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Home My WebLink AboutL 12819 P 836SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 06/09/2015 Number of Pages: 4 At: 04:07:23 PM Receipt Number : 15-0076613 TRANSFER TAX NUMBER: 14-27522 LIBER: D00012819 PAGE: 83& District: Section: Block: Lot: 1000 006.00 05.00 013.002 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Fallowing 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 $5.00 NO RPT $60.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $260.00 TRANSFER TAX NUMBER: 14-27522 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Ilk Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. Deed / Mortgage Instrument Deed / Mortgage Tax Stamp 3 I FEES Page / Filing Fee Handling 20, 00 TP-584— Notation EA -52 17 (County) Sub Total EA -5217 (State) Z R.P.T.S.A. Comm, of Ed. 5. 00" Affidavit + 4 a � erfified:Co NYS Surcharge 15. 00 Sub Total 2l Other Grand Total —c 4 1 Dist. 10 15014530 1000 I oo11600 I oEiool 1013002 Real xServiProperty Tax Service R DHO A Agency 05 -JUN -15 11I�III�iI��l�ll�l�ll�l��lllll�l�lllll�lll��lll� Verification 6 es/Releases List Property Owners Mailing Address RECORD & RETURN TO: STEPHEN L. HAM, III, ESQ. MATTHEWS & HAM 38 NUGENT STREET SOUTHAMPTON, NY 11968 I RECORDED D01 Jun 0`3 2;4:07:3 Pt -1 i IJ,' i TH R. PPSCRLE CLERK 0F SUFFOLK D000126113 P I. -T4 14-27522 Recording / Filing Stamps 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 Transfer Tax 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 instrumen 0(Z) :1:� a Community Preservation Fund deration Amount $ CPF T Due $ Improved Vacant Land TD 10 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information •'310 Center Drive, Riverhead, NY 11901 Co.Name ChICU40 Tifle— www.suffolkcountyny.gov/clerk www.suffolkcountyny.gov/clerk Title# i tk 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED by: (SPECIFY TYPE OF INSTRUMENT) BENJAMIN H. GRAY The premises herein is situated in SUFFOLK COUNTY, NEW YORK. made TO In the TOWN of SOUTHOLD BENJAMIN H. GRAY, TRUSTEE OF THE In the VILLAGE BENJAMIN H. GRAY LIVING TRUST 10/14/11 or HAMLET of FISHERS ISLAND BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over 2003119-4k-) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 10 day of May, two thousand fifteen, BETWEEN BENJAMIN H. GRAY, 2308 Sterling Place, Wilmington, North Carolina 28403, party of the first part, and BENJAMIN H. GRAY, Trustee of The Benjamin H. Gray Living Trust dated October 14, 2011, 2308 Sterling Place, Wilmington, North Carolina 28403, party of the second part, WITNESSETH, that the party of the first part, without consideration 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 improvements 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 set forth on Schedule A hereto. BEING AND INTENDED TO BE the same premises an undivided one-fourth interest in which was conveyed to the party of the first part by deed, dated December 28, 1976 and recorded in the Office of the Suffolk County Clerk on December 30, 1976 in Liber 8167 page 172, an undivided one-fourth interest in which was conveyed to the party of the first part by deed, dated December 3, 1994 and recorded in the Office of the Suffolk County Clerk on December 30, 1994 in Liber 11708 page 737, and an undivided one-half interest in which was conveyed to the party of the first part by deed, dated May 12 , 2015 intended to be recorded in the Office of the Suffolk•.County Clerk immediately prior to the recording of this deed. 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 forthis 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: Benj in H. Gray Standard N.Y.S.T.U. Form 8002 - Bargain and Sale Deed, with Covenant against Grantors Ads — Uniform Acknowledgment TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of ss.: State of New York, County of ss.: On the day of in the year before me, the On the day of in the year undersigned, personally appeared before me, the undersigned, personally appeared personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is satisfactory evidence to be the individual(s) whose name(s) is subscribed to the within instrument and acknowledged to me that (are) subscribed to the within instrument and acknowledged to me she executed the same in her capacity, and that by her signature that helshe/they executed the same in his/her/their capacity(ies), on the instrument, the individual, or the person upon behalf of and that by his/her/their signature(s) on the instrument, the which the individual acted, executed the instrument. 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 State of North Carolina; County of /If Cu KOiVvc` ss.: On the )� day of May in the year 2015 before me, the undersigned, personally appeared Benjamin H. Gray personally known tome or proved tome 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(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument, and that such individual made such appearance before the undersigned in the (J I lm—t.(-fa ". in the State of North Carolina (insert the City or other political subdivision) (insert the State or r th p the acknowledgment was taken) (signature and offi of individual taking acknowledgment) My Commission Expires On: BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS Title No. DISTRICT 1000 ��. L SECTION 006.00 BLOCK 05.00 BENJAMIN H. GRAY TO BENJAMIN H. GRAY, TRUSTEE OF THE BENJAMIN H. GRAY LIVING TRUST STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by LOT 013.002 - COUNTY OR TOWN Suffolk - Southold STREET ADDRESS (no #) Sappho Road Fishers Island, NY 06390 RETURN BY MAIL TO: RESERVE THIS SPACE FOR USE OF RECORDING OFFICE SCHEDULE A To Deed Party of the First Part: Benjamin H. Gray Party of the Second Part: Benjamin H. Gray, Trustee of The Benjamin H. Gray Living Trust dated October 14, 2011 Deed Dated: May f R 2015 ALL that certain plot, piece or parcel of land situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, more particularly bounded and described as follows: BEGINNING at a monument set at the intersection of the southerly line of the former Cottage Place with the northerly line of Sappho Road, said monument being 4191.59 feet North of a point which is 2315.62 feet West of another monument marking the United States Coast and Geodetic Survey Triangulation Station "PROS"; and RUNNING THENCE North 56 degrees 25 minutes 00 seconds West 110.81 feet to a monument; THENCE North 20 degrees 41 minutes 20 seconds East 51.29 feet to a point; THENCE North 24 degrees 16 minutes 00 seconds East 283.83 feet to a point; THENCE South 56 degrees 50 minutes 30 seconds East 266.90 feet to a point; THENCE South 20 degrees 15 minutes 30 seconds East 113.94 feet to a point on the northerly line of Mansion House Drive; THENCE along said northerly line of Mansion House Drive and the northerly line of Sappho Road South 60 degrees 49 minutes 34 seconds West 241.16 feet to a monument; THENCE still along the northerly line of Sappho Road South 57 degrees 06 minutes 20 seconds West 54.52 feet to the monument at the point of BEGINNING. INSTRUCTIONS(RP5217-PDF-INS)' www.orps.state.ny.us OR COUNTY USE ONLY ' `- New York State Department of C1.SIIIFLCode i ` , 3,,a,$,q I Taxation and Finance Cs. Date Dead Recorded I l7/ 09 _ [� Office or Real Property Tax Services RP- 5217 -PDF 03. Book 1 1, �L, Q J, L9 I C4. Pa9• f Real Property Transfer Report (8h0) PROPERTY INFORMATION 1. Plopa:q' (no #) SAPPHO ROAD Location Check the box= balm as they appy: - .-. — um of the property atthe Sms of min: '9TR[E: MIYBCR -BTmiET NIUY A. One ramily RCsideul ial TOWN OF SOUTHOLD FISHERS ISLAND 06390 _:T'Cs -cFm Y 11 -M-Wes 2. Buyer Name GRAY BENJAMIN H . , AS TRUSTEE — • U6T 116Yn001PJtre ren NWE SALE INFORMATION LMT RAKE W rNS7 NI K -• - 7. Tax Indicate wham future Tax Bills am to be sem Billing if Aller than buyer addresNat bottom of IomT) -W WVFXC iiia NY F•mT vwF Address STRFFT YII RMpNAYE G, op 10— ark -E Ta CODE 4. Indican the number of Assessment 1 ! 1 Pan IN a Parent (Only d Part of a Farces) Check as they appy: Roil parcels transferred on the deed # of Parcels OR aA. Planning Bond with Subdivision AualorilY Exists El S. Doed x OR 1.59 — 41L Subdivision Approval was Required nor Transfer Property •FROM: FEET •Ix Fla .—A Sim 4C. Panes Approved for Subdivision with Map Provided ❑ GRAY BENJAMIN H. S. Solley •.esT IurEXOYF4.• .. ens: ..ME Name lira: naYeCCYPINY -- FaST—E '7. Salad ms description which most accurately describes the Check the box= balm as they appy: um of the property atthe Sms of min: S. Ownership Type is Condominium ❑ A. One ramily RCsideul ial e. New Construction an a Vacant Land ❑ 111A. Property Looted within an Agricultural Dis:nd rl 100. Buyer recurved a disclosure notice indicating that the property Is in an r Agricultural Olstnct LJ SALE INFORMATION 15. Check one or mon of those corldldoos as applicable to transfer: A. Sale Between RefoUm or Fomite Relatives 11. Sala Contract Dab 05/05/2015 B. Sale between Related Companies or Partners in Business. C. One of the Buyers is also a Seller ' 05/ /2015 0. Buyer or Sailer is Government Agency or Lending Institution 12. Dab of SelafTremifer E. Deed Type not Warminly at Bargain and Side (Specify Below) F Sale of Fractions! or Less than Fee Inlorees (Specify BdmY) '13. Full Bob price 0.00 G. Significant Change in Properly Between Taxable Status and Sale Drees H Sale of Warrants Included in Sale Prioa ( Full Sale Pnca is the fetal amours pad fa the property including personal properly. I. Omer Unusual FOGon Affecting Sale Price (Specify, Below) Tits payment may be in me film of man. other property or goods• or the assumption of J None mortgages or other obligations.) Please round to the marine wbela doyen' amount 'Commangs) on Condition: 14. Indicate the value of personal 0 TRANSFER TO REVOCABLE LIVING TRUST - property Included lothesale .00 No CONSIDERATION ASSESSMENT INFORMATION - Data should refflect the latest Final Assessment Roll and Tax Bill tis. Year of Ammem est Rall from which Information talwn(W) 14 117. Total Assessed Value 81900 'IS. Properly Clam 210 _ '1e. School District Name '20. T= Map IdentilthmsNRW k amlf er(s) (if more than four, a1Nch sheat with add0lonal WemMar(s)) 1000-006.00-05.00-013.002 FISHERS ISLAND CERTIFICATION 1 Certify that all of the Items of irdmanetlon entered on this form are bug and correct Ito the but of my knowledge and bells0 and I undamtmd that the making of may edldui blas ointment of matedal feet herein subject me to the grOyltlOna epee gravel Iew,retaers to the making and filing of false Instmmmab. SELLER ER SIGNATURE BUYER CONTAQT lNFORMATION 1=T.a: l '6m:px ni rpr t a 6urer. Nab: R dyer 1. U.C.—Ity .—Cir-. tarp—her, lorr Feld: cpnpYw. 66Ra or i6 mImkw1Y1tlL616a6m Or ndlrJirY. mY16 mime 611a mmY]lrT.orpriIN6nrty.) e6DGnYW SO �S pYFJ mw unemwsrgw.tww niasm,roc ew tr.ww nuns.masa Tyw>PdmcWry.l LLER SICNTunFWe GRAY BENJAMIN H. BUYER SIGNATURE — /% / • IJw: wwE rWST NN1C 300-9553 —L -W= '"EILRgY n-JYEC4IG YIWFWI euvF.R Sr.Nuy�L MT -n 2308 STERLING P:ACE -STaEETN,umap 'STREE"x.w: WILMINGTON •01\ OR TOWN BU.Y.ER:S.ATTORNE.Y. NC 28403 •6T11TE -w OODE HAM STEPHEN L., III .J ST MVC PROT NNIS (631) 283-2400 .EA COM TD.Ca1lONC r6J.w6N1E,