HomeMy WebLinkAboutL 12886 P 243 11111111 IIII 1111[11111 IIIII IIIII 111111111111111IIII 1111
1111111.I I l l l 11111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 11/01/2016
Number of Pages : 5 At: 03 :20 : 18 PM
Receipt Number : 16-0173290
TRANSFER TAX NUMBER: 16-10024 LIBER: D00012886
PAGE : 243
District: Section: Block: Lot:
1000 056 . 00 06 .00 013.000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $10 . 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 $6.25 NO RPT $200 . 00 NO
Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO
Fees Paid $531 .25
TRANSFER TAX NUMBER: 16-10024
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
2❑
4 —
Number of pages RECORDED
2016 Nov 01 03:20:18 PM
JUDITH A. PASCALE
This document will be public CLERK OF
record.Please remove all SUFFOLK COUNTY
Social Security Numbers L D00012886P 243
prior to recording. DT# 16-10024
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee
Mortgage Amt.
1.Basic Tax
Handling 20. 010 2. Additional Tax
TP-584 tJt/ Sub Total
Notation SpecJAssit.
EA-52 17(County) �- Sub Total or
Spec./Add.
EA-5217(State) n TOT.MTG.TAX
R.P.T.S.A. Dual Town Dual County —
Held for Appointment �{
Comm.of Ed. 5. 00 Transfer Tax I(J
Affidavit + �! Mansion Tax 7�
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 Sub Tota! Z, family dwelling only.
YES or NO
Other
Grand Total If NO, see appropriate tax clause on
C' page# of this ins rum nt.
vr�e. 3 3 ce 10-1 1 S'
-4 Dist. 16026133 1000 05600 0600 013000 0 5 Community Preservation Fund
Real Property R T cJ 1111111111111111111111111111111111 IIII�I Consideration Amount$ 1 Q .Tax Serwce R pOL A
Agency 30 AUG-1 CPF Tax Due $
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Robert K.Howard,Counselor at Law
TD D
225 West Montauk Highway,Suite One TD
Hampton Bays,New York 11946
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 Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
COLLISION,Bert A.(Estate) The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
COLLISON Michael J. COLLISON Kenneth C. In the VILLAGE
and COLLISON,Douglas A. or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
EXECUTOR'S DEED (INDIVIDUAL OR CORPORATION)
CAUTION:TIIIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER
AND PURCHASER BEFORE SIGNING.
THIS INDENTURE, made the 2—day of June, 2015, between MARY RUTH COLLISON, as
ancillary executor of the last will and testament of Bert A. Collison, late of 7074 Pea Neck Road, St.
Michaels, Maryland 21663, who died on the ninth day of September, Two Thousand Ten, party of the
first part, and
MICHAEL J. COLLISON of 1800 Newstead Trace, Marietta, Georgia 30062;
KENNETH C. COLLISON of 9710 Tilghman Island Road, McDaniel, Maryland 21647; and
DOUGLAS A. COLLISON of 7140 Solitude Road, St. Michael's, Maryland 21663, as tenants in
common, party of the second part;
WITNESSETH, that the party of the first part,to whom ancillary letters testamentary were issued
by the Surrogate's Court, Suffolk County, New York on August 8, 2012, and by virtue of the power and
authority given in and by said last will and testament, and/or by Article 11 of the Estates, Powers and
Trusts Law, and in consideration of Ten Dollars and No Cents($10.00)and other valuable consideration
paid by the party of the second part, does hereby grant and release unto the party of the second part,the
distributees 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 at Southold, in the Town of Southold, County of Suffolk and State of
New York, more particularly described in Schedule A annexed hereto;
BEING AND INTENDED TO BE the same premises conveyed to Bert A. Collison, now
deceased: 1) by deed from Erna F. Collison, dated November 8, 1975, and recorded in the Suffolk
County Clerk's Office on November 10, 1975 in Liber 7939 at Page 493; and 2) by deed from
Bert A. Collison as Executor of the Will of Grace Miriam Fismer as tenant in common with
Arnold F. Glendinning, dated January 28, 1991, and recorded in the Suffolk County Clerk's Office on
April 12, 1991 in Liber 11247 at Page 157;
TOGETHER with al l 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 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.
NYSBA's Residential Real Estate Forms(9100) 0 2015 Matthew Bender&Co.,a member of the LexisNexis Group.
1
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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
MARY RUTH COLLISON
IN PRES OF:
Acknowledgment by a Person Outside New York State(RPL§309-b)
STATE OF MARYLAND )
COUNTY OF T=AbB6-T—Ozao+ic--Te'a )ss.:
On the 2 lid day of_J ur\e in the yearzO t 5 , before me,the
undersigned,personally appeared Mary Ruth Collison, 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 she executed the same in her capacity(ies), and that by her
signature(s)on the instrument, the individual(s), or the person upon behalf of which the individual(s)
acted,executed the instrument.
'�C•l.Ct_f &D=t_4�mm.
(signature Jnd office of individual taking acknowledgment)
i.)ou ?Ookk r- Kell Blaen
A~�
i
NYSBA's Residential Real Estate Forms(9100) ®2008 Matthew Bender&Co.,a member of the LxxisNexis Group.
-2-
r
Deed
Title No• Section 56
Block 6
Mary Ruth Collison, Ancillary Lot 13
Executor County or Town Suffolk(Southold)
To Street Address Port of Egypt Island
Michael J. Collison,Kenneth C. (Off Bay Home Road)
Collison,and Douglas A. Collison Southold,New York 11971
Return By Mail To:
Robert K. Howard,Counselor at Law
225 West Montauk Highway, Suite One
Hampton Bays,New York 11946
Reserve This Space For Use Of Recording Office
NYSBA's Residential Real Estate Forms(9100) ®2008 Matthew Bender&Co.,a member of the LexisNexis Group.
-3-
SCHEDULE A
All of the right, title and interest of the party of the first part
in the following described parcel: A piece of beach and strand consist-
ing of two acres more or less, bounded and described as follows: norther
by Budd' s Pond; easterly by the channel of Mill Creek; southerly by
Peconic Bay or Southold Bay; and westerly by the new channel leading
from the Bay into Budd' s Pond;
TOGETHER with all of the right, title and interest of the party of
the first part in and to lands under water in Budd' s Pond, Mill Creek
Channel, Peconic Bay or Southold Bay and the new channel leading from
the Bay into Budd' s Pond, and together with all rights of way and
easements appurtenant to the above described premises
Ct -
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INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us
FOR COUNTY USE ONLY // New York State Department of
C1.MIS Code I � 3,�o, 9 I Taxation and Finance
C2.Date Deed Recorded I / / I Office Of Real Property Tax Services
Ll
0" 7nr RP-5217-PDF
C3.Book $ C4.Page Rea)Property Transfer Report(8110)
PROPERTY INFORMATION
1' tKNo#)
Location Port of Egypt Island(Off Bay Home Road)
Lotatlon
•87REETNI1MaER •67nEET NAPE
Southold 11971
CRV rH TOM VILLAGE •yp CODs
s Buyer
Name COLLISON DOUGLAS A. M�c (+9C��' <E5VYL�H C -
•LAST NAYFICOLUM iff FL95T Mum
LAST NAMEICOY7M7Y RRSTNAME
3.Tax Indicate where future Tax Bilis are to be sent COLLISON DOUGLAS A.
Bllling if other than buyer address(al bottom of form) FaNT NAME
Address
Post Office Box 1028 Easton MD 21601
SIIEETMAEERANDNIAE CITY OR TOVAI STATE 1p CODE
4.Indicate the number of Assessment (Only If Ps rt of a Parcell Check as they apply:
Roll parcels transferred on the dead 1 8of Parcels OR ❑Part of a Parcel
4A.Planning Board with Subdivision Authority Exists
S.Deed )l OR 2 49.Subdivision Approval was Required for Transfer
Properly -FRONr FEET •DEPTH 'ACRES
Size 4C.Paicel Approved for Subdivision with Map Pmidod
COLLISON Bert A.(Estate)
6.Sailor -LASTNAAPrCOMPAMY FIRST NAME
Name
LASTNAATE/C17APAIP FatsTRAME
'7.Select the description which most accurately describes the Check the boxes below as they appy:
use of the property at the tito of sale: S.Ownership Type is Condominium ❑
9.New Construction on a Vacant Land
D.Non-Residential Vacant Land IDA.Property Located within anAgricultural District
100.Buyer received a disclosure noble indicating that the property is In an
Agricultural District 0
SALE INFORMATION 15.Check one or more of these conditions as applicable to transfer.
A Sale Between Relatives or Former Relatives
11.Sala Contract Dab B.Sate between Related Companies OF Partners in Business
C.One of the Buyers is also a Seller
D Buyer or Seller is Government Agency or Lending Institution
•12.Delo of Salertrenafer June 2,2015 E.Deed Type not warranty or Bargain and Sale(Specify Below)
F Sale of Fractional or Lam than Fee Interest(Spedly Below)
113.Full Sola Price $40,00 G.Significant Change In Property Between Taxable Status and Sale Dales
H.Sale of Business is Included in Sob Price
(Full Sale Price is the tool amount paid for the property including personal property. X 1.Omer Unusual Factors Affecting Sale Price(Specify Below)
,This payment may be In the form d cash.Omar property or goods.or the assumption C. J.None
mDTtgages or other obligations.)Please round to the nearest whole dollaramount. t
L Comments)on Condlfbn:
14.Indicate,the value of personal
property Included In the sale $0.00 No 00'6i -estate settlement
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Rall and Tax Bill
16.Year of Assessment Roll from which Information taken(YY) 15 '17.Total Assessad Value $100.00
118.Property Class 3 2 3 — '19.School District Name Southold
'20.Tax Map Mandler(s)1Rol Identflar(s)IN more than four,attach sheet with additional Identiffer(s))
000 OS4,190 0(000 0(3 22Y2
CERTIFICATION
I Cedlfy that all of the Items of Information entered on this form aro true and correct(to the beat of my knowledge and bello and 1 undonstand that the making of any willful
false statement of material fact herein subject me to the prpvlslans.eLthapirmiI.I8YILrelative to the making and filing of false insWman s.
$ELLEEL BUYER CONTACT INFORMATION
IErrn n ion of a for the hall a Nola If hwfr is L a earns.aswoeGn eaPwaaan f an MW anpaN.aMY Of
�Y�VVaif4�7J-�ey���1 anikY mat Ia not an ndnduer agent w Iduoery men a nmle and oornact klamafim d an ildmtllEOrwprwds
pony who ran answer questions ratierdrtg cur traalr mum bo orserotl Type r print aleeay.)
aELUM SK MnW DATE
RgIQNATURG COLLISON DOUGLAS A.
LAST NAM FIRST NAM
1 410 822-3900
yJ •ARFA CODE -TELEPHONE NUMBER(E.aMSWa) .
Ili[ CATE
7140 Solitude Road
L ■ 5 1 e' -Sn EETNu1EER •STRH1•T NAME
St.Michael's MD 21663
L:Y aA TOIMH 'STATE •1P CGDE
I
131�€!iS ATTQRdEY
r Howard Robert K.
r 1AST NAA@ FYteT NAME
r� ti 1 n (631) 723-1100