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Home My WebLink AboutL 12844 P 418 11111111111111111111111 111111110 Alli 1110 11111 0111 0111 0111 0111 1111 II 1111111111111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/11/2015 Number of Pages: 4 At: 09 : 36:13 AM Receipt Number : 15-0172781 TRANSFER TAX NUMBER: 15-13593 LIBER: D00012844 PAGE: 418 District: Section: Block: Lot: 1000 026.00 02 .00 022 .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-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 $255 . 00 TRANSFER TAX NUMBER: 15-13593 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ' ' n2 RECORDED 2015 Dec 11 09:36:13 AM JUDITH P. PPSCPLE Number of pages , If i _ CLERK OF "� SUFFOLK COUNTY 1 L 000012844 This document will be Ipublic P 418 record.Please remove all I DT# 15-13593 Social Security Numbers prior to recording. i Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 I FEES Page/Filing Fee 30 Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 6 Sub Total Spec./Assit. Notation EA-52 17(County) ' (�, or Sub Total "Jc' Spec./Add. EA-5217(State) la ) TOT.MTG.TAX �;�; ' Dual Town Dual County R.P.T.S.A. ;'�y� I�'i .k. Held for Appointment _ Comm.of Ed. '5. 00 ''� T Transfer Tax ----c.f.,B Affidavit '�j�,� 1 ''.1 ;ttRA!1 ''.`;' Mansion Tax i„ The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 1 family dwelling only. Sub Total YES or NO Other Grand Total If NO, see appropriate tax clause on page# of this instrument. 4 I Dist. 10001 Section 026.00 _I Block .02.00 I Lot 022.000 5 Community Preservation Fund Real Propert) 15035008 1000 02600 0200 022000 Consideration Amount$ --( )' TaAgex n y Service R PDTTSR l IIIIllll Illll lllllll llllllllll I1I1IIIIII CPF Tax Due $ ��— Verification Y fr 03-DEC-1 Improved R-e-S 6 Satisfac __ ss RECORD&RETURN TO: Vacant Land TD 1 0 Ekta Singh-Bushell&Mark C.Cannings Bushell 'V 1060 Willow Terrace Lane TD Orient,NY 11957 TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 I Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name LandStar Title www.suffolkcountyny.gov/clerk Title# LT58889 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) Ekta Singh-Bushell The premises herein is situated in Mark C.Cannings Bushell SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold The Bushell Family 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. (over) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the day of 0 d0 b.e- 2015 BETWEEN EKTA SINGH-BUSHELL and MARK C. CANNINGS BUSHELL, residing at 1060 Willow Terrace Lane,Orient NY 11957 party of the first part,and EKTA SINGH-BUSHELL and MARK CHRISTOPHER CANNINGS BUSHELL,Trustee of the BUSHELL FAMILY TRUST dated August 18,2011,located at 1060 Willow Terrace Lane,Orient NY 11957 party of the second part, WITNESSETH, that the party of the first part, in consideration of ten dollars 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, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the See"Exhibit A"attached hereto 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 d 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. IN PRESENCE OF: OI ' /✓ MARK CHRISTOPHER CANNINGS BUSHELL iI I A A L ..k _ `'` -mg/ )1/ Hen Hague x Lam— l✓� i EKTA SINGH-BUSHELL Standard N.Y.B.T.U.Form 8004-Quitclaim Deed-Uniform Acknowledgment(single sheet) Form 2216 • TO BE USED ONLY WHEN THE ACKNOWLEDGNIT IS MADE IN NEW YORK STATE State of New York,County of New York ss: State of New York,County of New York ss: On the qday of 0 C QI/ in the year 2015 On the ]qday of Oc.,- er in the year 2015 before m ,the undersigne personally appeared before me,the undersigned,personally appeared EKTA SINGH-BUSHELL MARK CHRISTOPHER CANNINGS BUSHELL 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(s)whose name(s)is satisfactory evidence to be the individual(s)whose name(s)is (are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me t t he/she/they executed the sane in his/her/their me th. els,-/they executed the same in his/her/their capa ity s),land that by his/her/their signature(s) on the capacil,(ie- , -I d that by his/her/their signature(s) on the instru ent,the indi1 ual(s),or the person upon behalf of which instru -nt, ' e I I dividual(s),or the person upon behalf of which the in ividual( acte ,executed the instrument. the indi idual(s) +cted,- ecuted the instrument. (sign e an office of individual taking acknowledgment) (Signa re. d office of individual taking acknowledgment) CINDY YAU CINDY YAU NOTARY PUBLIC-STATE OF NEW YORK NOTARY PUBLIC-STATE OF NEW YORK No. 02YA6211682 No.02YA6211682 Qualified In Westchester County Qualified In Westchester County My Commission Explies November 18,2017 My Commission Expires November 18,2017 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) DISTRICT SECTION BLOCK QUITCLAIM DEED LOT COUNTY OR TOWN Suffolk Title No. STREET ADDRESS 1060 Willow Terrace Lane TO Orient, NY 11957 Recorded at Request of RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS EKTA SINGH-BUSHELL&MARK CC BUSHELL 1060 Willow Terrace Lane Orient, NY 11957 U LL 0 0 re re0 0 U W O W N 7 R O U N S I- W K W rc • .• • • ti! 1 "' ..r • SAID-0021113S • 10-56NY i J / 1 I{{ff ALL that certain plot, piece or parcel of land, with the buildings and improvements,thereon erected, situate, lying and being at Orient, in the Town of Southold, Suffolk County, New York known and designated as part of Lot 3 and part of Lot 4 on a certain map entitled, "Map of Willow Terrace, Section One at • Orient, Town of Southold, Suffolk County, New York' filed in the Suffolk County Clerk's Office on November 28, 1969, as Map No. 5407, said premises being particularly bounded and described,with reference to said map as follows: BEGINNING at a point on the westerly line of Willow Terrace Lane 1,029.89 feet southerly from the intersection formed by the southerly side of King Street with the westerly side of Willow Terrace Lane ; RUNNING THENCE along said westerly line of Willow Terrace Lane South 46 degrees 30 minutes 00 seconds East 100 feet; • RUNNING THENCE through Lot No. 4 South 49 degrees 12 minutes 00 seconds West 154.01 feet, more or less,to the ordinary high water line of Orient Harbor; RUNNING THENCE Northwesterly along said ordinary high water line North 43 degrees 29 minutes 26 seconds West 124.01 feet, more or less, to a point; RUNNING THRICE through Lot No. 3 North-58 degrees 26 minutes 00 seconds East 151.86 feet, more or less, to the westerly line of Willow Terrace Lane and the point or place of BEGINNING. Said premises Is or will be Improved by a 1 or 2 family dwelling. Said premises is and is intended to be the same premises conveyed to record owner(s) in Deed recorded In Liber 12412, Page 681 or the Suffolk County Clerk's Office, State of New York. For Info.Only: Property commonly known as 1060 Mow Terrace Lane,Orient, NY o-1000/S026.00/9fi2.00/t-022.000 •NINN4).1 i • INSTRUCTIONS(RP-5217-PDF-INS):www.orps.stete.ny.us FOR COIiNTY USE ONLY New York State Department of C1SWIS Code A 3.3,isiS i Taxation and Finance C2.Dab Deed Retarded } IA / II / IG- I Office of Real Property Tax Services OW rue3. RP-5217-PDF C3.Book I ,t a S,4,T I C4.Pegs I , , 5 I Real Property Transfer Report(IMO) PROPERTY INFORtt6AT1ON I 1.PruPerly 1060 Willow Terrace Lane Location •nREET NAME. •Sir.Et NOME Southold 11957 •CNY on mem .u..= •OMC4 E Lauver Bushell Family Trust Name •LAs,NMmcammir MOT NAE WTNMFAmPMY RICE Site S.Tax Indicate wham bare Tao Sas we to be sent BDlrhg if other then buyer addrew(el bottom of form) usr NNaacaPANY I INT MAE Address MEET II. HMONNE CM atTOAN STATE ypcowl 4.Indicate the number of Assessment 1 e el Parrais OR ❑Pad of a Parcel (Only If PER of■Parcel)Check ss they apply: Rita parcels taeaw ferrSi me Seal4A.Pleang Bard with Subdivtsian Aulhrlty Exists ❑ S.Deed N OR 0.50 413.Subdaeron Approval was Required for Wender ❑ Property •FRONT FEET •DEIN •OpIFe Sae 4C.Pcd Approved for Subdivision with Nap Provided 0 Singh-Bushell Ekta S.Seder •LASTS 'ONmvar FRSTNME Name Bushell Mark C. Cannings LOOT AAIECOWANY FRIT NNIS 7.Selset the description which most etely describes the Check the hexes below as they apply: use of the property at the time of sale: a.Ownership Type Is Candamithan ❑ A.One Family Residential C.New Consecution on a Vacant Laid ❑ 10A.Properly Located within an Agncylt rel District ❑ 10B.Buyer received a Odours notice ediatng ehet the property is In en Agraseumt OletMMO ❑ (SALE INFORMATION' 10.Check one or mon of thug conditions as applicable to transfer. _ A.Sa.Between Relatives or Farmer Relabvee 11.!tale Contract Ogle B.Sete between Related Computers or Partners n is Business. 2 C.One d the Buyers a also a Sear 12.Date of Salelrmnsfr 10/09/2015 _ D.Buyer or Saler Is Government Agency or Lending netdution _E.Deed Type not Warranty or Bargain and Sats(Specify Below) _ F.Sale of Fractions or Less than Fee Interest(Speedy Beleary 13.Full Sale Prior 0.UU _ G.Sicndlam Change R Property Between Taxable Status and Sale Dates -- _ H.Sale of Business is Included in Sale Price (Ful Sale Price Is the total am0hrd moldier tiro properly ertardng pemenel property. I.Other Unueuel Factors Alfeari0 Sale Pricy(Specify Below) This payment may be n rte Tar cash,h,colterr r property goods, the assunhpun at — 1NoneNe =Neon or other oh00eins.)Pease roma ro the nearest whole dollar mount Comment(s)on Condition: 14.Indicate the value of personal 0.On property Included In the sale I ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bit I 10.Year of Auwmant Rai from which Information tekenfYYl 15 97.TotI As d Velum 15,500 'la Properly Class 210 _ 1e.School DNalctNoma Orient East Marion •20.Tax Nap Nentaer(slRall Identiller(s)(If more than four,attach sheet with eddltonat IdentMr(e)) 1000 026.00 02.00 022.000 `CERTIFICATION I I Certify that ell of etre Items of infommata entered on this form ma we and erred(to the best of my knowledge and belief)and I understand that the making of Noy willful Mae statement of material feet hareln subject me to the modelens ofjhe periu lee,mlatve to ore making end gang of furs Inetnimanle. MELLER a)r.MEgE BUYER CONTACT INFORMATIQ1 (Erle,mimic=net ferns Wye,.Okra 11 MOW,mon eataamo copomen,Pad weds company,euu or 11 J wag cul is rot ml Papel NeemerNe M%done arms one wArlkpammw teen Ily4 ssoonsos I 91 I 1 moo wimp cwt w.Ne,pmmws moan.R.tl.a,e,mal to e,Ne,.a Type or print Ntwly.i Ekta°Singh-Bushell DATE BUYER SIGNATURE Gam+/_ •Wer mum FRET NOW ) ;t11 .—� / H q 1I 1 %ND CODE . •1EIEAIorc MASER p..teaser Ekta Singh=Bushell, trustee DATE •STREET NUMBER -STREET roma ('��, �1 Sp •1 �,il �t ij 1�f'l� �1 •CtrYORTONI •TATE •PCODE di J1i ilk' H�1 i �515 'IJt-�r4 �',{}III BUYER'S ATFORNEY ( h11 1 i,.0.. it ill ij '1st � i, �i f 11;f) III ! !' 116 Yrf',o Lar SatE Fan SAW ' f '' 1 , Li ' '1 l i *ACO B TnFAIrE NxGER IE.FFnwh I` I,1 }+(Ih 1,.. .11 h d } ' i' y] IYti 'I IL ' '1... 1