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Home My WebLink AboutL 12830 P 479 11111111 111111111 IIIII 1111111111 VIII 11111 VIII IIII IIII 11111111111 IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 09/01/2015 Number of Pages: 4 At: 04 :51 : 05 PM Receipt Number : 15-0118467 TRANSFER TAX NUMBER: 15-03166 LIBER: D00012830 PAGE : 479 District: Section: Block: Lot: 1000 117 . 00 03 . 00 006. 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0. 00 Received the Following Fees For Above Instrument 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-564 $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 $255 .00 TRANSFER TAX NUMBER: 15-03166 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County • 1 2j Number of pages 'I / RECORDED 2015 Sep 01 04:51:05 PM JUDITH P. PASCALE This document will be public CLERK OF SUFFOLK COUNTY record.Please remove all L 0000012830 Social Security Numbers P 479 prior to recording. [,T# 15-03166 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee rd ----- -/\ Mortgage Amt. lL 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 S _ Sub Total Notation SpeciAssit. � ,� or EA 52 17(County) 5 Sub Total Spec./Add. EA-5217(State) /05.al- TOT.MTG.TAX „,�= Dual Town Dual County R.P.T.S.A. ,.;a` ;, Held for Appointment Comm,of Ed. 5. 00 ,lb T V, Transfer Tax `, ��i .4 :,:.., Mansion Tax Affidavit � �`' J.- Aertiavitfied Copy - The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 - S / family dwelling only. Sub Total YES or NO Other Grand Total els 5 / If NO, see appropriate tax clause on pa f this instrument. 4 Dist. 100 15021275 1000 11700 0300 006000 5 Community Preservation Fund Real Property RP T SII 01111111111111 ,Con e�attori Am`o}tnt$_,(:___:_/_•., S�✓ Tax Service DHO A I �( Agency 06-AUG-1 CPF Tax Due/$ KJ Verification f-- Cmproved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD /O Munley&Meade PLLC I60 Middle Neck Road ID Great Neck,NY 11021 ID Mail to:Judith A,Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Philip O'Hara Nassau Assoc www.suffolkcountyny.gov/clerk Title# Pohn-2015-172 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) John Koehler The premises herein is situated in Richard Murcott SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Scott Romond.Mary Ellen Eye In the VILLAGE Frederick W.Koehler.Joan Pollina r.,) EA or HAMLET of New Suffolk BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) n •a ' Poildu-oZOfs- f7� CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the 23rd day of June ,2015 BETWEEN JOHN KOEHLER, residing at 22 Lily Drive, S. Setauket, New York 11720, and RICHARD �h MURCOTT,residing at 18 Linden Lane,-East Norwich, NY 11732,as Co-Trustees of the SHARON KOEHLER QUALIFIED PERSONAL RESIDENCE TRUST DATED MAY 26, 1994 (the "APRT"), party of the first part, and SCOTT ROMOND, residing at 600 Wading River Road, Manorville, New York 11949; MARY ELLEN EYE, residing at 2903 Gull Avenue, Medford, NY 11763; FREDERICK W..KOEHLER, III, residing at 600 Fulton Street,#K1, Farmingdale, NY 11735;JOAN POLLINA, residing at 2060 Leeward Drive,Southold, NY 11971; AGNES KOEHLER, residing at 113 Birs Avenue, Lindenhurst, NY 11757; JOHN KOEHLER, residing at 22 Lily.Drive, S. Setauket, New York 11720; ANN KOEHLER, a/k/a ANN WARD, residing at 104 Colonial Drive, East Northport, New York 11731; NORA O'CONNOR, residing at 55 Stratford Road, Plainview, New York 11803;•JEAN CUTRONE,residing at 30 E. Bay Drive,West Islip,New York 11795;JANE RUMPF,residing at 42 Miller Road, Farmingdale, New York 11735; THOMAS KOEHLER, residing at 42 Hunting Hill Drive, Dix 14, - Hills, New York 11746; and JOHN KOEHLER, residing at 22 Lily Drive, S. Setauket, New York 11720, and THOMAS KOEHLER, residing at 42 Hunting Hill Drive, Dix Hills, New York 11746, as Co-Trustees of a Supplemental Needs Trust for the benefit of KATHLEEN KOEHLER under Article Seventh of the Sharon Koehler Qualified Personal Residence Trust dated May 26, 1994,as tenants-in-common,parties of the second part, WITNESSETH,that the party of the first part, pursuant to Articles Sixth and Seventh of the QPRT,and other valuable consideration paid by the party of the second part, does hereby remise, release and quitclaim unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, DISTRICT ALL that certain plot piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at New Suffolk, Town of Southold, County of Suffolk and State of New York, bounded and 1000 described as follows: SECTION BEGINNING at an iron pipe set on the Easterly line of Old Harbor Road at the Southwesterly corner of the 117.00 subject premises,being the Northwesterly corner of land of Flora Mason; BLOCK RUNNING THENCE along said Easterly line of Old Harbor Road, North 28 degrees 15 minutes 20 seconds 03.00 West,203.06 feet to land of Benbow; LOT THENCE along said land of Benbow,South 83 degrees 37 minutes 40 seconds East 101.80 feet to a concrete 006.000 monument; THENCE along other land now or formerly of Benbow&Given,three(3)courses,as follows: 1. SOUTH 83 degrees 32 minutes 00 seconds East,270.68 feet to an iron pipe; 2. NORTH 78 degrees 39 minutes 30 seconds East, 100.00 feet to an iron pipe; 3. SOUTH 71 degrees 26 minutes 30 seconds East 315.00 feet to the ordinary High Water mark of Cutchogue Harbor; THENCE along said High Water Mark, South 18 degrees 58 minutes 10 seconds West, 198.04 feet to land of Whelan; THENCE along said land of Whelan,two(2)courses as follows: 1. NORTH 66 degrees 37 minutes 00 seconds West 325.00 feet to a concrete monument; 2. THENCE South 23 degrees 12 minutes 20 seconds West 64.80 feet to land of Flora Mason; THENCE along said land of Flora Mason, North 77 degrees 44 minutes 30 seconds West, 289.05 feet to the point or place of BEGINNING. SAID PREMISES being also known as and by 575 Old Harbor Road, New Suffolk, New York 11956, and known on the Land and Tax Map of Suffolk County as District 1000,Section 117.00,Block 03.00,Lot 006.000. BEING AND INTENDED TO BE the same premises described in a Deed to JOHN KOEHLER and RICHARD MURCOTT, as Co-Trustees of THE SHARON KOEHLER QUALIFIED PERSONAL RESIDENCE TRUST dated May 26, 1994 and recorded in the Office of the Clerk of the County of Suffolk on June 10,1994 in Liber 11680,Page 682. 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, 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. DISTRICT IN PRESENCE OF: 1000 THE SHARON KOEHLER QUALIFIED SECTION 00, AL RESIDENCE TRUST DATED 117.00 ,1994 BLOCK tra11, 03.00 Bi : • LOT • r K 0E, ERo-Trustee 006.000 B / _'4al R CHARD ''' COTT,Co-Trustee ` TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of-Nessau ss: State of New York,County of N"J ss: 11, On theo7Yday of stn/L. in the year 2015, On the 'q day of /4'fi'/ in the year 2015, before me,the undersigned,personally appeared before me,the undersigned,personally appeared JOHN KOEHLER, RICHARD MURCOTT, personally known to me or proved to me on the .. is of personally known to me or proved to me on the basis of satisfactory evidence to be the individual who - name is satisfactory evidence to be the individual whose name is subscribed to the within instrument and ackn. ,edged to me subscribed to the within instrument and acknowledged to me that he executed the same in his capaci , and that by his that h- -cuted the same in his capacity, and that by his signatur- o the instrument,the individu-,or the person upon signat•re o the instrument,the individual,or the person upon behalf of h the in.jvidual acted,e - te.the ins• me . behalf whi if t ' divid ,acte.., the instrument. l' (sig-"i7'T'.�1+ �Wof individual taking acknowl-dg -nt) (sign Lure and. ce of i .ivid al taking acknowledgment) •TE• ANIE A.HANSON JAMES G.MEADE Ni -Y PUBLIC,State of New York Notary Public,State of New York No.01 HA5107120 / No.02ME4517471 Qualified in Suffolk County /bQualified in New York County my Commission Expires March 22,20'.....eCommission Expires June 30,20 1 0 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)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(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 in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) QUITCLAIM DEED Title No. JOHN KOEHLER and RICHARD MURCOTT, as Co- DISTRICT 1000 Trustees of the SHARON KOEHLER QUALIFIED SECTION 117.00 PERSONAL RESIDENCE TRUST DATED MAY 26, BLOCK 03.00 1994 LOT 006.000 COUNTY OR TOWN SUFFOLK to STREET ADDRESS 575 Old Harbor Road New Suffolk,NY 11956 SCOTT ROMOND,MARY ELLEN EYE,FREDERICK W.KOEHLER,III,JOAN POLLINA,AGNES KOEHLER,JOHN KOEHLER,ANN KOEHLER a/k/a ANN WARD,NORA O'CONNOR,JEAN CUTRONE, RETURN BY MAIL TO: JANE RUMPF,THOMAS KOEHLER and ._ -__ JOHN KOEHLER and THOMAS KOEHLER,as Co-Trustees of a Supplemental Needs Trust JAMES G.MEADE,ESQ. for the benefit of KATHLEEN KOEHLER under MUNLEY&MEADE PLLC Article Seventh of the Sharon Koehler Qualified 160 MIDDLE NECK ROAD Personal Residence Trust dated May 26, 1994 as GREAT NECK,NEW YORK 11021 tenants-in-common . cc • INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us ' FOR COUNTY USE ONLY New York State Department of Cl.S• S cad. I b, if,% I Taxation and Finance •C2.Date Deed Recorded I 9/0// /..5 II///�� Office of Real Property Tax Services Mr no/CS.Book I /,V' k-,3 C4.Page I 1 1 r J /I I RealRP-5217-PDF I Property Transfer Report(8110) PROPERTY INFORMATION I 1.PisP0f1Y 575 Old Harbor Road Location •STREET NUMBER •STREET NAME • New Suffolk 11956 •or,OR Tamm VILLAGE •ZIP COLE E Buyer ROMOND SCOTT Name •,ASTNAREICCMFAn.Y FRF NAVE EYE MARY ELLEN' • WTNAIEnwIOANY rami NAI* 3.Tex Indulge whore future ya.Ens wow besent Tack Development Company Blmng if other than buyer addreaa(al bottom of form) WT NAaEICa1PNer FRET NATE Address 108 Allen Boulevard Farmingdale NY 11735 STREET NUMBER NM WE Cain oe MAN • ten CME 4.Indicate the number of Assessment 1 a of Per CR El Part d a Parcel (Only if Part ora Parcel)Check as they apply: Rolf parcels transferred on thedead et M.Planning Board with Subotvieton Authority Exists ❑ 6.Deed X OR 2.8 0 4B.Subdivision Approval was Reqdred for Transfer ❑ Property •FROM FEET •DEPTH 'ACRES Sim 4C.Parcel A fa Subdivision with M Provided nn • the Sha on Koehler Qualified Persoir�l KOEHLER JOHN, as Co-Trustee of /Residence Trust dated e.Seller •WT MAMCX.DYRANT Neer MARE 5/26/1994 Nemo MURCOTT RICHARD, as Co-Trustee LAST W WEAAMPIWY FRIT NYE Check the boxes below em they apply: 'T.Select the description which most accurately describes the use of the property at the time of sale: I.Ownerellip Type is Condominium 0 n,One Family Residential a.New Construction one Vacant Lend ❑ IDA.Properly Located within an Agneullurel District 0 10B.Buyer received a disclosure notice indicating that the property is in an ❑ • Agricultural District SALE INFORMATION' 16.Check one or more Warne conditions as applicable to transfer. A Sale Between Behaves or Former Relatives 11.Sale Contract Date N/A _ B.Sale between Related Companies or Penner,in Busmen. C.One of the Buyers is also■Sher •12.Date of SakdTramfer 06/23/2015 — D.Buyer or Seller is Government Agency or Lending InstitutionE E.Deed Type not Werraidy or Bargain and Sele(Spedry Below) _ F Sate of Fractional or Leu than Fee Interest(Specify Below) 93.Full Sale Price 0.00 _G.Significant Change in Properly Between Taxable Status and Sale Dams _ II.Sam d Business la IndPrice Included in Sale Pri (Full Sale Price is the fetid amount paid for the properly including personal property. I.Other Unusual Factors Affecting Sale PAW(Specify Below) This payment may be in the found cash.other property or goods.or the aesunpion of — y No1e mortgages Or other obligations I Ream roved to the nearest whole doter mount — 'Comment(s)on Condition: 14.Indicate the value of personald property included In the sale .00 FIDUCIARY DEED IASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I 15.Yeer of Assessment Roll from which information taken(YY) 14 •11.Total Assessed Value 26,400 'IS.Prepare/Class 210 _ 1 •19.School District Nemo 429 - New Suffolk School -20.Tax Map IdentifleQsyRoll!deadlier(*)Of more than four,attach sheet with additional Identiaet(s)) Dist 1000, Sec 117.00, Block 03.00, Lot 006.000 I CERTIFICATION I I Certify that all of the Items of Information entered on this form its true and correct(to tho hest of my knowledge end belief)and I understand that the making of any willful false statement i mstenlal fact herein subject in.to thegmy)alpne of the canal law relative to the making and Sling of false Instnu ants. LEl3$IGIIIAIUBE BUYER CONTACT INFORMATION SHARON K!IIII E' ' rIaarnaeon mor tee buyer.Nate II buyer a U.C,aeoey,aeraoaon,rapaaaon,pal OM rampart,NUM or AIN I� entity DW a notnenewWM•gestorfduciary.men•name end comaa:sonnationaneonaa espowbw BY r'rnI �4 SII 6/23/ S""Wotan answer gwbls owning the bender RMa be entered.Teen or pore steady.) vara: '"" ' CHA'I M '. iTT, o•" ustee ROMOND SCOTT BUYER SIGNAiuRE •WT FRE FIRST NPaF Ade– t// i'/Ti (631) 699-9720 ( •MFA COQ 699-9720 NUMBER TO,Saaal SCOTT ROMOND wTF 600 Wading River Road •STREET PA:MBCR •STREET NAME ) Soil + I + n„ g I Manorville NY 11949 �' '1 'CATTOSIOMI •en CDD RATE afl1 ' I.S 1'''l'il.t 'I,01:, �'� 1�� 111}+� /, BUYER'S ATTORNEY �I '.tiPlij btli•F fill 51Iil, ��Lii�, 5 i:itll /l'' Ile �II Meade James C. I' 4i 1��'��Sf i�r} 7 �{I I }i i� r WTWWC JRSm es 1r I ` '+I', �, '� 11�',l ' i 1` rth�k � ,T I' If'i,+ 1(�' / R''fl'1,1'14r,'1.,;.1,L } { i '1 11' 4 (516) 987-6500 —— ( 'l Pi fY +,, ` ( j�'�,I`t�I 0,a,, AREA CODE 7ElxPMONF WIRIER TE.aaSRh • • 4 • 4Additional Buyers: Dickti aim KOEHLER, FREDERICK W., III `\ -`• POLLINA, JOAN paqe - "n G� KOEHLER, AGNES KOEHLER, JOHN KOEHLER, ANN alkla WARD,ANN O'CONNOR, NORA CUTRONE, JEAN RUMPF, JANE KOEHLER, THOMAS KOEHLER, JOHN, as Co-Trustee of a Supplemental Needs Trust for the benefit of KATHLEEN KOEHLER KOEHLER, THOMAS, as Co-Trustee of a Supplemental Needs Trust for the benefit of KATHLEEN KOEHLER SELLER'S SIGNATURE: THE SHARON KOEHLER QUALIFIED PER` tNAL - SIDENCE TRUST DATED 5126194 r By: � 1i I 1 , ,1 I' 6 23 15 -ICHARD . • , Co-Truste- Date BUYERS SIGNATURE: SCOTT ROMOND Date