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Home My WebLink AboutL 12886 P 171 1111111 IIII VIII VIII VIII VIII VIII VIII VIII IIII IIII I I I I I I I I I I I I I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 11/01/2016 Number of Pages : 3 At: 12 :29: 38 PM Receipt Number : 16-0172996 TRANSFER TAX NUMBER: 16-09971 LIBER: D00012886 PAGE : 171 District: Section: Block: Lot: 1000 067 . 00 04 .00 017 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 .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 $5.00 NO RPT $200.00 NO Transfer tax $0 .00 NO Comm.Pres $0 .00 NO Fees Paid $395.00 TRANSFER TAX NUMBER: 16-09971 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County -J Number of1pages 3 RECORDED 2016 Nov 01 12:29:38 PM JUDITH A. PASCCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00012886 Social Security ,Numbers P 171 prior to recording. DT#t 16-09971 Deed/Mortgage Instrument Deed/Mortgage Tax Stam PRecording/Filing Stamps 3 FEES Page/Filing Fee 1:5- gage_ MortAmt. Handling 20. 00 1'v' Basic Tax 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. EA-52 17(County) or SubTotal Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A. Dual Town Dual County Held forAppointment Comm.of Ed. 5. 00 Transfer Tax a Affidavits Mansion Tax ertifieclCopy �� The property covered by this mortgage is or will be improved by a one or two N rc arge 15. 00 Sub Total family dwelling only. 3��J � Other YES orNO Grand Total 5 If NO, see appropriate tax clause on 1160311 Page# f this instrument. o 049 1000 06700 0400 017000 4 Dist.100' PTS f if f Jlf 1 l J �0 5 Community Preservation Fund Real TaxService Y 07-OCT-1 HCWH �I1�✓�� Consideration Amount$ 0.00 Agency CPF Tax Due Verification $O.OQ Satisfactions/Discharges Releases List Property Owners Mailing Address Improved X 6 RECORD&RETURN TO: J. KEVIN MCLAUGHLIN, ESQ. vacant Land P.O. BOX 1210 SOUTHOLD, NY 11971 TD 1000 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information 3 0 Center Drive, Riverhead, NY 11901 www.suffolkcountyny.gov/clerk Co.Name p Y y.gov/clerk e I C✓ Title k i _ 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED by: made (SPECIFY TYPE OF INSTRUMENT) ROBERT BUSBY and ANTIA BUSBY The premises herein is situated in SUFFOLK COUNTY,NEW YORK, TO In the TOWN of SOUTHOLD RYAN PETER BUSBY, as Trustee In the VILLAGE or HAMLET of PECONIC BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over -2-00I 0-2-0 CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the l q day of 5e,��,x!{2016 BETWEEN ROBERT BUSBY and ANITA BUSBY, his wife, both residing at 375 Burtis Place, Peconic, NY 11958 party of the first part, and RYAN PETER BUSBY, as Trustee of the ROBERT W. BUSBY, JR. and ANITA M BOW IRREVOCABLE TRUST,residing at 136 Thornridge Drive,Colchester,CT 06415 BUSBY party of the second part, WITNESSETH,that the party of the first part, in consideration of TEN and no1100ths($10.00)dollars 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, SEE SCHEDULE"A"ANNEXED HERETO AND MADE A PART HEREOF 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,shown and designated as Lots 102 and 103 on a certain map entitled,"Map of Peconic Shores,Map#2"and filed in the Suffolk County Clerk's Office on 9/15/1935 as Map No.654,being more particularly bounded and described as follows: BEGINNING at a point on the westerly side of Burtis Place distant 346.37 feet northerly from the corner formed by the intersection of the northerly side of Fasbender Avenue and the westerly side of Burtis Place; running thence South 54 degrees 33 minutes 30 seconds West 123.50 feet;running thence North 29 degrees 46 minutes 20 seconds West 90.44 feet;running thence North 54 degrees 33 minutes 30 seconds East 130.74 feet to a point on the westerly side of Burtis Place;running thence South 25 degrees 15 minutes 20 seconds East 91.42 feet along the westerly side of Burtis Place to the point and place of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed to the parties of the first part by deed made by Edward F. Reilly and Mildred A. Reilly dated August 10, 1993 and recorded in the Suffolk County Clerk's Office on August 23, 1993 in Liber 11641 Page 128. 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 tines 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 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 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 PRESE E W ROBERT BUSBY ANITA BUSBY 1 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of Suffolk ss: State of New York,County of ss: On the N l day of Sc?�en,be- in the year 2016 On the day of in the year before me, the undersigned, personally appeared ROBERT Before me,the undersigned,personally appeared BUSBY and ANITA BUSBY 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(s)whose name(s)is (are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to me that helshelthey executed the same in his/heritheir me that helshelthey executed the same in hislher/their capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the individual(s)acted executed the instrument. the individual(s)acted,executed the instrument. (signature an office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) NOTARY PU Ir VICTORIA CHARCZUK Notary Public,State 01 New Yodt No.4a50488 Qualified in S001k County 1 Omm im1w Expires January 2D,PO.f TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)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 to me that helshelthey executed the same in his/herltheir capacity(ies),and that by his/herltheir signature(s)on the instrument,the individual(s),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 (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking acknowledgment) BARGAIN AND SALE DEED DISTRICT 06 0 WITH COVENANT AGAINST GRANTOR'S ACTS SECTION 0 00 BLOCK 04.4.00 Title No. LOT 017.000 COUNTY OR TOWN ROBERT BUSBY&ANITA BUSBY STREET ADDRESS TO Recorded at Request of RYAN PETER BUSBY,as Trustee COMMONWEALTH LAND TITLE INSURANCE COMPANY RETURN By MAIL TO' STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by J.Kevin McLaughlin, Esq. P.O.Box 1210 Commonwealth Southold,NY 11971 ALA-AMLR:U COMPANY COMMONWEALTH LANDTITLE INSURANCE COMPANY w u LL 0 O 0 Z O 0 O W W 0 W N O LL W U Q a y N_ Z f W 1 a W INSTRU'CTIONS(RP-5217-PDF-INS):wormorps.stale.ny.us FOR COUNTY USE ONLY „ Now York State Department of SwIS C1. Coda I p 1 105: /y I Taxation and Finance C2,Pines Deed Recorded I �/ / I Office of Real Property Tax Services RP-5217-PDF C3.Book O b C4.Page Real Properly Transfer Report 18110) PROPERTY INFORMATION 1.Property 375 Bur is Place Locadon •STREET NNMeER •STREET fMVE i Southold Peconic 11958 T Hors -ED,rAlx. 2.Buyer a-3- .,u Truste0 Ryan Peter Nems FIRST NAVL •LAS(xA.sXahPAN` LAST NRYEPOO PARI FnsT HAM �^ 3.Tax Indicatowhere futmTex Bills amtobesent Busby Robert Billing y other then buyer address(at bottom a:form) hASTINANECOWAN' FRUNAME Address P.O. Box 129 Peconic NY 11958 SIra:LI MUNR AND NNE CITY a Tom STATE VP CODE 4.Indicate do number of Assessment1 (Only If Part of a Parcel)Check as they apply: Roo parcels transferred en the deed 6 of Parcels OR Pari at a Parcel 4A Planing Board with Subdivision Authority Exists S Dead X OR 0.26 40.Subdivision Approgl was Required for Transfer Property •IRONTFEET •DEPTH 'ACHES SIM 4C.Parcel Approved for Subdivision with Map Provided Busby Robert 6.Sailor •,ASTNAIEC0UFANY FMSTVJM Name Busby Arita iter W/EICOMPAW FIRST NNE h.Select ft description which most accurately describes the Chock the home below as they apply: use of the property at the time of mats: 6.ownership Type is Condominium A.One Family ResidentialEl 6.New Conskuawn on a Vacant Land 16A.Property Located within an Agricultural District I CM Buyer Facelved a disclosure!rows indiciding that the property Is In an Agricultural District SALE INFORMATION1 76.Check one or man of those conditions as applicable to transfer: N J X A Sale Between Relatives or Former Relatives 1111.sale Contract Dab f/ B.Sale between Related Companies or Partnere in Business. I // C.One of the Buyers Is also a Seller '77.Deb at 8alellYansfor I j ! ID D.Buyer or Salter is Government Agency or Lending InSetulion E.Dead Type not Warranty or Bargain and Sale(Specify Below) F.Salo of Frociionef or Lass than Fee Interest(Specify Below) '13.Full Safe Pries 0.00 G.Significant Change In Properly Between Taxable Status end Sate Detos H.Sate of Business is Included In Sado Prim (FWI Sets Plka Is Ow tidal amount paid for the properly including personal property. X 1.Other Unusual Factors ARscting Sale Pries(Specify Below) This payment may be in the form of cash•other property or goods,or the assumption of J.Norio mortgages or other obligations.)Pleme round to the nearow Main doter emowrL Comment(*)on Condition: 14.Indlcabthe value atpersonal Transrer into ar. :rrii,rocab_e Trust property Included In the ode 0 .00 ASSESSMENT INFORMATION-Data should ro0oct the latest Final Assessment Roll and Tax Bill 16.Year of Asewsmanl Rol from which Information lalu n(YY) 15 '17.Total Assessed Vdm 7 300 mill.Property Class 210 _ '19.School District Home Southold 76.Tax Map IdemdfeT(syRo6 kienNMr(s)(H mon than Mur,attach Sheol with additional ldentltbr(s)) 10170-067.00-04.00-017.000 CERTIFICATION I Certify that sa of the hems of Information anterod on this farm are true and correct(to do beat of nhy knowledge and hdlon and I understand that the making of any wlllMl friss amfement of material fact herein subject me M thayrgyllilgrts pf gte.panel law relative M the making and filing at few Instruments. SELLER SIGNADRE BUYER CONTAGI INFORMATION -- --- (Enter kdmyaaon for the buyer.Nota:II toyer is LLCaodery,assadsam.rorpaason.join @=A com4sny.aslan,or // write OW is riot sa ImlMdwl spill or fadery.a=a rvrrm and contra information Stan etllNaWhospomlab fwriy who an rawer auewae recording the Inursbr must be mlared Type w prim dearly.) aEL ER 9GkA7URE Busby, as Trustee Ryan Peter BUYER BIGNATifBE i 'Lti:MW FIRST N11YE gG-517 65- 17 5 •NEA CODE 'TELEPHONE NJWLR IL'.'Rteettel LL BUYER WAATURE DAF 136 Thornridge Drive •STREETNarrLN 'STREETNAL6 ` Colchester CT 06415 •teTY OR roan SIAIE Wcaw 2=5 ATTORNEY McLaughlin Kevin LAST NNE FIRST RALE r 631 7656085 I AhhEAeaDE TEIEhAiarE raae[Rct7c aaahrbr I r I