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Home My WebLink AboutL 12875 P 377 l i i l l l l l l l l l l l l l i l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l 1111111 IIIA VIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/15/2016 Number of Pages: 3 At: 10: 55:22 AM Receipt Number : 16-0126188 TRANSFER TAX NUMBER: 16-01473 LIBER: D00012875 PAGE : 377 District: Section: Block: Lot: 1000 010 . 00 03. 00 011 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $380,000.00 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 $4 , 600. 00 NO Fees Paid $4, 990. 00 TRANSFER TAX NUMBER: 16-01473 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County s i Fil 121 RECORDED Number of pages 3 2j16 Avo iS 10:55:22 Ht4 JUDITH R. PRSCFILE CLERK OF This document will be public SUFFOLK. COUNTY record.Pled§e remove all L D00012875 Social Security Numbers P 37 prior to recording. DT# 16-01473 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee p Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP_584 Sub Total Notation Spec./Assit. or EA-5217(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. Dual Town Dual County Held for Appointment Comm.of Ed. 5. 00 Transfer Tax l `r",4,e(, Affidavit �. • Mansion Tax �J The property covered by this mortgage is Certified Copy,?. or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other _ Grand Total If NO, see appropriate tax clause on page# of this instr ment. 4 1 Dist. 1 16021352 1000 01000 0300 011000 00 5 Community Preservation Fund 21pJUTL-Si6 i+nnlrnnuirnuninr nnnnenul m Real Property RSMI A Consideration Amount$ Tax Service i IrIIIIIIiII1I1IIIlI1IIII1III111IIII1II1nIIl , Agency CPFT Due $ ', - 4 5 --) Verification - --- _ _- / Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land STEPHEN L.HAM,III,ESQ. TO MATTHEWS&HAM TO 38 NUGENT STREET SOUTHAMPTON,NY 11968 TO Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Chicago Title Insurance Company www.suffolkcountyny.gov/clerk Title# C16-7474-16769-SUFF a Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) CYNTHIA SCOTT OLIVERI The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD ELIZABETH ANNA EDWARDS JOHNSON In the VILLAGE or HAMLET of FISHERS ISLAND 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 r THIS INDENTURE,made the 29 day of June,two thousand sixteen, BETWEEN CYNTHIA SCOTT OLIVERI,9908 Oxley Road,Athens,Ohio 45701,as surviving joint tenant of Anita Edwards Scott and Charles R.Scott,deceased, party of the first part,and ELIZABETH ANNA EDWARDS JOHNSON,7503 Old Bridge Court,Sugar Land,Texas 77479, party of the second part, Three A WITNESSETH,thatthepartyofthefirstpart,inconsideration ofFenrHundredEightyThousandDollars($J80,000) e�U 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,an undivided sixty percent(60%)interest in and to ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being at Fishers Island,Town of Southold,County of Suffolk and State of New York,known and designated as Lots 45,46 and 47,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,File No.223. BEING AND INTENDED TO BE an undivided sixty percent(60%)interest in the same premises conveyed to the party of the first part,Anita Edwards Scott and Charles R.Scott by deed,dated April 5,1990 and recorded in the Office of the Suffolk County Clerk on May 10, 1990 in Liber 11065 page 074,the said Anita Edwards Scott and Charles R.Scott having predeceased the party of the first part. 's 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 partwill receive the consideration forthis 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. L Cynt is Scott O i er 1 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of ss: State of New York,County of ss: On the day of in the year On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared 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($)whose name(s)is (are)subscribed to the within instrument and acknowledged tome (are)subscribed to the within instrument and acknowledged tome that he/shetthey executed the same in his/her/their capacity(ies), 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 and that by his/herttheir signature(s) on the instrument, the individual(s),or the person upon behalf ofwhich the individual(s) individual(s),or the person upon behalf of which the individuals) acted,executed the instrument. acted,executed the instrument. (signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) TO BE USED //ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State of Ohio;County of�T/GGl2� ss.: 14 On thO day of June in the year 2016 before me,the undersigned,personally appeared Cynthia Scott Oliveri personally known tome or proved tome 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 City of Athens in the State of Ohio. (insert the City or other political subdivision) /j`� i �U illfc NQ�f GI�I] (signature and office of individual taking acknowledgment) AIRg11r111r4tI�P��II WrIF�O OZ�-►9 3W J�IV AIQXMWO- g40p�`fid�t�N kr&N d A S30NdX3N DISTRICT 1000 BARGAIN AND SALE DEED SECTION 010.00 BLOCK 03.00 Title No. C16-7474-16769 LOT 011.000 COUNTY OR TOWN Suffolk-Southold STREET ADDRESS 1990 Peninsula Road CYNTHIA SCOTT OLIVERI Fishers Island,NY 06390 TO RETURN BY MAIL TO: ELIZABETH ANNA EDWARDS JOHNSON RESERVE THIS SPACE FOR USE OF RECORDING OFFICE INSTRUCTIONS(RP-5277-PDF-INS):www.orps.stalemy.us FQR COUNTY USE ONLY Now York State Department of Cf.SWIS Cod. I ,1c�,, Taxation and Finance C2.Data Dead Recorded i U/ /5/ !6 I Office of Real Property Tax Services r/ "°� c" V- �7 �/7i RP—5217—PDF C3.Book I I I7—I Uc�1 I iCI c•Poo- I I3 /I Real Property Transfer Report(8170) PROPERTY INFORMATION 7.Proporty 1990 PENINSULA ROAD Loeatlorl '67aEEi,•alaSER •41 FLET NAMC TOWN OF SOUTHOLD FISHERS ISLAND 06390 •Cm OR TOWN • Y.JAd •2P cooe 2.Buyer JOHNSON ELIZABETH ANNA EDWARDS Name •LAST NAYnCOIIPANr f IRSI NATE .ASS NPIFXAMOMW r raeT Daus 3.Tax Indicate where future Tax Blas we w be cad Bitting if other then buyer addlem(m bottom of form) ugT.yALF"%4pA W FAST NAME Address STREET NUMBERANDNUE Cm'ORTOWN STATE 1PCWE 4.1milcate dw number of Assessment 1 Part of a parcel (ontir R Part of a Parcae Check as they apply: Rail parcels trensforrod on time dead 9 d Parcels OR 4A.Planning Board with Subdivision Authority Exists ❑ 6•Dead x OR 0.47 49.Subdivision Approval was Required for Transfer11 PSoperly •FRON•FLET •7rPT+ •ACRES Sim 4C.Parcel Approved for Subdivision with Map Provided ❑ OLIVERI CYNTHIA SCOTT G.(feller tASi NAar,CONPAW F pit:HANE Name wr xAu[ICOro•Apr MST 1AN •7.Select the description which most aeeurmOy daeetboa the I--I Check the boxes below ea they apply: use of ere property at the time of sale: 8.Ownership Typs ifs Condominium iJ A.One Family Residential 9.New Construction on a Vacant Land 11 ICA.Property Located within an Agricultural Dwtdct F1 100.Buyer received a SlarJmure notice indicating that the property is in an ❑ Agricultural DisWct SALE INFORMATION 79.Check one or nae of thew conditions as applicable to transfer: A.Sale Balween Reldnws or Fanner Relatives 11.Sale contract Date 06/22/2016 B.Sale between Related Companies or Partners in Business. C.One or the Buyers is also a Seller 12.Dat@ of SdeRnrohr 06/29/2016 0 Buyer or Sailor is Government Agency or Landing Inabtution E.Oead Type not Warranty of Bargain and Sada(Specify Belau) F.Sale or Fractional or Lasa than Fee Interest(Specify Blew) •13.Full Sole Price 3 8 0,O 00,QQ G Significant Change in Property Between Taxable Status and Sale Dates N.Sole of Business to Included in Sale Price (Fug Sale Price is the lost amount paid for the property including personal properly. I cher Unusual Factors Aaal9ng Sale Price(Specify Below) This payment may be in ass form of cash,other property or goods,or the assumption all J Normo mortgages a o9nar obtaasore)Please rolmd ro ifs rteeresf wawfa do6aramopnr. 'Commeagsl an Condltlon: 14.Indicate the value of persona!the 0 00 property Included In ts sale . SALE OF UNDIVIDED SIXTY PERCENT' (60k)INYEREST ASSESSMENT INFORMATION-Data should resect the latest Final Assessment Roll and Tax Bill 79.Year of Assessment Roil from which Information teken(YY) 15 '17.Total Assessed Value 3.0,600 •18.Property Class 210 _ •19.Schad olstrictName FISHERS ISLAND '20.Tera Map IdeneMr(syRoll IdenHW e)(if more than four,atiech shoal with additional Idents lor(s)) 1000-010.00-03.00-011.000 CERTIFICATION I Certify that all of the harm of Information entered on this form are true and correct[to the best of my knowledge and bellon and I undmatand that the making of any wlltul felse statement oymstarial fact h In subject me to th@.floylelone.911-the.p9ml Iavtreletiv@tothe making and filing offelse Imtrum@Ma. LLER.SIGNAIURE BUYER-CMACT INEQRMAIIDH IEnrer aJgme`Ar for Ile GA/wr Able•II boyar u Ll.�,eaeery.eewtleson,-Tandem.Igen Sropi oompery,won or array NR a mr en atlweul apes err atludery,ererl•re:ne ertl entad adwmason a1 en rgFiduWaepmedxa _ 1 pattywMOnavoweuenmamg"mptsmndwmLmbostaled Type or prim eWrr1 sEr, •TIFF. j+y=1-_ JOHNSON ELIZABETH ANNA EDWARDS BUYER SIGNATURE nrp •tAs:Nur[ rxArc 6 Z91i6 (832) 265-0891 Y�94e� 'MEtCOnE -ELEPNCWAJMeEiIE-if•99'Apl &hER 81alATURE PATE 7503 OLD BRIDGE COURT -SIRLEI IFJII@Ir -STREETNAIE f I' SUGAR LAND TX 77479 'CITY OR TOM •STATE •.BtaoE fltaCEliSA7SORNEY 1 HAM STEPHEN L., III "ST—C C FRn.NUE (631) 283-2400 ( AREA C0.'.E 'EIEP.E-.5.1.Y.IllrpeF1