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L 12896 P 942
111111111111111111111111111111111ii1 111111111111!11111 111111111111 IIIII Illi IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: CORRECTION / DEED Recorded: 01/18/2017 Number of Pages : 4 At: 02 : 49: 33 PM Receipt Number : 17-0009700 TRANSFER TAX NUMBER: 16-18369 LIBER: D00012896 PAGE : 942 District: Section: Block: Lot: 1000 070 . 00 09 .00 065 . 001 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 . 50 NO Cert.Copies $0 .00 NO RPT $200 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO Fees Paid $395 . 50 TRANSFER TAX NUMBER: 16-18369 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 2017' Jan 18 02:49:33 PM •JUDITH A. PASCALE This document will be public CLERK OF record.Please remove all SUFFOLK COUNTY Social Security Numbers L D00012896 P 942 prior to recording. DT# 1c-18"y Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Re rAin$7:FiUog Stamps 3 1 FEES s Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20, 00 V 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG,TAX Dual Town Dual County R.P.T.S.A. � � Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit + Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other �j h Grand Total ✓ / ✓ If NO, see appropriate tax clause on Spage of this in 4 Dist. 1000 16039253 i000 07000 0900 065001 g Community Preservation Fund Real Property R MlI��IIIliiiiiiiiiiiiiiiiiililiiiiiiiiiiiiiii�ii� Consideration Amount$ Tax Service 16-DEC-1 Agency CPF Tax Due $ Verification — J Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant d THE BRIDGEHAMPTON NATIONAL BANK TD 15 FROWEIN RD,SUITE A-3 CENTER MORICHES, NY 11934 TD 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# &-r'r Z St(U o s Suffolk County Recording & Endorsement Page This page forms part of the attached Correction Deed made by: (SPECIFY TYPE OF INSTRUMENT) George J Berry The premises herein is situated in Sandra L Berry SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Vicki Lynn Be=and George Berry Jr.as Trustees In the VILLAGE of the George J. Berry Sr.and Sandra L Berry or HAMLET of Southold Irrevocable Trust dated November 15,2015 BOXES 6 THRU 3 MU5T BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the day of September,2016 BETWEEN GEORGE J. BERRY, SR. and SANDRA L. BERRY, his wife, both residing at 345 Willow Pond Road,Southold, NY 11971 party of the first part, and VICKI LYNN BERRY,residing at 345 Willow Pond Road, Southold, NY 11971 and GEORGE BERRY,JR., residing at 1000 Shell Fisher Road,Southold, NY 11971,as Trustees of the GEORGE J.BERRY and SANDRA L.BERRY IRREVOCABLE LIVING TRUST dated November 5,2015 party of the second part, WITNESSETH, that the party of the first part, in consideration of TEN and no/100ths ($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, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the SEE SCHEDULE"A"ANNEXED HERETO BEING AND INTENDED TO BE the same premises conveyed to the parties of the first part by deed dated April 4,2013 and recorded in the Suffolk County Clerk's Office on April 15,20013 in Liber 12726 Page 497, THIS IS A CORRECTION DEED to correct the grantees to read as VICKI LYNN BERRY and GEORGE BERRY,JR., as Trustees of the GEORGE J. BERRY, SR. and SANDRA L. BERRY IRREVOCABLE TRUST dated November 5, 2015, which grantee was inadvertently named as the George J. Berry Sr. and Sandra L Berry Irrevocable Trust in the deed from George J. Berry, Sr, and Sandra L. Berry dated November 5, 2015 and recorded in the Suffolk County Clerk's Office on December 15,2015 in Liber 12844 at Page 708. 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 written. IN PRESENCE OF: i r GEORGE // RY,SR. SANDRA L.BERR + TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of Suffolk ss: Statd of New York,County of ss: On the A, day of September in the year 2016 On the 2 day of in the year before me,the undersigned, personally appeared GEORGE J. Before me,the undersigned,personally appeared BERRY,SR.and SANDRA L.BERRY 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 he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/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)ac , t executed r m nt. the individual(s)acted,executed the instrument. 01 (sign a an office of divi ual taking acknowledgment) (signature and office of individual taking acknowledgment) NOTARY P BLIC LINDA S.CARLSON Notary Pu 01State to 3of New York Llualified In Suffolk County `� Commission Explres Nov.14,20�-F TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of Virginia 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 he/she/they executed the same in his/her/their capacity(ies),and that by his/her/their signature(s)on the instrument, the individual(s),or the person upon behalf of which the individuals) 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 1000 WITH COVENANT AGAINST GRANTOR'S ACTS SECTION 070.00 BLOCK 09.00 Title No. LOT 065.001 GEORGE J.BERRY,SR.and SANDRA L.BERRY COUNTY OR TOWN TO STREET ADDRESS VICKI LYNN BERRY and GEORGE BERRY,JR.,as Trustees Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS E TUBN By MAIL To- Distributed by J.KEVIN MCLAUGHLIN,ESQ P.O,Box 1210 \V Commonwealth Southold, NY 11971 AI—DAMFM[ COWMIY COMMONWEALTH LAND TITLE INSURANCE COMPANY W U LL LL 0 Z 0 D: 0 U W LL O W fA 7 K O LL W U Q a N _N 2 h W ' a' W V1 ALL -'that Qe•r taj.n 10 t A r. pleco.;orce1.•0f l nd•, ,'sl,tu.ate", ly.in. and bean- E . R g •at >gUtjjo'l ,j in ttia Town' .of Southold , Coizr�ty of Suffolk and State of ;New Yo,,rlc, :bO-Uhded. ond. do=scribbd Ab fo11lows. B'FGINNZN4 :at, thp•. 'yo.iithe.rly terminus of th© e"asttr.;jy. line o Willow Pand I&ne , 'adjoining land tiF Dart, from said p6int of beginnintr running along; said easterly line of Willow Pond Lane and elonP land of the Town of Sot.ttholcd a North 11 da.grei;s 37 minIates 1() sgconcl.s Past, a distance 'of, 189 99 feet. to the soiathor.ly line of Lot '26. as shown on map of "IFaiyview Park a.t. Sot,thold" and .filed In the Sui'folk county Clerk's O.f.ficeaA M-aP NO'. 3388; tho'n*ce .`alond said -Lbt 2b and along bots 27, 28 and 29 and other' land of the '.Down 'of Southold , South 72 degrees .39 CL-ntitei3 20 seconds Ea-st, a ciistance of 5P9,07 feet to land of Howe, 1; along said land' of riowe.11 , then Dart, five courses: (1) North' 77 aeg.xees .16. minutes .LEo soco•nd's We a (11-stance of 166,77 f s'Ht; thence (2) .South 1:7 degrees- 32 minutes '30 seconds Wast, a distancethence (3)` 5ou'irr 7Ef dogrees .51 minutes 20 seconds Wost ,..a ;distance. Of' 17.5,•6 t; to (4) AIo fi A 7egrecs.s 29 minutes 4()..s:ecgnds .wept:, 'distarid0 :.e -6 3 ,0. filet•, theii,ce ( `i) �'ox th 79 degrees 01 minutes 40 ,second-s West , a .di:stanc©'.o.f 134.99 f'tre:t to the point of b0ginn.ing , �• 1 s COUww. INSTRUCTIONS(RP-5217-PDF-INS):worps.state.ny.us FOR NTY USE ONLY Ci.SMS Code NYork State Department of L�� I I I_- aw Taxation and Finance C2.Date Deed Recorded I v���� J Office of Real Property Tax Services L C3.Book t °�I �& J C4 Page RP-5217-PDF 1101 Reel Property Transfer Report(8110) PROPERTYINFORMAT)ON 1.Property 345 Location Willow Pond Road 9raEETNIlYKN •ATTEEI P"s --- Southold SOUL'.^.Old —arvoa,Ilwyi-- --- 11971 _KlIGI — 2.Buyer Fier ry 'xvcam Name VickL Lynn, as TrusLae 'LAZI NALRrEONCAxr •— TaL9r zAAa: —� ..— Berry, Jr. George, as Trustee LAaTWWC1COYFArry -- 3.Tex Indicate where lutuntTar Bills am!o be sent Billing if other than buyer address(el bottom at form) LAareWFIpLAPA,v nlffiT NAYE a 11EET NYY9F1lANe MALE p"ORrOHN --• S1ATE — yD CODE 4.Indicate the number of Assessment (OnlyN Part a■Permit)Chock u they apply: ROLI paresls transferred on the Med _ e Of Parcels OR Part of a Parcel S.Deed 4A Plarning Board wiEn Subdivision Authority Exists Property Fr: NONTRT —X -�TM OR 4B.Subdivision Approval was Required for Transfer 4C.Pascal Approvod for Subdivision with Map Proddud Berry, Sr.. Georae J. 6.Seller LAaT W W ExxpiAw -- Name FILlei NAYS Berry Sandra L. LAar NMEACCLOOANY --- FRSTKAK. 'f.Select the description which moat accurately describes the Cheek the boxes below an they apply: use or the property at ew time of sato: 11.Ownership Type Is Condominium A.One Far-fly Residential 9.New construction on a Vacant Land 10&Properly Located within an Agricultural District 10&Buyer recelvad a disclosure notice Indicating that des propa•ty Is In an Agricultural District SALE INFORMATION 15.Check ono or mora of those conditons as applicable to tnnsfor: �A X A.Sale Between Relatives or Former Ralotivas 71.Sob Contract Date B.Sale between Related Companies or Partners In Buslnoss. C.One of the Buyers Is also a Soler `12.Date of SalelTmnsfor _ D.Buyer or Sailor Is Government Agency or Lending Inettmion 194 L E.Dead Typo not Warranty w Bargain and Sala(Specify Below) '15.Full Sale Price 0F.Sale of Fracbanal or Lees than Fee Interest(Specify Below) __ •00 G.SignlBc"Change In Pm(mdy Between Taxable Status and Sale Deas (Full Safe Price Is the total amount Paid ler the property induam H.Salo of Business Is Included In Salo Priw This payment may be In the hum of cash,ogler s personal aI property. X I.Other Unusual Factors A fecti Sale Price S property or goads,or the esnmlpllon cl n9 (Specify Below) rnorgegca a tither obligations.)PRaaw round h7&o rreeroffi whale ddleramdlmt J.Nano Colnment(e)on Condition: 14.Indicate rho value of personal I) •00 Correcticn De-.d /�- Property Included In the sale ASSESSMENT INFORMATION-Data should refloct the latest Final Assesiement Roll and Tax Bill 18.Year of Assessment Rall from which informaton talum(YY) 15 '17.Total Assessed Value '19.Property Close 210 — '10.School District Nam Southold '20.Tex Nap IdonrMer(s)NUI IdentSn er(s)(If mothen four,attach ahsot whit additional ktentiller(s)) 1000-070.00-09.0065.001 CERTIFICATION I Cortlfy that all of the items Of bdormadm entered on this form are trw and comae(la the beat of my knowledge and bol"and 1 understand that the making of any willful false WOOmsnt of material fact herein subject me to the gfgy1019fig- tiatinaUglu.ndatlw to the making and Ming of false Instruments. ;3EL6ER�lSTfilATIfSE 1UyA&QMTA0MEQWA1= (Frew inarmaaxl far the buyer.riots'a buyer Is LLGaadey,aarocindion,=Rmbc,)iiia Rock eonfw'y.w3•m a aely Wal h ng!m fnc)v-teal agent a aduclory.sign a none and cp:ed: Inlameion den In vicuot rapolmble ( C poly aha as weer'Wes'"ragedeg aw bander bled be em and Typo or print eleedy.) LLE-a1 GIC f3SlYJEB�S3ffATSlBt< Berry Vicki Lynn 'IAaT. FRT,NAME nUYFII a'GlMnl- 1\ 2/6- •M`A 'IELIi'a71P x treFN ICt YYYagie! V LATE 345 willow Pond Reed •aTNa:ThmaER •SIIIL•ET HANE Southold NY :1971 •STY ON TOYY11 •STATE •ap WaF. 1W=2 ATT9BN1U ll McLaughlin Kevin I lover r,FAe: FlIlBr W WE 631 7656095 I AREA COME ILLERrahi:•I—CRIEL awrmi --- i 6 M