HomeMy WebLinkAboutL 12717 P 655SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
Number of Pages: 3
Receipt Number : 13-0006673
TRANSFER TAX NUMBER: 12-13294
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
655
Lot:
016.000
Received the Following Fees For Above Instrument
Exempt
Page/Filing
COE
EA-CTY
TP-584
Cert. Copies
Transfer tax
$15 O0
$5 O0
$5 oo
$5 O0
$~ O0
$664 O0
TRA/gSFER TAX NUMBER: 12-13294
NO Handling
NO NYS SRCHG
NO EA-STATE
NO Notation
NO RPT
NO Comm. Pres
Fees Paid
Exempt
$20.00 NO
$15.00 NO
$125.00 NO
$0.00 NO
$60.00 NO
$320.00 NO
$1,239.00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
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.
RECORDE0
2013 Jan 17 09:33:13
JUDIIH R. PRSC~LE
CLERK OF
SUFFOLK $0UHTM
L D00912717
P 655
DT# 12-13294
Deed/Mo~gagelnstrument Deed/Mo~gage Tax Stamp I Recording/Filing Stamps
FEES
Page / Fi~ing Fee
Handling 20. 00
TP-S 84
Notation
EA-$2 17 (County)
EA-S217 (State)
R.P.T.S.A. ~) -/
Corem. of Ed, 5. 00
Affidavit
NYS Surcharge 15. O0
Other
SubTotal
Sub Total
Grand Total
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec,/Assit.
or
Spec./Add.
TOT. MTG. TAX
Dual Town ~ Dual County __
Held.for-Apt~ointment
-~fl'~io n 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.
4IlDist, 1( ~13001421 1.000 01000 0700 ~)16000 ~ 5 Community Preservation Fund
Real Property (,~1~1 ~At Consi~deratiomAmo~unt $/~,(e!
Tax Service ~
Agency /'"" CPF Tax Due
Verification ~
~ Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO: Vacant Land
STEPHEN b. HAM, Ill, ESQ. TD I ~
MATTHEWS & HAM TD
~ 38 NUGENT STREET
SOUTHAMPTON, NY 11968 ID
Mail to: Judith A. Pascale, Suffolk County Clerk [ ? t Title Company Information
310 Center Drive, Riverhead, NY 11901[Co. Name
www.suffolkcountyny,gov/clerk I Title # I ~ ~-'~',
Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFY TYPE OF INSTRUMENT)
SARAH BURNHAM MALINOWSKI The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of SOUTHOLD
DAVID CAMPBELL BURNHAM Il 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 ~-~ day of December, two thousand twelve,
BETVVEEN
SARAH BURNHAM MALINOWSKI, (no #) r/o/w off Oriental Avenue, P.O. Box 402, Fishers Island, New York
06390, party of the first part, and
DAVID CAMPBELL BURNHAM II, (no #) r/o/w 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 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, her undivided one-fifth (1/5) interest
in and to
ALL that certain plot, piece or parcel of land, with the buildings and imp. rovements'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 ir~ 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;
TH ENC E 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 (1/5) 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 15, 2012 and intended to be
recorded in the Office of the Suffolk County Clerk 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 Mamh 26, 2009 in Libor 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; 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 pad, 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 wilt 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 re.quires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF:
Sarah Burnham Malinowski
Standard N.Y.B.T.U. Form 8002 - 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 N,a.w,N.~, County of -S~:~e~ ss.: State of New York. County of
On the .,j.~-,t' day of December in the year 2012 before me, the On the day of in the year
undersigned, personally appeared undersigned, personally appeared
Sarah Burnham Malinowski
ss.:
before me, the
personally known to me or proved to me on the basis of satisfactory personally known to me or proved tome on the basis ofsatisfactory
evidence to be the individual(s) whose name(s) is (are) subscribed to 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 executed 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(~li:~n behalf of which the individual(s) acted, executed the person upon behalf of which the individuals acted, executed the
................ - ....... ~ - ' instrument.
/ Notary Public Notary Public
(signature and office o[ individual taking, acknowledgment) (signature and office of individual taking acknowledgment)
CHRISTINE M. I OMLINS '
NOTARY PUBLIC
STATE OF CONNECTICUT
My Commission Expires July 31,
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT iS MADE OUTSIDE NEW YORK STATE
State of ; 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 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 in lhe State of
(insert the City or other political subdivieion)
(signature and office of individual taking acknowledgment)
My Commission Expires On:
BARGAIN AND SALE DEED
WITH COVENANT AGAINST GRANTOR'S ACTS
Title No.
SARAH BURNHAM MALINOWSKI
TO
DAVID CAMPBELL BURNHAM II
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by
DISTRICT 1000
SECTION 010.00
BLOCK 07.00
LOT 016.000
COUNTY OR TOWN
STREET ADDRESS
SUFFOLK- SOUTHOLD
(no #) Hedge Street
Fishers Island, NY 06390
RETURN BY MAlL TO:
RESERVE THIS SPACE FOR USE OF RECORDING OFFICE
'1 FOR COUNTY USE ONLY
JCl. eWIBCoda
I.
I PROPER'r"Y INFORMATION
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS (RP-5217-1NS): www.orps.st~te.ny.ua
New Yolk State Depmtment of
Taxation and Finance
O~ce of Real Property Tax Services
RP- 5217
Rail Pmpe~'y Trans~r Report (W10)
(no ~) HedgelStreet
To~m oE Southold
I Flshera Island I06390
?. Bmr' [ Burnham
3. Tis Indicate wbem future Tax Bins are te be sent
Billing ii other ~lmt buy~ address (at bettem of form) I
Addrese
4. Indlesto the number of Assesement
Roll pweale ~enefewed o~ the deed ~
5. Deed
g. Sailer [ Ymllnowskl
David Campbell Il [
I
I
I IsT^~, ] I
(Only J~ Pm of a Parcel) Check es they epldy:
I I I # al Pmcele OR P~n of · PercM diA. Planning Besrd Mm ~JbdLvletefl Auihm'i~y Exlsl~ []
4B. SubdMaion Appr~ml waa Required f~' Tmnsler []
IOR[ . . .~.. .
· I Sarah ~.urnham I
I
7. Clissk the box below dd=h mo~t eoourately de~;dbo~ the uae ~ the ~ ~ the U~ ~ ~le:
B ~ 2 ~ 3 Family ~s~tisl F' ~ ~mme~el J ~ I ndus~
D ~ No~Resimnfial V~ Lend H
I~E~o~o~l
Check the boxes below es they opldy:
~. OwnmsNp Type b C(mdominium []
9. N~ ~tm~ ~ Vaunt La~ ~
1~ P~a~ ~ad ~in an ~l~ral Ois~ ~
1OB. Burr ~ a diem ~ Indl~Ung ~
t~t the pm~y · in an ~lmml Dis~
15. Check one or more of these emtdlUone aa applicable to tranefen
11. hleCoofreotOeto I 12 / 7-~- / ].2 I
12. Date ~/5~le I Tranefw
i 12 /2,~' / ].2
Day Yew
13. Full Sale Pvtee I l. 6. 6. 0. 0. 0_-0.0 I
( Fun Sale price is me total amount paid ~or the property Ir~udi~ pefsnnal probefiy.
This payment may be in the [arm of Cash. Other pmperEy or goods, or ~he assuml~on of
rnor~es or other obUgotk)e~.) F/ease ~ to//~ ~msf wh~e doffer amount.
14.1ndlMtothevaluo~pemooal 0a 0 0 I
prepmty lecluded In the sale L j. , , ~ , ,
,~. [] Sale Belween Relatives er FonnM Relatives
[~ ~ Sale Between Related C.~panise or Padnem in Busin~
C I I One of ~he Buyers is also a Sailer
D ~ B~yer of Selle~ is Onvemme~t A~enGy o~ Le~di~
E I I Deed Type nM Warranty or Bargain and Sale (Specify Below )
F I~1 Sale of Fra~Uonal or Less Ihan Fee Interest ( BI--fy Belew)
(~ I~] Signif~ant Change in Properly Between Taxable Status and Sale Dates
H I~-] Sale of Business is InrJuded In Sale plise
I I~1 Other Unusual Factors Aflecl]ng Sale Pflce ( Speofy Below )
J L..._l Nme
sale o£ undivided 1/5 interest
I A~$EaSMENT INFORMATION - Data should reflect Ihs latest Final Assessment Roll and Tax Bill
16 Yeer~fAsesemntR~ ~ 6 7 , 0 0 I
~'t~CltlnfOremtlonteken I 12, 131 l?.TototA~edVelue (ofelllrerualalntz. nofw]~ .-~__ , j r r ~1 ' '~ '
18. PrepartyCises ] 2, 1, 0 I-I ) 1O. 8¢hoolDleMctNeme [ Fishers Island I
L~. Tes Map Identlflm(e) I Roll IdenUbefCe) ( If mom than four, attach sheet with addiUonel Ideotfltal~s) )
I 1000 - 0t0.00 - 07.00 - 016.000 I I
I J I I
CERTIFICATION
SELLER SIGNATURE
---- 12/ ~ /12
BUYER'8 ATTORNEY
Ham I Stephen L., III
(631) ~ 283-2400
NEW YORK STATE
COPY
BUYER CONTACT INFORMATION
(Entre ~m hr Ih. bsr/M Note: If I;uyM b LLC. ~o~e~/. m~rJabmn, m~r~'jon, jolm atm:k
Burn~m I David Campbell Il
(631) I 788-7632
2680 I Peninsula Road
Flehers Island
I ~ I 06390