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CONSULT YOUR LAWYER BEFORE SlGN"O THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the 2.3 r-I day of December, 2004.
BETWEEN
ALBERT H. GORDON. 10 Gracie Square. New York. New York 10028,
party of the first part, and
THE HENRY l. FERGUSON MUSEUM,INC., a charitable corporatlonorganized and existing under and by virtue
of lhe laws of the Slate of New York, with Its principal office at (no #) Equestrian Avenue. Fishers Island, New
York 06390,
party of the second part.
WITNESSETH, that the partyofthe first part, In conslderallon of Zero------__________
------ ($0.00) .---dollars
paid by lhe party of the second part. does hereby grant and release unto the party of the second part. the heirs
or successors and assigns ofthe party of the second part forever,
ALL that certain plot, piece or parcel of land. with the buildings and Improvements thereon erected, situate. lying
and being at Fishers Island, Town of Southold, County of Suffolk and Stale of New York, being more particularly
bounded and described as set forth on Schedule A hereto.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated
December 26. 1973 and recorded in the Office of the Suffolk County CIeri< on January 22, 1974 In Uber 7574
page 263.
TOGETHER with all right. tlUe and Interest. If any, of the party of the first part in and to any streets and roads
abutting the above descr1bed premises to the center lines thereof; TOGETHER with the appurtenances and all
the estate and rights oflhe party of the Ilrst part In and to said premIses; TO HAVE AND TO HOLD the premises
herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second
part. forever.
AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby
the said premises have been encumbered In any way whatever. except as aforesaid.
AND the party of the first part. in compliance with SecUon 13 of the Lien Law. covenants that the party of the first
part will receive the conslderaUon for this conveyance and will hold the right to receive such consideration as a
trust fund 10 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 .partles" whenever the sense of this Indanture so
requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF:
(d,~
Albert H. G .
S~nd.rd N.Y.B,T.U. Form 8002 - Bargain .,d S8Ie Deed. VWIth Covenant ag"n.. Gr-.tor". Ad. _ Uniform Acknowt.dgm.,t
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT is MADE IN NEW YORK STATE
State 01 New York. County of New York
&s:
State of New Yorl<. County of aa:
On the day of In the year 2004
before me, Ihe undersJgned, personally IIppe..d
On the z.~ day of December In the yesr 2004 before me, the
undersigned. personally appeared
Alber1 H. Gordon
perBOnally known to me or proved to me on the basis of
satisfactory evidence to be the individual who. names are
subSGr a.-:J to the will"Nn Instrument and acknowledged to me lhat
he executed the 8IIme In hi. capacity, and that by his signature
on the instnJmenL the IndMdu.... Dr the person upon behalf of
whIC~:h. ~~:al ~CUled the inatrumenl.
. (f1ign~re aOO of "rind~~a1 taking acknowledgment)
JAMES M. COLLEARY
Notary Public. Stldll of Ne. York
No: 52 .600543
OuIiltrled In Suffolk County
CerlUcale FU.CI In New York Cbunlll
. Commialon El<pk.. Nov. 30, 2QSUo
p8l"f1Onally known to me or proved to me on the basis of
aatiafllCtory ....nce to be the incUvidual. who. names are
IUbscrlJed to the wtthin lnatrument and _edged to me fhat
halllhellhey ltlI8CUtecl the eame In hlalhernhalr capacitl.., and
that by their llignatures on the Instrument. the Individual.. or the
person upon behalf of which the individual. acted. executed the
iNltrun'8nt.
Notary Public
(signature and office of individual taking acknowledgment)
TO BE USED ONLY WHe4 THE ACKNOW' ~noMENT IS MADE OUTSIDE NEW YORK STATE
Stale (or District of Columbia. Territory. or Foreign Country) of sa:
On the day of in the year before me, the undenligned, personally appe.-ed
personally known to me or Proved to me on the basi. of satisfactory evid~. to be the Individual(a) whose name(s) Is (are)
SUbKrtJed to the wnhin Instrument and acknowledg<<:t to me that I1aIaI1Wthey executed the ume In hiSlherllheir capaclty(ies). and'
that by hi8lherltheir signature(s) on the instnJment. the tndivjdual(5). or the penon upon behalf of which the individuates) acted,
execuled the Instrument. and thai such Individual made such appe.-arx:e bef~ the undensigned in lhe
in
(Insert the City or other pollllcel subcUvt8ion)
(and In&en the Stat. or Country or other place the acknowledgmenl wa.. laken)
(-'gnawre and otrIce of IndMduallaklng ecknowledgmenl)
BARGAIN AND SALE DeeD
WITH COVENANT AGAINST GRANTOR'S ACTS
DISTRICT 1000
SECTION 009.00
BLOCK 07.00
LOT 009.002
COUNlY OR TOWN Suffolk - Southold
STREET ADDRESS (no II) Oceanic Avenue
Fishers Island, NY 06390
Tille No.
ALBERT H. GORIXJN
TO
THE HENRY L FERGusoN MUSEUM. INC.
RETURN BY MAIL TO:
STMDMDFOMI OF NEW'va. BGMDOFTITLE IlL
_1-
01__ by
RESERVE na ....ACE FOR !.ME OF RECORDING OFFICE
SCHEDULE A
to
~
Party of the First Part:
Albert H. Gordon
Party of the Second Part:
THE HENRY L. FERGUSON MUSEUM, INC.
Deed Dated:
December 2.3 ,2004
BEGINNING at a stone monument at the intersection of the northwesterly line of Ellrick
Street and the Southeasterly line of Oceanic Avenue, said monument being located
1392.64 feet North of a point which is 1920.04 feet West of another monument marking
the United States Coast and Geodetic Survey Triangulation Station .PROS"; and
RUNNING THENCE along said Oceanic Avenue line North 19 degrees 57 minutes 10
seconds East, 200.00 feet to a monument;
THENCE South 70 degrees 02 minutes 50 seconds East, 68.00 feet to a monument; .
THENCE North 54 degrees 43 minutes 10 seconds East, 128.00 feet to a monument;
THENCE North 08 degrees 26 minutes 00 seconds East, 245.67 feet to a monument at the
southwesterly line of Oriental Avenue;
THENCE along said avenue line South 14 degrees 11 minutes 10 seconds East, 178.79
feet;
THENCE along said avenue line South 00 degrees 56 minutes 10 seconds East. 107.22
feet to a monument;
THENCE along said avenue line South 28 degrees 37 minutes 20 seconds East, 23.80
feet to a monument:
THENCE along the said northwesterly line of Ellrick Street South 64 degrees 43 minutes
10 seconds West, 377 .02 feet to the point or place of BEGINNING.
Containing 1.00 acre, more or less.
NumhCr of ""go.
TORRENS
Seriul#
Ccnifil..'al~ #
Prior erf. #
3
))red I Mungage Instrument
""go , Filing Fee
Hundling
TP-584
Notation
EA-5:! 17lCounlyl
EA-52 17 (Su..e,
R.P.T.S.A.
_Comm. of Ed.
Affidavit
Cc-nilicd Copy
Reg. Copy
Olh~r
~ lQOO
4 Dislncl
Real
Propcny
Tax SCf\'kt:'
Agt!ncy
Vt:'rifi':iltion
/:7-_
S. (Xl
~
~
J/~_
"3....--
5. 00
:;.---=-
/~-
c-
Deed , Monll'lge Tax SUlmp
FEES
Sub T0I81
$7
Sub Tot.1
c9-/~
dLf~
Grand 1',,,,,1
04055538 1000 00900 0700 009002
6
Salislaction~Discharg.e.slRcleu.'k:~ List Property Owners Mailing Address
RF.CORD &< RETURN TO:
Stephen L. Ham. III, Esq.
Ma't.thew8 & Ham
38 Nugent S't.reet
Southampton. NY 11968
Suffolk Count
'-
RECORDED
20<l4 ['ec 30 03,5..44 PH
E~ward P.RoMain@
CLERK OF
SUFFOLK COUIITV
L 0Cl0012363
P 101
011 04-22231
Reconling , Filing Slaml1"
Mongage Ami.
I. Ru.~icTa."t
2. Additiunul Tux
Sub Torul
SpccJAssil.
or
Spec. ,Add.
TOT. MTG. TAX
Dual Tuwn _ Dual C<lUnty
Hold for Appoinlmonl ~
Transfer lb." ~_
Munsion Tax
The: propcny covered hy this mortgage:: il\i
Of will be impR)V~ by a OIlC' ur twu
family dwelling only.
YES. or NO
If NO. sce approprialL. tax clause nn
page # ___ uf this instrument.
-~
5 CommllDity r._aervation Fund
Consideration Amount $ 0
CPF Tax Due
s
o
Improv~d
Vacant Lund V
TO JO
TO
TO
7 Title Com an 'nformation
Co.Num~
"nll,,#
Recordin
& Endorsement Pa e
This ~g.c fonns p:.ln or the atlaChaJ __
ALBERT H. GORDON
Deed
(SPECIFY TYPE OF INSTRUMENT)
mude by:
~ premises herein is situated in
SUFH)LK COUNTY. NEW YORK.
TO
THE HENRY L. FERGUSON MUSEUM, INC.
In lhe TownKhip of
In the VILLAGE
or HAMLET of
SOUTHOLD
FISHERS ISLAND
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO ROCORDING OR !'lUNG.
(over)
111111111111 111111111111111 11111 IIIN 111111111111111111
111111 11111 011111111111
SUFFOLK COUNTY CLERK:
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/ODD
Number of Pages: 4
Receipt Humber : 04-0141693
TRANSFER TAX NUMBER: 04-22231
Record.ed.:
Atl
12/30/2004
03:54:44 PM
LIBER:
PAGE:
D00012363
101
District:
1000
Section: Block:
009.00 07.00
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Lot:
009.002
Deed. Amountl
Received. the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $12.00 NO Hanc:l.1 ing $5.00 NO
COE $5.00 NO HYS SRCHG $15.00 NO
IA-CTY $5.00 HO lA-STATE $165.00 HO
TP-584 $5.00 NO Cert.Copies $0.00 HO
RPT $30.00 HO SCTM $0.00 HO
Transfer tax $0.00 HO CODDII.Pres $0.00 HO
Fees Paid. $242.00
TRANSFER TAX HUMBER: 04-22231
THIS PAGE IS A PART OF THE IHSTR'DMENT
THIS IS HOT A BILL
Edward. P.Romaine
County Clerk, Suffolk County
FOR COUNTY LJSr. ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE 15181 473.7222
C1. SW1S Code
<-j ,13 , 'S 1?, "11
*
Ill'.5Z!7Rev3/97
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2 Date Deed Recorded Ii 2. I 30 / 011
Month Day Ye,r
C3. Book I i I 2. 13 I (0 1'3 I C4. Pagel i I ,0
PROPERTY INFORMATION
Prope.rtVL(no If)
LocatIon STRH"'NUMBER
RP - 5217
Oceanic Avenue
STREETNAMf
Southold
Fishers Island
VILlAGE
06390
ZIP CODE
c.-y OR TOWN
2. Buyer
Name
THE HENRY L. FERGUSON MUSEUM, INC.
'AS1NAME/COMPANV
FlRSTNAME
__---.J
lAST NAME/COMPANY
ARSTNAME
3. Tax IndlciiltewherefutureTI:I~ Blils are to be sent
BillIng If other than buyer address lat bottom of form) l____
Address lA$TNAfIIIEICDMPANV
FIRSTICAME
L.__.. __"
STREHNU~BE,RANOSTREETNAME
CITY 011 TOWN
S-IArf
liP CODE
4. Indicate the number of As$e$Sment
Roll parcels transferred on the deed
L__._ ~ # of Parcels OR D Part of a Parcal
{Only if Partofa Parcell Check as they apply;
4A. Planning Board with Subdivision Authorrty Exists D
48. Subdivision Approval was Required for Transfer 0
4C.Pan:eIApprovadfo,SubdjvisionwithMap?royided 0
5. Deed
Property
Sizl>
Ix I
10RI 1.0 _QJ
DEPTH ACRES
HWNT fo.E1
6. Seller
Nama
GORDON
LASTNAME/CCMPANY
~IRSTNAME
ALBERT H.
LASf N~.M~ /COMPANY
FIRST NAME
Check the box below which most aC(:urately describes the use of the property at the time of $III.:
Check the boxes beiow '"' they apply:
8. Ownership Type is Condominium
9. New Construction or Vacant Land
lOA. Property Locatlldwith:nan Agriculturel District
108. BUYllr received a disclosure notice i"dicating
that the property ts in an AgriculturallJist~ct
o
o
o
o
A~oneFamlYReSidential
B 2013FamilyResidential
C X ResidentialVaca;"lILand
D Non.ResidentialVacentLand
E~AgriCUIlUral
F Commercial
G Apartment
H Entertainment I Amusement
I ~ Com.munitY Service
J Industr181
K PubhcService
I. Forelit
SALE lNFORMA TtON
15. Chedt one or more of th... condition, IUI applic1lble to tnmsfer.
11. Sale Contract Date
1
A
B
C
D
E
F
G
H
I
1
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners i'l Business
One of the Buyers is also a Seller
Buyer or Seller ili Government Agency or Lending Institution
Deed Type not Wlmanty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than Fae Interest (Specify Below~
Significant Change in Property Between Taxabie Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price ISpecify Below)
None
Mooth
Do,
,-,
12. Dilte of Sale I Transfer
12
to}
041
Monlh
D.,
,-,
l~__..l_~' t 0,0 0 I
, , .
f~ul Sale Price is the lotel amount paid for the property including personal property.
This payment may pe in the form of cash, other property or goods, orthe aasumptjon of
Mongages Or other obligations.) Pll:IllSa ruund 10 the nearas/ whole dollar amount
13. Full Salll Price
o
~ 0 , 0 I
Donation of vacant land
14. Indicate the value Dfpersonal I
property included in the nle, ,
ASSESSMENT INFORMATION - Data should reflect the latest FInal Assessment Roll and Tax Bill
16. Year of Assessment Roll from I 0 4 1 17 Total Assessed Value lof all parcels in transfer) I
which information taken --'-------.
~,.--------'---_---L
.~~
18 Property Chlss
I _3~-LJ 19, Schoof District NlIme I Fishers Island
_ __-.J
20 Tax Map Identttlerlsll Rollldentifiarlsl IIf more than four, lIttaeh sheet with addItional ldentlfler!s))
1000-009.00-07.00-009.002
--.J
.--
----.J
I CERTIFICATION
I Cl'rtify that all of the il:em~ of" infonnaUon t"ntered on Uti... fonn are true and cornet (to the best of my knowledge and belief) and I understand that the Inakin~
of an~' willful false stllh~ment of material fact herein will subject me tu the Drnvisions of the DellaJ law relative 10 the making and flling of ral~c jn~1rt1mentli.
BUYER
THE HENRY L. FERGUSON MUSEUM. INC.
BUYER'S ATTORNEV
By
j!.:~ ~
104
Ham
Stephen L., III
121
BUVERS,GNATURE DATE
Robert J. Miller. Vice President-Land Trus
LAst NAME
f;"~' ~AMf
(no II)
STRfET ~UMeER
(631)
283-2400
Equestrian Avenue
STREETNAME,..FTERSAL.E,
AREACODf
TELEPIlONENUMlIH
Fishers Island
~ORTOWN
N'W '0= "Am ~
COpy
NY
06390
StAtE
ZlPCOOE
SELLER
?({1-7/~
-.- .,5~LCERSi(iN<!oI\JRE' "'-. - '---
Al.Dert H. Gordon
121 /04
~~
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