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L 12637 P 562
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Receipt Number : 10-0108392 TRANSFER TAX NUMBER: 10-03518 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 080.00 04.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 Received the Following Fees For Above Instrument Exempt Page/Filing C0E EA-CTY TP-584 Cert. Copies Transfer tax $20 00 $5 oo 85 oo $5 oo $0 oo $0 oo TRANSFER TAX NUMBER: 10-03518 NO Handling NO NYS SRCHG NO EA-STATE NO Notation NO RPT NO Comm. Pres Fees Paid THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 09/16/2010 11:21:32 AM D00012637 ' 562 Lot: 002.000 $20 00 $15 00 $125 oo $0 oo $30 oo $0 00 $225 00 Exempt NO NO NO NO NO NO Number of pages. This document will be public record. Please remove all Social Security Numbers prior to recording. RECOR6ED 2010 Seo 16 11:21:52 JUDITH fl. PA£CflLE CLERK OF SUFFOLK COUNTY L 690012657 P 562 6T# t0-03518 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Recording / Filing Stamps 3 I FEES Page / Filing Fee Handling ~ 00 T~-584 -' ~ -- '' Notation EA-52 17 (County) (3~' - Sub Total EA-5217 (State) / ~ Comm. of Ed. 5. 00 Affidavit Certified Copy NYS Surcharge 15. 00 Sub Total Other 4 [ Di~5.000 Real Property Tax Service Agency Verification Grand Total I~.~p.~o.oo I_.. o4.oo I "~" 'boo 10019364 xooo oaooo o~oo oo2ooo 5 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 mortgage is or will be improved by a one or two family dwelling only. YES__ or NO I.~L~ see appropriate tax clause on '": of this instmxment. Community Preservation 'Fund Consideration Amount $ ~Tax Due $ ~-~ .... Improved ~ Satislactions, wt~cnarges~eteteases Eigt-P~Owners Mailing Address OI RECORD & RETURN TO: ' . Vacant Land / TS Mail to: dUdith A. Paspale, Suffolk Oounty Olork I 71 Title Company Information I 310 Oonlor Drive, RiverheaO, NY 11~01 I~ ~ I www. suffolkcountyny, govtclerk ~ne ~ ~ ~ ] ..... I llUe ~' ,,, 8 ° 81Suffolk County Recording & Endorsement Page This page forms part of the attached THOMAS D. BYRNES and TRACEY L,. BYRNES DEED (SPECIFY TYPE OF INSTRUMENT) Thepremiseshe~inissituatedin SUFFOLK COUNT~NEW YORK. made by: TO In the TOWN of SoutholO THOMAS D. BYRNES In the VILLAGE or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) FORM 8002 (short version), FORM 8007 (long version) CAUTION: THIS AGREEMENT SHOULD BE PREPARED BY AN ATFORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. ' THIS INDENTURE, made the BETWEEN / g ~ day of ~ 2010, THOMAS D. BYRNES and TRACEY L. BYRNES, of 210 Lake Drive, Southold, New York 11971, party ofthe firm part, and THOMAS D. BYRNES, of 210 Lake Drive, Southold, New York 11971, party of the second part; WITNE$$ETH, that the party of the first part, in consideration ofTen Dollars and No Cents ($10.00), lawful money of the United States, 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 Town of Southold, Suffolk County, New York, known and designated as and by the Lot Nos. 7, 8 and 9 in Block G, as shown on a certain map entitled, "Map of Reydon Shores, Inc., Bayview L.I., NY, in the Town of Southold, Suffolk County, New York, and filed in the Office of the Clerk of Suffolk County, Riverhead, New York, on July 1, 1931, being more particularly bounded and described as follows: BEGINNING at a point on the southerly side of Lake Drive distant 30.00 feet easterly side of Lake Drive distant 30.00 feet easterly from the extreme easterly end of the arc of a curve which connects the southerly side of Lake Drive with the easterly side of Reydon Drive; RUNNIN(} THENCE along the's0utherly side of Lake Drive, South 74 degrees 00 ~inutes EaSt 90.00 feet; THENCE South 16 degrees 00 minutes West, 190.00 feet; THENCE South 74 degrees 00 minutes West 60.00 feet; THENCE North 16 degrees 00 minutes East30.00 feet; THENCE North 74 degrees O0 minutes West 30 feet; THENCE North 16 degrees 00 minutes East 160.00 feet to the southerly side of Lake Drive the point or place of BEGINNING. NYSBA's Residential Real Estate Forms (9~00) © 2008 Matthew Bender & Co., a member of the LexisNexis Group. BEING AND INTENDED TO BE the same premises conveyed to the parties of the first part by Deed, dated August 29, 2003, and recorded in the Office of the Clerk of Suffolk County on December 15, 2003, in Liber D00012289, Page 912. PREMISES KNOWN AS: 210 LAKE DRIVE, SOUTHOLD, NEW YORK 11971; 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 VEAND 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 above written. IN PRESENCE OF: T~'EY L. BYe' NYSBA's Residential Real Estate Forms (9/00) © 2008 Matthew Bender & Co., a member of the LexisNexis Group, -2- Acknowledgment by a Person Within New York State (RPL § 309-a) STATE OF NEW YORK ) ) SS.: COUNTY OF SUFFOLK ) On the ~-r' of in the year 2010, before me, the undersigned, personally appea/-ed~TltOMAS D. B~iNE$, 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 i.ndividual actcd~executed the instrument. <~/~/~/~ . "-- ~"d~.. (signature a?' office o~,~,~lividual taking ~.,~gmont) NOTARY PUBLIC STATE OF NEW YORK Acknowledgment by a Person cou~ss,oN ~xp. 12.t9_ ~ //] .[ STATE OF NEW YORK ) ) SS.: COUNTY OF SUFFOLK ) On the~ day of L~Z't'~''.~YRN~; in the year 2010, before me, the undersigned, personally appeared TRACEY S, 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 she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon~behalfof which the individual acted, executed the (signature and office of inJividual/~aking acknowledgment) Byrnes,Thomas/RealEstated DEED 7-10 NYSBA's Residential Real Estate Forms (9t00) © 2008 Matthew Bender & Co., a member of the Lexi~Nexis Group. -3- ' ~ PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http://www.orps.state.ny, us or PHONE (518) 473-7222 FOR COUNTY USE ONLY /--,tl I ~ ~.~ ,~,/"~, Cl. swm Code I LJ f ~ )L~ 3k.-~v~'~[~ I ~ REAL PROPERTY TRANSFER REPORT 2. Date Deed Recerded I / I STATE BOARD OF REAL PROPERTY SERVICES c~..ook I,,) IC4."e.~I , ,. PROPERTY INFORMATION I $.P,opedy 210 I LAKE DRIVE Buyer Name SOHTHOT.D I ~nnm~or.~ I 11971 t BYRNES I THOMAS D. I Billing if other than buyer address (at I~ttom of form) I I I 4. Indicate the number of Assessment Rog parcels transferred on the deed I 5. Deed ~ope~ I I X l 6. Seller I BYe ~E,q ] BYRNES {Only if Pert of a parcel) Che~k as t~e¥ appl~. ,1 I # of ParceL~ OR Par: of a Parcel 4A. Planning Board with Sulxtivision Authority Exists [] 4B. Subdivision Approval was Required for Transfer [] I OR I ~, 7 I 4C. Parcel Approved for Subdivision with Map Provided [] 1 TRACEY C. I 7. Check the bo~ below which most accurately dessribes the use M the prope~ et t~ time OF sal~ Ch~k the box~ below as they apply: = & ~nemhiP Typ6 is ~ondomT~um "'' ~ 2 or 3 Family Residential Commercial Industrial 10A. Prope~ Locamd withi~ an Agricultural Dimri~ ~ Residential Vacant [and Apadment Public Se~ice 10B. Buyer r~;ved a all,Insure notice indicting ~ ~ '~ALE INFORMATtON ~ 15. Ch~k one or more of th~ ~n~io~ as appli~ble to ~an~er: lZ. Oa,eofSalelTrensfer I ~ / ~..~' /~'~ I (Full Sale Price is the total amourd paid for the property including personal property. m0ttxjages or ot her obll~ations.) ?leaseroundtothsrteerestwholedo#aremou~t. 14. indicate the value et personal property/inoluded in the sale .I ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill I ilSe[e B?ween RelatNe~ or Former Relatives Sale Between Related C~mpanies or Partners in Business One of the Buyers is also a Seller Buyer or Seller is Government Agency er Lending Institution Deed Type not Warran/y or Bargain and Sale (Specify Below) Sale of Fractionsl or Less than Fee in~erest (Specify Be[ow) Significant Change in Property Between Taxable Status and Sale Dates Sale of Business is Included in Sste Pdce ~ Other Unl~sual Factors Affecting Sale Price {Speclfy Be[owlNone Matrimonial transfer Husband & Wife 16. Year of Assessment Roll from ~q Z ! C~ I which info~mation taken· , 17. Total Assessed Value (of stl parcels in t~a~sfer~ [ to Husband 18. PropertyClas~ I 2 , ] ,0 I-I ~ lg. School Distriet Name I $outho!d Tax Map identifier(s)/' Roll Identifier[s} (If more than tour. attach sheet with addltienal identlfier(sl) [ SCTM ~ 1000 - 080.00 - 04.00 - 002.000 ] 1 I I I I I CERTiFICATiON I I certify flint aH of the items of infomnafion entered on this form are Irue :and correct (to the best of my knowledge and belief) and I understand that the makAng of ~-,~y willful false s'mtement of nm~erial fact herein ~ subject me to the provi~ons of the penal law relative to the making and fding of false instrument~ BUYER / g UyER SIGNATURE ~ Thomas D. Byrnes 210 I Lake Drive BUYER'S ATTORNEY FOSTER & YANDENBURGH, ~LP - CiI~ OR TOWN STATE ZIP CODE SELLER NEW YORK STATE "~U.~S~GNA~ ''/I// I= /1'- ' - Tracey L. B~Wes (../ -