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Home My WebLink AboutL 12713 P 906SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Receipt Number : 12-0142155 TRANSFER T/tX NUMBER: 12-10275 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 006.00 01.00 EXAMINED AND CHARGED AS FOLLOWS $0.00 12/17/2012 11:19:26 AM D00012713 906 Lot: 004. 002 Received the Following Fees For Above Instrument Exempt Page/Filing $20.00 NO Handling COE $5.00 NO NYS SRCHG EA-CTY $5.00 NO EA-STATE TP-584 $5.00 NO Notation Cert. Copies $5.00 NO RPT Transfer tax $0.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 12-10275 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NoT A BILL Exempt $20.00 NO $15.00 NO $125.00 NO $0.00 NO $60.00 NO $0.00 NO $260.00 JUDITH A. PASCALE County Clerk, Suffolk County Number of pages This document will be public record, Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instrument Deed / Mortgage Tax Stamp FEES RECORDED 20]2 Dec IF iI:i9:26 SUDITH R. PRSCRLE CLERK OF SUFFOLK COUHT¥ L D00012713 P 906 ~T# 12-1027E Recording / Filing Stamps Page / Filing Fee Handling 20. 00 TP-584 Notation EA-52 17 (County) EA-5217 (State) R.P.T.S,A. Comm. of Ed. 5. DO Affidavit NYS Surcharge 15. O0 Other Sub Total Sub Total Grand Total I D~st. 120~'8~41 ~ooo oo~oo o~oo Real Prope~ Tax Semite Agency Verification Satisfa°~vH~ ~CUd~ ~m~a~ L~St-m°Pe~ ~wners"~alung'~re~s ~CO~ & RETURN TO: STEPHEN L. HAM, III, ESQ. MA~HEWS & HAM 38 NUGENT ST~ET SOUTHA~TON, NY 11968 Mortgage Amt. 1. Basic Tax 2. Additional Tax SubTotal 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 1family dwelling only. YES __ or NO I If NO, see appropriate tax clause on I page # __ of this instrument. I I 5 IC°mmunityPrese at'o Consideration Amount $ ~ CPF Tax Due $ Improved Vacant Land To / TD I I Mail to: Judith A. Pascale, Suffolk County Clerk [ 7 [ Title Company Information 310 Center Drive, Riverhead, NY 11901IC°'Name T-ITC.~ www.s uffolkcou ntyny,gov/clerk [Title# Suffolk County Recording & Endorsement Page This page forms part of the attached DEED by: (SPECIFY TYPE OF INSTRUMENT} SAMUEL R. MARSHALL The premises herein is situated in SUFFOLK COUNTY, NEW YORK. made TO In the TOWN of SOUTHOLD SAMUEL R. MARSHALL, as TRUSTEE of thc In the VILLAGE SAMUEL R. MARSHALL 2012 QPRT dtd 11/21/12 or HAMLET of FISHERS ISLAND BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. Cover) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 'J~day of November, two thousand twelve, BETWEEN SAMUEL R. MARSHALL, 457 GlynWynne Road, Haverford, Pennsylvania 19041, party of the first part, and SAMUEL R. MARSHALL, as Trustee of the Samuel R. Marshall 2012 Qualified Personal Residence Trust ula dated November 2-1, 2012, 457 GlynWynne Road, Haverford, Pennsylvania 19041, party ofthe second part, WITNESSETH, that the party of the first part, without 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, his undivided one-half (½) interest in and to 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 State of New York, being more particularly bounded and described as set forth on Schedule A hereto. BEING AND INTENDED TO BE the undivided one-half interest of the party of the first part in the same premises conveyed to the party of the first part and Laura Buck Marshall, as tenants in common, by deed dated Nove~mber 'ZI, 2012, ~ recorded in the Office of the Suffolk County Clerk prior to the recording of this deed,~said premises also being the same premises conveyed to the party of the first part and the said Laura Buck Marshall (alk/a Laura B. Marshall) by deed, dated February 1, 2.~0001and recorded in the Office of the Suffolk County Clerk on February 17, 2000 in Liber 12021 page 585. ~ . .~,~- ,~. :~.... TOGETHER with all right, title and interest, if any, of the party of the first part in and to ariy'street~,'an~-r0~ds ' abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances a-fid a~l the estate and rights of the party of the first part in and to said premises; TO HAVE AN D TO HOLD the pre'mis'es 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 rig ht 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: /~/'/Samuel R. Marshall Standard N.Y.B.T.U. Form 8002 - Bar~;ain and Sale Deed, with Covenant against Grantor's Acts - Uniform Acknowledgment TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of ss.: State of New York. County of ss.: On the day of in the year 2005 before me, the undersigned, personalty appeared 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 he/she/they executed the same in his/her/their capacities, and that by their signatures on the instrument, the individuals, or the person upon behalf of which the individuals acted, executed the instrument. On the day of in the year before me, the undersigned, personally appeared 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 he/she/they executed the same in his/her/their capacities, and that by their signatures on the instrument, the individuals, or the person upon behalf of which the individuals acted, executed the instrument. Notary Public (signature and office of individual taking acknowledgment) Notary Public (signature and office of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE Commonwealth of Pennsylvania; County of j~ ss.: On the .~'~day of November in the year 2012 before me, the undersigned, personally appeared Samuel R. Marshall 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 wh~c.~ .t~e ind~v_i~u,~.l ,~cte_d, executed the instrument, and that such individual made such appeara?.ce before the undersigned in J J"l~k~. ~L]./.,I~).]/1.C~ ..., in t[3e.C..ommonwealth of Pennsylvania. ' (insert the CJt'y ~r ~si~ ~~,~j . B~GAIN AND SALE DEED WITH COVENANT AGAINST G~NTOR'S ACTS Title No. SAMUEL R. MARSHALL TO SAMUEL R. MARSHALL, as Tmstee~ada~dll~l112 STANDARD FORM OF NEW YO~{K BOARD OF TITLE UNDERWRITERS Distributed by (sigr~ture and office of individual taking acknowledgment) UP/ DISTRICT 1000 SECTION 006.00 BLOCK 01.00 LOT 004.002 COUN~ OR TO~ SUFFOLK - SOUTHOLD STREET ADDRESS (no ~) Crescent Avenue Fishers Island, NY 06390 RETURN BY MAIL TO: RESERVE THIS SPACE FOR USE OF RECORDING OFFICE SCHEDULE A to DEED Party of the First Part: Party of the Second Part: Deed Dated: Samuel R. Marshall Samuel R. Marshall, as Trustee of the Samuel R. Marshall 2012 Qualified Personal Residence Trust November '2..~' , 2012 ALL that cedain plot, piece or parcel of land, situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: BEGINNING at a point on the southwesterly line of Crescent Avenue, said point being located 5281.28 feet North of a point which is 2896.67 feet West of a monument marking the U.S. Coast and Geodetic Survey Triangulation Station "PROS"; and RUNNING THENCE South 86 degrees 51 minutes 00 seconds West, 420.00 feet; THENCE South 06 degrees 29 minutes 55 seconds West, 34.91 feet; THENCE North 58 degrees 09 minutes 00 seconds West, 60.00 feet; THENCE South 86 degrees 51 minutes 00 seconds West, about 55 feet to the shore of Hay Harbor; THENCE northwesterly about 33 feet along said shore line; THENCE North 24 degrees 14 minutes 00 seconds East, about 50 feet; THENCE continuing North 24 degrees 14 minutes 00 seconds East, 435.00 feet to an iron pipe on the said southwesterly line of Crescent Avenue; THENCE South 36 degrees 16 minutes 00 seconds East, 362.70 feet along said Avenue line; THENCE South 44 degrees 39 minutes 00 seconds East, 200 feet along said Avenue line to the point or place of BEGINNING. PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-S2174NS}: www.orps.state.ny.us FOR COUNTY USE ONLY - New Yodc St=ts Deparinmnt of Cl.S.Scode I~.~' ~ .~.~ .el I Taxation and Finance C2. Date Dead Recorded I I~ / ('~ / I~I Office of Real Property Tax Services mon~ ua, year RP' 5217 C,.Book~ I 1~;~7 I ~, ~C4. Page], , ~',~G ] Real Proparty Transfer Repmt (,/10) PROPERTY INFORMATION I I.F~ (no //) I Crescent Avenue I Town of Southold __ I Fishers Island a. Buyer I Samuel I. Marshall 2012 qualified Personal Residence Trust I a. Te~ IndlcaI~ ~offi fl~m Tea 8ill~,m ~ ~ ~ Billing If ~er ~=n burr ~(~ ~m ~) I ..I 4, I~1~ ~ numar ~ ~seee~nt I 06390 I I , ! ] #ofPamols OR [~] PertofaParcel IOR I , - .,~,,e. 2 · 8 . 2; (only ti Pert of · Parcel) Cheek es Ihey 4A. Planning Board ~ Subdivision ALKhonty Exisls [] 4B. Subdivision Approval was Required Im Transfer [] 4C. Parcel Approved for Sur'clivisiorl with Map PlOvicled [] Samuel R. [ 7. Cheek th~ box below which moat emurately deecdbH the use of the prolmdy at the time of sale: A [] One Family Residential I? [] Agricultural J [] Community Sendca ].J .I ] 2 or 3 Family Ressde~,el F ~] Commercial J [~] Indusmal C ~_] Rasidential Va(ant Land O ~ ~nmenl K[~I PuNIs Ber~ DUHo.-ResidenUelV.~n~'"rld H I IEn"r~ioroa.l~'Am.~,.~.l LU Forest Cheek tho boxes below es they apply: 8. Ownership Typp is C~ldominium [] 9. New Cons~'uctio~ ~ VaMnt La~I [] 10& Property Located wi~in an Agncultuml District [] 1OB. Buyer mca~md a disdcaum no~e indicating [] that the g(opady is in an Agricultural O~sbmt I SALE INFORMATIONI 11. Sole Contract Date 12. Ihlte of hie I Transfer L._~ / 27 / 1.2 Duy Year M=n;h 13. Full am~ Pdce o. 0 o / ( Full Sole Pl~ca ia Iha ~ amount paid for the property including pat~oncl rxopadT. 'ties payment may be In ~ ~ of cash, other pmpe~ or ~:ls, or the assumNion of morlgnges or other obtigatioca.) P/ease mend to the rTeem3/wheM dollar amGunl. 14.1ndloatethevelueofpemooal 0 · 0 0 prppert,d Included in the sale I ~1 ' ' ! ' ' ' 15. Cheek ore or moro of these conditions es applicable to transfer; A. 2 Sale Batween Relatives or Former RelaUve$ ~ .~ Sale Between Relal~l Cempanica or Par[nam in Business C' ,~[ eec of the BeSom is also a Setler D .~ Bayer or Seller ia Govemmenl Agency or Lending Inatitutie~ r:. / Deed Type aM Wmranty or Bargain end Sale (Specify Below ) F XI Sale of Fractional or Lass ~an Fee Interest ( Speedy Below I [ Significant Change in Properly Between Taxable 8talus end ,Sale Dates ~ ~ ~leof Busines~islncludeclinEale Price [ ~,1 Other Unusuat Facdors Affecting Sale PflGe ( Specify Below ) transfer of undivided one-half tnCe:eot 't-~--F~ lt' [ l;d--~ r eH 1 ' ~i'd ehce vitl~out consi~erstion ASSESSMENT INFORMATION - Data should re~ct the latest Final Assessment Roll and Tax BiJI I ILYmLrofAeeee. ementRollfroal 2 ,...0_f 7 0r 0 I whldt toformatloriMkeu L11, 12l 17. TotalAssncEedValun (ofalllm~ceielntransfer)[~ j ~ , , I~ ' ' ' 10. proi~rtyClese I 2, 1, 0 1LBehoolDlemetNem. , ~tshers Island 2~. Tax Map Identifier(a) I Roll Identifier(e) ( Et' more than four, attach sheet with additional Idemifler(e) ) I 1000 - 006.00 - 01.00 - 004.002 J l__ I ] I J CERTIFICATION I SELLER SIGNATURE BUYER CONTACT INFORMATION (Form kWxm~.kxi ~x' It~ bs~lL Hole: If b~m( b LLC, ~. asm:x~ab(m, caqxxgkx). )Met StKk Time er i~lm claI~y.) Marshall I Samuel R. (6/0) I 896-4434 457 I Glyn~Tnne Road Have, ford I PA I 19041