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Home My WebLink AboutL 12717 P 653SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 3 Receipt Number : 13-0006673 TRANSFER TAX NUMBER: 12-13292 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 653 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: 12-13292 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.O0 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' 09:33:13 AM JUDITH A. PASCALE CLERK OF SUFFOLK COUNTV L D00012717 P 655 DT# 12-13292 Deed / Mortgage Instrument' Deed / Mortgage Tax Stamp I 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. 00 Affidavit NYS Surcharge 15. 00 Other I 4 1 Dist. [ Real Property Tax Service Agency Verification Sub Total Sub Total Grand Total 13001418 ~ooo ozooo 0700 o~ooo Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: STEPHEN L. HAM, 111, ESQ. MATTHEWS & 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 __ H~d_for-AppoirLtment 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 Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY 11901 www,suffolkcountyny.govtclerk Consideration Amount 'CPF Tax Due $ ~ Improved__,~ Vacant Land TO lO TD TD C7o.!ame Title Company Information Suffolk County Recording & Endorsement Page This page forms part of the attached DEED by: (SPECIFY TYPE OF INSTRUMENT) RACHEL BURNHAM VAN VOORH[S The premises herein is situated in SUFFOLK COUNTY, NEW YORK, made TO In theTOWN of SOUTHOLD DAVID CAMPBELL BURNHAM II In the VILLAGE or HAMLETof FISHERS ]SLAND 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 t',.~ay of December, two thousand twelve, BETWEEN RACHEL BURNHAM VAN VOORHIS, 20 Pearl Street, Mattapoisett, Massachusetts 02739, party of the first part, and DAVID CAMPBELL BURNHAM II, (ne #) r/olw 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 (115) 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 particularry 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 No~h 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 167.2 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 tl~e 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 !..LC havin9 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 Libor 12583 page 900. TOGETHER with ali 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 wiil 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: Rachel Burnham Van Voorhis 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 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 to the within instrument and acknowledged to me 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 individual(s), or the person upon behalf of which the individuals acted, executed the instrument, 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 to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(/es), and that by his/her/their signature(s) on the inslrument, the individual(s), 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 Massachusetts; County of P/y/~?Pcr/c~- ss.: On the ,)~/ day of December in the year 2012 before me, the undersigned, personally appeared · ~ ..,[ _ ! iQ. I. ~/' /~/4¢o Cl- ~ Rachel Burnham Van Voorhis ~L.'%'~L Y'lqhCf,.q5 YU~ [./..~ ~*l'J ..... i~e'~sona[ly k~w~n to me or prove::l to me on the bas~s of sabsfactory ewdence 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 individuat, or the person upon behalf of which t~e individual acted, executed the instrument, and that such indMdual made such appearance before the undersigned in the f"/-)~7*J'-~,co;~5*¢-'~- in the Commonwealth of Massachusetts· (insert the C~ty or other political subdivision) BARBARA A. GASPAR Nota~/ Public CommonwealtJ~ of Massc~chusetts My Commission Expires June 10, 9_016 BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'$ ACTS Title No. RACHEL BURNHAM VAN VOORHIS TO DAVID CAMPBELL BURNHAM II STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by (signature and office of individual taking acknowledgment) My Commission Expires On: (~ DISTRICT 1000 SECTION 010.00 BLOCK 07.00 LOT 016.000 COUNTY OR TOWN SUFFOLK - SOUTHOLD STREET ADDRESS (no #) Hedge Street Fishers Island, NY 06390 RETURN BY MAIL TO: RESERVE THIS SPACE FOR USE OF RECORDING OFFICE PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS (RP-S2174NS): www.orps.state.ny.us 'FOR COUNTY USE ONLY , ~ New Ymk 8tare Department of c1. sma co~, I I~, 7 J ,~ ~,c~ I Taxation and Finance C.~ [ / ['~ /~ , ~""'~ ~ office of Real Property Tax Sewices c2. Date Deed Recorded I RP- 5217 PROPER~Y INFORMATION I [ ~o~m of Southold I Fishers Island I 06390 I David CampBell TI [ z. Su~r I Burnham I I 3. TaxI ndmate whom Mtum Tax Bills am ~ ~ ~nt Billing I ~ Indl;~ ~e numar Roll~lstrans~on~ J , , ~ ~ ~Pa~ls OR Pa~aPa~l S. D~ e. Sel~r I Van Voorhts I ~, C~ck ~e ~x ~1~ ~lch ~t ~um~fy descd~ ~ u~ ~ ~ ~ ~ ~s lima ~ sale: B ~ 2 ~ 3 Fam~ R~I F ~ C~al I~ffial C ~ ~sidenhal V~nl D ~ ~R~tial Vaunt ~ H ~Ent~l~me~ F~t I (Only If Part of a PwcM) Check aa they a~pey: 4A. Planning Board with Sulxlivision Authority Exists [] 4B. Subdivision Approval was Required tar Transfer [] 4C. Pamel Approved for Sebdivision with Map Provided [] Rachel Burnham Cbe~ tho boxe~ below m they apply: 8. Ownership Type is Cor~ominium g. N~ ~ns~ct~n on V~ ~nd 1~ P~ ~ ~thm an ~d~ltuml t0B. ~r m~d e d~m ~ i~U~ I ~ALE INFORMATION I 11, 8ale Contract Date [ 12 / ,/.o / 12 [ lZDMeof6alelTran~fer I 12 / ,~o / t2 I Month Day Year t3. Fullsa~ePdee I . 1 . 6. 6, 0. 0. 0. O.0 I ( Fell Sale Price Is the total amount paid ~m' Ule Ixobefly bl'ClUding personal pmpen'y. 'lllis payment may be ia ~e ~onn of cash, ofhar property m goods, m ~e eceumpt]m of me,gages or other o~igatJofl$,) FP, eess ~ fO fha t'~NIm~ V,~ d~ ~'d~A'4, t4.1.d,eetetha..Io~ofp~.o,~I O. 0 0 I propot'Ly Included In the tale I j , , j , , , B [~ Sale Between Related Compemes C [~ One of the Buyers is also a Sailor O[~ Buyer or Seller is Government Agency m* Lending Institution E L~J Deed TRm not Warmnfy or Sergam and Sale (Specify Below ) F J_~ Sale ~f F racJimtal ~x Less than Fee InMmst ( Specify Below ) 0 ~ SignilicenL Change in Property Between Taxofge Status and Sale Dates I I [__] Sale of Business e~ Included in Sale Price I L~J Ol~ar Unusual Factors Alfec~ng Sale Pike ( Specify Below J I INane sale of undivided 1/5 inte:eet ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 16. Year of b~e~sment Roi from whlchlnformaUmt token I it, t21 tT. TotalAueasedVal~e (ofallparcelalntmnsfer~ 6 7.0.01 t8. ProperLyC',--. I 2. 1,0 I'l I tO. Scho~Obtr;ctNamel Fishers Island 20. Tax Map Mentlser(a) I Roll Momisar(e) ( If mom than four, attach Mum wtth additional Idaltlsar(s) ) [ 1000 - 010.00 - 07.00 - 016.000 I l ] I I CERTIFICATION SELLER SIGNATURE ~afl[~l~nham Van Voo:hie BUYER SIGNATURE ~ I ~2/-~o /~2 Ham I Stephen L.. (631) I 283-2400 BUYER CONTACT INFORMATION T~m ~ FdM ci~,~.) Burnham I David Campbell (631) I 788-7632 2680 I Peninsula Road Fishers Island I ~ I 06390