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1111111 IIII 11111 11111 IIIII IIIII IIIII II111 IIIII IIII IIII I Illlll IIIII 11111 IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 06/28/2013 Number o£ Pages: 5 At: 09:32:00 AM Receipt Number 13-0078561 TRANSFER TAX NUMBER: 12-26423 LIBER: D00012734 PAGE: 616 District: Section: Block: Lot: 1000 087.00 03.00 022.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $125.00 NO TP-584 $5.00 NO Notation $0.00 NO Cert.Copies $0.00 NO RPT $60.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $260.00 TRANSFER TAX NUMBER: 12-26423 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County • 1??2 Number of pages ~ REC©RDED 2013,3un 28 09:32:A4_RM_,.__ JUDITH u. PRSCALE _ CLERK QF This document will be public ti SUFFGLK CGUNTY record. Please remove all ~ -••••-~-_L-D00012734 ~ • . Social Security Numbers P 615 , prior to recording. r _ DT# 12-25x23 . _ Deed /Mortgage Instrument Deed /Mortgage Tax Stamp t2ecordirig / Filing'Stattips " 3 FEES Page /Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax _ TP-584 Sub Total Notation SpecJAssit. or EA-52 17 (County) ~ Sub Total Spec. /Add. EA-5217 {State) TOT. MTG. TAX Dual Town Dual County_ R.P.T.S.A. ~ Held for Appointment Comm. of Ed. 5. 00 ~ ~ ~ - Transfer Tax ` ~ Mansion Tax Affidavit " The property covered by this mort 's Certified Copy or will be improved by a on NYS Surcharge 15. 00 ~ family dwelling only. / Sub Total YES or NO Other /r' Grand Total t0 ~ ~ If NO, see appropriate tax clause on page # o 's ins m~nt3 4 Dist. 13011281 iooo oa7oo osoo 022000 g Communitq Preservation 1Ftind Real Property RP Wl p I~IIIIIIIIII~II~ ~IIIIIIIIIIIII~~~llll~llll~lllll ~ Consideration Amount $ Tax Service 26-aPR-1 I { 4 i I ` Agency ~ PF ax Due $ Verification _ _ _ -J Improved 6 SatisfactionslDischarges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Lan~dy Joseph H. Gibbons TD f PO Box 332 New Suffolk, NY 11956 ~ TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Com an Information 310 Center Drive, Riverhead, NY 11901 www.suffolkcountyny.gov/clerk Title # g Suffolk Count Recordin & indorsement Pa e This page forms part of the attached DEED ~ J made by: (SPECIFY TYPE OF S UMENT) Thomas Herbert Sheridan & The premises herein is situated in . Michael Joseph Sheridan SUFFOLK COUNTY, NEW YORK. TO In the TOWN of Southold Thomas H- Sher; Aan a In the VILLAGE Southold HaHaH2O LLc or HAMLET of BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FII.ING. iama..ieroett over Form 8002 (9/99) - 20M -Bargain and Salc Deed, with Covenants against Grantor's Ac[s-Individual or Corparalion. (single sheet) CONeULT YOUR LA[NYBR B8FOR8 SIONINO TNIB INETRUYBNT -TNIB INSTRUMENT sXOULD B8 UEBD Br LAIMYBRE ONLK THIS INDENTURE, made the ~ ~ day of November ~ 01 2 and BETWEEN , a Thomas Herbert Sheridan, residing at 3220 East Hatcher Rd, Phoenix, AZ .85028, Michael Joseph Sheridan, residing at 6213 E. Pinchot Ave., Scottsdale, AZ 85251,and bet~itie r r Bs2s?r ~1 as joint owners pparty of the first part, and Thomas H. Sheridan, residing at 3220 East Hatcher Rd, Phoenix, AZ 85028, as to a one-third (33 and 1/3$) interest as Tenant In Common and,HaHaH2O LLC, doing business at 2224 Pine, Boulder, CO 80302, as to the extent of a two-thirds (66 and 2/3$) interest -as -a Tenant- In-Common-- - - - - ~ party of the second pan, WITNI:SSETH, that the party of the first part, inconsideration of ten dollars and other valuable consideration paid by the party of the second pan, does hereby grant and re]ease 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 improvements thereon erected, situate, lying and being in the (Please see attached description) 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. ANU the party of [he first part covenants [ha[ 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. ANU the party nf.the first part; in compliance with Section 33 of the Lien Law, covenants'[hat the parry nt the first part wili receive the consideration for this conveyance and will hold the right to receive such consider- ation as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the carne 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 xo requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year lust shove written. IN I'Nli Cli~'('C OFC ~ '~1~~ THOMAS HERBERT SHERIDAN Ttnnml Breln ~n Marko Ctwnty, Arlmna Wy~ MyComtn.Et~Ires07.23-2015 MICHAE J EPH SHERIDAN a m m m ' yi f11 N L D n m T 9 C y m O T a - - - m n O a 0 z 0 T A m 9 S 6 l 4 ~oN dlZ ,~u>,d~uo~ a~tzeansuI ap~,L o~ext{~ ~iN 'xZo33nS Mall ~q Pa}nqu~si4 Z££ xog Od suoggi0 •H udasor ~Oll1tlW A9 NHfli3Fi Q'I'IOZHpHEH pue uepixags •g seuiogy pjoggnoS NMO~FJOl.1Nf10~ dot{szg ygaq>?zrTg r?t~igaZ ~~>?p?zags ydasor ZZ l0~ jaEyai>a 8 'u2ptxayS ~xagxaH sewogy ~ NQOl9 '(~uEUas a~z2} u>?pixayg 2upg G ~ NOIlQ3S :'oN all!1 5 LOZ-EZ-LO y~Idxg wwo0 IIW ~ euoz!ly'dlunopedo~IleW _ all~d 1Ge{oN u~ig Iwwal '(uaHel seen Yuawa6 Mou~ae ayl au Id ~aylo ~o riunoo io alels ayl pue uo!s!n!pgns !eog!lod ~o Al!a ayi ppe) ~,T~'ll~(i/~O tC~unoQ 'euOZrs~ ~o a~p~S __'ola~ay~ssau{!nnese(s)aweu ~!ay1/eau/S!y.paaiosans ayl ul pau6!saapun ayl ago{aq aoueieadde yons spew lenp!nipw aw!1 awes ayl le ssaul!M p!es lEyl pue :awes a41 a{noaxe yons {ey1 pue 'luawniisw ayl palnoaxa 'pa{oe (s}{enp!n!pu! ay{ p!es ones pue {uasaid yo!ym {o {!eyaq uodn uos~ad 9yl io (s)lenpinipw ayl 7uawn~lsul sem ssaul!M 6u!quosgns p!es ley{ auawn~lsu! 6u!o6aao{ ayl uo (s)a~nleu6!s nay{/iay/s!y Aq leyl '(sa!)~filoedEO ey{ pa{noaxe oyM pue u! paq!aosap !enp!n!pu! ayl aq of ~!ayl/ray/s!y u! awes ayi palnoaxe stay{/ays/ay {ey{ aw (s)rnou~! fay{/ays/ay leyl of pa6pelnnou~oe pue luawn~isu! u!yl!M ayi of paquosgns (aie) s! (s)eweu asoynn (s)lenp!n!pu! ay{ aq of aouap!na ~(~oloe{s!les u! (s)ap!sa~ Reyl/ays/ay ley{ '~fes pue asodap }o s!seq ayi uo aw o{ panoad ao aw of unnou~ ~tpauosiad p!P 'u~oms ~(Inp aw Rq 6u!aq oynn 'palu!enboe ~tpeuos~ad we ! Syr uepT.zagS ~aagaaH woyrn y{!rn 'luawna{su! 6u!o6a~o{ ayl of ssaul!M 6u!gliosgns ayl ~tiq'eulou p- _ - eie de ~(Ileuosjed `pau6!slapun ayl 'aw ago{aq 'Z ll 0 Z~ea~ayl u~w~goN {o Rep-Z ~ ayl up pa~aadde AI!euosaad 'pau6!s,apun ay1 / 'aw aio{aq ' leak ay; u! ' {o /ep ayl up (~t~{unoQ u6!alo~ t ~o uo!ssassod '~(iol!i~al'e!gwnlo~ {o louls!Q liasu! ~o) , :ss ' f'/d 0? lvyW 10 ~(luno0 ' euoz Tx~ {o elelg , :ss ' {o R{uno~ '~!,o,~ maN {o a3e1S ase1S >I~oA a{e{S „~oAmaN ap{s;no ua~e{ luawa6palnnou>fay n++aN ul ua>ie{ ssaua!p?6ulgl~osgng Rq {uawa6palnnou>fotl 1 'luBwnJlsu~ ayl palnoaxa `paloe (s)jenp!nipu! ayi J' 'luawn~isu! ayj palnaaxa'paloe (s)!enp!n!pw ayl ya!yM {o {leyaq uodn uosiad ayl !o (s)lenp!n!pu! ayl 'luawnilsu! yo!ynn {o {!eyaq uodn uos~ad ay{ io (s)!enp!n!pu! ayl 'luawn~lsu! 0y{ uo (s)a~nleu6ls a!ayl/aey/s!y /.q ley{ pue '(sa!)A3!oedeo ayl uo (s)a~nleu6!s nayl/gay/s!y Ilq ley{ pue '(sai)!1!oedea a!aylpay/s!y u! awes ayl palnoaxa Aayi/ays/ay leyl aw ~!aylpay/s!y u! awes ay{ palnoaxa llayl/ays/ay {eyl aw of pa6pa!nnou~!oe pue {uawn~{sw u!y{!nn ayl of paquosgns (a~E) of pa6papmou~oe pue luawn~{sul u!yl!nn ayl of Paq!aosgns {aye) s! (s)aweu asoym (s)!enp!nlpu! ay{ aq of aouap!na ~tio{oe{s!les s! (s)aweu asoym (s)lenp!n!pu! ayl aq of eauap!na Aloloe{s!les {o s!seq ayl uo ew of penad ~o ew o{ uMOU~! ~(peuos~ed {o s!seq ay{ uo aw of Pano~d io aw of unnou~! ~fpeuosiad peaeadde Fpeuos~ad 'pau6!siapun ayl pa~eadde ~(peuos~ad `pau6ls~apun ayl 'aw ago{aq ' 1eaA ayl u! ' }o ~(ep eyl up 'aw ago{aq ' aea~(ayl u! ' {o /Iep ayl up o /l uno ~o rna o alel$ :ss ' {o Illuno~ '~!io/, MaN {o a{elS :ss' { 1 Q'~ A Nl a{e;g >I~oA maN u~ uaHel luawa6palnnou~{oy ale1S H~oA maN ul uaKel {uawafipalmou~od 4 ` ' ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE State of Arizona, County of /-n,c~.~ co vq. , Ss.: (or insert District of Columbia, Territory, Possession or Foreign Country) On the ~ day of I'~ in the year c~U I ~j ,before me, the undersi d, person y a peared Michael Joseph Sheridan; /y~ person y known to me or proved to me on the basis of satisfactory evidence to be the individuals} whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hislher/their capacity(ies), that by hislher/their signature(s) on the instnument, the individual(s) or the person upon behalf of which the individual(s) acted, executed the instrtunent, and that such individual made such appearance before the undersigned in the State of Arizona, County of ~ ra2 ~ rdP/.J _ {add the city or political subdivision and the state or country or other place the acknowledgement was taken). Tammi Bran f~otary Public 1 ~ Maricopa County, Arlmna }-'h_ ,r~r~~ MyComm.E~ires0723.2Q15 (Notary Public) . DEED DESCRIPTION FOR SHERIDAN CONVEYANCE OF LAND All that certain plat, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Laughing Waters, near Southold, Town of Southold, County of Suffolk and State of New Yark, known and designated as part of the premises shown an a certain map entitled, "Map of Laughing Waters, Southold, Long Island, New York, made from actual surveys completed June 30, 1938 and plotted by Daniel R. Young, P.I, and L. S.," and filed in the Office of the Clerk of the County of Suffolk on July 24, 1941 as Map No. 917, which said part of premises is bounded and described as follows: BEGINNING at a point an the westerly side of Osseo Avenue as shown an said map where the same is intersected by land now ar formerly of Redhead, said point being distant along the said westerly side of Osseo Avenue the following two courses and distances from the corner formed by the intersection of the northerly side of Opechee Avenue as shown on said map and the said westerly side of Osseo Avenue: {1}North 16 degrees 33 minutes West 75.5 feet and (2} North 5 degrees 55 minutes West 86 feet to the point of beginning, and from said point of beginning Running thence South 70 degrees 56 minutes West along land now or formerly of Valentine Kalab, now or formerly of Redhead, and now or formerly of Morrissey 105.7 feet to land now or formerly of Bordwick; Thence North 30 degrees 58 minutes West along said last mentioned land 71.35 feet to land now ar formerly of Nichols Properties, Inc.; Thence North b9 degrees 31 minutes East along said last mentioned land 97 feet to the Southwesterly side of Osseo Avenue; Thence South 54 degrees 34 minutes East along the said Southwesterly side of Osseo Avenue 25.50 feet to the said westerly Bids of Osseo Avenue and; Thence South 28 degrees 4l minutes East along the said westerly side of Osseo Avenue 52.20 feet to the point or place of BEGINNING. Together with any and all rights to the use of roadways and beaches above mean high water, jointly awned by the laughing Water Property owners Association or used jointly by all Laughing Water Property Owners. Subject, however, to all covenants and restrictions of record. BEING AND INTENDED TO BE the same premises in the deed to the parties of the first part herein by deed to the grantor in Liber 12277, Page 20, retarded on October 9, 2003, in the office of the Clerk of Suffolk County. YLtASt IYF't UN YHt~S hIMMLY WMtN VVhtIIINIi VIV FUtSM ' ~ INSTRUCTIONS: http:// www.orps.state.ny.us or PHONE 15181 473-7222 FOR COUNTY USE ONLY f~, "j q~ G Ct. SwIS Code I ` r 1 ~ 4~ I~ I I I REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK Ix. Data Daad Recorded ~ ~ STATE BOARD OF REAL PROPERTY SERVICES -'7 ear ~ - ~ RP - 5217 C3. 8ook [ ~ CI. Page ~O ( 1n_. 1 a av-s:tT Nrr w1 PROPERTY INFORMATION 7• "`°P°"y 1 270 {I I Osseo Avenue I LDCatIDa ~OEutIIO~d RTREET MANE I I Southold 111971 1 uTr oR lowx vauGE aP rxlx s 6ayN 1 Sheridan I Thomas H. I Nam. lASrxAMEICOMPMY By;°s nary Catherine Bishop, HAHAH2O LLC I I Registered Agent I IAiT NAMC/COMPANY FIRS AME HaHaH2O LLC c/o Mar Catarina Bisho 3. Tax Indicate where lutura Tax Bilh are to ba wm Y p Billing II omsr than buyer Ddtlroas IM boRam of forml I I I Addraaa :PSI xAML ICUMPANY IIIISI YANI I 2224 Pine I Boulder IC O 180302 1 STREET NUMBER AND STREn NAML CYrv OR TOYYrI STArC 2Mroor f. IndieNa the number d AssseameM 1 ? IOnry B Part of a Perlrol) Cheek as they apply: Roll parcNs erarlslamd on the dead I I f of Paroels OR Pon of a Parcel ~ planning Boats with Subdivision Autllwiry Exists ? 5- Dsad 0 2 5 IB. Subdivision Approval was Requirod for Trensler ? Property I I X I I oR I 1 ac. PoNx4 Approved for Subdivision with Map Provided Blaa iRexT iEET pEPrll AC'ae Sheridan Thomas Herbert &s.llw I Shpr;Aan I M+^~ael Jese~7h 1 Name LAST NAMF /COMPANY I I I • u51 NAMC ICDMPA.YV r'RST NAME 7. Cheek the bo: below which most amrrataly deseAbn Me uaa of ffia properly at eM time M seta. tM txrxaa bNOw n ~Y aPPM & Ownerehip Typo is Condominium ? A One Family Residential ~ Agrieulturel I Community Service A New Construction on Vaunt Land ? II 2 or 3 Family Pcsitlential J~ Commercial J Industrial 10A. Property Lusted within an Aylrieultural Distrln ? C Rcaidantiol VDCSnt Lend G ApeAment K Public Sorvies 706. Buyer received a disclosure nmx» irxlirsting ? D Non-Residemiel Vacam Land I~ Entoneinmant /Amusement L Forest that the property is in an Agrieulturel Distrln SALE INFORMATION 15. Cheek one or men N these oatrmtlona n appfkatsN n trsnatar. 77. lsaM Contract Date I / / I A Sara Between RDlotivea or Former Relatives Momh y vwr R Sala Betvreen RelateA Companioe or Partners in Business C One of the Buyore is else s Sollar 12. Data of Sals / Tronalar I / / _ I D Buyer ar SDllar is Government Aganry ar Lending Inatituliun Mpah Day Ymr N DOed Typo nm Warranty or Bargain end Sale (Specify Ba10W) I' Sab Of Fractional Or Lana than Faa IntcrDat ISpoeily Boluwl G Signilicont ChangR in Properly Between Taxable Status and Sale DaEE ~ ~ ~ a 73. Full SBIa Prlu I O ' (I ~ I 11 Satu of Business is Included in Sole Arise (Full Sela Price la the total amount paid for the property including personal property. 1 Other Unusual FDnoro Affecting Sale Pricn (Specify BRlowl This payment may b in the farm of cash, other property or goods, or Iho asaumytion of J Nona mortgogce or other oblignions.l Please round to tfre dearest whole dollar amount. 14. Indieats eha vNuaapersonal I 0, R D I Transfer to family members property Included In the rile ~ • ASSESSMENT INFORMATION -Data should rOflocl th0 latest Final Assessment Roll end Tax Bill 2011 12 16. Yaw m Aaaaaamsm Roll hem I 5 3 0 9 I vvhkh INormatbn tabu I 177. Toth AssesaW Value lot all PareNa In tnnsfarl ! ! 1B. Property Claa 1 2 1 0 1_U 18, school Dishict Nama I Southold I Z0. Tex Map IdarltYwbl /Roll Itlemfllerlal IR moro than lour, attach cheat with pddklorral idarltililrrlel) 11000 - 87 - 3- 22 I I I I I I I ~ 'CERTIFICATION 1 certBy lhN call rd' IM items of Infirrmalkel mtervd rm thiv frlrm are eroD and nrrnrt can Ihr bLZI of my krelwkWpr and beliefl uttd 1 unden7and thrl thr mrkin6 rrf uny Millful fukr aWIemLYtl of mutrrial ftni herein rill wlfJeal mr tn thr orrwisionK Ilf the tNmul IaN eT!lothc to the maklttK and fdirtk of folyc Imtnlmcntt BUYER BUYER'S ATTORNEY ~y`~'~x+~ ~rJ Gibbons ~r/1M ~~M-1'Y-;~ ft^drr6-N- I to ilmra®i~ I Joseph H BU MGNAIURC 1 GATE (AST NAMC rIRST NAMC 631 298-9676 ~4{ I n~ S tract I STREET NGMeER eTREET NPMF MPrER 5111[1 ARCH waE ,ELFP1gNE NUMBER 0 1 i D I $d~3~d CITY OP TDWN eTArl: JP CODE ~ ELLER ~ ~,/,~z NEW YORK STATG rt-.'~ 3' / COPY I IrLrcn 9GNAlURL IMIE L. p oa61273c~ ~r~ r RIDER TO FORM TP-584 tSHERiDAN~ Schedule A (Name, Address &_SSN of Grantor) Name: Thomas Herbert Sheridan Address: 3220 East Hatcher Rd, ' Phoenix, AZ 85028 SSN: 131-28-3936 Name: Michael Joseph Sheridan Address: 6213 E. Pinchot Ave. Scottsdale, AZ 85251 SSN: 062-42- l 930 Name: Estate of Letitia E. Bishop (By: Michael Bishop, Personal Representative) Address: 2224 Pine, Boulder, CO 80302 E1N: (Deceased} (Name, Address &SSN of Grantee) Name: `Thomas H. Sheridan Address: 3220 East Hatcher Rd, Phoenix, AZ 85028 SSN: l 3 l -28-3936 "~1 Name: HaHaH2O,LLC (By Mary Catherine Bishop, Registered Agent) Address: 2224 Pine Boulder, CO 80302 EiN: 46-1286699