HomeMy WebLinkAboutL 12717 P 651SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED
Number of Pages: 3
Receipt Number : 13-0006673
TRANSFER TAX NUMBER: 12-13290
District:
1000
Deed Amount:
Recorded:
At:
LIBER:
PAGE:
Section: Block:
010.00 O7.OO
EXAMINED AND CHARGED AS FOLLOWS
$0.00
01/17/2013
09:33:13
D00012717
651
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 $0.00 NO Comm. Pres
Fees Paid
TRANSFER TAX NUMBER: 12-13290
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
$6o.oo NO
$0.00 NO
$255.00
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pages
This document will be public
record. Ptease remove all
Social Security Numbers
prior to recording.
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
FEES
RECORDED
2013 Jan 17 09:33:13
JUDITH A, PRSCRLE
CLERK OF
SUFFOLK COUHTY
L D00012717
P 651
DT# 12-13290
Recording / Filing Stamps
Page/Filing Fee
Handling 20. 00
TP-584
Notation
EA-52 17 (County)
EA-5217 (State)
R.P.T.S.A. (,OD TM
Comm. of Ed. 5. 00
Affidavit _
NYS Surcharge 15. 00
Other
Sub Total
I
4 I Dist. I
Real Property
Tax Service
Agency
Verification
6,I
Sub Tota I
Grand Total
13001415 zooo ozooo ovoo ox6ooo
Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
STEPHEN L. HAM, 111, ESQ.
MATrHEWS & HAM
38 NUGENT STREET
SOUTHAMPTON, NY 11968
Mail to: Judith A. Pascale, Suffolk County Clerk
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/clerk
Title #
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 __
Tra nsfe r Tax ~)
Mansion Tax
The property covered by this mortgage is
or will be improved by a one or two
family dwelling onJy.
YES or NO
If NO, see appropriate tax clause on
page # of this instrument.
Community Preservation Fund
Consideration Amount
CPF Tax Due
Improved
Vacant Land
TD
TD
Title Company Information
Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED
by: (SPECIFY TYPE OF INSTRUMENT)
HEDGE. STREET LLC The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
made
TO In theTOWN of SOUTHOLD
AlqNE BURNHAM OWEN, RACHEL BURNEAM VAN VOORHIS, In theVILLAGE
RUFUS BRADFOR]) BURNHAM III, DAVID CAMPBELL orHAMLETof FISHERS ISLAND
BURNHAM ii and SARAH BURNHAM MALINOWSKI
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, BETWEEN
HEDGE STREET LLC, a New York limited liability company having an address of (no #) Hedge Street, P.O. Box
402, Fishers Island, New York 06390, party of the first part, and
ANNE BURNHAM OWEN, 8289 Chapman Road, Bozeman, Montana 59718, RACHEL BURNHAM VAN
VOORHIS, 20 Pearl Street, P.O. Box 718, Mattapoisett, Massachusetts 02739, RUFUS BRADFORD BURNHAM
i11, 40 Fifth Avenue, New York, New York 10011, DAVID CAMPBELL BURNHAM II, (no #) rlo/w off Peninsula
Road, P.O. Box 335, Fishers Island, New York 06390, and SARAH BURNHAM MALINOWSKI, (no #) dolw off
Oriental Avenue, P.O. Box 402, Fishers Island, New York 06390, as tenants in common, each with an undivided
one-fifth (1/5) interest, party of the second part,
WITNESSETH, that the party of the first part, in consideration of Zero and 00/100 ........... ($0.00) .......... dollars
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 impiovements 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 mihL~t~'
10 seconds East, 124.8 feet from a stone monument at an angle in said street line, said stone monument.~eing
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 same premises conveyed to the party of the first part 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; 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 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:
HEDGE STREET LLC
Rufus Bradford Burnham III,
Managing Member
Standard N.YB.T.U. Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts - Uniform Ackaowredgment
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York, County of Suffolk ss: State of New York, County of ss:
tb 2a
On the y of December in the year 2012 On the day of in the year
before me, the undersigned, personally appeared before me, the undersigned, personally appeared
Rufus Bradford Burnham III
personally known to me or proved to me on the basis of personally known to me or proved to me on the basis cf
satisfactory evidence to be the individual(s) whose name(s) is satisfactory evidence to be the individual(s) whose name(s) is
(are) subscribed to the within instrument and acknowledged to me (are) subscribed to the within instrument and acknowledged to me
that he/she/they executed the same in his/her/their capacity(ies), that he/she/they executed the same in his/her/their capacity(/es),
and that by his/her/their signature(s) on the instrument, the and that by his/her/their signature(s) on the instrument, the
individual(s), or the person upon behalf of which the individual(s) individual(s), or the person upon behalf of which the individual(s)
· .~zC, Jgnat[j'r,e, Jand office of individual {~'~'i~'g" ~l~n"i~-'~.~25~,~'~'('si'g"~¥~re and office of individual taking acknowledgment}
-' QUAMFIED IN SUFFOLK COUNTY
"'~ ~-' ,.. COMMISSION EXPIRES 05124/2014
:~ ~-~ .,
~ TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
,~ta~e 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 he executed the same in his capacity, and that by his signature on the instrument, the
individual, or lhe person upon behalf of which the individual acted, executed the instrument, and that such individual made such
appearance before the undersigned in the in the
(insert the City or other political subdivision)
(signature and office of individual taking acknowledgmenl)
BARGAIN AND SALE DEED
Title No.
DISTRICT 1000
SECTION 010.00
BLOCK 07.00
LOTS 016.000
COUNTY OR TOWN Suffolk - Southold
STREET ADDRESS (no #) Hedge Street
Fishers Island, NY 06390
RETURN BY MAIL TO:
HEDGE STREET LLC
TO
ANNE BURNHAM OWEN, RACHEL BURNHAM VAN VOORHIS,
RUFUS BRADFORD BURNHAM III, DAVID CAMPBELL
BURNHAM II and SARAH BURNHAM MALINOWSKI
RESERVE THIS SPACE FOR USE OF RECORDING OFFICE
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS (RP-521?-INS): www.orps.state.ny.us
Nmw York State Oepartment of
FORCOUNTYc,. B,8 Cod,USE ON,¥ I L~,~ , ~ ~ .~ ~ I Taxation and Finance
c2. ~,~ D.d P.~o,d.d I. ~ I ! ]-7 ! l.~ I O~ce of Real Property Tax Sap/ices
M<~m uay ,oar RP' 5217
)7, . ,
I Fishers Island I 06390
z Buyer [ Burnham
I See attached sheet
3. Tax Ingicate where ~ture Tax B~ll$ are ~ be ~enL
Billing if~r ~an buym ~dr~ (at ~t~m ~ fo~} I
& Ind~
Roll ~te baxs~d
8~
· ]- I OofPameis OR ;(~ PartofaPercal
Rufus Bradford III
S. Bulter J~_ .H. EDGE STREET LLC
I ORI , ~:.=, 0 · 3 I I
(Only if Pert of a Parcel) Check ax they apldy:
4A. Planning Bnsrd wiifi Subdivision Authority Exists []
4B. Subdivision App~vol was R~o. uimd for Tmnsler []
4C. perca~ appro~d for Su~lLvi~on vath Map Provided []
7. Check the box I~lOw which mo~t accurately daxcHbax the u~ of the properly M the time of Bale:
B ~ 2 or 3 Family ResidentJal F ~ Coflvnsf~l Industrial
(" [__~ Readenflal V~cant Land G .~Aperlment Public Sew~e
D L_J Non-Resalentia. I Vacant Land H ~J Enteftainmonl I Amusement Forest
Chub the boy~ below cc they apply;
8. Ownership Type Is Cor~ominium
9. New Ce~slruct]~l mt V~ La~
1~. ~ L~ ~ an ~d~
lOB. B~ ~ · dls~um ~M ~d~b~
· at ~ pm~ny is in an ~d~ml DisMal
l SALE INFORMATION I
11. Sala Cm~troct Date
I 12 / / 12 I
12. Date of Sale I Transfer
0
13. Full Sots PHea
0
0
I
"~"~'"'~'I ...... t ' ' ' '-
( FIJI Sale PdCe is ~e ~1 a~nl ~ for ~e p~ i~i~ ~al ~.
This ~t may ~ ~ ~ ~ ~ ~sh, ~r ~ or ~s, ~ ~e a~m~ ~
~gos or ~r ~.) ~ ~ ~ ~ ~m~ ~ ~or
l~lnd~ovalax~m~al 0e ~ ~ I
pm~ I~1.~ In ~ ~le I j , , ~ , ,
1% Cheek one or more of the~e conditions ns applicable to
! Sale Betwee~ Related Compa~M or PatinMs In Beslness
! One of tile Buyers is also a Sailer
Buyer or Seller is C, ovommofll Agency or Lending
Deed Type not Waffcn~ 0t Bargain and Sale (Spec~'y Below )
~ of FraCtionsl ar t.e9e glan FeB Interest ( S~fy Below
1 J Sds of Business is Induded in Sale
Other Unusu;] Fcc~rs Al~ct]~g Sale Pdce ( Specily Belay
None
dtet;thutton to members o~ T,LC v/o
change t; beoflct~l ovmershtp
I ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill I
t8. Yaxr of Asaxnsment Roll from , 6 7 0 0 I
whlcblnformaflontebn I 11, 12[ 17. TotaJAJHaccdValue (of all parcels ln tranafer)[_ ' :1, ' ' ! ' ' ~, ' '
18. Proper~Clens I 2, J, 0 I'l I l~,.SchonlDIslTtctNcme I Fishers Island ]
20. Tax Map ktentifler(e) I ROIl Identifier(a) ( If more than four, atlach sheet with additional Identifier(c) )
t000 - 010.00 - 07.00 - 016.000
CERTIFICATION
SELLER SIGNATURE
HEDGE STB~ ET.-.[~C
~ X ~'~,V~k~-~k--- !.1J.._1.12/ 1; /12
~nagSa; ~ SIGNATURE
David CampbellB~~y
I Stephen L.
(63~) I 283-2400
NEW YORK STATE
COPY
BUYER CONTACT INFORMATION
m print deidy.)
Burnham I David Campbell Il
(631 I 788-7632
2680 Peuinsula Road
I
Fishers Island
I NY
I 06390
Attachment to Real Property Transfer Report
Form RP-5217
Name of Buyer
Address of Buyer
David Campbell Burnham II
Sarah Burnham Malinowski
Anne Burnham Owen
Rachel Burnham Van Voorhis
(no #) rlo/w off Peninsula Road
P. O. Box 335
Fishers Island, NY 06390
(no #) rio/w off Oriental Avenue
P. O. Box 402
Fishers Island, NY 06390
8289 Chapman Road
Bozeman, MT 59718
20 Pearl Street
P. O. Box 718
Mattapoisett, MA 02739