HomeMy WebLinkAboutL 12891 P 880 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 12/10/2016
Number of Pages: 3 At: 08 : 53:27 AM
Receipt Number : 16-0196125
TRANSFER TAX NUMBER: 16-14469 LIBER: D00012891
PAGE : 880
District: Section: Block: Lot:
1000 135 .00 03. 00 033 . 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 $390 . 00
TRANSFER TAX NUMBER: 16-14469
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
1❑❑2
Number of pages
RECORDED
2016 Dec 10 03:53:27 AM
JUDITH A. PASCALE
This document will be public CLERK OF
record.Please remove all SUFFOLK COUNTY
Social Security Numbers L D00012891
prior to recording. 16-1144
8
DT# 1469
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee ,5 Mortgage Amt.
1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit • Mansion Tax
The property covered by this mortgage,is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total If NO, see appropriate tax clause on
page# of this instrument.
c
4 1 Dist. 1! 16037602 1000 13500 0300 033000 000 5 Community Preservation Fund
Real Property P T 11111� 11111 IIII Ipll IIII IIIIIIIIII1I Consideration Arnount$
Tax Service R pHp A II
Agency 02-DEC-t CPF Tax Due S
Verification
J Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD
Nancy Burner&Associates,P.C.
12 Research Way TD
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#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached Quitclaim Deed made
by: (SPECIFY TYPE OF INSTRUMENT)
Lawrence Hall&Jeanne A.Hall The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of
Kathryn J Hall as trustee of both Lawrence Hall& In the VILLAGE
Jeanne A.Hall 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 �2- 1 day of QCt-� , 2016 as between
LAWRENCE HALL AND JEANNE A.HALL,66 THOMPSON HAY PATH, SETAUKET,NEW
YORK 11733,
party of the first part,and
KATHRYN J.HALL AS TRUSTEE OF THE LAWRENCE HALL HIREVOCABLE TRUST,66
THOMSPON HAY PATH, SETAUKET, NEW YORK 11733 AND KATHRYN J. HALL AS
TRUSTEE OF THE JEANNE A.HALL IRREVOCABLE TRUST,66 THOMPSON HAY PATH,
SETAUKET,NEW YORK 11733,
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 Town of Southold,County of Suffolk and State of New York, more
particularly bounded and described as follows:
BEGINNING at a point on the northerly side of Mill Creek Drive where same is intersected by the
division line of lands now or formerly of Alfred and Suann Stretz and land about to be described with the
northerly side of Mill Creek Drive;
RUNNING THENCE along above mentioned division line,North 47 degrees 40 minutes 00 seconds
East 141.03 feet to the high water mark of Arshamomoque Pond(Mill Creek),-
THENCE
reek);THENCE along said high water mark, South 65 degrees 37 minutes 00 seconds East 69.34 feet to land
now or formerly of William and Grace Miller;
THENCE along said last mentioned land, South 49 degrees 50 minutes 00 seconds West 140 feet to the
northerly side of Mill Creek Drive;
THENCE along the northerly side of Mill Creek Drive,North 68 degrees 22 minutes 40 seconds West 65
feet to the point or place of BEGINNING.
TOGETHER with all right,title and interest, if any,of the party of the first part of, 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.
District: 1000 Section:135.00 Block:03.00 Lot:033.000
The premises known as 575 Mill Creek Drive,Southold,NY 11971.
BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed
dated January 16, 1998 and recorded on January 26, 1998 at Liber 11874,page 683.
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
year first above written.
-�:�. qA�
LAW NCE HAL �7
5TA
NNE A.HALL
NYSBA's Residential Real Estate Forms(9/00) ®2016 Matthew Bender&Co.,a member of the LexisNexis Group.
-I-
Acknowledgment by a Person Within New York State(RPL§309-a)
STATE OF NEW YORK )
COUNTY OF SUFFOLK )ss.:
On the014 day of in the year {o, before me, the
undersigned,personally appeared LAWRENCE HALL AND JEANNE A.HALL,personally known to
me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed
to the within instrument and acknowledged to me that they executed the same in their capacities,and that
by their signatures on the instrument,the individuals,or the person upon behalf of which the individuals
acted,executed the instrument.
k am 0 NICOLEASCHIRMER
(signature and office ofi�v dual taking acknowledgment) NOTARY PUBLIC-STATE OF NEW YORK
No.O1SC6339616
Qualified In Suffolk County
QUITCLAIMDEED My Commission Expires 04-04-2020
TitltNo. District 1000
Section 135.00
LAWRENCE HALL and JEANNE Block 03.00
A.HALL Lot 033.000
County or Town SUFFOLK
To Street Address 575 MILL CREEK DRIVE
SOUTHOLD,NEW YORK 11971
KATHRYN J.HALL AS TRUSTEE
OF THE LAWRENCE HALL
IRREVOCABLE TRUST and
KATHRYN J.HALL AS TRUSTEE
OF THE JEANNE A.HALL
IRREVOCABLE TRUST
Return By Mail To:
Nancy Burner&Associates,P.C.
12 Research Way
East Setauket,New York 11733
Reserve This Space For Use Of Recording Office
NYSSA's Residential Real Estate Forms(9100) ®2016 Matthew Bender&Co.,a member of the LexisNexls Group.
-z-
INSTRUCTIONS(RP-5217-PDF-INS):www.arps.state.ny.us
FOR COUNTY USE ONLY 14 -3 New York Slate Department of
Cl.Sins code , ,� Taxation and Finance
C2.Date Deed Recorded I a/ Io A L/t? I Office of Real Property Tax Services
�l NF" ew "'Q RP-5217-PDF
C],Book I A 8 �lI + C4.Page L , ,V Q I Real Property Transfer Report(8110)
PROPERTY INFORMATION
1.Property 575
Location MILL CREEK DRIVE
•sTNEET xI/,EER •STREET NNE
SOUTHOLD 11971
'CITY CII TOaw VILLAGE
•ZPCCOE
2.Buyer
Name See Attachment 1
Name
•usrResr MwF
See Attachment 2
WT NAIAM WANV FIRST 4ANE
].Tax Indicate where future Tex Bills am to be sem
Billing If other than buyer Dddre*at bottom of farm) LAST NAME6a1rANT I'Her HAM
Address
arREFTYUMKR AM NAME Cil"OR TOWN aTATF. ZP CODE
4.Indlcats the number of Asswunent Part of a Parcel (only 11 Part of a Parcel)Check as they apply:
Rail :Tests transferred on the dead 1 s or Parcels OR ❑
IA,Planning Board with Subdivision Aualonry Exists
s Deed \ OR 0.23
Property •rRnNT FUT 4B.Subdivision Approval was Required for Transfer
SIYe 'ULMrx 'ACRES
4C.Parcel Approved for Subdivision with Map Provided
HALL.LAWRENCE AND HALL,JEANNE A.
6..Seller 'IASTNAMEROMPANY FRET 1.41E
Name
LAST NALEPCOMPNIT rear is E
•7.Select the deecription which most accurately describes the Check the boxes below as they appy:
use of the property at the time of sale: 8.Ownership Type Is Condominium
g.Now Construction on a Vecanl Land
A.One Famil Residential tOA.Property Lo.•aroo within an Agricultural District
108.Buyer racenled a disclosure Mica indicating lhal[two property Is in an El
Distrix
SALE INFORMATIMI 15.Check one or more of these condltbns as applicable to transfer.
A.Sale Between Relatives or Fortner Relatives
11.Sale Contract Date B.Solo between Related Congmnias or Partnsrs in Business.
C.One of the Buysm Is also a Seller
D.Buyer or Seller is Government Agency or Lending Institution
12.Date of SelefrransforLo X E.Deed Type not Warranty or Bargain and Sale(Specify Below)
F.Salo of Fractional or Less Own Fee Interest(Specify Below)
Full Sale Price $10,00 G.significant Change in Property Between Taxable Status and Sale Dates
1 Full Sale Price is the total amount paid for the property Including personal property. H.Sale of Business is Included in Salo Price
This payment may be in the farm of cash,other property or goods,or the assumption of 1.Other Unusual Factors Atkicbng Sala Price(Speedy Below)
mortgages or other obligations.)Freese roped to rho nearest whoa dollar arrount.
J.None
Comments)on Condition:
14.Indicate the value of personal
propery Included In the ole $0.00 QUITCLAIM DEED
ASSESSMENT INFORMATION-Date should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from which Information taken(YY) 16 '17.Total Assessed Value $6,400.00
'18.Property Class 2 1 0 Y9.School District Name
SOUTHOLD
'20.Tax Map IdentMIdentif
er(syRoll ler(s)(If more then four,attach Sheet with additional Idontiaer(a))
1000-135.00-03.00-033.000
CERTIFICATION
I Certify that all of the items of Information entered on this form are true and comet(to the best of my knowledge End began and I understand that the making of any willful
Fal"akdemsnt of material fact heroin subject me to tho.provlsbne-o to venal 16w motive to the making and filling of false Instruments.
$ELLER SIGNATURE BUYER ONTACT INFORMATION
(Emer rxlreeann for the Wryer)tele•n bLW Is LLC.110091y,asxact lion.oR:xvelgn,for'1 slot.mnpany,@elate or
amity Rhe..$rax an s.dxtau l Rga11 or sdudery.than a name and conwra Inwrro:ton of m ndndtaftep nsun
pv
/te ly oho Gen en~emotions regarding Mawr nowee
el be .ed.Type or prim clearly)
r BlLYER IGNATURE See Attachment 3
'LABTNANE FRSTNAME
's JTt. —LA LWE Rn FPHONIC WINNER IE•:etOMI
OrR"JiGlixTURE OfF
IL 66 THOMPSON HAY PATH
ST'EET
' NLLPKR 'Sr1EF.*NAME
(t 'r SETAUKET NY 11733
1 'GIRT W T.HrN
r 1 .5'A= 'ZPCOOL
BUYER'S ATTQRN�FY
1 ,
' I NANCY BURNER AND ASSOC.,PC
1 I LAST 11A4E IINST M1AME
' ) I
J ' (631) 941-3434
1 e 1 1 I 1
AREA CODE TELEFIOrE NIRvuaR IS-@lwee@I
Pho/x
L 1Aygl
Attachment
Attachment 1
Last name/Company
KATHRYN J.HALL AS TRUSTEE OF THE LAWRENCE HALL IRREVOCABLE TRUST
Attachment 2
Last name/Company
KATHRYN HALL AS TRUSTEE OF THE JEANNE A.HALL IRREVOCABLE TRUST
Attachment 3
KATHRYN J.HALL AS TRUSTEE OF THE LAWRENCE HALL IRREVOCABLE TRUST