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L 12803 P 177
SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded- 01/07/2015 Number of Pages: 4 At: 04:19:17 PM Receipt Number : 15-0002621 TRANSFER TAX NUMBER: 14-14956 LIBER: D00012803 PAGE: 177 District: Section: Block: Lot: 1000 054.00 07.00 005.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument JUDITH A. PASCALE County Clerk, Suffolk County Exempt Exempt Page/Filing $20.00 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 $255.00 TRANSFER TAX NUMBER: 14-14956 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County r as r Number of pages RECORDED 2015 Jan 07 04:19:17 P11 :TUDITH G. PASCALE CLERK OFSUFFOLK This document will be public record. Please remove all COUNT/ L D00012803 Social Security Numbers P 177 prior to recording. DT# 14-14956 Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps 3 1 FEES Page/ Filing Fee Mortgage Amt. Handling _ �Z 00 1. Basic Tax 2. Additional Tax TP -584 Sub Total Notation Spec./Assit. EA -52 17 (County) 72 Sub Total or Spec. /Add. EA -5217 (State) TOT. MTG. TAX j`7, / R.P.T.S.A. Dual Town Dual County _ -----1�— Held for Appointment Comm. of Ed. 5. 00 Transfer Tax Affidavit + Mansion Tax Certified Copy � The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 007 �� family dwelling only. Other 5ubTotal YES or NO Grand Total _-��� If NO, see appropriate tax clause on page # of this instrument. 4 Dist. ,1001Cil 15000342 1.000 05400 0700` 005000 5 Community Preservation Fund Real Property P Consideration Amosnt $ Tax Service A F` DHO DHO Il�lllllltl��ll �I�IIIIIII II�IIII I�IIII I� Agency Verification 1 Due Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land Kelly E. Kinirons, Esq. Twomey, Latham, Shea, Kelley, Dubin & Quartararo, LLP TD P. 0. Box 9398 Riverhead, New York 11901 TD TD Mail to; Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co. Name www.suffolkcountyny.gov/clerk Title # 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Executor's Deed by: (SPECIFY TYPE OF INSTRUMENT) Estate of Catherine C. O'Brien The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of Southold The Catherine C, O'Brien Credit Shelter Trust In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. made over Executor's Deed This Indenture, made the 17 day of December, Two Thousand Fourteen, BETWEEN THOMAS M. O'BRIEN, residing at 500 Jennings Road, Southold, New York 11971, individually and As Executor of the Last Will and Testament of CATHERINE C. O'BRIEN, late of Southold, Suffolk County, New York, who died on the 4th day of February, Two thousand and fourteen, party of the first part, and THOMAS M. O'BRIEN, residing at 500 Jennings Road, Southold, New York 11971, and DAVID F. O'BRIEN, residing at 150 51 Briaricliff Lane, Fort Myers Florida 33912, as Co -Trustees of THE CATHERINE C. O'BRIEN CREDIT SHELTER TRUST party of the second part, WITNESSETH, that the party of the first part, to whom Letters Testamentary were issued by the Surrogate's Court, Suffolk County, New York on April 11, 2014, and by virtue of the power and authority given in and by said Last Will and Testament, and/or by Article I 1 of Estates, Powers and Trusts Law, and in consideration of Ten ($10.00) Dollars, paid by the party of the second part, does hereby grant and release TAX MAP unto the party of the second part, the distributees or successors and assigns of the DESIGNATION party of the second part forever, DISI: 1000 (See attached Schedule A for description) Sec.: 054.00 Blk.: 07.00 BEING AND INTENDED TO BE the same premises conveyed to CATHERINE Lot(s): 005.000 C. O'BRIEN, by Deed dated February 25, 2000 and recorded in the Suffolk County Clerk's Office on March 28, 2000 in Liber 12030, page 387, 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 also all the estate which the said decedent had at the time of decedent's death in said premises, and also the estate therein, which the party of the first part has or has power to convey or dispose of, whether individually, or by virtue of said will or otherwise; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the distributees 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. Subject to the trust fund provisions of section thirteen of the Lien Law. 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: L.S. THOMAS M. O'BRIEN, as Executor of The Last Will and Testament of CATHERINE C. O'BRIEN �1001111111.ItWx ALL that certain plot, piece, or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Southold, Town of Southold, County of Suffolk and State of New York, bonded and described as follows: BEGINNING at a point on the boundary line between land now or formerly of Southold Builders, Inc. and land of C.W. Booth, said point of beginning being South 48 degrees 53 minutes 40 seconds West, 398.51 feet along said boundary line from an iron pipe on the westerly line of Hortons Lane; from said point of beginning running along said land now or formerly of Southold Builders, Inc., South 41 degrees 35 minutes 00 seconds, East 154.75 feet to the northerly line of a 50 foot private road known as "Jennings Road"; THENCE along said northerly line of said 50 foot private road known as "Jennings Road", South 48 degrees 25 minutes 00 seconds West, 139.55 feet to the easterly line of 50 foot private road known as "Marley Road"; THENCE along said easterly line of said 50 foot private road known as "Marley Road", North 35 degrees 15 minutes 30 seconds West 156.73 feet to said land of C.W. Booth; THENCE along said land of Booth, North 48 degrees 53 minutes 40 seconds East 122.30 feet to the point of BEGINNING. TOGETHER WITH a right of way over said 50 foot private road known as "Marley Road" from the westerly corner of the premises southeasterly to said 50 foot private road known as "Jennings Road" and thence northeasterly over said "Jennings Road" to Hortons Lane, for the purpose of ingress and egress to and from said premises and to and from Hortons Lane, and for the further purpose of installation, maintenance, repair and replacement of public utility lines, pipes and conduits, on the surface, below the surface and above the surface of said right of way, in such manner as not to interfere with surface transportation over same. STATE OF NEW YORK) COUNTY OF SUFFOLK) ss.: On the 1'7 day of 4.0�._ , in the year 2014 before me, the undersigned, personally appeared THOMAS M. O'BRIEN, 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 the person upon behalf of which the individual acted, executed the instrument. EXECUTOR'S DEED THOMAS M. O'BRIEN, as Executor of The Last Will and Testament of CATHERINE C. O'BRIEN TO THOMAS M. O'BRIEN and DAVID F. O'BRIEN, as Co -Trustees of THE CATHERINE C. O'BRIEN CREDIT SHELTER TRUST PAMELA A. KING N ary Public, State of New York No. 01 Kt4862015 Qualified in Suffolk County Commission Expires June 16, &orb DISTRICT: woo SECTION: 054.00 BLOCK: 07.00 LOT: 005.000 COUNTY OR TOWN: Southold TAX BILLING ADDRESS: 40 Booth Road, Southold. NY RETURN BY MAIL TO: Jay P. Quartararo, Esq. Twomey Latham Shea Kelley Dubin & Quartararo, LLP P. 0. Box 9398 Riverhead, NY 11901 Page 2 of 2 Pages INSTRUCTIONS(RP4217430F-INS): www.apLdale.ny.ua OR USE ONLY �3 E1,. woos awls CoQa CL Data Dead Raeorlbd I / 7 ©TT11 — ON C:. Back , , �,O 7) 3, , C4 Page , Now York state Department of Taxation and Finance Office of Real Property Tax Services RP- 6217 -PDF Real Properly rf inefor Report (Me) % openly 40 Booth Road Lodnm •.esarlemm •nwreese ❑ Pad of a Pam' (DWy N Put W a Pw"q Chase as O t applyt Southold Southold 11971 "rearm an the dead ' wlTaTmw nal M • wooa :Buyer O'BRIEN, Thomas M., as Co -Trustee of the Catherine C. O'Brien Credit Shelter Trust Name Properly MN1e ovm maw O'BRIEN, David F., as Co -Trustee of the Catherine C. O'Brien Credit Shelter Trust P..rawle S.Tu wraemewewew Indicate wlwebeseTax OlbwetobeOwn ❑ Addng Ian wwe"lawyoderviewbmmmdiralln) wrwwsxxewPAr rebreAm IT. awet We dewydon aadeh most aaaurebly, dowAg a the . ow � hales banew m mini - Pty Ilea W of proparq d We Woe of Sala: d. Oanluarep Type b Condolnhlum ❑ One Family Residential 9. Near �"NN"OnaVaantLand ❑ wows nomem crtranmlw auae wabae 4.IIldmab Gle remWaI Ammemmt 1 ❑ Pad of a Pam' (DWy N Put W a Pw"q Chase as O t applyt rlw susownas Roo prow "rearm an the dead a W Paab IR 4A, Plemmn0 Baud wm BlmdMdon A4010my EmNs ❑ t. Dead X OR '47 43.subdhAaMnAWwWwmrtaglmedfarTmnmu ❑ Properly •m oro ovm maw -,I. Deb W sawrrludw I:d. We E. Dead Type not View map or Bargain and Bade (Bpedgr Bsbo) 4C. POW Approved for BvbdMOM won Isap Prakiad ❑ F. sale of Fractional or Los than Pee neared (SPamr Reboot O'BRIEN Thomas M, as Executor of the LW&T of Catherine C. O'Brien Liber wTTarleaaeranr rmwtaa . Nana 1, other Unodud Fedws ABee" Gam Price (Spedly Bww4 J. stale uwwweatawwr Pastore IT. awet We dewydon aadeh most aaaurebly, dowAg a the . ow � hales banew m mini - Pty Ilea W of proparq d We Woe of Sala: d. Oanluarep Type b Condolnhlum ❑ One Family Residential 9. Near �"NN"OnaVaantLand ❑ 1f. raw d Maeaamam Galt awe whlob taMrmeWm btlent�') 2014 -17. Tall Aeemmd value 4,700 411. Property Cleo 210 _-it.Bohommotdct Name Southold -". Tu no Ide nIBa(ayRag Identlewp) IB mom Glen Mia, dean sheaw O oddlBalel Ideffiew foo 1000-054-07-005.000 I Cedly Got W area seros of lnbmadon ordered on No fuse are low and named IN go bat of my lawwbdps std b*MQ Ind 1 understand Wd the making of any w IRW elm so mment of lnduld bat ho els subpW me to do M lie making and Mine of ban hammema. AQI 1 wQ�a R CONTACT INFORMATION p;Iparlanmmlmrwebkow. Out Visitor Is LLC,aodam wmtldat m----►Madookoaaaw.eawa wary eatbnle mwddwd apamasarbry,sme rmr erd mraadedareawldanaddeaatweerdee pap aro sen sower peer Ipamg er YanOt ern M ewelad. Type w sold meabJ (r/0'14[1 &Jl-arQ.t.(a= ,OA. F WWII Loaded wthbn an A0110111001111 DMdQ ❑ 'THOMAS M. O'BRIEN as Executor - ,0& Buyer roamed adsdownnaftOdWWM90alePOPOVbInm AptaasdDWMd N , amofman of time conditions soapp0abletatrmsslr. rlw susownas �!^g A. Bob aehamn nemtlms arFam r fldaaem n/a B. Baia bembm l etwd Campania or Paim rs In Blsbleee. ,,. Bas colmml Dam C. One of th Buyer& Is wo a BaWr D. Burro ler Dow is semi u as Agency Or LendOlp InWMI n -,I. Deb W sawrrludw I:d. E. Dead Type not View map or Bargain and Bade (Bpedgr Bsbo) F. sale of Fractional or Los than Pee neared (SPamr Reboot -,t. 0 e. w9rd am dregs in property Sweden TwAft Sfame and Bw Dame Pail Bw Price .00 K Bem at BuWleu to Included In Bum Pea (Fort tele Pike Is ler (dud amours paid rot th Parent Yle WMI pamaeai POPOIV. 1, other Unodud Fedws ABee" Gam Price (Spedly Bww4 This popped may to Iota farm W can. other propos Of goods• TK Ws murnpllen of J. stale mwtpworallow abeptealeJFWgground itled m nwaroutdoWremaunt cemmaN(ryanCondition: Transfer to Trust -Pursuant to RPTA Opinion of Counsel, Trust retains it hdketa the wduo W ponamal 0 00 erty Grantor's tax exemptions in the prop. proparly bdudad In the ode 1f. raw d Maeaamam Galt awe whlob taMrmeWm btlent�') 2014 -17. Tall Aeemmd value 4,700 411. Property Cleo 210 _-it.Bohommotdct Name Southold -". Tu no Ide nIBa(ayRag Identlewp) IB mom Glen Mia, dean sheaw O oddlBalel Ideffiew foo 1000-054-07-005.000 I Cedly Got W area seros of lnbmadon ordered on No fuse are low and named IN go bat of my lawwbdps std b*MQ Ind 1 understand Wd the making of any w IRW elm so mment of lnduld bat ho els subpW me to do M lie making and Mine of ban hammema. AQI 1 wQ�a R CONTACT INFORMATION p;Iparlanmmlmrwebkow. Out Visitor Is LLC,aodam wmtldat m----►Madookoaaaw.eawa wary eatbnle mwddwd apamasarbry,sme rmr erd mraadedareawldanaddeaatweerdee pap aro sen sower peer Ipamg er YanOt ern M ewelad. Type w sold meabJ (r/0'14[1 &Jl-arQ.t.(a= I --hit,# 'THOMAS M. O'BRIEN as Executor pS o- rUSee rlw susownas �!^g rob DAVID F. O'BRIEN, as Co -Trustee Quartararo Jay P. uwlwm mw 631 727-2160 -AMC= •m Ap" mdumanaeawawm 33 West Second Street -rowns tm •eraesneale Riverhead NY 11901 sawaeMOM -woom -woos BMWs ATTORNEY Ouartararo 631 Smoore Jay P. RnaTNNw 727-2180 muolammnemmrmwln