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Home My WebLink AboutL 12717 P 654SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 3 Receipt Number : 13-0006673 TRANSFER TAX NUMBER: 12-13293 District: 1000 Deed Amount: Recorded: At: LIBER: PAGE: Section: Block: 010.00 07.00 EXAMINED AND CHARGED AS FOLLOWS $166,000.00 01/17/2013 09:33:13 AM D00012717 654 Lot: 016.000 Received the Following Fees For Above Instrument Exempt Page/Filing $15.00 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 $664.00 NO Comm. Pres Fees Paid TRANSFER TAX NUMBER: 12713293 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 $320.00 NO $1,239.00 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. RECORDED 2013 Jan 17 09:33:t3 JUDITH fl, PRSCflLE CLERK OF SUFFOLK COUHTY L D00012717 P 654 DT~ 12-13295 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Recording / Filing Stamps 3 I FEES Page / Filing Fee Handling 20. O0 TP-584 Notation EA-S2 17 (County) EA-5217 (State) R.P.T.S.A. ~;~ / Corem. of Ed. 5. O0 NYS Surcharge 15. 00 Other 4 Dist. 1 Real Property Tax Service Agency Verification Sub Total Sub Total Grand Total 1'3001~19 ~ooo' o~ooo 0700 o'~ooo Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: STEPHEN L. HAM, III, ESQ. MATFHEWS & HAM 38 NUGENT STREET SOUTHAMPTON, NY 11968 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 If NO, see appropriate tax clause on page #__ of this instrument. Community Preservation Fund Consideration Amount CPF Tax Due $ ?')~Q,(') ~' Improved Vacant Land ID TD Mail to: Judith A. Pascale, Suffolk County Clerk ] 7 ] Title Company Information 310 Center Drive, Riverheafl, NY 11901[Co. Name ¢~i~rAq~'} www.suffolkcountyny.govtclerk ] Title # 13 ~:,~ Suffolk County Recording & Endorsement Page This page forms part of the attached DEED by: ~ (SPECIFY TYPE OF INSTRUMENT) ANNE BURNHAM OWEN The premises herein is situated in SUFFOLK COUNTY, NEW YORK. made TO In theTOWN of SOUTHOLD DAVID CAMPBELL BURNHAM I! In the VILLAGE or HAMLET of FISHERS ISLAND BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) , CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the /7 day of December, two thousand twelve, BETWEEN ANNE BURNHAM OWEN, 8289 Chapman Road, Bozeman, Montana 59718, party of the first part, and DAVID CAMPBELL BURNHAM II, (no #) dotw off Peninsula Road, P. O. Box 335, Fishers Island, New York 06390, party of the second part, WITNESSETH, that the party of the first part, in consideration of One Hundred Sixty-Six Thousand Dollars ($166,000) paid by the patty 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, her undivided one-fifth (1/5) 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 follows: BEGINNING at a point on the easterly line of Hedge Street, said point being located North 01 degree 27 minutes 10 seconds East, 124.8 feet from a stone monument at an angle in said street line, said stone monument being located 2035.26 feet North of a point which is 417.80 feet West of another monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS"; and RUNNING THENCE along said street line North 01 degree 27 minutes 10 seconds East, 70.0 feet; THENCE North 74 degrees 29 minutes 00 seconds East, 159.55 feet to another stone monument; THENCE continuing on the same line extended, a distance of about 27.3 feet to the shore of Great Harbor, abutting northerly on land now or formerly of Anne Bushnell; THENCE southerly along the shore of said Harbor, about 76.5 feet to land now or formerly of Doyen; THENCE South 76 degrees 58 minutes 00 seconds West, about 187.2 feet to the point of BEGINNING. BEING AND INTENDED TO BE the undivided one-fifth (115) interest in and to the same premises conveyed to the party of the first part and others by deed from Hedge Street LLC dated December ,2012 and intended to be recorded in the Office of the Suffolk County Clerk immediately prior to the recording of this deed, the said Hedge Street LLC having acquired title to said premises by deed, dated November 17, 2008 and recorded in the Office of the Suffolk County Clerk on March 26, 2009 in Liber 12583 page 900. 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; TOGETH ER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AN D 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: Anne Burnham Owen Standard N.Y.B.T.U. Form 8002 o Bargain 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.: On the day of in the year undersigned, personally appeared before me, the 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 State of New York, County of ss.: 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 individual(s) whose name(s) is (are) subscribed the within instrument and acknowledged to me that he/she/they to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(les), and that by execL~ted the same in his/her/their capacity(les), and that by his/her/their signature(s) on the instrument, the individual(s), or the his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individuals acted, executed the person upon behalf of which the individuals acted, executed the instrument, inslrument. Notary Public (signature and office of individual taking acknowledgmenl) Notary Public (signature and office of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State of Montana; County of ~:lO..J.tCl:t~ ss.: On the I'1 day of December in the year 2012 before me. the undersigned, personally appeared Anne Burnham Owen 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 behalf of which the individual acted, executed the instrument, and that such individual made such appearance before the undersigned in the E~ in the State of Montana. (insert the City or other political subdivision) ~ ~..~oT~m4~,~ [ ~ the State of Montana *¢;~'~5'~' ~ ~mmi~on ~.lres, %,,,,,,,,,,,,,,,,"'" Ju~ 10, 2014 BARGAIN AND SALE DEED WiTH COVENANT AGAINST GRANTOR'S ACTS Title No. ANNE BURNHAM OWEN TO DAVID CAMPBELL BURNHAM II STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by (signature and office of/nd/vid-uAl taking acknowledgment) My Commission Expires On: ~'"~-[ID'~,',',',',',',',','~OI I"~ DISTRICT 1000 SECTION 010,00 BLOCK 07.00 LOT 016.000 COUNTY OR TOWI~I STREET ADDRESS SUFFOLK - SOUTHOLD (no ~) Hedge Street F/steers Island, NY 06390 RETURN B~; MAIL TO: RESERVE THiS SPACE FOR USE OF RECORDING OFFICE PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP~2174NS): www.orps.state.ny.us FOR COUNTY USE ONLY · ~ New Yod; Rtate Depmtment of cl. ~..s co.. Iq.'7,3 ,~ .~ ~ I Taxation and Finance c,..oo, i i,~,-~, 1,7 IC4.,,,.1 , 6.~ , RP-5217 ~ Reel Property Transfer Repmt (8/t0) PROPERTY INFORMATION I (no ~) I Hedge Street Torn of Southold Z Buyer I Burnham I 3. Tax Indicate whom ictum Tax Bills are to be sent BIIIlng 4 other than buyer address (at bottom of form) L~r.A$T Addle, as 't~Mi, I I 4, Indicate tha number of.emmlmanl Rollpamalstmnsfenmdoflthadsod ~ . . I I #niP.reis OR Pa~ot'aPsrsol $. Deed p~..yl ..JXl Io. 1 o. 3 1 I Oven Anne I 7. Check the box below which moat ancumteiy d~sorihea the usa of the property et the time of sole: A [~ One Fam,ly Rea~de~lfal E I'~ )~flcultural [ ~ Cemmun,~ Sewice B L~or 3 FGmilyResidential F I~commerciCI J I~ Industrial C L_JRes~dantial Vacant L,and G ~lApertment KI__I PeUlic ~Mce D U ~n-F~Mdan.-, Vacanl Land H U Entertainment I Amusement L U I Fishers Island I 06390 I I David Campbell II I I (Only ff Part of · Parcel) Check as they apply: 4A. Planmng Beard Mth Subdlv~ian Authbdty E.xJats [] 4~. Subdivision Approval was Required for Transfer [] 40. Parcel Al~x°ved [°c SulxlM~san with MaP Pr°vialed [] Burnham I Cbeok the boxes below aa, they apply: i. Ovvnsrsl~p T~e is Condominium [] 9. New Corlstmclkxl o~ Vacant Land[] 10A. Property Cockled w~thin an Agdculh,ral Oi~iGt [] 10B, Buyer recoi.~cl a di$cle~ufa no,as incllcatirKi [] that the pmbe~y is In an AGricultural DisMct SALE INFORMATION I 11. ~ale Contract Date I~. Date of Sale I Transfer I 12 / 'J'7 / 1.2 I I 12 /"~7 /J. 2 I 15. Clt~gk one or IllMe of the~ conditions aa applinslde to transfer: Sale Between Related Companms or Partners In Business One of the Burrs is also a Sailer Buyer or Belier Is Government Agency m Lend~g Institution Oeed Type not Wane. nay m' 13mgain and Sale (Spacily Below } I 6 6 0 0 0e 0,0 _] G S~gnlflsontChangelnPmpert~BetweenTaxableStatasandBeleDatas 15. Fell Sale Prise I ~ ~ j ~ ~ ! , ; Bela of Business is Includbd ~n Bela Price ( Full Sale Price Is the total amonrd paid for the properly i~dudlng personal pmbetty. Other Unusual Factom Afler~ng Sale Pm;e ( ~qmoffy Below ) 1Ns payment may be in the from of cash, other Ixope~ or goods, or the assumption Gl None morlaagas or o~ar obligations.) Ptasas mun~ to the nearest who/e ~laramount. .a.a],.e_.oE_undlvtd.ed._L_/5 interest 14.1mJicatethevMueofpamonsl 0 0 0 I propmly Ionludod ia tho mate I ! · , ~ , · , ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill ~ II; YonrofAssosamontRe from 6 whiuhlnbrmationtekan~ 11, 121 17. TmlAasasasdValeo (ofallpercelathtranafer~ ~ ~ :~ ~ , ) . , j lB. Pro~enyCtess L2' 1, 0 I'L._] lti. SchoolDletrictNaow I F:tebe~'B TBland 7 0 0) 20. Tax Map Montlfler(a) I Roll Montifler(s) { If more than four, attach sheet with additlonll Idontifler(a) ) I tO00 - 010.00 - 07.00 - 016.000 I I I i I I CERTIFICATION SELLER SIGNATURE Anne Burnham Oven BUYER $1GN&TURE , i z2/~1' /~2 nn~* m 1I ~ ' ~ BUYER~ A~RNEY ~m I Stephen L., III (631) J 283-2400 NEWYORK STATE ~ BUYER CONTACT INFORMATION Tylm M I~at almul~,.) Burnham Davld Campbell II I (631) I 788-7632 2680 I Peninsula Road Flshers Island I ~ I 06390