HomeMy WebLinkAboutL 12893 P 666 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 l l l l l l l l l I I I I I I
111111 IIIII IIIII IIII Illi
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/21/2016
Number of Pages : 4 At: 02 :29 : 43 PM
Receipt Number : 16-0203157
TRANSFER TAX NUMBER: 16-15811 LIBER: D00012893
PAGE : 666
District: Section: Block: Lot:
1000 115 .00 12 .00 011 . 000
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $0 . 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $20 . 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 $400 . 00
TRANSFER TAX NUMBER: 16-15811
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
71
`f RECORDED
Numbs of pages I 2016 Dec 21 02.29:43 Pfq
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record.Please remove all L D00012893
Social Security Numbers P 666
prior to recording. DT# 16-15811
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee W Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 �( Sub Total 0 00
Notation Spec./Assit.
or
EA-52 17(County) �V V Sub Total L45) -Lqew Spec./Add.
EA-5217(State) 2�� TOT.MTG.TAX 0 00
Dual Town Dual County
R.P.T.S.A.
Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit
�. ;l Mansion Tax
ItThe property covered by this mortgage is
entified Copy or will be improved by a one or two
urcharge 15. 00 �V familydweiling ly.
Sub Total v YES or NO X
Other
Grand Total If NO, see appropriate tax clause on
page N O of this instrume //(e'
4 Dist. 1000 � 5 Community Preservation Fund
16039300 i000 iasoo 1200 oii000 o.00
Real Property , Consideration Amount$Tax Service T S ijil
11111111llllllIIIIIIIII I I Illl III IIII CPF Tax Due $ 0.00
Agency R DTY A
Verification 16-0EC-1
Improved li
6 Satisfactions%Discharges%Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Brian J.Hughes TD /�
Office of Brian J.Hughes
P.O.Box 866
Southold,New York 11971 TD
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name chicaloe
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)
Susan Burke The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of Southold
Susan Burke Living Trust In the VILLAGE
or HAMLET of Mattituck
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS
(INDIVIDUAL OR CORPORATION)
FORM 8002(short version),FORM 8007(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 18th day of November,2016,
BETWEEN SUSAN BURKE,of 780 Deep Hole Drive,Mattituck,New York 11952,
party of the first part,and
SUSAN BURKE LIVING TRUST of 210 Brook Lane,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 grant and release 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
SEE ATTACHED SCHEDULE A
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,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
lt-Q U/`ti
Susan Burke
IN PRESENCE OF.
Acknowledgment by a Person Within New York State(RPL§309-a)
STATE OF NEW YORK )
COUNTY OF SUFFOLK )ss.:
On the 8th day of November in the year 2016,before me,the undersigned,personally appeared SUSAN
BURKE,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.
BRIAN'J- HUGHES
1(0tary Public,State of New York
(s "atureoffic of in ' idual taking acknowledg ent) Ka-02HU4863487
1T Ivy l / Qualified in Suffolk County
DEED
U Commission Expires June 2,2dt
Title No.
District 1000
SUSAN BURKE Section 115.00
To Block 12.00
SUSAN BURKE LIVING TRUST Lot 01 L000
County or Town Suffolk/Southold
Street Address 780 Deep Hole Drive
Mattituck,New York 1]952
Return By Mail To:
Brian J.Hughes,Esq.
Office of Brian J.Hughes
P.O.Box 866
Southold,New York 11971
Reserve This Space For Use Of Recording Office
•2.
SCHEDULE A-1(Description)
ALL that certain plot,piece or parcel of land,situate,lying and being at Mattituck,Town of Southold,County of Suffolk,
and State of New York,bounded and described as follows:
BEGINNING at a point on the West side of Deep Hole Drive,distant 764.28 feet South of New Suffolk Avenue;
THENCE along Deep Hole Drive 50 feet to land of Dohm;
THENCE North 87 degrees 19 minutes 20 seconds West 245 feet more or less to Deep Hole Creek;
THENCE Northerly along Deep Hole Creek 50 feet more or less;
THENCE South 87 degrees 19 minutes 20 seconds East 240 feet to point of BEGINNING.
INSTRUCTIONS(RP-5217-PDF-INS):vvww.ofps.state.ny.us
FOR COUNTY USE ONLY 1 � � New York Stare Department of
C1.SMS CoddLlltl _ , I I Taxation and Finance
cz Date Deed Recorded I ! o� /CZ I / (D I Office of Real Property Tax Services
Dry RP-5217-PDF
C3.Book L , +' `! l I C4.Page I r , 1
Real Properly Transfer Report(8170)
PROPERTY INFORMATION
1 Properly
Locatlon 780 Deep Hole Drive
'STREET N,KMR .STREET NALP
Mattituck 11952
.CT•oRT011N WAGE
•irR tett
x.Buyer
Name Susan Burke Living Trust
.waThN,Er..CY?AAY FW6TNAtrE
LASTNENEC0t8MY 9RST NAME
°'aging Indicate whom future Tax Bins are to be■ant Susan Burke Living Trust
Address f other than buyer eddross(at boom of form) LAST NAEL.CnaPAN• FIRSTNALE
P.O.Box 866 Southold NY 11971
WrWZTKUMEPA40mum pnr OR IRWIN
STATE zp 000E
4.Indicate the number of Assessment ❑Part of a Pareal (Ordy N Pert of a Parcel)Check as they apply:
Roll parcels transferred on the dead 1 #of Parcels OR ❑
4A.Planning Board with Subdivision Authority Ex1als
IL prod \ OR 0.25 40.Subdivision Approval was Required for Transfer ❑
party •PROW.FEET .ion" .APES
She
4C.Parcel Approved for Subdivision with Map Provided
Burke Susan
{.Sellar •
Name LAST NAE!•RAMEtlh
Fr;eTIWAE
LAST NAAE1001PANr FIRST.he<
•7.Select the description which most accurately describes the Check the boxes below as they appy:
use at the property at the tlrlu of sale: L Ownership Type is Condominium ❑
A.One Family Residential 9.New Construction on a Vacant Land
10A.Property Located within an Agricultural District ❑
10B.Buyer received a disclosure notice indicating that the property is in on
Agricultural District ❑
SALE INFORMATION 15.Check one or mon of them condtlons as applicable to transfer.
A Sale Between Relatives or Former Relapvea
11.Sale contract Dab November 18,2016 B.Sale between Related Companies or Partners i1 Business.
C.One of the Buyers is also a Salver
•12.Dab of SakRronsfer November 18,2016 D.Buyer or Sailor is Government Agency or Lending Institution
E.Deed Type not Warranty or Bargain and Sale(Specify Bolow)
F.Sok of Fractional or Less than Fee Interest(Specify BskW
•17.Full Sala Price $0.00 G.Significant Change in Property Between Taxable Statue and Sale Dates
H.Sale of Buanesa,s Included insole Price
(Full Sale Price Is the total amount pard for the property including personal property. 1. Other Unusual Factors Atecling Sole Price(Specify Below)
Thy payment may be in the form of cash.other pmperty or goods.or the assumption of x J.None
mortgages or other obligations.)Please round to the nearest whole ddln amount.
CounistittaloaCondition.
14.Indleab the value of personal
property Included In the sale 50.00
ASSESSMENT INFORMATION-Dale should reflect the latest Final Assessment Roll and Tax Bin
IL Year of Anam meso Roll hon which Information token(YY) 13 •77.Total Assessed Value $5,200.00
'10.Property Class 2 1 0 — '1{,school District Noma
Maltituck/Cutcho ue
•Zt.Tex Nap klentlSegelatoll IdemMar(e)(M mote than four,attach shed with additional idemmar(s))
1000-115.00-12.00-011.000
CERTIFICATION
I Codify that all of the Iterrw of tnbrmndon entered on this form aro true and correct(to dor best of my knowledge and balled)and I understand that the making of any wiftl
tales ment of malarial fact heroin subject rax to the AreYl{IIIIIs of the gaosl law rolstbe to the making and Ming of fates Instrument•.
931MATURE ELM CONTACPT INFORMAIM
(Enter L7am iolim for clue bays.Ncte If OLw is LLC too".o■sodabon•corporator,lay Nod,compargr ad*@ or
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aft son is rat or.mchro+a asr
seem or aday arm a name and contact■farme:gn of sr.Mdvioa lmisponaga
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SELLER NOMTLM TE
j3UYER SIGNATJ(13E Hughes Brian
'LA"r WAE -- FORM MINE
631 766-0911
'kaFJ,CDOE 'RI Er+NOK NlalaER lE•:wwewu
aA.w
P.O.Box 866
t '� r■ ■ '611EE"rJAWR •6rrEETNIVAE
t t s Southold NY 11971
n r ■ YlrvarTdvA+
•6TAm: wecoe
' 1 pjjYER,s�ITTORNEY
I ++ Hughes Brian
'S a -M�NAME gRST hWE
I L ■
e '
I e r (631) 765-6911
+uEACnoE rELEPNDNE NLLBER fa w s"