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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 01/21/2016
Number of Pages: 4 At: 12 : 16:14 PM
Receipt Number : 16-0009635
TRANSFER TAX NUMBER: 15-17414 LIBER: D00012849
PAGE: 486
District: Section: Block: Lot:
1000 015.00 09. 00 001.027
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 $200 .00 NO
Transfer tax $0.00 NO Comm.Pres $0 .00 NO
Fees Paid $395 .00
TRANSFER TAX NUMBER: 15-17414
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
•
__LE
LI RECORDED
Number of pages 2016 Jan 21 12:16:14 PM
JUDITH R. PRSCRLE
CLERK OF
This document will be public SUFFOLK L D0r7012E128494
4y
record. Please remove all P ata
Social Security Numbers DT# 15-17414
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage:Tax Stamp l Recording/Filing Stamps
. 3 1 FEES
Page/Filing Fee '7j2_ I Mortgage Amt.
Handling 20, 00' 1. Basic Tax
2. Additional Tax
TP-584 Sub Total
Notation Spec/Assit.
or
EA-52 17(County) �,�/ Sub Total �� Spec./Add.
EA-5217(State) /�/J_ TOT.MTG.TAX _�
R.P.T.S.A. h,/ " \r% Dual Town Dual County__
" 1�', Held for Appointment
Comm.of Ed. S. 00 I;I r 2 7.. g Transfer Tax
Affidavit
$.. -%_:„,..„ . .y r , � 1 '� Mansion Tax
Certified Copy = The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 / Y ; family dwelling only.
Sub Total YES or NO
Other /J
Grand Total "/Q < If NO,see appropriate tax clause on
page# of thiis yhs /mint.
4 I Di00 160012697 ( // 3
100001500 0900 001027 _ 5 Community Preservation Fund
IIID■+1 I111III IIHhIII IIIIIIIII
Consideration Amount$ _-0—
Taxal SServicey
Rcm A
Agency 14-JAN-1616 CPF Tax Due $ a
Verification
Satisfactions/Discharges/Releases List Property Owners Mailing Address -,-:-:--7' Improved
•
6
RECORD&RETURN TO: (� I Vacant Land
FOSTER, VANDENBURGH & RIYAZ, LLP TD LO
4 Montauk Highway TD
Westhampton, NY 11977
TD
Mail to:Judith A. Pascale, Suffolk County Clerk 7 1 Title Company Information
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/clerk Co.Name bS emu' d?.C4/1Opla
Title# IA 6) %o(s_ niN
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached D E ED
(SPECIFY TYPE OF INSTRUMENT) made by:
LANCE H. BENSON CONSTRUCTION CO.INC.
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
LANCE H. BENSON and
In the VILLAGE
DEBORAH BENSON or HAMLET of Orient
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
12-0104_IO/081dk
(over)
BARGAIN AND SALE DEED WITH COVENANT AGAINST G • ►TOR'S
ACTS (INDIVIDUAL OR CORPORATION) 40 20(f or73
FORM 8002 (short version), FORM 8007 (long version)
CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND
PURCHASER BEFORE SIGNING.
THIS INDENTURE, made the 34 day of roy , 2015,
BETWEEN
LANCE H.BENSON CONSTRUCTION CO.,INC.,of 790 Lands End Road,
Orient,New York 11957-1502,
party of the first part, and
LANCE H.BENSON and DEBORAH BENSON,of 790 Lands End Road,
Orient,New York 11957-1502,
party of the second part;
WITNESSETH, that the party of the first part, in consideration of Ten Dollars and No Cents($10.00)
and other valuable 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 in the at Orient, Town of Southold, County of Suffolk and State of New York,
more particularly described in Schedule A attached hereto.
SEE SCHEDULE"A" ANNEXED HERETO AND MADE A PART HEREOF.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by Deed,
dated February 24, 1995, and recorded in the Office of the Clerk of Suffolk County on March7, 1995, in
Liber 11717, Page 389.
PREMISES KNOWN AS: 790 LANDS END ROAD,ORIENT,NY 11957;
•
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,
I S t-`. {000
Section: 015.00
Block: 09.00
Lot: 001.027
NYSBA's Residential Real Estate Forms(9/00) 0 2014 Matthew Bender&Co.,a member of the LexisNexis Group.
SCHEDULE "A"
ALL that certain plot, piece or parcel of land with the buildings and improvements thereon erected, situate,
lying and being in the Town of Southold, County of Suffolk and State of New
York, known and designated as and by Lot No . 27 , on a certain map
entitled, "Map of Land's End at Orient Point" , and filed in the
Suffolk County Clerk's Office on May 3, 1973 as Map No. 5909, said
lot being more bounded and described as follows:
i
BEGINNING at a point on the easterly side of Lands End Road along an
arc of a curve which curve connects the easterly side of Lands End
Road with the northerly side of Lands End Road;
RUNNING THENCE along the easterly side of Lands End Road, north 1
degree 02' , 20" East 173 .82 feet to a point;
RUNNING THENCE South 88 degrees, 57 ' , 40" East 200 . 00 feet to a
point;
RUNNING THENCE South 1 degree, 02 ' , 20" West 203 . 82 feet to a point
on the northerly side of Lands End Road;
RUNNING THENCE along the northerly side of Lands End Road the
following two courses and distances :
1 ) North. 88 degrees , 57 ' , 40" West 170. 00 feet;
2 ) along an arc of a curve bearing to the right having a radius of
30 feet and a length of 47 . 12 . (per filed map) to the point or
place of BEGINNING.
"This Document is
accommodation on/ being recorded as
title examination Y without the benefit on
�'for C°r!'
respousibiii ee assump6400 of
• �eSS or Ya1jdj,>,
•
NYSBA's Residential Real Estate Forms(9/00) e;2014 Matthew Bender&Co.,a member of the LexisNexis Group.
-3-
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 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:
LANCE H. BENSON CONSTRUCTION CO., INC.
1-1
LANCE H. BENSON AU()u riz.eca S'c ow-9
Acknowledgment by a Person Within New York State(RPL§309-a)
STATE OF NEW YORK )
COUNTY OF SUFFOLK ) ss..
On the 'j? day of 40yStAtill the year 2015, before me, the undersigned, personally
appeared LANCE H. BENSON, 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.
(signature and office of individual taking acknowledgment)
FREDERIC C.FOSTER
Notary Public,State of New York
No.02F04811507-Suffolk County
Commission Expires Jan. 14,204
NYSBA's Residential Real Estate Forms(9/00) OD 2014 Matthew Bender&Co.,a member of the LexisNexis Group.
-2-
INSTRUCTIONS(RP5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLYu New York Stab d
Department
Cf.$VMS Code I y c] i 91 91 Taxation and Finance
C2.Dab Deed Recorded I O 1/OC�}7S �// � Office of Real Properly Tax Services
"' RP-5217-PDF
C3.Book I /lag ,q
7,C4.Page I 1 1 0,, I Real Property Transfer Report 01/10)
PROPERTY INFORMATION I
1.Property 790 Lands End Road
Location
•STREET MAGER •STREET NAME
Southold Orient 11957
•CRT OR WATT VILLAGE
•apeoDE
=•Born BENSON LANCE H.
Name
•WT MIYnCmWNIY FRIT YAMS
BENSON DEBORAH
cAsT NNASCOmPariv F.ReT NAME
3.Tax Indicate where Future Tah Bae are to be sent
Imam
Address a other than buyer add&eu(at bat=at form) nAST macaw., FART NAM
STREET RIMIER AM NNE COM OR Tem STATE se EOM
4.Indkate the number of Assessment 1 a a/ParoNs OR ❑Pan of a Parol Pity if Part of■Pascal)Check as they apply:
Roll parcels tnthenshrred on deed 4A.Planning Board with Subdiwnloa Authority Exists I]
a Deed 40 X 100 OR 0.00 4B.Subdivision Approval was Required to Transfer 0
Property •FTtorn FEET •DEPTH - •AMES
She 4C.Parcel Approved for Subdivision with Nap Provided 0
BENSON CONSTRUCTION CO., LANCE H.
S.Setter •LAM MATIFJGOrPANY
Name FIRSTNNIE
INC.
LAST NASECO1PANY NM NAM
'7.Select the description which most accurately describes the Check the Degas balm is they apply:
use tithe property at the tine of gale: a.Ownership Type Is Condominium ❑
A.One Family Residential 9.New Construction on a Vacant Laid El
10A.Properly Located within an Agri:Lroud Disticl ❑
108.Buyer received a disclosure notes Indicating that the properly is in an
Agnodtuml Creel ❑
ISALE INFORMATION I fa Check are or more or these condition as epplkekle to transfer:
J A.Sale Between Ratlines or Former Relatives
11.Seth Contract Date 11/03/2015 B Sala between Related Companies or Partners in Business.
C.One of the Buyers Is also a Salver
•1Z.Doh of aslsfrrem /3/IS D.Buyer or Seller is Government Agency or Lending InatRbfion
E Deed Type not Warranty or Baryein and Side(Spedy Below)
F.Select Fractional or Less than Fee Interest(Spsaily Below)
M3.Fun Sale Price 0.00 G.Significant Change in Property Between Taxable Status and Sale Dates
H.Sale d Business ie Included in Sale Prim
(Full Sale Price is the tool organum paid for the property Inducing personal properly. I.Other Unusual Factors ABeding Side Price(Sporty Below)
The payment may be In the form of sash.other properly or goods.or the assumption of J.None
mortgages or oowr okflgaeans.)Abase round to the newest what*dower amount.
Commends!on Condition:
se.Indicate the value of pentane!
property included in the eels 0.00
IASSESSMENT INFORMATION-Data she reflect the latest Final Assessment Roll and Tax Bill I
15.Year of Assessment Roll from which matlon bkantYY! _lf— 17.Total Assessed value
986
Is.Property Class 210 _ '10.School District Name Oyster Ponds School
10.Tax Nap Identilar(syRoll IdprMertel(If more then four,attach sheet With additions!idemlilsdsl)
1000 015.00. 09.00 001.027
I CERTIFICATION I
I Certify that es of the Iter of Information entered on this form are true end correct(to the best of my knowledge and belbl)and I underetend that the making of any wend
false statement of material fact herein subject ins to the,smhdatlms dthlas1el law relative to the making and filing of false Instnanents.
�(�//•+,,� ///� $ELLER SIGNATURE BUYER CONTACT INFORMATION
V -`� e/
farmoresovre fors Myer NEe.IT buyer, ern a mine
oleo ntn1.rapwwbn.tmu MEd mepse.awe a
r@MyefV em a nor en iRbaaal ages or fiduciary.awn a eine sow COMM eeenaacn el an dearly.) MYRerporniele
�/ 3 s poly mho cmme mem rima owing aw wa4rmue be entered.Type am wee chary.)
MLLE.IMMATURE IE 1
BUYER BENSON LANCE H. & DEBORAH
D ///J `q •WT NNE FIRST NNE
oi2la_.11 A4 1244 Airs? // a//3 •NEwcmE .11.1.11.101.6 IMAM a+w see)
BUYER aeNATUve W E
790 Lands End Road
•[GREET TAMER •STREET NAME
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oBUYER'S ATTORNEY EY
MIT RAM
NY
11957
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