HomeMy WebLinkAboutL 12711 P 222SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
T~pe of Instrument: DEED
Number of Pages: 5
Receipt N-~er : 12-0130205
TRANSFER TAX NUMBER: 12-08146
District:
1000
Deed Amount:
Recorded: 11/16/2012
At: 04:37:15 PM
LIBER: D00012711
' PAGE: 2 2 2
Section: Block: Lot:
003.00 07.00 002.000
EXAMINED AND CHARGED AS FOLLOWS
$0.00
Received the Following Fees For Above Instrument
Exempt
Page/Filing
COE
EA-CTY
TP-584
Cert.Copies
Transfer tax
$25 00
$5 o0
$5 oo
$5 00
$0 oo
$0 oo
TRANSFER TAX NUMBER: 12-08146
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
$20 00
$15 00
$125 00
$0 00
$60 00
$0 0o
$260 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.
RECORDED
2012 No,,~ 16 04:37:1'5 PM
JUDITH A, P~SCALE
CLERK OF
SUFFOLK COUNT'¢
L D0001271 l
P 222
[fig 12-08146
Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Recording / Filing Stamps
Page / Filing Fee
Handling
TP-584
Notation
EA-52 i 7 (County)
EA-5217 (State)
R.P.T.S.A.
Comm. of Ed.
Affidavit
Certified Copy
NYS Surcharge
20. O0
5. 00
15. 00
SubTotal
Sub Total
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec dAssit.
or
Spec./~dd.
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~
Grand Total -~-~ ~,-.~/--.---,,l~6aee #~ \ of this instrument.
ooo-oo oo o oo oo oo
~20~_S4~4
Re~ ~o~ ~ Considera~on ~ount $ ~
T~ Se~i~ __ ~'
Agency .... CPF T~ Due $ ~
Ve~fica~on .....
~prov~ ~
Safisfacfions~isch~es~ele~ List ~ Owne~ M~ng Ad.ess ~
6 ~CO~ & RE~ TO: Vac~t ~d ~
Mail to: Judith A. Pascale, Suffolk County Clerk 17 I Title Company Information
310 Center Drive, Riverhead, NY 11901 Co. Name
www. suffoIkcou ntyny, gov/clerk ITiae#
Suffolk County Recording & Endorsement PaRe
This page forms part of the attached D~-"~ ~ made by:
(SPECIFY TYPE OF INSTRUMENT)
3 r0~I~ :r 00//,~ *-o 7~ The p.m.s be~iu is s,tuate~ in
6 ~U 8 ~ST BE ~ED OR P~D ~ BLACK ~ O~Y P~OR TO ~O~G OR ~G.
(over)
THIS INDEiqTUREi made the ~[$~day of..0..r,:[t~e! ,2012 and
BETWEEN
Bradley I. Collins, as to a 50% undivided interest, and Amy Fine Collins, as to a 50% undivided interest,
both residing at 1021 Park Avenue, #4C, New York, NY 10028, as tenants in common
Party of the first part, and
Bradley 1. Collins as Trustee of Brad Collins 2012 Fishers Island QPRT, as to a 50% undivided interest, and
Amy Fine Collins as Trustee of Amy Collins 2012 Fishers Island QPRT, as to a 50% undivided interest,
both having an address at t021 Park Avenue, #4C, New York, NY, 10028 as tenants in common
Party of the second part,
WITNESSETH, that the party of the first part, in consideration often 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 SCHEDULE A ATTACHED
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 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 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 &the cost &the improvement before using any part of the total of
the same for any other purpose. The word "party" shall be constructed 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:
NYDOCS03/955650.1 I
IN PRESENd;E OF:
State gfNew York County of ~~1~ ss.:
State of New York County of
On the ~'~$'day of 0 ~ , 2012 before me, the
undersigned, a Notary Public in and for said State,
personally appeared Bradley I. Collins and Amy
Fine Collins
Personally known to me or proved to me on the
basis of satisfactory evidence to be the individuals
whose names are subscribed to the within
instrument and acknowledged to me that they
executed the same in their capacityies, and that by
their signatures on the instrument, the individuals,
or the person upon tbeh~f which the individuals
acteAl,.executed the'instrument.
(signature and office of person taking
acknowledgmen.t) SHARON LEE TRULOCK
Notary Public. State of New York
No. 02TR49.49991
Qualified in New York CourLW_l._.S
Commission Exp res April 17, ~
State of New York County of ss.:
On before me, the undersigned, a
Notary Public in and for said State, personally
appeared
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 to
the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their
capacity(ies), and that by his/her their signature(s)
on the instrument, the individual(s), or the person
upon behalf of which the individual(s) acted,
executed the instrument.
(signature and office of person taking
acknowledgment)
OnOcq'. ~.~'l, ol2,before me, the undersigned, a
Notary Public in and for said State, personally
The subscribing witness(es) to the foregoing
instrument, with whom I am 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, tbereoJ);
2-L15 E. ,Si-.
New yOF .( N"/ I O0( b
That he/she/they know(s)
Bradley I. Collins and Amy Fine Collins
To be the individual(s) described in and who
executed the foregoing instrument; that said
subscribing witness(es) was (were) present and saw
said
Bradley I. Collins and Amy Fine Collins
Execute the same: and that said witness(es) at the
same time subscribed his/her/their name(s) as a
witness(es) thereto.
(signature and office of person taking
acknowledgment)
SHARON LEE TRULOCK
Notary Public, State of New York
No. 02TR4949991
Qualified in New York Coun..l~ _. _
Commission Expires April 17, ~ ~
NYDOCS03195 5650~ I 2
DESCRIPTION - SCHEDULE A
AJ~L that certain plot, piece or parcel of land, situate, lying and being on
Fishers Island, in the Town of Southold, County of Suffolk and State of New
York, being a part of that portion of Fishers Island lying easterly of the
following line viz:
BEGINNING at the southeasterly corner of land owned by the United States,
known as the Fort H.G. Wright Military Resez-vation, Mount Prospect Tract, on
the shore of Block Island Sound or the Atlantic Ocean; and
RUNNING THENCE northerly following the east boundary of the said land of the
United States to the southerly line of East End Road (sometimes called
Oriental Avenue) and which point is the northeasterly corner of land of the
United States;
THENCE crossing the East End Road and following the same course as the last
to the shore of West Harbor or Fishers Island Sound;
Said lot or parcel of land being bounded and described as follows:
BEGINNING at a stone monument on the southeasterly line of the road leading
to the East End, said monument being 814~63 feet south of a point which is
4253.31 feet West of another monument marking the U.S. Coast Guard and
Geodetic Survey Triangulation Station "Chocomount 2"; and
THENCE RUNNING along the southeasterly line of said road South 61 degrees 36
minutes 20 seconds West, 32.00 feet to a stone monument;
THENCE South 48 degrees 51 minutes 30 seconds East, 178.60 feet to a stone
monument;
THENCE South 17 degrees 47 minutes 30 seconds East, 250.90 feet to a stone
monument;
THENCE South 6 degrees 12 minutes 20 seconds West, 234.20 feet to a stone
monument on the shore of Middle Farm Pond'
THENCE following the meanders of said shore line in an easterly and westerly
and northerly direction about ~-~0 feet more or less to a point;
THENCE North 70 degrees 32 minutes 10 seconds West, 778.18 feet to the stone
monument at the point or place of BEGINNING.
Being and intended to be the same Premises conveyed to Grantor by deed dated
5/22/03 and recorded in Liber D00012262, Page 735, recorded 6n 7/22/03 in the
Suffolk County Clerk's Office.
District: t000
Section: 3
Block: 7
LOt: 2
County or Town: Suffolk
Premises:
11051 East Main Road
Fishers Island, Southold, New York 06390
eo
INDENTURE
BRADLEY I. COLLINS, AS TO A 50% UNDIVIDED INTEREST, AND AMY FI-NE COLLINS, AS
TO A 50% UNDIVIDED INTEREST, BOTH RESIDING AT 1021 PARK AVENUE, #4C, NEW
YORK, NY 10028, AS TENANTS IN COMMON
Grantor
to
BRADLEY I. COLL1NS AS TRUSTEE OF BRAD COLLINS 2012 FISHERS ISLAND QPRT, AS TO
A 50% UNDIVIDED INTEREST, AND AMY FINE COLLINS AS TRUSTEE OF AMY COLLINS
2012 FISHERS ISLAND QPRT, AS TO A 50% UNDIVIDED INTEREST, AS TENANTS IN
COMMON
Grantee
Premises
District: 1000
Section: 3
Block: 7
Lot: 2
County or Town:
Suffolk
11051 East Main Road
Fishers Island, Southold, New York 06390
When recorded, this instrument
should be returned to:
Matthew J. Stoller, Esq.
Shearman & Sterling LLP
599 Lexington Avenue
New York, NY 10022
NYDOCS03t95 5650.1 4
· PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS (RP-F,217-1NS): www.orps.state.ny.us
FOR COUNTY USE ONL~'
Taxation and Finance
cz. Bat. ~eed R.cord.d I / / /"~T Omce of Real Property Tax Sewices
RP- 5217
C3. Bookl / /~ T /, /I C4. Pag"l O'~..~ I R.IProperly TransferRep~rl{8/10)
PROPERTY INFORMATION
· Ta~ I~J~ w~ ~ ~ax Bills a~ ~ ~ ~t
Billing d ~ber Ihan ~ a~ress (al ~ ~ ~)I I
I
4, IndJ~ ~ numar ~
~1 ~S ~ On the d~ I
.1,j # of Parcels OR [~ Part of a Parcel
Is;,,~, I z~(~'
(Only If Part of a Par'eel) Check as they apply:
4A. Planning Board with Subdivision Auth~ly EAsts
I
6. Deed 4B. Subdf~on Approval was Required for Transfer []
Pro~eflY [~mum~.~] X I IORI .~. ° g/ 4C. Paresl Amx~ved b' SubdMslon wtih Map Provided []
7. Cheek the box below w~leh most accurately desedbaa the usa of fha prop~'ty at the time of esle: Chesk the boxes below as they apply:
8. Owq'mrship Type is Condominium []
A [;~One Family ResidesUal E ~AgdcLdmrot , [] Co .... Ity Se~4ce ,.l%rew Construction on Vacant Land []
B I 12 or 3 Family Residential F L.~ Commercial J ~j Industrial 10A. Pro~erty Located wt~.ia an Agricultural District
C J J Residential Vacant Land G ~Apaflmefll K J.~ PU~iC Sewica lOB. Buyer reMived a died .... O~;C~ lad<cling []
DJ JNoa-RestdentialVacantLefld H J JEntarlelnmentlAmusement LL_J Forest thatlhspr(~0e'ty'ieinenAQdr~JlturalDistriot
SALE INFORMATION I
ti. Sale Contract Date
I / / J
Date of bio I Transfer
,.F,iISa,a~ L_-. , , . .~)_ 0.0 I
( Full Sale Price is the total ampere ~a;d for the propert,/mdudlng per--,onal prope~.
This payment may be tn the fern1 of r~s~. othar pmpedy or gCXXIs. Or the assumption of
mo(lg~ges ~ o~er ob(igations.) Please round to the nearest w/~te (tolter arno;mt.
14,.Indlcatothavalueofpemonal I .0 0 0 I
I~el~ inotadea fo the ~oia ~ ~ ' ' '
Che~k one er more of these sondltlor4 os appliaabie to transfer.
SaJe Between RolaMs or Parmer Relatives
Sale Behvenn Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller Is Government Agancy or Landing Institution
Deed Ty~e not Warranty or Bargain and ~te (Si)e~ry ~:dOw )
Sale of Fractional or Less than Fee Interest ( Specie' Below )
~ Significant Change in Pro~erty Between Tremble Slatu$ and Sate Dates
Sale of Business Is Included in Sale Pri~
Ol~ar Unusual Pastors AffBc~ng Sate Pn~ ( Spo~ty Balow )
None
I ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill I
16 Year of Asaasemant Roi from
Mllehlnformatfontaken I j ,2.~.[ 17. TotalAnseoesdvotos (ofallparsetalntraflaferd~
l& PmpeKyClase I,~ ,~ .O I- ~L~_I 1LSahonlDte.ct#emo / ~"lm~fS L~-AdD
20. Tax Map Mentifier{e) I Roil Identlflef~a) ( If more than four, otto;h sheet with addlltmlal Identlflar[e) )
I CERTIFICATION I
SELLER SIGNATURE BUYER CONTACT INFORMATION
s~YER SIGNATURE
BUYER'S AITORNEY
L~ST NN~G RnsT .'4NdG
Type M I~nt
iO~,~ I
81ns.rr NUMeER