The URL can be used to link to this page

Home My WebLink AboutL 12851 P 182 • 11111111111111111 lIffi IIII 111111111111111 lUll IIII IIII l 11111111 111111110111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 02/03/2016 Number of Pages: 3 At: 09:26:49 AM Receipt Number : 16-0016393 TRANSFER TAX NUMBER: 15-18681 LIBER: D00012851 PAGE : 182 District: Section: Block: Lot: 1000 079 . 00 08 .00 011 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 .00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15 . 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 $390.00 TRANSFER TAX NUMBER: 15-18681 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL • JUDITH A. PASCALE County Clerk, Suffolk County 1 2 Number of pages '3 RECORDED 2016 Feb 03 09:26:49 AN This document will be public nUiy1T A. PRSC:aLE CLERK OF record.Please remove all 51.1FFi7LK COUNTY Social Security Numbers L D0001-7.851 prior to recording. 102 OT# 15-18G81 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee /� 'y Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 6 Sub Total Notation Spec./Assit. or EA-52 17(County) `) Sub Total q c Spec./Add. EA-5217(State) J, S TOT.MTG.TAX R.P.T.S.A, _114)-1 .., (. )i Dual Town Dual County — ;;'' /f'`: Held for Appointment Comm.of Ed. 5. 00 ,`'4+ T Transfer Tax -0 -;t11, t Mansion Tax Affidavit ` Certified Co The property covered by this mortgage is py or will be improved by a one or two NYS Surcharge 15. 00family dwelling only. Sub Total y YES or NO Other Grand Total 39 0 - If NO, see appropriate tax clause on page# of this instrument. 3(17 /H.C4-/C jDist, 100 160025141000 07900 0800 011000 )0 5 Community Preservation Fund's Real Property PTS ft111�III II11111111III�II Consideration Amount$ XJ Tax Service R DHO A Agency g y 27-JAN-16 CP ax Due $ 10 Verification Improved 6 'Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD /0 Nancy Burner&Associates,P.C. 12 Research Way TD East Setauket,NY 11733 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 Quitclaim Deed made by: (SPECIFY TYPE OF INSTRUMENT) Robert E.Boergesson The premises herein is situated in Johanna J.BoergessonSUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Robert E.Boergesson Irrevocable Trust In the VILLAGE Johanna J.Boergesson Irrevocable Trust or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) Quitclaim Deed-Individual or Corporation(single sheet) THIS INDENTURE,made the /Z day of / (,t,two thousand fifteen BETWEEN ROBERT E.BOERGESSON and JOHANNA J.BOERGESSON 670 Seawood Drive,Southold,New York 11971 party of the first part,and CHERYLE L.AMARA,JUDI A.FOUCHET and WILLIAM P.BOERGESSON,AS TRUSTEES OF THE ROBERT E.BOERGESSON IRREVOCABLE TRUST, as to his undivided one-half(1/2)interest 670 Seawood Drive,Southold,New York 11971 and CHERYLE L.AMARA,JUDI A.FOUCHET and -- .. WILLIAM P.BOERGESSON,AS TRUSTEES OF THE JOHANNA J.BOERGESSON IRREVOCABLE TRUST, as to her undivided one-half(1/2)interest • 670 Seawood Drive,Southold,New York 11971 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 party,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 real property,with the buildings and improvements therein contained,situate,lying and being at Bayview,near Southold in the Town of Southold,County of Suffolk,State of New York,known and designated as Lot 10 on a certain map entitled"Map of Seawood Acres,Section One,situate at Bayview,Town of Southold,Suffolk County,N.Y."surveyed January 19,1956 by Otto W.VanTuyl&Son,Licensed Land Surveyor,Greenport,N.Y.,"and filed in the Office of the Clerk of the County of Suffolk on June 26,1956 as Map No.2575. BEING AND INTENDED to be the same premises conveyed to the party of the first part by deed dated April 21,1961 and recorded in the Suffolk County Clerk's office on April 28,1961 in Liber 4979 at Page 323. SAID PREMISES being known as and by the street address: 670 Seawood Drive,Southold,New York 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 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. l ROBERT E.BOE ESSON J ANNA J. ERGESSON STATE OF NEW YORK,COUNTY OF SUFFOLK SS.: STATE OF NEW YORK,COUNTY OF SS.: On the a day of NQveMk r ,2015,before me,the On the day of , 2015,before me,the undersigned, undersigned, personally appeared ROBERT E. BOERGESSON and personally appeared ,personally known JOHANNA J.BOERGESSON,personally known to me or proved to to me or proved to me on the basis of satisfactory evidence to me on the basis of satisfactory evidence to be the individual(s)whose be the individual(s)whose name(s)is(are)subscribed to the name(s) is (are) subscribed to the within instrument and within instrument and acknowledged to me that he/she/they acknowledged to me that he/she/they executed the same in executed the same in his/her/their capacity(ies), and that by his/her/their capacity(ies),and that by his/her/their signature(s)on the his/her/their signature(s)on the instrument,the individual(s), instrument,the individual(s),or the person upon behalf of which the or the person upon behalf of which the individual(s)acted, individual(s)acted,executed the instrument. executed the instrument. Notary Public Notary Public DRRTNI ANN SUWVAN Notary Public,State of New Yolk No.011.1116275314 Qualified in Suffolk Countyi Commission Expires Jan.28, CJ��} ACKNOWLEDGMENT TAKEN OUTSIDE NEW YORK STATE STATE OF NEW YORK,COUNTY OF SS.: STATE OF ,COUNTY OF SS.: (or insert District of Columbia,Territory,Possession or Foreign Country) On the day of 2015,before me personally came to me known,who being by me duly sworn,did depose and say that On the day of 2015,before me,the he resides at No. ;that he is the of the undersigned personally appeared corporation described in and which executed the foregoing personally known to me or proved to me on the basis of instrument;that he knows the seal of said corporation;that the seal satisfactory evidence to be the individual whose name is affixed to said instrument is such corporate seal;that it was so affixed subscribed to the within instrument and acknowledged to me by order of the board of directors of said corporation, and that he that she executed the same in her capacity, that by her signed his name thereto by like order. signature on the instrument,the individual or the person upon behalf of which the individual acted,executed the instrument, and that such individual makes such appearance before the undersigned in the (add the city or political subdivision and the state or country or other place of Notary Public the acknowledgment was taken) Notary Public QUITCLAIM DEED ROBERT E.BOERGESSON and JOHANNA J.BOERGESSON TO SECTION 079.00 CHERYLE L.AMARA,JUDI A.FOUCHET and WILLIAM P.BOERGESSON,AS TRUSTEES OF THE BLOCK 08.00 ROBERT E.BOERGESSON IRREVOCABLE TRUST, as to his undivided one-half(1/2)interest LOT 011.000 and CHERYLE L.AMARA,JUDI A.FOUCHET and COUNTY OK TOWN SUFFOLK WILLIAM P.BOERGESSON,AS TRUSTEES OF THE JOHANNA J.BOERGESSON IRREVOCABLE TRUST, as to her undivided one-half(1/2)interest RETURN BY MAIL TO: Nancy Burner&Associates,PC 12 Research Way E.Setauket,New York 11733 INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY9 I New York State Department of I Cl.SIMS Code �] 3 RI SR.J Taxation and Finance CL Date Deed Recorded I Ot7�/ 031 /6 I/ Office of Real Property Tax Services RP-5217-PDF CS.Book I /I Q g S/(C4.Page I t t i A Real Property Transfer Roport(8110) PROPERTY INFORMATION I 1.Propsry 670 Seawood Drive L ocation •STREET nn&R •!MCI NMC Southold Southold 11971 •CIH O TOWN varAt. •aP COM 2.Buysr Irrevocable Trust Robert E Boergesson N ame •UVT NAVdCONPIhY FIRST RMC Irrevocable Trust Johanna J Boergesson RAW NMEICONPANI• FRET NAM S.Tax Indicate where future Tax Bias we to be sent Billing if other than buyer addmas(at bottom et ram) LAST NANFiaapaw FIRST raAlt Address STREET NUROER RID NNIB CITr OR TONT STATE I.P CODE 4.Indicate the number of Assessment 10 Pan of Part of a Parcel (Only if a Parcel)Check as they apply: Roll parcels transferred on the deed 0 of Parcels OR CI4A.Planning Board with Subdivision Authority Exists 5.Deed X OR 0.00 4B.Subdivision Approval wee Requred lor Transfer ❑ Properly •FROM FEET •cem•r 'ACRES Sim 4C.Parcel Approved for Subdivision with Map Provided ❑ Boergesson Robert E. 0.Seller •LAST NMlEICCIVwr FIST RARE M°a10 Boergesson Johanna J. UST r ammoiPNIT FRIT NAM '7.Select the description which most accurately describes the Check the boxes below as they apply: use of the property at the time of sale: S.Ownership Type la Condominium ❑ A.One Family Residential 9.New Construction one Vacant Land CI 10A.Property Located wither an Agncullural District 0 10B.Buyer received a disclosure notice indicating that the property Is in en ❑ Agricultural Game (SALE INFORMATION' M.Chock ono or more of these conditions as applicable to transfer: _A.Sato Between Relatives or Former Relatives 11.Sale Contract Dole _ B.Sale between Related Companies or Partners In Business. _ C.One of the Buyers is also Seller •1Y.Date of SalelTrander1 +1 ` 1 1 g E.Dead Type not Warranty or Bargain and Sale(Spedfy Below) _ F.Sale of Fractional or Less than Fee(merest(Speedy Below) 13.Full Sale Price 0.00 _ G.significant Change in Property Between Tapable Status and Sale Dales H.Sale d Business is Included in Sale Price I Full Sale Price is the total amount paid for the properly Including personal property. 8 I.Other Unusual Fedora Atfedirg Sale Price(Specify Below) This payment may be In We formal rash.other properly or goods.or the assumption of J.None mortgagee or other obligations.)Please round to the nearest Male Mar snrownf. — 'Commont(e)on Condition: 14.Indicate the value of personal property included in the sale 0.00 Transfer to Trusts-Trusts to retain tax exemption [ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill I 1e.Year of moat Roll hem which Information taken(YYI 15 '17.Total Assessed Value 5,000 •15.PropereiClass 210 - le.School District Name Southold CSD '20.Tax Map Identiler(syRoli Idatriieer(s)Of more than four,attach sheet with additional identieer(s)) 1000-079.00-08.00-011.000 (CERTIFICATION I I Certify that all of the items of Information entered on this form ere true and correct(to the best of my knowledge and belle)and I understand that the making of any willful tales statement of material fact herein subject mem thepipyightmatlia mellow relative to the making and filing of false instruments. Qkri. SELLER SIGNATURE BUYER CONTACT INFORMATION iEnte. I I onlay iii not a twee tial a nl a II Madam. I M a amry,aaeddaan.arponaen el en ere amemy stye w onlay CW is Ilei N ewlFitll:Yl aymlll ertidllClaly.even■name and alllee'11Mawmawi d en adN1aIBYmlpBllabe perry who Can anmarauaeme mooning ser venter nAat es entered.Type erpwm wady.) SELLER SIGNATURE / G @UYEB$1STHAIURE Boergesson Robert E. a •LUT NANE FIRST NNE � Ate.. 1142A5 (631) 765-2092 un /I� •ARE�`oaoE 'TR FRw+E Nur®ERru oaA OUYERB URE (::::b ]ATE 670 Seawood Drive •emEETMINOER •maser NATE ILLqp� 1 + JP " Southold NY 11971 IF f 1',1 1il • 1'u l�i '4 '.�� l I{ ') •0TV OR TOM! roTAlr •cep CORE i Iitih ',h I'� 11'1'� � Y '�L ' •BTUs I S BUYEBS.ATLOBNFY 1� H�`II 1 1 il jf�'IT1'. 4yf.,l SIL, Burner Nancy `II rI } i r ' ,' JI r 1 1 Liar won TROT BANE r � t , Mir`}tri t 1 1' II' / (lI�I}{'' 1 ti I l; (631) 941-3439 f �)t I' ll� 11 '11'fi .l I,. 11�1� f`, �T , MEI(CODE TELEPRONE NINER ID 4awaRr +in 1.1 f'' + +L 7' I%jj RI r 1,1 ".o6 '1' ,T. ,