HomeMy WebLinkAboutL 12324 P 967
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H.Y.S..
Real Estat
Transfer
Tax
$13.000.00
I 000- 3-~- l
Farm 31007 CIWIIt .1OM BlItgan ... an l~ wllh CcnMnanI..-e GranWI AcI:Io--~ ot'.CcwporaUon
_U'_T YOUR LAWYER BEFOIlI! _1IIC1lHS INSTAUIIeIf'I" -IHBINIIlRUMIlIIr 8HOI'I.Il BE U8I!D BY LAWYEIl8 ClIII.,Y.
THISINDENTURE,madethe dayat fi-/'flor, 2004 and
~EEN JEAN N. CALHOUN, residing at 74 Gomez Road, Hobe Sound,
Florida 33455
piny at the first part..m ROBERT B. CALHOUN, JR., A~ TRUSTEE OF THE JEAN N.
CALHOUN QUALIFIED PERSONAL RESIDENCE TRUST, 4 Gomez Road, Hobe Sound,
Florida 33455 .
party at the lI800Ild part,
WITNESSETH, that the party of the first part, In consideration of Ten and 00/100---------
-----------------------------($10.00)---------------------------d~bw8,
lawful money of the United S1ates,
and other va~uable consideration
paid
by the party of the second part, does hereby grwrt and releaBe unto the party of the second part, the
heirs
successors and assigns of th" party of the second part fonMIr,
All. tha" cerlaln plot, piece or p8rce1'of land. with the buldings ancIIlmprovements ther80n erected, 811-
or
UlIte.lylng and being In the Tc:>>m of Southold, Suffolk County, State of New York,
being a part of that portion of Fishers Island belonging to the
grantor (which porti,)n is hereinafter called the .park") lying
Easterly of the following line, viz:
(CONTINUED ON ATTACHED SCHEDULE A)
BEING AND INTENDlm TO BE the same premiselEl conveyed by deed dated
August 13, 1996 and recorded in the Suffolk County Clerk's Office on
August IS, 1996 in L;Lber 11787 Page 676.
Page 2 of 5
S 10 E a61?d
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TOGETHER with aD right, title and Int_t, If lII'lY, of the party of the fInIt part In and to my 8tnIeIlI and
IlllIdlIlIbuttInglhe above de8ctlbed pnmlllell to the center IIM8 1henIof,
TOGETHER with the appurtenances and an the _Ie and rlghl8 of the party of the first part In and to
RId pnmlllell,
TO HAVE AND TO-HOLD the pnmI8eII herein granted unto the party of the eecond pelt, the haInI or
...".ua1'8 and asalgns of the party of the eecond part forwar.
AND the party 01 the flnlt part ccwen&nta that the party 01 the first part has not done or ..._ 8tlylh1ng
whenoby the Mid po emI... ha.... be.llncumbanld In lII'lY WfIY wha_. except as """-aId..
AND the party of the fInIt pelt, In compliance with SectIon 13 of the LIen Law, covenants that the party of
the .first part will '-"'" the conaJdanlllan for thl. conveyance and will hold the right to '-"'" euch con-
8Idara1lon as a trua1 fund to be applied fInIt for the purpose of paying the COlIt of the mprovemel1t and wiD
lIppIy the eamellnlt to the paymanl of the coat of the mprovemant bafonI ualng any part of the IDIaI of the
aame for lII'lY other purpose.
. The word "party" shaD be conatruec:l as If It read "partlaa" ~ the ___ of this Indantunleo raqulreL
IN WITNESS WHEREOF, the I?"rtv of the fInIt part has duly 8Xacuhld thla deed the Clay and yur firsl
above written.
IN . . 'CI! OF:
9~1(~
Page 4 of 5
."
'.
[!]:z
Nu';"ber of pages
TORRENS
Deed / Mortgage Instrument
Deed / Mortgage Ta. Stamp
PEES
RECORJIEr>
2004 Jun i5 11:53:00 RM
Edward P.Ro.al~
CLERK O!=
SUFFOLK CIllNTY
L OOOOI2~2~
P %7
Dn 03-17111
Reconting / Filing Stamps
Serial #
Certificale #
Prior Ctf. #
3
Grand Total
J2U
Mortgage Amt.
I. Basic Tax
2. Additional Tax
Sub Total
SpecJAssit.
Dr
Spec./Add.
TOT. MTG. TAX
Dual Town _ Dual County _
Held for Appointment
Tran.~erTw< ci- 13,{")f'f)\_
ManS1onTax~ ?ll.",-~_
The property coveted by this mortgage is
or will be improved by a onc or two
family dwelling ooly.
YES or NO
Page / Filing Fcc
Handling
5. J!!L
TP-584
Notation
EA-52 17 (County)
EA-5217 (Sta,e)
Sub Total
Comm. of Ed.
5. ()()
R.P.T.S.A.
~
Affidavit
Certified Copy
NYS Surehwge
15. 00 Sub Thtul
~OOO
4 DJst.
"p03.00
.;xoctlon
B~iOO
Loq07.000
Other
~
-',
5 eo_1U1lty Pnl..~tiOIl .......d
Consideration Amount $ 3.250.000.00
c
CPF Tax Due 5 62.000.00
Real Propcn:
Tax Service I
,
Agency i
Verification i
L
1000 00300 0200 007000
Improved X
Vacant Land
6 Satisfaction5lDischargesIRclcllSCS List Property Owner.< Mailing Addre..
KECOIW &: RETVRN TO:
10
LARK & FOLTS ESQS
PO BOX 973
CUTCHOGUE NY 11935
TO
TO
TO
7
Co. Name
Titlc#
8
Suffolk Count Recordin
& Endorsement Pa e
This page fonns pan of the alloched
Deed
(SPECIFY TYPE OF INSTRUMENTI
made by:
JEAN N. CALHOUN
1bc premises herein is situated in
SUFFOLK COUNTY. NEW YORK.
TO
ROBERT B. CALHOUN. JR.. AS TRUSTEE
~~Rl@lAiEftHs!OE~@iH~HUs~UALIFIED
Tn the Town.hip of
In the VILLAGE
Southold
Dr HAMLET of Fishers Island
BOXES (; THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
Page 1 of 5
(over)
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUPPOLlt COOHTY CLERK
RECORDS OPFICE
RECORDING PAGE
Type of Instrument: DBBDS/DDD
Number of Pages: 5
Receipt Number : 04-0067479
TRANS PER TAX NUMBER: 03-47111
District:
1000
Section: Block:
~O -3 02.00
UAJaNBD AND CHARGED AS FOLLOWS
$3,250,000.00
Deed Amount:
Received the Following Fees For Above Instrument
Exempt
NO
NO
NO
NO
NO
NO
NO
page/Filing
COB
BA-CTY
TP-584
RPT
Transfer tax
COIIIIIII.Pres
$15.00
$5.00
$5.00
$5.00
$30.00
$13,000.00
$62,000.00
Handling
NYS SRCHG
KA-STATE
Cert.Copies
SCTM
Mansion Tax
Fees Paid
TRANSFER TAX NUMBER: 03-47111
THIS PAGB IS A PART OF TO INSTRUKBNT
THIS IS NOT A BILL
Recorded:
At:
06/15/2004
11:53:00 AM
LIBER:
PAGE:
D00012324
967
Lot:
007.000
$5.00
$15.00
$50.00
$0.00
$0.00
$32,500.00
Exempt
NO
NO
NO
NO
NO
NO
$107,630.00
Edward P.Romaine
County Clerk, Suffolk County
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS, hltp://www.orps.state.ny.us or PHONE (5181 473-7222
FOR COUNTY USE ONLY
Cl.SWISCode 17L,.":),3,'?r<q,'l1
C2. Date Deed Recorded I,{J/ / / :;-/ C'YI
Month Day Ye'"ar
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
C3. Book
PROPERTY INFORMATION
RI'.5211 ~.,.W7
1. Property L-
Location STRHTNUMUR
j
Private Road
STREHNAME
Southold
CITVOATOWN
Fishers Island
, 06390
llPC(lDE
VILLAGE
2. Buyer
Nama
, Robert B. Calhoun. Jr., as Trustee of
LASTNAMf;COMPANY
the Jean N. Calhoun
FlASTN"'ME
Qualified Personal
Residence Trust
L..
LAST NAME/COMPANY
F'ASTNAME
3. Tal( Indicllle whare future Tax Bills are to basent
Billing if other than blJyer address (al bottom of form)
Address
Calhoun~ Jean N.
~AST"'/l,MEICOMPANV
c/o
Monitor elf
FlRSTNAME
er Partner
650 Madison Avenue - 9th Floorl
STREH NVMIlER 4ND ST1'IEET NIoME
4. Indicate the number of Aaaessment
Roll parcels transferred on the deed '-----.....__...........!J # of Parcels
New York
CITY OR TOWN
IN Y I 10022
STATE ZIP COVE
OR 0 Part of a Parcel
(Only if Part of a Parcell Check as they apply:
4A. Plal'lnil'lg Board with SubdTvisiol'l Avthority Exists 0
48. Subdivision Approval was Required for Transfer 0
4C. Parcel Approved for Subdivision with Map Provid&d 0
5. Deed
Property
Size
1___JxL
FRONTFl:<T DEPTH
'o.~
2. 7 4 I
ACRES
6. Seller
Name
Calhoun
lAST ftAME! COMP4NY
FIIISTNAME
Jean N.
LAST NAME I COMPANY
FIIISTNAME
7. Check the bOll below which most accurately describes the use 01 the property at the time of slle:
Check the boxes below II they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
108. BUYllr rl:lCeived a disclosure notice il'ldicating
that the property is in an Agricultural Dislriet
o
o
o
o
A~OneFamilYReSidential
B 20r3FamilyResidflntial
C Residential Vacant Land
D Non.Residentia. Vacant land
E~Agricultural
F Commercial
G Apllrtment
H Entertainment I Amusement
I ~ Community Service
J Industrial
K Public Service
L Forest
J SALE INFORMATION r
11. Sal.Contract Oat. N/A I
Monlfl '" Year
12. Date of Sale I TranlSler 0 / tj jO'-/
Month '" Yu,
15. Chlldr: one or more 01 theM conditions as applicable to mnster:
A
B
C
D
E
F
G
f!
[
J
Sale Between Rl!llatives or Former Rl!llatTves
Sale Between Related Companies or Partners in Business
One of the Buyers is also 8 Sl!IlIer
Buyer or Seller is Government Agency or Lending Instftution
Deed Type not Warranty or Bargain and Sale (Specify Belowl
Sale of Fractional or Less than he Interest (Specify Belowl
Significant Change in Property Betw(!en Taxable Status and Saie Oetll
Sale of Business ie Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
1J.FuIlS.lePrice L....t 3,2 5 0 0 0 ,0,0 , 0 I
, ; .
(Full Salll Price is lhe total amount paid for the property including personal property.
This payment may be in the form of caSh, othllr property Or goods. or the aSsumption of
mortgages or other obligations.) Please round to the nearest whole doller amOunt.
N/A
14. Indicllte the value of P4lrlonal l , 0 , 0 I
property included In the sale ,. .
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tal( Bill
16. Year of AsMssment Roll from I 0 3 I 17. Total Assused Valu. (of all parc.ls in tranlSferl I
which information taken '.
2 9 8 0 0
,
~J!J-L' 19. School District Name I
18. Property Class
Fishers Island
20. Tax Map Jdentifiar(sj I Rollldentifler(l) (If more than four, attach sheltt with additional ldentifier/sll
3 - 2 - 7
L
I CERTIFICATION
I ~rtif~' thai aU of the item:; of infonnation entered on this fonn Hl'C' true and rorrect (to the best of my knowledge and belief) and I Wlderstand that the making
ul' ,111.\- willful false statement of material fact herein \\ill SUbjKt me to the provisions of the Penal law relative to the making and filing of false instruments.
BUYER'S ATTORNEY
By
AR{ACOO.
':"flEPHONE.'lU"1IlEP
Kirschner
Elyse
BlIY.RSIGNATURE
Rob rt B. Calhoun~
LAST NAME
FI.%T"lAME
74
Gomez Roa
212
310-8665
STP,FTNVMB~R
Hobe Sound
[W
FL
33455
.~
YORK STATE I
J
elTV OR TOWN
STAT{
ZIP CODE
SELLER
Jean
'-Jf
COpy
-1