HomeMy WebLinkAboutL 12860 P 551 mommmmmmmmommEmmEmmomm
Illifil Ill IIIII IIIII IIIII IIIII IIIII IIIII IIIA IIII IIII
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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 04/14/2016
Number of Pages : 5 At: 11 : 46 : 32 AM
Receipt Number : 16-0057375
TRANSFER TAX NUMBER: 15-25773 LIBER: D00012860
PAGE: 551
District: Section: Block: Lot:
1000 009. 00 02 .00 010 .000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $25. 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 . 00 NO
Cert.Copies $0. 00 NO RPT $200 . 00 NO
Transfer tax $0 .00 NO Comm. Pres $0 .00 NO
Fees Paid $525 .00
TRANSFER TAX NUMBER: 15-25773
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
y [1 2i . ,
RECORDED
Number of pages -...C.'
2016 Apr 14 11:46:32 AM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00012860
Social Security Numbers P 551
prior to recording. DT# 15-25773
Deed/Mortgage Instrument I Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 l FEES
Page/Filing Fee / Mortgage Amt.
(/ 1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit. `0 �
or III
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
n�� ,\``,n, � Dual Town Dual County
R.P.T.S.A. d�u Held forAppointment
Comm.of Ed. 5. 00 'iii T' Transfer Tax
Affidavit !'>•; t �.,; Mansion Tax
/ The property covered by this mortgage is
Certified Copy
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other il�
Grand Total ��,,(( If NO, see appropriate tax clause on
t---,page tt of this instrument.
1 //,,,7eV//0
4 Dist.I oor I 5 j Conimunity Preservation Fund
16006751 1000 00900 0200 010000
Real PropertyT S Consideration Amount$ �(/
Tax
Agency e R DHO A 1111111111111111111 11111 CPF Tax Due $
Verification 074AR-1
Improved
Satisfactions/Discharges/Releases List Property Owners Mailing Address /
6 RECORD&RETURN TO:
Eileen M. Russo 411114111,
Day Pitney LLP TD /o
24 Field Point Road
Greenwich, CT 06830 I TD _
TD
Mail to:Judith A. Pascale,Suffolk County Clerk Title Company information
7
310 Center Drive, Riverhead, NY 11901 Co.Name Integrity Land Services LLC
www.suffolkcountyny.gov/clerk
Title It ILS-566
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Charles B.Ferguson The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Charles B.Ferguson,Trustee of the Charles B.Ferguson In the VILLAGE
Trust Agreement dated May 21,2015 or HAMLET of
BOXES 6 THRU 6 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
4;
QUITCLAIM DEED
THIS INDENTURE made the 0 day of-34 muck/'7 , 2016
BETWEEN
CHARLES B. FERGUSON, of 400 Seabury Drive, Bloomfield, Connecticut, party of
the first part, and
CHARLES B. FERGUSON, TRUSTEE OF THE CHARLES B. FERGUSON
TRUST AGREEMENT DATED MAY 21, 2015, having an address at 400 Seabury Drive,
Bloomfield, Connecticut, party of the second part,
WITNESSETH, that the party of the first part, in consideration of Ten Dollars ($10.00)
paid by the party of the second part, does hereby remise, release and quitclaim unto the party of
the second part, and unto the heirs or successors and assigns of the party of the second part
forever:
ALL that certain tract or parcel of land with the buildings thereon located at Fishers Island,
Town of Southold, Suffolk County, State of New York,bounded and described as follows:
BEGINNING at a stone monument on the northwesterly line of Crescent Avenue, said
monument being 2677.23 feet North of a point which is 1803.62 feet West of another
monument marking the U. S. Coast and Geodetic Survey Triangulation Station "PROS";
thence running along said Avenue North 20° 06' 20" East 21.59 feet to a brass plug in the
walk; thence along said Avenue North 7°26'45"West 59.68 feet;thence South 40° 21'West
106.60 feet; thence South 47° 20' 20" East 69.83 feet to the northwesterly line of said
Avenue; thence North 20° 06'40" East 52.30 feet to the point of beginning, containing 0.011
acres,more or less.
TOGETHER WITH all right, title and interest, if any, of the party of the first part, of, in
and to the lands lying in the bed of Crescent Avenue, in front of and adjoining the above
described premises to the center line thereof.
Being and intended to be the same premises conveyed to the party of the first part and
Alice J. Ferguson, then in full life, by deed dated July 18, 1951, and recorded in the Suffolk
County Clerk's Office in Liber 3241 of deeds at page 550 on the 23rd day of July, 1950. See
attached Affidavit.
SUBJECT TO covenants, restrictions, reservations and easements of record, now in force
and effect; and
93319820.1
!, •
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 and assigns 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.
IN THE "RESENCE OF:
je/(atittos- /3
Witness #1 CHARLES B. FERGUSOZEO
Witness 2
Acknowledgement taken in New York State
STATE OF NEW YORK )
) ss:
COUNTY OF )
On the day of , in the year 2016 before me, the undersigned, personally
appeared, CHARLES B. FERGUSON, 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 persons upon behalf of which the individual acted, executed the
instrument.
Notary Public
-2 -
93319820.1
1'
Acknowledgement taken outside of New York State
STATE OF CONNECTICUT}
f' } ss.: B loom Crag
COUNTY OF I1t41 h }
On the ca.. day o � in the year, 2016 before me, the undersigned, personally
appeared, CHARLE . FERG� i SON, 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, and that such individual made such appearance before the undersigned in the
City/Town of , County of j-kidthp and State of Connecticut.
MARGARET A.WASHINGTON
-
NOTARY PUBLIC
IIY COUMISSION EXPIRES MAR.31,202E
11X_ . ,f _ „ t° . &i.—1 4 .
Notary PucIic
RETURN BY MAIL TO: DISTRICT: 1000
Eileen M. Russo SECTION: 009.00
Day Pitney LLP BLOCK: 02.00
24 Field Point Road LOT: 010.000
Greenwich, CT 06830 COUNTY: Suffolk
TOWN: Southold
ADDRESS: Crescent Avenue
Fishers Island, NY
- 3 -
933]9820.1
AFFIDAVIT OF FACTS AFFECTING TITLE TO REAL PROPERTY
The undersigned, CHARLES B. FERGUSON,being first duly sworn according to law,does hereby
individually depose,state and represent the following facts as they relate to that certain piece of property and parcel
of land known as Crescent Avenue,Fishers Island,New York(hereinafter referred to as the"Property"):
1. I have personal knowledge of the facts stated herein.
2. By Bargain and Sale Deed dated July 18, 1951 and recorded July 23, 1951 in the Office of the County
Clerk of Suffolk in Liber of deeds 3241 Page 550, title in and to the Property was conveyed to Alice J.
Ferguson and myself,Charles B.Ferguson, as Tenants by the Entirety.
3. Alice J. Ferguson died on February 10,2008.
4. Alice J. Ferguson and I were married at the time we took title to the Property and were continuously
married from the time we took title to the Property up to the time of her death.
Witn.f.s#1 CHARLES B. FERGUSON
1, 20'1,- 4.,-a
Witness#2
Acknowledgement taken in New York State
STATE OF NEW YORK }
} ss:
COUNTY OF
On the day of , in the year 2016 before me, the undersigned, personally appeared,
CHARLES B. FERGUSON,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 persons upon behalf of which
the individual acted,executed the instrument.
Notary Public
• Acknowledgement taken outside of New York State
STATE OF CONNECTICUT }
COUNTY OF r t }
On the pV day of in the year, 2016 before me, the undersigned, personally appeared,
CHARLES B. FE USON,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, and that such individual made such appearance before the undersigned
in the City/Town of AQ(Q County of / c..L_dand State of Connecticut.
• MARGARET A.WASHINGTON
NOTARY PUBLIC
' MYCOLOAISSION FARES MAR.51.2070
_•
- Notary Public C�-[ (}/ ,tom --f
4u{ _
•
933S982O.I
•
• INSTRUCTION SIR P-5217-PDF-INS):www.orps.state ny us
FOR.SWIS C USE ONLY [ 7 3 S S 9'
New York State Department of
Cl.scats coda , , , i Taxation and Finance
4
C2.Date Deed Recorded i a / l if /010 �f Office of Real Properly Tax Servicescs.Book I g 16, / a. RP-5217-PDF
1 aI F) i Cd.Page I 1 I�1�I/ I Real Property Transfer Report(MO)
PROPERTY INFORMATION I•
1.Property Crescent Avenue
Location
•STREET...DEER •VALET fl
Southold Fishers Island
•crmmoa TOM w:.AOE •caCoc_
2.Buyer Ferguson Charles B. - Trustee
Name
•LAU IMIFCOMPNiv F.RS:suet
Charles B. Ferguson Trust Agreement dated 5/21/15
UST N*etCWPNJ. FeST calf ..��99rr..�a 1�'
3 Tex Indreme where future Tax Bile are to be sent T)(� • m et.("fon r
Bmng U other Ulan buyer addraes(at bottom of form)w;M.M}aierny MST Y...a
Address
r&11 Cite a VEy aisiSe.Pk('�, ✓(t/Ash.N 4 ton t)C zoo/S
STREET MEDEA J zec of
4.indicate the number of Assessment 0 Part of a Parcel (Only If Part of a Parcel)Check es they apply:
Roll parcels transferred on the deed a of Parcels OR 4A.Plannng Scant with Subdivision Aumalty Exists ❑
5.Deed Property •FRMT AEUX OR 0.00 4B.SubdMsmn Approval wren Regmred for Transfer El
•DEP;N •.ceEo
Size 4C.Parcel Approved for Subdivision with Map Provided ❑
Ferguson Charles B.
6.Solar •WIT 1awER.auMNT DRUTIMMIE
Name
LAST MwE,COMPYIT MOT NAME
9.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 is Condominium 0
C.Residential Vacant Land Canstrudien one Vacant Land
10A.Properly Located within an Agricultural District ❑
MOB.Buyer received a dlsclonure notice mdcaUag Mat the properly Is man ❑
Agricultural DiMdd
(SALE INFORMATION! 16.Check ono or more of Now conditions as applicable to transfer.
1/� A.Sale Between Relatives lm
or Foar Relatives
11.Sale Contract Date N B.Sale between Related Companies or Partners In Business.
C.One of the Buyers a also a Seller
•92.Data of SaleRransfar I(a1410 D.Buyer or Seller Is Government Agency or Lending Inabludon
x E Deed Type not Warranty or Bargain and Sale(Spedly Below)
F.Sale of FracUanel or Lass than Fee Interest(Speoly Below)
93.Full Sale Price .00 G SignE telt Change in Property Between Taxable Slaws and Sale Drees
H.Sale of Business is included In Sale Price
(Ful Sole Price Is me lata1 amount paid for Ilia properly Irvdudmg personal properly. l Omer Unusual Minors Affecting Sale Price(Specify Below)
This payment may ben the form of cash.other property or goods.or the assumption of J.None
mortgages or other obligations.)Please round to are nearest whole donor amount.
'Comment(s)on Condition:
14.Indicate the value of personal
property Included lnthe sale .00 Quit Clair. Deed I
IASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill!
16.Year of Assessment Roll from which information takan(YY) 15 97.Total Assessed Value 1,000
98.Properly Class 31z •1 O.School District Name Fishers Island
-
10.Tax Map Identlfler(ayRoll Montiter(e)(If more than four,attach sheet with addlaonal Identifier())
1000-009.00-02.00-010.000
!CERTIFICATION 1
I Certify that all of the Items of Information entered on MI5 form are Ins and correct(to the best of my knowledge and belief)and)understand that the making of any willful
fabs statement or material fact herein subject me to meprorislons of the penal law relative to the making and filing of false Instruments.
SELLER SIGNATURE BUYER CONTACT INFORMATION
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SELLER asaMTYRE DATE
Ferguson Charles B. - Trustee
BUYER SIGNATURE /-.2 Q.,/`
-LAST NAME nearrwre
•.RE•MMOE "F.Ea'7.EtiWSCa r_.tenttn01
awERaaum /DATE 400 SeaSury Drives Apt.4176
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