HomeMy WebLinkAboutL 12344 P 167
(
l_-
P
N.Y.S.
Real Estate
Transfer Tax
$2,960.00
!.,u. .
, 7 '...._.f
1000- q - f - L
FUfllI KOOZ (11I9')) _ 20M _ B.llpill anrJ Sale [X-ed, WilA Covrnanl" api.."" Qranlur-" Acts-Individual N Corporation_ bln,k 5hccll
CDNeuLT YO" LA,".. _POM ..aN... 'nil. I..-nIUII.1IT - THla ..........NT _MOULD .. ua_ ..,. LA....... _LY.
THIS INDENTUR..:. made.he 30th d.yof
BETWREN CAROLYN JULEEN DOHERTY.
Fishers Island. New York 06390
2004 and
(no ~) End of Hedge Street.
.1
August
residing at
- /lMJe'lUfN"1J
P3.r1yo[lhefirstpan.i1nd FITF. LLC, c/o Black Oak Associates, Inc., a ... K.
limited liability company. having its principal place of business at 10055
Red Run Boulevard. Suite 130, Owings Mills, Maryland 21117
party of the second part.
WITNESSETH" thut the party ofthc tim pan. in ~on5iderotiori often dollan; and olher valuable consideration paid by
the party of the 5econu part. uocs hereby grant and reh:a5e unto the party of the sc,,"(..ond part. the helD or successor.; and
assigns. of the party of the 5C'COnd part forever. .
ALL that .:ertuin plot. piece or pan:el uf land. with the buildings and improvemen.... thereon erected. s.ituDle. lying and
hcing~""tM-
~~ at Fishers Island, in the Town of Southold, county of Suffolk and
State of New York, being bounded and described as follows:
BEGINNING at a iron pipe on the westerly side of Reservoir Road at
the northeasterly corner of land now or formerly of Michael Collyer and
Sandra Collyer and the southeasterly corner of the premises herein
described; running thence along said westerly side of Reservoir Road the
following five (5) courses and distances: (1.) North 590 13' oon West. J..06
feet; (2) North 470 ~5' 00" West 86.29 feet; (3) North 350 47' 00" West
76.01 feet; (4) North 09G 12' 00" West 125.50 feet; and (5) North 120 10'
00" East 192.20 feet to a brass marker and land now' or formerly of Union
Free School District; thence North 630 37' 00" West along said land now or
formerly of Union Free School District 279 feet, more or less, to the Shore
of Fishers Island Sound; thence in a general southerly direction along the
Shore of Fishers Island sound and lacer along the shore line of Silver Eel
Cove as they both wind and turn 930 feet more or less to land now or
formerly of Michael collyer and Sandra Collyer first mentioned above;
thence North 400 17' 00" East along said last mentioned land 122 feet more
or less to the westerly side of Reservoir Road and the point or place of
BEGINNING.
BEING AND INTENDED TO BE Parcel Three in premises conveyed C9 the party
of the first part by deed dated May 9. 1996 and recorded in the Suffolk County
Clerk'6 Office on September 10, 1996 in Liber 11791 Page 451.
(0 Lt i~, ~f r\~ 3. 2 9 ~ 0.. cl-'€s - bt.j "5 U. I'V e.~
TOGETHER wilh all righl. liUe anu intcl'"C~t, if any. uf the party of the lirst pan. in und 10 any streets and roads
abulling the abo\lC'~dcscribed premise), 10 thc crnter lines Ihercof; TOGlITlIER with Ihe appunenanccs anu 111I1h~
estale unu rights of the p..rty of the .irsl part in and 10 said prcmi~s: TO HAVE AND TO HOLD the preluisl!s herein
._ g.ralllClLunto the parly uf th.: s~l:olld part. the hdl's ur ~uc.:es),ors and assigns uf Ihe party of the SoC'conrJ part forever.
:;0.. .
ANp ~h_C; (!any uf Ihe lir~t purt ("u\.enant:;, thai the purty of the fir),t purt ha!< nOldllne ur sutl"ered anything whcrcl'1y
thc said premi~c~ ha\le been cn..umbered in any way whalever. e,u.'cpt as aforesaid.
ANI> th..- pt\rly of the fir),1 part. in ":",,mpli';lIlce with Section 13 oUhl!: Lien Law. ..'o..cnants that Ihe parlY oflhc
firsl P;lrL will rCI.:cive Ihe c'-lnsiaeratiun h"lr Ihis conveyance and will hold the right 10 receive such consider.
ation as a Irust fund 10 he applied first for the purp(lse of paying the co~t of the improvemenl and will apply
the ~ame first to Ihe paymenl of the "ust of the impro\lcmt:nt before u:!'ing any purl of lhe tOlul or the sume fur
any nlher purpose. .
The woru .'party.' shall be cunsl..u~d 01), if it read "panics" whenever the sense or this inuenture S(l requires.
IN WITNESS WHEREO..... Ihe pari)' of the tirsl rarl hu!'Io lluly C'",eculcLlthis cJfi~U Ihe day and yen!- lin\! ahn\lC
wriU~n.
IN l'IU;SI,SCE 0...:
~.)-.~~~ ~~
Caro~yn, Juleen Doherty
Page 2 of 3
Acknowledgement taken In Now York Stat.
Stale of New York, County of
Suffolk
. S6:
On the ?J~ day 01 Augu8 t ,in the YGBr2004 . before me,
the undersigned. personally appeared CAROLYN JULEEN
DOKERTY
personally known to me or proved to me on the basis or
satisfactory evidence to be the tndividualfe) whose name(at Is
~) subscribed to the within Instrument and acknowledged to
me that -fte/she/tfIley executed the same in ltieJher/t~eiJ.
capacity(ies), and that by "'+SlherHfteiof slgnature(eo) on the
Instrument. tho indivkluBI(sJ or the person upon behalf of which
Ihe IndividuBlts) acted, executed the ins~rument.
~g- ~.. ~'.u15
Not y Public
IIMIIY 8 PM._..oCl
NalIry NlIic 91.- aI New YOItl
No 52467l11iO
Coo......., ~ W)D/Ol.
Acknowledgement by Subscribing Wllne.. blII:en In New
York Slllle
Slate of New York, County of
.55:
On the day of . in the year
Ihe undersigned. personally appeared
. before me.
Ihe subscribing witness to the Ioregoing Inslrument. with whom
. am personally acquainted. who being by me duly sworn, did
depose and say, that helshelthey reside(s) in
that he/ahollhey know(s)
10 be the individual described In and who executed the
foregoing instrument; that said subscrIbing wilness was
present and caw said
execute tho same: and that said wilnoss 81 tho same limo
subscribed hislharltheir name(s) as a witness thereto.
Title No.:
CAROLYN JULEEN DOHERTY
TO
FIn", LLC
I
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Distributed by ~
Chicago llUc _Insu~nce C~~ J
PDge 3 of 3
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Acknowledgement uken In New York State
Slale 01 New York. County of
.5S:
On the day of . in the year
Ihe undersigned, personally appeared
. belore me,
personally known to me or proved 10 me on the basis or
satisfactory evidence to be the Individuat(s) whose name(s) Is
(are) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same In hls/her/lheir
capaclty(ies). and that by hlslherltheir slgnaturees) on the
Instrument, the indlvldual(s) or the person upon behatf of which
the individual(s) acted. executed the Instrument_
Acknowledge,..nt "ken out.lde New York State
. Slate of . County 01 . S8:
. (or Inserl Dislrict of Columbia. Territory. Possession or
Foreign Country)
On the day of , in the year
the undersigned, personally appeared
. before me,
personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) whose name(s) Is
(are) subscribed ~o the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their
capaclly(ies). that by hls/herltheir signBture(s) on the
Instrument. the individual(s) or the punlon upon behalf of whk:h
the indlvldual(s) acled. executed the instrument. and that such
individual modo such appearance before Ihe undersigned in Ihe
(add the city or poltUcal subdivision and the state or counlry or
other place the acknowledgement was taken).
SECTION
BLOCK
LOT
COUIIlTY OR TOWN
RETURN BY MAIL TO:
STEPKEN L HAM III ESQ
MATTHEWS & HAM ESQS
38 NUGENT STREET
SOUTHAMPTON NY 11968
Zip No.
. -
..'
fL 2
1
Serial H
RECORDED
2004 Sep 18 09,36.26 IU1
Edward P.Romaine
ClERK OF
SUFFOLK COUNTY
L 000012344
P 167
on 04-07592
Number of pages ..::!:;
TORRENS
CenificalC II-
Prior Ctf. II
Deed I Mortgage Instrument
Deed I Mongage Tax Stamp
Recording I Filing Slamps
4
FEES
I)agc I Filing Fce
Mortgage Ami.
J landling
TI'-584
I. Basic Tnx
2. Addiliunal Tax
Notation
Sub Total
EA-52 17 (County)
EA-52 17 (State)
Sub Total
K.P.T.S.A.
30.=-_
Spc'cJAssit.
Or
Spce./Add.
TOT. MTG. TAX
Duol Town Dual County _
Held for Apponiollnlcnt _
dCj&.O
Camm.orEd.
----~~-
Affidavit
SubTutal
6).3/
-::DR./o
Mansion Tax _
The property covered by this mortgage is ur
will be improved by a nne or two family
dwelling only.
YES or NO
If NO. see appropriate tax clause on
_uflhis instrument.
Certified Copy
Reg. COP)"
Other
GKAND TOTAl.
l
Reall'ropcrty Tax Service Agency Verification
Dist. Section Block
1000 00900 0800 002000
Lot
6 Community Preservation Fund
- Consideration Amount $ 740&.00.00
Stamp
CI>
S 11.800.00
Dale
Improved
x
Initials
STE;PBEN L HAM 111 E;SQ
MATTHE;WS & HAM E;SQS
38 NUCENT STRE;E;T
SOUTHAMPTON NY 11968
~ Vacant Land
r ,,/ TO 10
V TO
TD
3
Satisfactions/Discharges/Rcleases List Property oWners Mailing Addrcs
RECORD'" RETURN TO:
8
Title Company Information
9
Suffolk Coun
Co. Name Commonwealth Land Ti.tle Insurance Co.
Tille 1# RH80032438
RecoTdin & Endorsement Pa e
'l1,is pugc form.. part ofl"" utUlchcd
Deed
__ made by:
(Sl'ooFY lYPE OF INSlllUMINr)
CAROLYN JULEE;N DOHERTY
lbe premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO
In the To....nship of
.In the VILLAGE
or HJ\lvll.ET of
Southold
FITF. LLC
F:1shers Island
BOXES 5 .IHRU 9 MUST BE .IYI'ED OR PRlNICD IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
Page 1 of 3 IOVERl
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COmrry CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DBBDS/DDD
Numbex of Pages: 3
Receipt Numbex : 04-0103376
TRANSFER TAX NUMBER: 04-07592
Di.txict:
1000
Section: Block:
009.00 08.00
EXAMIHBD AND CBARQBD AS I'OLLOWS
$740,000.00
D_d Amount:
Received the Following Fee. Fox Above Inst:rument
Bx~t
NO
NO
NO
NO
NO
NO
Page/Filing
COB
EA-CTY
TP-584
RPT
Txansfex tax
$9.00
$5.00
$5.00
$5.00
$30.00
$2,960.00
Hanelling
NYS SRCHG
EA-STATB
Cext.Copies
SC'l'M
Ccma.Pxes
"ee. Paid
TRANSFER TAX HUMBER: 04-07592
THIS PAGE IS A PART OF DB IHSntJMEHT
THIS IS NOT A BILL
~
RecoJ:d.ed:
At:
09/18/2004
09:36:26 AM
LIBER:
PAGE:
D00012344
167
Lot:
002.000
$5.00
$15.00
$165.00
$0.00
$0.00
$11,800.00
$14,999.00
Bxempt
NO
NO
NO
NO
NO
NO
Bdwaxd P.Romaine
County C1exk, Suffolk County
,"
.
FOR COUNTY USE ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (5181 473-7222
1l/1..~?; '{;q I
C2. Date Deed Recorded ~
3 ro'~ Do, J V'''l
C3. Book I ,,2..,' Lj~ h P... ,to, ,
REAL PROPERTY TRANSFER REPORT
C1. swrs Code
W...
. ,
If -/j
~.~" ....
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
Rl'.~21? He. JI97
PROPERTY INFORMATION
l,PropertyL-
Location STPEETNUMBEIl
Reservoir Road
STREHNAr.1E
L.Southold
CITYQRTOW'l
Fishers Island
VII,.(AGE
I 06390
ZIPCQOE
2. Buyer
Name
FITF. LLC
I.A,ST NAM!: I COMPANY
FIRST NAME
I.AST NANI~ICOMPANV
fIRSTN"'ME
3. Tax
BIlling
Addr&S$
Indicate where future Tax Bil15 are to bllsenl
.jfotherthan buyer address (al botlom 01 forml
LASTNAM~:COMPANY
FlRSTNAME
~
STAEET NlJMBEFI AND STRHT NAME
(ITY 0'" !OWN
SlA~E-
ZIP CODE
4. Indicabl the number of Assessment
Roll pucels transferntd on the deed
L....~ # of Parcels OR 0 Part of a Parcel
IOnly if Part of a Parcell Check as they apply:
4A.PlanningBoardwithSubdivisionAutnorilyExists 0
48. Subdivision Approval was Required for Transfer 0
4C. Parcel Approved for Subdivision with Map Provided 0
5. Deed
Property
Size
I X I
lOR I
2. 2 0 I
FR()NTFEET
DEPTH
A,CRES
6. Seller
Name
Doherty
L.ASr"AME/COMPANY
Carolyn Juleen
FIRSTfIlAME
LAST NAME I COMPANY
FIRST NAME
7. Cheek tne box below which most Q(:(:urately des<:ribes the use of the property at tha time of sale:
Check the boxes below as they apply:
8. Ownership Type is Condominium
5. New Construction on Vacant land
lOA. Property localed within an Agricultural District
108. Buyer received a disclosurB notice indicating
that the property is in an Agricultural District
o
o
o
o
A~ One Family Residential
B :2: or 3 Family Residential
C Residltntial Vacant land
D Non.Residential Vacant land
E~ Agricultural I ~ Community Service
F Commercial J Industrial
G Apartment K Pl.lbiicService
H Entertainment / Amusemem L Forest
I SALE INFORMATION I
11. Sale Contract Date
I 03
Year
15. Check one or mOrfl of thelP8 Clonditions as applicable to transfer:
A Sale Between Relatives or Former Relatives
B Sale Between Related Companies or Partners in Business
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 Bargein and Sale (Specify Below)
F Sale of Fraction<ll or less than Fee Inlarest ISpecify Below)
G Significant Change in Property Between Taxable Status and Sele Dat6$
H Sale of Business is Included in Sale Price
J Other Unusual Factors Affecting Sale Price ISpe<:ify Below)
J None
8 I 14
Month Day
12. Date of Sele/Transfer
9
04
1
Monti>
D.,
Yilar
13. Full Sale Price I 7 4 i 0 0 0 ,0 0 0 I
, , .
lFutl Sale Price is the total amount paid for the property including personal property.
This payment may be :n the form of cash, other property 01 goods, or the assumption of
mortgages or other obligations.) Please round to the neitrest Whole dollar amount.
14. Indicate the value of personal
property included in the 5ale
N/A
o , 0 I
, .
ASSESSMENT INFORMATION ~ Data should reflect the latest Final Assessment Roll and Tax Bill
16. Year of As$essment Roll from I 0 4 I I
which information taken ~ 17. Totel Assessed Value (of all parClels in trllnsferl ~
5 2 O~
,
18. Property Class
I 4 ' 4 , 1 I-U 19. School District NlIme I
Fishers Island
20. Tax Map Identifier(s) I Roll Identifier(,) Iff more than four, attach she.t with additional identHI.r(sll
'0-(/;'-
, .
I 9-8-2
~
I CERTIFICATION
I cerdry that all of the items of lnfonnation entered on this fonn are tnle and correct (to the best 01 m)" knowledge fmd belief) and I understand that the making
of any willful false statement of m~teria1 fael herein will subject me to the provisions of the venal law relath'e to the making and ming of faIse instrumen~.
BUYER
BUYER'S ATTORNEY
FITF, LLC
4f::.,.1.-t..-- H-$
"fldo-+
OATe
By
Ham
Stephen L. III
FlRSTNM,I~
BVy[~ SIGNATURe
LO.ST ~A~IE
[OOS,>
STREET NUi..'BER
t2-Eb l~oJ 8o..>L..,",,'IoAP
631
283-2400
ST~EET NAME 'Al'TER SALE!
AREACOOE
TElEP>lO"'ENU\JBER
(A...'''',"S
M9
NEW YORK STATEl
COpy
)
CITY OR TOWN
STATE
ZIPCOOE
SElLER
~~ ,~ClD,~ l't')a~/oy
SELI..ERSlGNATURE OATE
Carolyn Juleen Doherty
-----