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Home My WebLink AboutL 12855 P 28SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: CORRECTION / DEED Recorded: 03/04/2016 Number of Pages: 3 At: 10:50:36 AM Receipt Number : 16-0033180 TRANSFER TAX NUMBER: 15-21614 LIBER: D00012855 PAGE: 028 Distract: Section: Block: Lot: 1000 010.00 04.00 009.004 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument JUDITH A. PASCALE County Clerk, Suffolk County 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 $250.00 NO TP -584 $5.00 NO Notation $0.50 NO Cert.Copies $5.00 NO RPT $200.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $520.50 TRANSFER TAX NUMBER: 15-21614 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2016 Mar 04 10:50:36 RM JUDITH R. PRSCPLE CLERK OF SUFFOLK COUHT4 L DOOO12055 P 0218 DT# 15-21614 Deed / Mortgage Instrument I Deed / Mortgage Tax Stamp I Recording / Filing Stamps 3 I FEES Page/ Filing Fee rs Handling 20. 00 TP -584 Notation 5� EA -52 17 (County) 5 Sub Total EA -5217 (State)_ PTs R.P.T.S.A. Comm. of Ed. 5. 00 Affidavit entified Co _ _ NYS Surcharge 15. 00 —" Sub Tota Other _ Grand Total 6,;0. S� 4 Dist. 1000 16006085 1000 01000 0400 009004 Real Property PTs Tax Service A R DHO �II�I�III�II�IIIEIIIIIIII�IIIIIIIIIII IIIIIIIIIII Agency 01 -MAR -1 Verification 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: STEPHEN L. HAM, III, ESQ. MATTHEWS & HAM 38 NUGENT STREEET SOUTHAMPTON, NY 11968 Mortgage Amt. 1. Basic Tax 2. Additional Tax Sub Total SpecJAssit. 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 familydwelling only. YES or NO If NO, see appropriate tax clause on pe # of this instrument. ? i A ..— I ,.I 15 I Community Preservation Fund LEE' enation Amount $ 0 CPF Tax Due $ 0 Improved Vacant Land TO /6 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 10 Center Drive, Riverhead, NY 11901 Co. Name Ch i CAA T,41e— rwww.suffolkcountyny.gov/derk Title # 3 0 39 7 - 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED — CVKPLOC-17:t� j3 made by. (SPECIFY TYPE OF INSTRUMENT) R. BRADFORD BURNHAM Ill The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO In the TOWN of SOUTHOLD R. BRADFORD BURNHAM. 111 and In the VILLAGE MARY BUTTRICK BURNHAM or HAMLET of FISHERS ISLAND BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over wo3q -7 l CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY C,DE-- I nj THIS INDENTURE, made as of the 15th day of December, two thousand fifteen, BETWEEN R. BRADFORD BURNHAM, III , 40 Fifth Avenue, New York, New York 10011, party of the first part, and R. BRADFORD BURNHAM, III and MARY BUTTRICK BURNHAM, husband and wife, 40 Fifth Avenue, New York, New York 10011, party of the second part, WITNESSETH, that the party of the first part, without consideration paid by the party of the second part, this deed being recorded to rectify an omission in a previously recorded deed, 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, situate, lying and being at Fishers Island; ;Town of Southold, County of Suffolk and State of New York, known and designated as Lots 17 and 19, as shown on the "Plan of Peninsula at Fishers Island owned by Charles W. Hedge and Frances G. Thorp, made by Chandler & Palmer, Engineers, Norwich, Connecticut, 1913", and filed in the Office of the Clerk of the County of Suffolk on March 11, 1913, Fife No. 223. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed, dated December 15, 2015 and recorded in the Office of the Suffolk County Clerk on January 11, 2016 in Liber 12848 page 58, said prior deed having inadvertently omitted to name the second grantee, Mary Buttrick Burnham, intended to have been included in the description of the party of the second part in said prior deed, this deed being recorded to complete the aforesaid conveyance as so intended and this conveyance intended to relate back to the delivery of said prior deed and to supersede said prior conveyance insofar as how the party of the second part will hold title to the subject premises. 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 also all the estate which the said decedent had at the time of decedent's death in said premises, and also the estate therein, which the party of the first part has or has power to convey or dispose of, whether individually, or by virtue of said will or otherwise; 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 cast 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. R. Bradford Burnham, III TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York, County of New York ss: On the �I `� day of Jaau pun the year 2016 before me, the undersigned, personally appeared R. Bradford Burnham, III 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 tome 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 th instr ent. (signature and office. of individual laking acknowledgment) N07ARy Itr< NEI PU �CWYOR NOTARY eget: lscr.s:3 S edEnpi,e q(euo 5 Qualif 54nf0'L.y4.r� 2011 Commissio State of New York, County 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 tome that he/she/they executed the same in hislher/their capacity(ies), and that by his/herltheir signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. and office of individual taking acknowledgment) L SCHNEIDER BLIC, STATE OF NEW YORK ation No. OISC6065135 ied in Queens County n Expires October 9, 2017 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State of ; County 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 whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument, and that such individual made such appearance before the undersigned in the in the (insert the City or other political subdivision) (signature and office of individual taking acknowledgment) BARGAIN AND SALE DEED DISTRICT 1000 Title No. SECTION 010.00 BLOCK 04.00 LOT 009.004 COUNTY OR TOWN Suffolk - Southold STREET ADDRESS (no #) r/o/w off Peninsula Road R. BRADFORD BURNHAM, 111 Fishers Island, NY 06390 RETURN BY MAIL TO: TO R. BRADFORD BURNHAM, III and MARY BUTTRICK BURNHAM RESERVE THIS SPACE FOR USE OF RECORDING OFFICE INSTRUCTIONS(RP-5217-PDF-INS): www.orps.state.ny.us OR COUNTY USE ONLY, I C1. SWI I IS Code s•/( Naw York State Department of Taxation and Finance C2. Date Dead Recorded 1193/ 0q, /� Office of Real Property Tax Services C9. Book 4.7 / O �+ J C4. Page RP- 5217 -PDF E. Ownership Type is Condominium Q Real Property Transfer Report (8M0) PROPERTY INFORMATION ❑ 1.P -Pert' (no #) PVT RD OFF EAST END ROAD Location 100. Buyer received a disclosure notice indicating that the property is in an ❑ •SIRLr WpeLR ' SmEET+.AU= TOWN OF SOUTHOLD FISHERS ISLAND 06390 Check one or more of these conditions as applicable to transfer: -Cm ct+Toww vxu,oE • m cow 2. Buyer Name BURI`NIFI M R. BRADFORD I = I 11. Sale Contract Dab 12/01/2015 • ATT Nwi.CO/BAw nPST h•tC B. Sale between Related Companies or Partners in Business. BURNHAM MARY BUTTRICK :As, h•LaScoNP•w r Ra• HAUL 7. Tax silting Indicate where future Tax Bias are to be sem Address if other than buyer addresoat bosom of form) LAsr NaLo:nWwAnr FAST NAPE ST%pTMJWEQMCHAUC WT(ATUM ST•TF Zle,.WW 4, Indicts Ns number of Assessment 1 Part d a para, (ony tf Part of ■ Parcel) Chack n tlmy apply: d Percale ❑ Rall pawls transferred on the read a OR 4A, Planning Board with Subdlvison ANhanly Exlele 6. Dead XOR 0.25 48. Subdivision Approval was Required for Transfer Property •FROM FEET •pEPT� 'MMES sho H. Sale of Business is Included in Sale Price 4C. Parcel Approved for Subdivision with Map Provided ❑ ( FIA Sols Pnce is the total amount paid for the properly Including personal property. BLTRN:iA.M R. BRADFORD ;II a. sailor LAST HAUWOVFaw •psrxAUL Name mortgages or other obligations 1 Please round to the nearest whole doaaramounf .A6- NAUeCOVMW 'RST -ML '7. s.leai the description which most accuratey describes the Check the boxes below as they appy: use of the property at the dme of sale: E. Ownership Type is Condominium ❑ C. Rmidrnt Tal Vacant Land a. New Construction on a Vacant Land ❑ 10A. Property Located within an Agdculural District F1 100. Buyer received a disclosure notice indicating that the property is in an ❑ Agricultural District SALE INFORMATION 15, Check one or more of these conditions as applicable to transfer: A Sale Between Relieves or Farmer Relawn 11. Sale Contract Dab 12/01/2015 B. Sale between Related Companies or Partners in Business. C One of the Buyers is dso a Seller ' 12/15/2015 D. Buyer or Saner is Government Agency or Lending Institution 1 L Dole of SalorTransler E. Dead Typo not Warranty or Bargain and Sete jSpodfy Below) F. Sea of Fractional or Leas than Fee Interest (Specify Below) '17. Full sale Prior 0 .00 G. Sigraricm Change in Pmperty Between Taxable Status and Sas Dales H. Sale of Business is Included in Sale Price ( FIA Sols Pnce is the total amount paid for the properly Including personal property. t. Other Unusual Factors Affecting Sale Price (Specify Below) This payment may be in the form of cash, other property Or goods. or the assumption of J. krone mortgages or other obligations 1 Please round to the nearest whole doaaramounf 'Common(a) on Condition: 14. Indicate the value of persona 0 property Included In the tib •00 DRIED RECORDED -0 CORRECT' OMISSION IN PRTOR DEED ASSESSMENT INFORMATION - Data should rellecli the latest Final Assessment Roll and Tax Bill 16. Year of Assessment Roll from which Infolmadon bken(YY) 15 '17. Total Assessed Value 1,000 '18. Property Claw 311 _ W •1 a. School District Name FISHERS ISLAND Tax Map WendMr(syRoll IdendfbFfs) pf more than four, attach shoat with additional Ideml6er(sl) 1000-010.00-04.00.009.004 CERTIFICATION 1 Coaly that all of the Items ofinformation ante. an this form aro true and correct (to the hast army knowledge sod bellafl end I understand that the making of any willful false statement of material fact herein subject me to the.prevlabns.of.IM.ppnal.law.roletivo to the making and Bing of fain instruments. SELLER.SIGNAIMM BU.Y.ERCONTAC.T_INEORMATION (ERaF In:erNMeen.4r IM Surer. Note II sayer Is LLC society. MfoOStion, min SAw 'oara(en, joint company, emit emery tical is not nei an ss,el am or ttee9ary, sten ■ none and rami mamelon or an vKhMus namedite L • \ ?t l l party who un gnawer auewana reyamrp dw awn4r must be wired Tien or pica eYaM ) SELLCP WKWUp= ]•T . jjyYA SIGNATURE IBURNHAP. R. BRADFORD 'IASI lMLE FRET aNY. .(845) 358-5089 •Yr..L COLE 'TEaFghENLUNII.E, oeeSrM+ BJYER Bx:NAIUGE TATE 40 FIFTH AVENUE . aTRFFT M VB -R ' ST -FF. NME NEW YORK NY 10011 •Q"GR'owr '67•TC 2P COOF BAYER'S ATTORNEY F;16M STEPHRN L.., ITT L•5: NWE Rem hME (631) 283 2400 AeF CCODF — TLLE° ONCKLMUI Ice• ON MI