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Home My WebLink AboutL 12877 P 240 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/26/2016 Number of Pages : 3 At: 03 : 45:58 PM Receipt Number : 16-0134155 TRANSFER TAX NUMBER: 16-02953 LIBER: D00012877 PAGE: 240 District: Section: Block: Lot: 1000 079.00 04 . 00 020 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $10 . 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: 16-02953 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 0❑2 RECORDED Number of pages 2016 Aug 26 03:45:58 PN JUDITH R. PASCALE CLERK OF COUNTY This document will be public SUFFOLK L D0001128772877 record.Please remove all P 240 Social Security Numbers DT# 16-02953 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt, 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total "T� Spec./Add. EA-5217(State) aS TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. '+��,• Held for Appointment Comm.of Ed. 5. 00 Transfer Tax r Affidavit •�j�, . Mansion Tax "r�77IRS The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 LK family dwelling only. Sub Total YES or NO Other Grand Total Vy If NO,see appropriate tax clause on page p of this instrument. 0-7 a 4Dist. 1000 � 16025161 1000 07900 0400 020000 5 Community Preservation Fund Real Property P TS 111111111111111111111111111111111CPF Tax Due Amount Tax Service R DGR R Agency 22-AUG-1 Verification — Improved�z°� 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land / TD j O Nancy Burner&Associates,P.C. V TD 12 Research Way 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 N 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Quitclaim Deed made by: (SPECIFY TYPE OF INSTRUMENT) Robert T.Albertson(1/2 interest)and The premises herein is situated in Nancie L.Albertson(1/2 interest) SUFFOLK COUNTY,NEWYORK. TO In the TOWN of Southold Lauren R.Kollen.as Trustee of both Robert T.& In the VILLAGE Nancie L.Albertson Irrevocable Trusts or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over QUITCLAIM DEED (INDIVIDUAL OR CORPORATION) FORM 8004(short version),FORM 8009(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 a 1 day of J U 1 ,2016 between ROBERT T.ALBERTSON,AS TO HIS ONE-HALF(1/2)IN�T,EREST and NANCIE L. ALBERTSON,AS TO HER ONE-HALF(1/2)INTEREST,V2330 BRIGANTINE DRIVE, SOUTHOLD,NEW YORK 11971, ti residt c. f` party of the first part,and LAUREN R.KOLLEN AS TRUSTEE OF THE ROBERT T.ALBERTSON IRREVOCABLE TRUST,2330 BRIGANTINE DRIVE,SOUTHOLD,NEW YORK 11971 AND LAUREN R. KOLLEN AS'TRUSTEE OF THE NANCIE L.ALBERTSON IRREVOCABLE TRUST,2330 BRIGANTINE DRIVE,SOUTHOLD,NEW YORK 11971, 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 remise, release and quitclaim 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 Town of Southold,County of Suffolk and State of New York, known and designated as Lot#61,as shown on a certain map entitled"Map of harbor Lights Estates, Section Three,Bayview,Town of Southold,Suffolk County,N.Y."made by Otto W.Van Tuyl and Son, Licensed Land Surveyor,Greenport,N.Y.and filed in the Office of the Clerk of the County of Suffolk on August 7, 1968,as Map No.5147. TOGETHER with an casement over the streets as shown on the filed map herein,to the public highway, but excepting and reserving the fee to the said streets,the title to which is not hereby conveyed. TOGETHER with the use,in.common with others,of the beach areas and parking area adjacent thereto as designated on Map No.4362,filed in the Office of the Clerk of Suffolk County,on June 8, 1965;said beach area having a depth of approximately 50 feet from the average highwater mark on Peconic Bay,and having a length of 900 feet more or less measured along the ordinary high water mark,and said parking area having a frontage on the northerly side of Harbor Lights Drive of approximately 150 feet,running westerly along said street from Lot#land having a depth of not less than 150 feet northerly of Harbor Lights Drive. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed dated April 3, 1975 and recorded on April 9, 1975 at the Office of the Clerk of the County of Suffolk at Liber 7822,page 182. 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,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 costs 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 yt;ar first a e written. ROBE T T.ALBERTSON NANCIE L.ALBERTSON NYSBA's Residential Real Estate Forms woo} 0 2016 Matthew Bender&Co.,a member of the LexisNexis Group. Acknowledgment by a Person Within New York State(RPL§309-a) STATE OF NEW YORK ) COUNTY OF SUFFOLK )ss.: On the c day of in the year c 6,before me,the undersigned,personally appeared ROB99T T.A BERTSON and NANCIE L.ALBERTSON, 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 to me that they executed the same in their capacity(iesjandthat by their signature(s)on the instrument,the individual(s),or the perso on behalf of whirl the in ividual(s)acted,executed the instrument. �`' 1 DIANE REILLY (signature and office of individual king ackn ledgment) Notary Public.State of New York No.01RE4718016 Qualified in Suffolk County QUITCLAIMDEED Commission Expires July 31. Title No. District 1000 Section 079.00 ROBERT T.ALBERTSON and Block 04.00 NANCIE L.ALBERTSON Lot 020.00 To Countyor Town SUFFOLK LAUREN R.KOLLEN AS Street Address 2330 BRIGANTINE DRIVE TRUSTEE OF THE ROBERT T. SOUTHOLD,New York 11971 ALBERTSON IRREVOCABLE TRUST and LAUREN R.KOLLEN AS TRUSTEE OF THE NANCIE L. ALBERTSON IRREVOCABLE TRUST Return By Mail To: Nancy Burner Nancy Burner&Associates,P.C. 12 Research Way East Setauket,New York 11733 Reserve This Space For Use Of Recording Office NYSBNs Residential Real Estate Forms(9100) ®2016 Matthew Bender&Co.,a member of the Lexis Nexis Group. -2- INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FPRCOUNTY USE ONLY Now York State DepraMtent of c1.SWIS Code i y, 76 /,J�/,g,/� I Taxation and Finance C2 Date Deed Recorded !J lel //CJ I Lq Once of Real Property Tax Services + /, ON a RP-5217-PDF C9.Book / C4.Pape Reil Property Transfer Report(8f10) PROPERTY INFORMATION t.Property 2330 BRIGANTINE DRIVE' Locadon •sTREErxLaeFA •aTREEr NASE SOUTHOLD 11971 'CnVORTOLNr w/IiE •apcom 2.Buyer See Attachment 1 Noma •UST NANF.AOMPARI' FIRST NNE See Attachment 2 LAErN11 EC01PAW FlaxT wILLE a ran indicate where ales Tax Bile are to be sent Boring d other them buyer addresyat la8om of ram) LAST NALECOIPAW FIRSTRAIE Address SIMETMAERN NAM CRYORTOM STATE ZP CODE 4.Indicate the number of Assewmsert Part of a Panel (Onty 11 Pan of a Parcel)Cheek on they apply: Rall parcels transferred on Me dead 1 a of Parcels OR ❑ 4A.Planning Boar!with SuhdMsion ALrMarlty Exists ❑ S.Deed X OR 0.46 46.Subdivision Approval was Required for Transfer ❑ Property •FRONr FEET 'DEPTH 'ACRES Biie 4C.Parcel Approved for Subdivision with Map Pro*od ❑ ALBERTSON ROBERT T. a.Seller .LAW Muricaupw FIRST HALE Nemo ALBERTSON NANCIE L. LAST NAMEICOrPoy FIRST FLUE Check the bolos below as they appy: 7.Sslact IM description which most accuratelydseedbes the ❑ use of the property of this time of sale: 8.Ownership Type Is Condominium A.One Family Residential a.New Constriction an a Vacant Land 10A.Property Located within an Agricultural District ❑ 10B.Buyer mceived a disclosure notice indicating Nat 0e propery,is in an ❑ Agrlmdbrml Detrrr SALE INFORMATION ter.Chick one or Stora of these condkbes se applicable to transfer: A.Sale Between Relelivers Or Former Relatives 11 Safe Contract Dae B.Sale between Related Companies or Parsers In Business. C.One of the Buyers Is also a Sailer I L Daft of Sektfrmnsfw :2-27-10D.Buyer or Seiler Is Government Agency or Lending ding InstitutionX E.Deed Type not Warranty or Bargain end Salo(Specify Below) F.Sale of Fractional or Less ban Fee Interest(Specify Below) '17.Full Sala Price 3PJ00 G.Significant Change In Property Betawen Taxable Status and Sale Dates H.Sale of Business is Included in Sale Prnea (Full Sale Price is the Iola!amount paid for the papery Including personal property. 1.Oona Unusual Factors Afiecdng Sale Price(Specify Below) This payment may be in the farm of cash,other pmperty or goods,or the assumption of A None mortgages or other obligations.(Please round to Me nberoa Snob ddfer amount. Canmantls)on Condition: 14.Indicate the vale of parsend property Included In the sale $0.00 QUITCLAIM DEED ASSESSMENT INFORMATION-Data Should reflect the latest Final Assessment Rail and Tax Bill 16.Year of Assessment Roll from which Information takenlYY) 16 117.Tota!Assessed value $4,410.00 96.Property Class 2 1 0 — 99.School District Nara SOUTHOLD •20.Tax Map kieogflsr(syR011 idenUger(s)(N more than four,attach sheat with additional IdentMarls)) IWO — 79.-4-20 CERTIFICATION l Ceray that dl of the Iters of Information entered on this form are Um and correct Do the boat of my knowledge and bo[kM end I understand that the making of any willful fetes stalement of material fact herein subject rrla to an nrovfelons of Na conal law mlahre to the making and filing of false Instruments. SELLER SIGNATURE BUYER CONTACT INFORMATION ------------ �1 (Enter Yaonnerm for ace buyer Note.if buyer Is LLC.rod*.esoodaem,owpureim.IW morn OwWOW.=iM Or army out is not an imoftw Seem or fiduciary.can a nem ad cornea kxwmTson of N huftwalalPanFrsl0 PFMwbomenseer geslrmerepeAnp esu ender muMM rmeaLL Type err palm daarty.l SELLER SIG MTYIE MFE BUYER 8 NATURE See Attachment 3 .LAST NATE row RAE 'ALFA LADE 'TELEPIOE xuseR pi'e9W We, R.YseaCiNl1 MTF / 2330 BRIGANTINE DRIVE r eF 1 r ' er .8murNULOWR 'STRWUWE ' I I 1151 SOUTHOLD NY 11971 r OTYCRT(M •arAm •Zpcooe 1 r F r I BUYER'S ATTORNEY r 'S F NANCY BURNER AND ASSOC.,PC r LASTNAAE nicer NICE ARIACME 941-3434 TELEpnCnE Ps Weeeey Attachment % ?� Attachment 1 Last namelCompany LAUREN R.KOLLEN AS TRUSTEE OF THE ROBERT T.ALBERTSON IRREVOCABLE TRUST Attachment 2 Last namelCompany LAUREN R.KOLLEN AS TRUSTEE OF THE NANCIE L. ALBERTSON IRREVOCABLE TRUST Attachment 3 Attachment 3 LAUREN R.KOLLEN AS TRUSTEE OF THE ROBERT T.ALBERTSON IRREVOCABLE TRUST