required to pay estimated personal income tax under Tax Law, section 663(a) upon the saFe or Signature Signature Signature Print fuji name Date i Print full name Date Print full name Date Note: A resident of New York State may still be required to pay estimated tax under Tax Law, section 685(c), but not as a condition of recording a deed. Part Ii - Nonresidents of New York State If you are a nonresident of New York State listed as a transferor/seller in Schedule A of Form TP-584 (or an attachment to Form TP-584) but are not required to pay estimated personal income tax because one of the exemptions below applies under Tax Law, section 663(c), check the box of the appropriate exemption below. If any one of the exemptions below applies to the transferor(s)/seller(s), that transferor(s)/seller(s) is not required to pay estimated personal income tax to New York State under Tax Law, section 663. Each nonresident ~ansferor/seller who qualifies under one of the exemptions below must sign in the space provided. If more space is needed, please photocopy this Schedule D and submit as many schedules as necessary to accommodate all nonresident transferors/sellers. If none of these exemption statements apply, you must complete Form IT-2663, Nonresident Real Property Estimated Income Tax Payment Form, or Form IT-2664, Nonresident Cooperative Unit Est/mated Income Tax Payment Form. For more information, see Payment of estimated personal income tax, on page 1 of Form TP-584-1. Exemption for nonresident transferor(s)/seller(s) Signature This is to certify that at the time of the sale or transfer of the real property or cooperative unit, the transferor(s)/seller(s) (grantor) of this real property or cooperative unit was a nonresident of New York State, but is not required to pay estimated personal income tax under Tax Law, section 663 due to one of the following exemptions: [] The real property or cooperative unit being sold or transferred qualifies in total as the transferor's/seller's rinci al re ' p p stdence (within the meaning of Internal Revenue Code, section 121) from - to (see instructions). Date Date [] The transferor/seller is a mortgagor conveying the mortgaged property to a mortgagee in foreclosure, or in lieu of foreclosure with no additional consideration. [] The transferor or transferee is an agency or authority of the United States of America, an agency or authority of the state of New York, the Federal National Mortgage Association, the Federal Home Loan Mortgage Corporation, the Government National Mortgage Association, or a private mortgage insurance company. Signature Signature Print full name Print full name Print full name Print tull name Date Peconic Bay Region Community Preservation Fund Please print or type. ~;cheduIe A Information Relating to Conveyance [] hldividual U Othei Grantee [] Individual [~ Corpuration [] Parmzrship [] Other Name (individual: last. first, middle initial) I~YD08 RESORTS ~ IIqC. Mailin ~' address PO BOX 89 State ZIP code 3RT NY 11944 Name (individual; last, first, middle initial) TOWN OF SOUTHOLD Mailing address PO BOX 1179 City State ZIP code SOUTHOLD NY 11971 Social Security Number Social Security Number Federal employer idenI, number 11 I 3522719 Social Secuity Numier Social Security Number Federal employer idenh numb., Location and description of property conveyed iTax map designat o ~ Address Village Town Dist Section Block Lot 1000 40 3 P/O 5 QUEEN STREET GREENPORT SOUTHOLD property conveyed (check applicable box) Date of conveyance Dual Towns: [] hnproved [] Vacnnt land I [ 06 ] rBO[II[I day year Condition of conveyance (check all that apply) a. - Couveyance of fee interest b. - Acquisitionofacontrollinginterest(state percentage acquired %) c. - Traas:~'er of a controlling interest (state percentage transferred %) d. ~ Conveyance to cooperative housing corporation e - Couveyance pursuant to or in lieu of foreclosure or enforcement of security inlerest f. - Conveyance which consists of a mere change of identity or form of ownership or organization g. - Conveyance for which credit (or tax previously paid will be claimed h. - Conveyance of cooperative apartment(s) i. - Syndication j. - Conveyance of air rights or development rights k. Contract assignment 1. Option assignment or surrender m. Leasehold assignment or surrender n. Leasehold grant o. Conveyance of an easement p. Conveyance for which exemption is claimed (complete Schedule B. Part It) q. - Conveyance of property partly within and partly without the state n - Other (describe) Schedule B - Community Preservation Fund Part I - Computation of Tax Due I. Enter amount of consideration for the conveyance (from line l TP584 Schedule B) ................................. 2. Allowance (see below) ......................................................................................................... 3. Taxable consideration (subtract line 2 from line i) ........................................................................ 4. 2% Community Preservation Fund (of line 3) make certified check payable to SUFFOLK COUNTY CLERK 5. Property not subject to CPF Tax (See Schedule C) ........................................................................ For recording officer's use A~nount received Date received 1 2 3 Transaction number Allowance: East Hampton Sl~elter Island Southampton $250,000.00 Improved $250,000.00 Improved $250,000.00 Improved $100,000.00 Vacant Land (Unimproved) $100,000.00 Vacant Land (Unimproved) $100,000.00 Vacant Land (Unimproved) Riverhead Southold $150,000.00 Improved $150,000.00 Improved $ 75,000.00 Vacant Land (Unimproved) $ 75,000.00 Vacant Land (Unimproved) ~S_chedule C (continued) Part 11- Explanation of Exemption Claimed in Part I, line 1 (check any boxes that apply ) The conveyance of real property is exempt from the real estate transfer tax for the following reason: a. Conveyance is to the United Nations, the United States of America, the state of New York or any of their instrumentalities, agencies or political subdivisions (or any public corporation, including a public corporation created pursuant to agreement or compact with another state or Canada) ................................................. b. Conveyance is to secure a debt or other obligation c. Conveyance is without additional consideration to confirm, correct, modify or supplement a prior conveyance ..... d. Conveyance of real property is without consideration and not in connection with a safe, including conveyances conveying realty as bona fide gifts e. Conveyance is given in connection with a tax safe f. Conveyance is a mere change of identity or form of ownership or organization where there is no change in beneficial ownership· (This exemption cannot be claimed for a conveyance to a c'ooperative housing corporation of real property comprising the cooperative dwelling or dwellings.) g. Conveyance consists of deed of padition - h. Conveyance is given pursuant to the federal bankruptcy act i Con.veyance consists of the execution of a contract to sell real property without the use or occupancy of such property or the granting of an option to purchase real property without the use or occupancy of such property .............. j. Conveyance or real property which is subject to restrictions which prohibit the use of the entire property for any purposes except agriculture, recreation or conservation, pursuant to Section 1449-ee (2) (j) or (k) of Adicle 31-D of the Tax Law. (See required Town approval, below). - ................................................. k. Conveyance of real property for open space, parks, or historic preservation purposes to any not-for-profit tax exempt corporation operated for conservafion, environmental, or historic preservation purposes ..................... k Other list explanations in space below (Grandfather/Contract) [] re,The conveyance's approved for an exemption from the Community Preservation Transfer Tax, under Section 1449-ee of Adicle 31-D of the Tax law. (Seej in Schedule C) Tgwn Attorney or other designated official Penalties and Interest Penalties Any grantor or grantee failing to file a return or to pay any tax within the time required shag be subject to a penalty of 10% of the amount of tax due plus an interest penalty of 2% of such amount for each month of delay or fraction thereof after the expiration of the first month after such return was required to be filed or the tax became due. However, the interest penalty shall not exceed 25% in the aggregate. Interest Dally compounded interest will be charged on the amount of the tax due not paid withih the time required. ** *** By signing the following, the buyer and seliler further represent and attest to the fact that for property lying Within Southold Tc~wh, a validly executed contract was in effect prior to March 1, 1999 and that for all ~ther towns subject at the CPF tax, a validly executed contract was in effect prior to April 1, 1999. Seller Buyer Signature (both the grantor(s) and grantee(s) must sign). The undersigned certify that the above return, including any cedification, schedule or attachment, is to the best of his/her knowledge, true and complete. N/YDON ~SORTS, INC. ~ TOh~N OF SOUTHOLD t, IYRON W. GOT,.,I~"~F. IN Grantee SCOTT A. RUSSELL, SUPERVISOR INSTRUCTIONS: hep://www.orps.state.ny.us or PHONE (518) 473-7222 FO.R COUN~TY USE ~)NLY C2. Date De~ Recorded ~ Month / Day / Year ~ STATE BOARD OF REAL PROPER~ SERVICES RP-5217 , PROPER~ INFORMATION [ ~-s2~ ~. ~ 1. Prope~ ~ Queen Street ~ Greenpor t ~ ~ 11944 z Suyer ~ TOWN OF SOUTHOLD ~ 3. Tax indicate where future Tax Bills are to be sent BiBing ff other tha~ buyer address (at bo~om of form) ~ ~ 4. Indicate the number of Assessment parcels transferred the deed I I #of Parcels OR I X I Part of a Parcel 5. Deed Property I Ixl Iofil · , I Name (Only if Part of a Parcel) Check as they apply: 4A. Planning Board with Subdivision Authority Exists [] 4B. Subdivision Approval was Required for Transfer [] 4C. Parcel Approved for Subdivision with Map Provided [] LAST NAME / COMPANY F~RST NAME MYDON RESORTS~ INC. B 2 or 3 Family Residential C L_J Residential Vacant La.d D I [ Non Residential Vacant Land l SALE INFORMATION I 11. Sale Contract Date Agricultural ! [~ Community Service Commercial J ~ Industrial Apartment K~,~ Public Service Entertainment / Amusement LL._J Forest Month Day Year 12. Date of Sale / Transfer I / / 061 Month Day Year 13. Full Sale Price J ~ ~ ~ ~ ~ ~ i ~ 01 0 ~ 0 J ~ ~ · )Full Bale Price is the total amount paid for the property including persenal property, This payment may be in the form of cash, ether property or goods, or the assumption of mortgages or other obligations.) Please round to the nearest whole dollar amount. 14. Indicate the value of personal I I I i property included in the sale I I I 0 r 0 I 0 I ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 16. Year of Assessment Roll from I i I 17. Total Assessed Value (of all parcels in transfer) I which information taken 18. Property Class I , , I-} I lO. School District Name I Check the boxes below as they apply: 8. Ownership Type is Condominium [] 9. New Construction on Vacant Land [] 10A. Properly Located within an Agricultural District [] 10B. Buyer received a disclosure notice indicating [] that the property is in an Agricultural District 15. Check one or more of these conditions as applicable to transfer: Sale Between Related Companies or Partners in Business One of the Buyers is also a Seger D Buyer or Seller is Government Agency or Lending Institution Deed Type not Warranty or Bargain and Sale )Specifl/Below) Sale of Fractional or Less than Fee Interest (Specify Below) Significant Change in ProperW Bet~veen Taxable Status and Sale Dates Sale of Business is Included in Sale Price Other Unusual Factors Affecting Sale Price (Specify Below) None 20. Tax Map Identifier(s) / Roll Identifier(s) {If more than four, attach sheet with additional identifier(s)) [ 1000-40-3-p/o 5 J I I I I I I I CERTIF,C^T ON I I cert~ that all of the items of information entered on this form are true and correct (to the bt~t of my knowledge and beUeD and 1 tmderstand that the malting of any witiful false statement of material fact herein will subject me to the provisions of the penal law relative to the making and filing of false instruments. BUYER'S A'rTORNEY BUYER Town of Southold by: I ~u~L~Sc2u~uR~k RUSSELL, SUPERVISOR D,n: 53905 I Main Rd (PO Box 1179) ~x~mxXxSoutho ld I Ny I 11971 Rl, ix~x ~ R~R tie. MYRON COI,D,qT~f/M Mydon Resorts, ~I~c. LAST NAME F~RST NAME AREA CODE TELEPHONE NUMBER NEW YORK STATE COPY