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Home My WebLink AboutPeconic Devel Corp - Drainage Area & Recharge BasinRESOLUTION 2008-1002 ADOPTED DOC ID: 4373 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2008-1002 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON NOVEMBER 5, 2008: WHEREAS, Zoumas Contracting Corp. and Gendot Homes Inc. have made application to the Town Board of the Town of Southold to dedicate certain drainage areas in Southold, New York, to be known as "Drainage Area" and "Recharge Basin", as shown on the map entitled "Map of Peconic Development Corp.", filed in the Office of the Clerk of the County of Suffolk on December 27, 2001 as Map No. 14470, together with the release executed by the owners thereof; and WHEREAS, the Southold Town Superintendent of Highways has inspected the said highways and has advised the Town Board that said proposed drainage areas 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 be, 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 be, 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: William Ruland, Councilman AYES: Ruland, Orlando, Krupski Jr., Wickham, Evans, Russell TOWN OF SOUTHOLD: STATE OF NEW YORK COUNTY OF SUFFOLK In the Matter of the Application of ZOUMAS CONTRACTING CORP. and GENDOT HOMES INC. for the Laying Out of New Highways in Southold, Town of Southold, Suffolk County, New York, to be known as: "DRAINAGE AREA" and "RECHARGE BASIN" 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 5th day of November, 2008, and having duly considered the application of ZOUMAS CONTRACTING CORP. and GENDOT HOMES INC. dated the 30th day of October, 2007, for the laying out of new highways at Southold, in the Town of Southold, to be known as DRAINAGE AREA and RECHARGE BASIN, do hereby consent that such laying out be made in accordar~ with said petition. Scott A. Russell,"Supervisor J-~'~tiTj~~, ..~ .//~//e uisa.P. F~tan.~, Councilwoman vrn-cer~t IV1. Orla~'do, Councilman Albert J/C~('upski, Jr., ~ouncil~an' Th(~ as H. Wickharn~ C--'~noir"man Elizabeth A.'l~e~,ille,'~owr~ (~lerk Peter Harris, Hwy. Super. Number of pages TORRENS Serial # Certificate # Prior Cfi. # Deed. Mortgage Instrument Page / Filing Fee Handling TP-584 Notation EA-5217 (County) EA-5217 (State) R.P. TS.A. Comm. of Ed. Affidavit Certified Copy Reg. Copy Other fi, O0 5. O0 Deed / Mortgage Tax Stamp FEES SubTotal Sub Total Grand Total Recording / Filing Stamps Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total Spec. / Assit. or Spec. / Add. TOT MTG. TAX Dnal 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 this instrument. 1000 District Real Property Tax Service Agency Verification 070.00 03.00 Section Block LOo2t2.014 & O; 6~ ~st~opertyOwners MailingAd~ess S adshcdon/Disch~gesmeleme RECORD&RETURNTO: Patricia A. Finnegan, Esq. TOWN OF SOUTHOLD, OFFICE OF TOWN ATTORNEY P.O. Box 1179 Southold, NY 11971-0959 Title# 1 -CammunJt~ Preservation Fund Consideration Amount $ 0 CPF Tax Due $ 0 Improved Vacant Land Title CompanyInformafion Peconic Abstract PAC -3895-F Suffolk County Recording & Endorsement Page This page forms part of the attached BARGAIN and .C:AT.~.. DI~.RI% w/o,~w~.r, Rnt made by: (SPECIFY TYPE OF INSTRUMENT) The premisis herein is situated in SDv~OLK COUNTY, NEAV YORK. In the Township of SOUTHOLD In the VII.I.AGE ZOUMAS CONTRACTING CORP. and GENDOT HOMES-INC. TOWN OP .qC~TTmHCIT,D or I~T of Southold BOXES 6 THROUGH 8 MIJST BE. TYPED OR PPJATI~D IN BLACK ~NK ONLY PRIOR TO RECORDING OR FILING. DIST. 1000 SECT. 070.00 BLOCK 03.00 LOT 022.014 022.015 NY 005 - Ba ced with Covenant against Grantor s Ac~ Individual or Corporation (Single Sh~t) (NYBTU g002) CONSULT YOU~WYER BEFoRE SIGNING THIS INSTRUMENT . THIS INSTRUMENT sHouLD BE USED BY LAWYERS ONLY THIS INDENTURE, made the BETWEEN day of July , in the year 2008 ZOUMAS CONTRACTING CORP., a New York corporation with offices located at (nog) Route 25A, Wading River, New York and GENDOT ASSOCIATES, INC., a New York Corporation with offices located at 446 Remsen Road, Wading River, New York party of the first part, and TOWN OF SOUTHOLD, a Municipal Corporation having principal offices located at 53095 Main R~oad, 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, the heirs or successors and assigns of the 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 in the see attached for description BEING AND INTENDED TO BE the same premises as conveyed by deed dated 12/29/00 and recorded 1/8/01 in Liber 12095 cp 385 TOGETHER with all right, title and interest, if any, of the party of the first part of, 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 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 gone or suffered anything whereby the said )remises have been incumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the L!en 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 cgst 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 PRESENCE OF: IN WITNESS WHEREOF. thc party of the first part has duly executed this deed the day and year first above written. co . USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YoRK STATE ONLY: State of New York, County of Suffolk On thelc'day of July, in the year 2008 before me, the undersigned, personally appeared evidence to be the individual(s) whose name(s) is (are) subscribed to the within iestmment and acknowledged to me that he/she/they executed the same in his/her/their capacity(les), and that by hisSer/their signature(s) on the instrument, the indiv~l(s), or the person upon behalf of which~al~.ac}~., e~u~ the instrument. No, aW Publ$n, Stat~ of ~':ew York~:: ~f'foik County No. 52~,r'~$SGO Commission Expires ~ . A CKNOWLEDGMTgNT FORM FOR USE WITHIN NEW YORK STATE ONLY: {Ntw York Subscribing Witness Acknowledgment Certificate] State of New York, County of } ss.: On the day of in the year before me, the undersigned, personally appeared the subscribing wimess to the foregoing instrument, with whom I personally acquainted, who, being by me duly sworn, did depose and say that he/she/they reside(s) in (if the place of residence is in a city, include the street and street number, if any, thereo)9; that he/she/they know(s) to be the individual described in and who executed die foregoing inst~ment; that said subscribing witness was present and saw said execute the same; and that said witness at the same time subscribed his/her/their name(s) as a witness thereto. USE ACglVOVn. r~aMgWf FORM RKLOw~ NEw Yo~ Sr~m Omar: Sate of New York, Co~ of Suffo~ j ~.: On ~e/f'day of July, in ~e y~ 2008 ~fo~ me, ~e ~de~]~ed, p~o~lly ap~ d .... , ~monm~y Kn0~ tO me or pmv~ to me on me o~is or safisracto~ evi~n~ to be ~e individual(s) who~ name(s) is (m) subscfi~d to the wi~in ins~lment and a~owledg~ to me ~at h~sh~ey execut~ tbe same in his~er/~ek capecity(i~), and that by hisSer/their si~att~(s) on ~e ins~nt, tbe in~viduai(s), or ~e ~mun upon ~half of which the i~~ ~ ins~ment. A CIOVOWLF. DGMENT FORM FOR USE OOTSIDE NEW YO~ S~A~ ONL Y: [Out vf Stme or Foreign General Ac~wledgment Ce~cate] (Complttt Wnue with Stye. Count~, Pmvince or Municipally) On ~e ~y of in ~ ~fo~ me, ~e un~i~ ~onaHy ap~ ~on~ly ~o~ to me or ~v~ to me on ~e b~is of ~fisfacto~ evi~n~ to ~ ~e M~vidual(s) Who~ nme(s) is (~) sub~fi~ to ~e wi~M ins~ent ~d a~owlMg~ to m ~at h~sh~ey execut~ · e same ~ M~ mpeci~O~), ~t by ~/their si~e(s) on the ~m~ ~e in~vidu~(s), or ~e ~n u~n ~h~f of which · e individ~(s) a~ ~tn~ the ins~m~ and ~t such in~vidual ~de such app~ce ~fo~ ~e unde~i~ in the (Insert the city or other political subdivision and the state or country or other place the acknowledgment wa~ taken). BARGAIN & SALE DEED ZOUMAS CONTRACTING CORP. AND GENDOT HOMES, INC. TO TOWN OF SOUTHOLD FIDELITY NATIONAL TITLE OINSURANCE COMPANY ~.~9~z,, /.6 Fidelity DISTRICT l O0 o SECTION 0 t"~ O. BLOCK 03. LOT 0~. COUN~ OR TOWN RECORDED AT REQUE. ST or Fidelity National Title Insurance Company R~TURN BY MAIL TO PATRICIA FINNEGAN, ESQ. TOWN ATTORNEY; SOUTHOLD PO BOX 1179 SOUTHOLD NY 11971 Kecharge Basin Map of Peconic Development Corp. All that certain plot, piece or parcel of land, situated at Sou[hold, Town of Southold, Suffolk County, New York, being a recharge basin as shown on the Map of Pe~oaic Development Corp., which map was filed in the Suffolk County Clerks office on 12-27-2001 as map number 10723, being further described as follows. Beginning at a point on the southerly side of Wells Road, where the division 1/ne between the recharge basin and lot number 9 intersect the southerly side of Wells Road. Rutming thence S.19'55'45'E. - 314.71 feet, thence S.70'44'19'W. - 284.98 feet, thence N.22'32'00'E. - 422. I0 feet to a point on the southerly side of Wells Road and the point or place ofbeginnlng. Drainage Area Map of Peconic Development Corp. All that certain plot, piece or parcel of land, situated at Southold, Town of South. old, Suffolk County, New York, being a drainage area as shown on [he Map of Peb, onic Development Corp., which map was filed in the Suffolk County Clerks office on 12-27-2001 as map number 10723, being further described .as follows. Be~nning at a point on the westerly side of Wells Road, which point is 54.14 feet north of a point where the division line between lot numbem 12 and 13 intersect the westerly side of Wells Road.. l~nnnlrlg thence S.81'42'30'W. - 136.38 feet, thence N. 23'23'50'W. - 70.00 feet thence N.66'36'10'E. - 38.00 feet, [hence N. 87'4T00"E. - 129.31 feet to a point on the westerly side of W.ells Road, thence southerly along the westerly side of Wells Road on a curve to the left having a radius of 189.38 feet and a length of 65.00 feet to [he point or 'place of beginning. TP-584 (3/07) 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.584-1, Instructions for Form TP-584, before completing this form. Please print or type. Schedule A -- Information relating to conveyance Grantor/Transferor [] individual [] Corporation [] Part~ershlp [] Estate/Trust [] Other Grantee/Transferee [] Individual [] Corporation [] Partnership [] Estate/Trust [] Other Zoumas Contracting Corp. & Gendot Associates Marling address )O BOX 361 and 446 Rernsen Road City State Z~P code Wading River NY TOWN OF SOUTHOLD number Mailing address Social security number PO BOX 1179 City State ZIP code Southold NY 11971 Federal employer ident, number Location and description of property conveyed Tax map designation Address City/village Town County Section Block Lot no # Wells Road (drainage area & recharge Southold Southold Suffolk 70 3 22.14 basin) & 22.15 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 Percentage of real property I I conveyed which is residential real property % m~nth day year (see instructions) Condition of conveyance (check al! that apply) a. r"l Conveyance of fee interest b. i'-I Acquisition of a controlling interest (state percentage acquired. %) c. I'-I Transfer of a controfling interest (state percentage transferred %) d, r'l Conveyance to cooperative housing corporation L [] Conveyance which consists of a mere change of identify or form of ownership or organization (attach Form TP-584.1, Schedule F) g. [] Conveyance for which credit for tax previously paid will be ciaimed (attach Form TP-584. I, Schedule G) h. [] Conveyance of cooperative apartment(s) i. [~] Syndication e. I'1 Conveyance pursuant to or in lieu of foreclosure or enforcement of security interest (attach Form TP-584. I, Schedule E) j. [] Conveyance of air rights or development rights k.F-I Contract assignment For recording officeds use Amount received Schedule B., Part Schedule B., Part Date received 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 q. [] Conveyance of property partly within and partly outside the state r. [] Other (describe) Transaction number Pa~e 2 of 4 TP-584 (3/07) Schedule B -- Real estate transfer tax return (Tax Law, Article 3I) Part I - Computation of tax due 1Enteram~~nt~fc~nsiderati~nf~rthe~~nveyan~e(ify~uarec~~imingat~ta~exempti~nfr~mtax~checkthe ii exemption claimed box, enter consideration and prcceed to Part lll) .............................. [] Exemption claimed 1. 2 Continuing lien deduction (see instructions if property is taken subject to mortgage or tien) ......................................... 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 cJaimed (see instructions and affach Form TP.584.1, Schedule G) ................................................... 6 Total tax due* (subtract line 5 from line 4) ................................................................................................................ 0.00 0.00 0.00 0.00 0.00 0.00 0 0 0 Part [[ - 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 I, line 1) ........................................................................ I 1. I 2 Taxable consideration (multiply line I by the percentage of the premises which Is residential realprepert~, as shown in Schedule A) ... 2. J 3 Total additiona transfer tax due* (multiply line 2 by I% (.01)) .................................................................................. 3. Part ][! - Explanation of exemption claimed on Part ], 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 NewYork, 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 c. Conveyance is without additional consideration to confirm, correct, modify, or supplement a prior conveyance ............................... c d. Conveyance of real property is without consideration and not in connection with a sale, including conveyances conveying realty as bona fide gifts ....................................................................................................................................................................... d 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 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 ................................................. 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 ....................................................................................................................................... k. Conveyance is not a conveyance within the meaning of Tax Law, Article 31, section 1401 (e) (attach documents supporting such claim) ........................................................................................................................................................................... k I, Other (attach explanation) ..................................................................................................................................................................... I *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, RETT Return Processing, PO Box 5045, Albany NY 12205-5045. Page 3 of 4 TP-584 (3/07) 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 fo;lowing 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 pemons (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 cimumstances. See TSB-M-96(6)-R for more information regarding these aggregation requirements. [] Other (attach detaifed 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. 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 Ci~ make check payable to the NYC Department of Finance.) Signature (both the grantor(s) and grantee(s) must sign) The undersigned certify that the above information contained in schedules A, B, and C, including any return, certification, schedule, or attachment, is to the best of his/her knowledge, true and complete, and authorize the person(s) sj~bmitting such form on their behalf to receive a copy forIpu~pOses of recording the deed or other instrument affecting the conveyance, ZC~JM~CONTF~ACTING CORP. ~ ~, TOWN OF/~gOUTHOLD ~ . · SCOTT A RUSSEL~ 5 ~emlnder: Did you complete all of the required in%rmation in Schedules A,B, and C? Ara you required to complete Schedule D? If you checked o, h or 9 in Schedule A, did you complete Form TP-584.1 ? Have yoO a~ched your check(s) made payable to the coun~ clerk Where r~cordio~ Will take place or, if th~ mcordin~ i~ in NeW YorA Oit% to the 0~0 Department of Finance? If no recordin9 i~ required, eend your check(a), made p~yable to the Oepa~ment Dp TaxatIon and Finance, directly to the NY8 Tax Department, ~E~ ~eturn Processino, PO Box 5045, Albany NY Page 4 of 4 TP-584 (3/07) Schedule D - Certification of exemption from the payment Of estimated personal income tax (Tax Law, Article 22, section 663) 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 transfemr(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 moro transferors/sellers of the real property or cooperative unit is a resident of NewYork 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 resident of Newh and therefore is not required to pay estimated personal income tax under Tax Law, section 663(a) upon the sale or Print full name Date Signature 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 aro a nonresident of NewYork State listed as a transferor/seller in Schedule A of Form TP-584 (or an attachment to Form TP-584) but aro 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 nonrosident transferor/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 a~l 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-f. Exemption for nonresident transferor(s)/seller(s) This is to cert~ 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 nonrosident 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 c(~mpany. Signature Print full name Date Signature Print tull name Date Signature PHnt full name Date Signature Print full name Date Peconic Bay Region Community Preservation Fund Please print or type. Name (individual; last, ~rst, middle initial) I Zoumas Contracting Corp. & Gendot Associates Mailing address PO Box 361 & 446 Remsen Road Schedule A Information Relating to Conveyance Grantor [] Individual [] Corporation [] Partnership City State ZIP code [] Other Wading River NY 11792 [] Individual [] Corporation [] Partnership [] Other Name (individual; last, first, middle initial) TOWN OF SOUTHOLD Mailing address PO BOX 1179 City State ZIP code SOUTHOLD NY 11971 Social Security Number I Location and description of property conveyed Tax map designation Address Village Town Dist Section Block Lot 1000 70 3 22.14 & NO # WELLS ROAD (drainage area & recharge Southold Southold 22.15 basin) Type of property conveyed (check applicable box) Date of conveyance Improved I I I [] Vacant land Dual Towns: Condition of conveyance (check all that apply) a. - Conveyance of fee interest b. - Acquisitionofacontrollinginterest(state percentage acquired %) c. - Transfer of a controlling interest (state percentage transferred %) d. - Conveyance to cooperative housing corporation e. - Conveyance pursuant to or in lieu of foreclosure 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. - Conveyanceofcooperativeapartment(s) i. - Syndication j. - Conveyance of air rights or development rights k. Contract assignment 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. - Conveyanceofprope~ypartlywithinand partly without die state r. - Other (describe) Schedule B - Community Preservation Fund Part I - Computation of Tax Duc 1. Enter amount of consideration for the conveyance (from line 1 TP584 Schedule B) ................................. 2. Allowance (see below) ......................................................................................................... 3. Taxable consideration (subtract line 2 fmm 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) ........................................................................ 4 0 ~0 For recording officer's use Amount received Date received 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) Riverhead $150,000.00 Improved $ 75,000.00 Vacant Land (Unimproved) South01d $150,000.00 Improved ~ $ 75,000.00 Vacant Land (Unimproved) Schedule C -(continued) Part II - 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 sale, including conveyances conveying realty as bona fide gifts .............................................................................................................................. [] e. Conveyance is given in connection with a tax sale ............................................................................................. [] Conveyance is mere change of identity or form of ownership or organization where there is no change in beneficial ownerShip. (This exemption canno[ be claimed for a conveyance to a cooperative housing corporation of re~l 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. 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 .......................................... [] 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 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 ................................................. [] I. Other list explanations in space below (Grandfather/Contract) ................................................................................. [] m. The conveyance is approved for an exemption from the Community Preservation Transfer Tax, under Section 1449-ee of Article 31-D of the Tax law. (See j in Schedule C) Town 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 subject to a penalty of 10% of the amount of tax due plus an interest penalty of 2% of such amount of each month of delay or fraction thereof after the expiration of the ftrst 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. Signature (both the grantor(s) and grantee(s) must sign). The undersigned certify that the above return, including any certification, schedule or~tachment, is to the best of his/her ~knq~ledge, tree and complete. ZqU S//CO T N COR . . _ ,.d ' - [ Grantor Gr~tor Grant~ INSTBUCTIONS: http://www.0rps.stete.py.u$ or PHONE ~518) 473-7~22 FOR C.OUNTY USE ONLY Month Day Year I I C4. Page I I I C1. SWIS Code C2. Date Deed Recorded C3. Book PRO'PER'fY ~NFORMAT[iDI~ I .L 1. Property Loc~tion ' STREET NUM~E~" ST~EE? NAME REAL PROPERTY TRANSFER REPORT STA'I~ OF NEW YORK STATE BOARD OF REAL PROEERTY SERVICES RP §217 ZIp CODE FI.eT NAM~ I I I 3, Tax Indicate where futura Tax ~i!!$ ere t~ be sent I~i-IIIng f other than buyer address at bottom of form I I I I I 4. Indica4[e the number of Assessment ~ (Only If Part of a Pal#l) Check Pa they appl'F Roil parcels transferred oa the deed I I # of Pprcels ORI I Part of a Parcel 4A. Planning Board with Subdivision Authority Exists [] 5, Deed Property [ J x l Io.I . Name L~T NAME / COMPA~'F ~ 4~. Subdivision Approval was Required ~or Transfer [] 4C. Parcel Approved for Subdivision with Map Provided [] Fi~ S't' NAME I FIRS3' NAME 7 Check the box be ow Wl~ ch most a~curpte ,'/descr bes the use of the properW at the time of sale: A E~ One Family Residential [c [~ Agricultural [ [~ Community Service B ~ 2 or 3 Family Residential F ~_~ Commercial J ~ bdustrial C ~ Residential Vacant Land C- ~ Apartment K~_.~ Public Service DLj Non-Reeidential Vacant Land ~LJ Entertainment/Amusement LLJ Forest ISAr~ !~FOSM~TlPNI ' 12. Data qf Sale / Tran~pr Cheek the boxes below as they appl~ ~. Ownership Type is Condominium [] 9. New Construction on Vacant Land [] 10A. Property Located within an Agricuitural Distdct [] lOB. Buyer received s disclosure notice indicating [] that the properly is in an Agricultural District ~ 15,! Cb~k ~de or mo~J ~ ,t~se ~ndifi~ .t~ ~ appl~ble to transfer:. A D E F S~le ~fftw~en R~!at.~v.es o? Fo ~r~.itr ~ele/N'es ~.are ~n R~l~e,cl C~.,mpa~ja$ or Partners in Business Qn~e ~the Buy~r~ is else ~ Seller Buyer or Seller is Goyerrlmem Agency or L~nding Institution Deed Ty~pe nqt Warra~ or Sargain and Sale {Specify B~!ow) SalR ~f Fra~iort~! or ~.ess than Fee Interest (Specify Below) 13. Full Sale Price I ~ I I I I I I ' (e~ 0 , 0 I ~ ~ # (Full Sale Price is the total ampunt paid for the p~perty including personal property, ][ This payment may be in the (~rm of cash otha~ ~6perty or ~ods or the assumption of mortgages or other ~b ga ons ~le~ee round t~ th~ n~a, mst W~cg~'d~f!ar amount. 14. India#ts the velu~ f~ personal 0 JD iD I proPer~ nc u~d~d in ~e "la' I ~ ~ · I ASS£SSMENT NFORI~AT ON'- Data Sh0U d r~fl~ ~e'Ta~t"F.i~it'~/~mP~t B~.ll'il~d Ta~ B[I 16. Year of Assessment Roll from I , I 17. Total Assessed Velua (of e parcels In transfer I , which information taken ' S ~r~cant Change in property Between Taxable Status and Sale Dates Sale of Bqaineas is Included in Sale Price Other Unusual Factors Affecting Sale Price (Specify Below) None 18. Property Class I , , I-I I 19. School Dlstrlot Name I I 20. Tax Map Identifierle) I Roll IdentifieHs f more than four at~ach sheet with additional identifier s ) I C RTIF!cA IeN I BU~'ERfS ATrORNEy Number of pages TORRENS Serial # Certificate # Prior Cfi. # Deed. Mortgage Instrumem Deed / Mortgage Tax Stamp FEES Page / Filing Fee Handling 5. 00 TP-584 Notation EA-5217 (County) EA-5217 (State) R.P. TS.A. Comm. of Ed. 5. 00 Affidavit Certified Copy Reg. Copy Other 4 I~i s0mO c0t 070..00 I Bqo3ck00 Section Real Property Tax Service Agency Verification Sub Total Sub Total Grand Total 022.014 & 02: Lot [ Satisfaction/Discharges/Release List Property Owners Mailing Address RECORD & RETURN TO: Patricia A. Finnegan, Esq. TOWN OF SOUTHOLD, OFFICE OF TOWN ATTORNEY P.O. Box 1179 Southold, NY 11971-0959 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 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 ,age ~( of this instrument. Community Preservation Fund Consideration Amount $ 0 CPF Tax Due $ 0 Improved Vacant Land TD TD al Title Company Infomation Co. Name Title# PAC¢3895-F Suffolk County Recording & Endorsement Page Tiffs page forms pan of the a~ached DEDICATION AND RmT.W. Ag~ made by: (SPECIFY TYPE OF INSTRUMENT) Zoumas Contracting Gendot Homes Inc. ~nct The premisis herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the Township of SOUTUOI,D TOWN OF SOIJTHOTJ3 In the VILLAGE or HAMLET of Southold BOXES 6 THROUGH 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING 10/22/2007 10:28 FAX 631 765 4643 MOORE LAW OFFICES ~004 TOWN OF SOUTHOLD: STATE OF NEW YORK In the Matter of the Application of ZOUMAS CON'iRACTING CORP. And GENDOT HOMES INC. for the Laying Out of Highways in Southold, Town of Southold, County of Suffolk, New York to be known as:"DRAINAGE AREA" AND "RECHARGE BASIN". X DEDICATION AND RELEASE X We, ZOUMAS CONTRACTING CORP., having an office at (nog) Route 25A, P.O. Box 361, Wading River, New York, and GENDOT HOMES, INC having an office at 446 Remsen Road, Wading River, New York, being the owners of cartain land in Southold, Town of Southold, Suffolk County, New York, and included within which land are proposed DRAINAGE AREA and RECHARGE BASIN, described in the above entitled ma~ter dated NOW THEREFORE, in consideration of One ($1.00) Dollar to us in hand paid by Peter Harris, Superintendent of Highways of said Town of Southold, and in further consideration of accepting for dedication a DRAINAGE AREA and RECHARGE BASIN, do hereby release and dedicate to the Town of Southold all the land heretofore owned by us within said proposed land as follows: known as DRAINAGE AREA and RECHARGE BASIN, as shown and designated on certain maps entitled" MAP OF PECONIC DEVELOPMENT CORP.", situate at Southold, Town of Southold, Suffolk County, New York, filed in the Office of the Clerk of the County of Suffolk on December 27, 2001, as Map No. 14470. And we do release the said Town of Southold from all damages by reason of the laying om of the said highways. /~ ~__~ ~__~~ By: John Zoumas, President '~'G(~dot Ho~es,l~'c'. ' By:Gerald T. Simone, President 10/22/2007 10:28 FAX 631 765 4643 MOORE LAW OFFICES ~005 STATE OF NEW YORK ) COUNTY OF SUFFOLK ) , pc y ppe , p y to mc or proved to mc on thc 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. STATE OF NEW YORK COUNTY OF SUFFOLK NINA L NICCHI Notary Public, State of New York ) ) blic ' - On the (.~/,n day of (~/C~_~r~, 2007, before me, the undersigned, a notary public in and for said State, personally appeared Gerald T. Simone, 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. /l(lotary Public