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Home My WebLink AboutL 12905 P 855SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 03/24/2017 Number of Pages: 4 At: 01:32:16 PM Receipt Number : 17-0050126 TRANSFER TAX NUMBER: 16--25413 LIBER: D00012905 PAGE: 855 District: Section: Block: Lot: 1000 032.00 01.00 012.002 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument JUDITH A. PASCALE County Clerk, Suffolk County 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 $0.00 NO RPT $200.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $395.00 TRANSFER TAX NUMBER: 16-25413 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. RECORDED 2017 Mar 24 01:32:16 PM JUDITH R. PPSCRLE CLERK: OF SUFFOLK COUNTY L D00012905 P 855 DT# 16-25413 Deed/ Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps 3 1 FEES Page / Filing Fee ,% - Mortgage Amt. 1. Basic Tax Handling 20. 00 G 2. Additional Tax TP -584 )� Sub Total Notation Spec./Assit. � or EA -52 17 (County) L� Sub Total 50 Spec. /Add. EA-5217(State) -T TOT. MTG. TAX R.P.T.S.A. — Dual Town Dual County Held forAppointment Comm. of Ed. 5. 00 Transfer Tax Irz Affidavit • • Mansion Tax Certified Copy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 Sub Total Gl / family dwelling only. YES orNO Other Grand Total fii If NO, see appropriate tax clause on page ff of this instrument. Z16 ►2136Itb 4 Dist. 10( 170,07701 1000 03200 0100 012002 ° 5 Community Preservation Fund Real Property � I II Hili IMI iii li! I Hill �IIII �I1I 11ll 1111 Consideration Amount $ �� Tax Service � SMI '°` Agency 07 -MAR -1 CPF 'Fax Due $ Verification Improved b Satisfactions/Discharges/Releases List Propperty Owners Mailing Address Z RECORD & RETU RNTO: Vacant Land Peter S. Danowski, Jr., Esq. TD )OGU 616 Roanoke Avenue TD Riverhead, NY 11901 TD Mail to: Judith A. Pascale, Suffolk County Clerk Title Company Information 310 Center Drive, Riverhead, NY 11901 Co. Name NONE www.suffolkcountyny.gov/clerk Title tt 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) James Putnam Latham as surviving tenant by The premises herein is situated in the entirety of James Putnam and Patricia Ann Latham, his wife SUFFOLK COUNTY, NEW YORK, TO In the TOWN of Southold The James Putnam Latham Qualified Residence In the VILLAGE Trust or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over Form 80(12 — Bargain and Sale Deed, with Covenant against Grantor's Acts — Individual or Corporation (Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY, THIS INDENTURE, made the 30th day of December in the year 2016 BETWEEN JAMES PUTNAM LATHAM AS SURVIVING TENANT BY THE ENTIRETY OF JAMES PUTNAM LATHAM AND PATRICIA ANN LATHAM, HIS WIFE, RESIDING AT 2790 PETERS NECK LANE, ORIENT, NEW YORK 11957 party of the first part, and THE JAMES PUTNAM LATHAM QUALIFIED PERSONAL RESIDENCE TRUST WITH OFFICES AT 2790 PETERS NECK LANE, ORIENT, NEW YORK 11957 party of the second part, WITNESSETH, that the party of the first part, in consideration of ten and 00/100 ($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" ATTACHED HERETO AND MADE A PART HEREOF BEING and intended to be the same premises as conveyed to party of the first part by deed dated 6110/82 and recorded on 6/17/82 in Liber 9198 Page 328. 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: JES PUTNAM LATHAM C� ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York: County of Suffolk, ss: On the 30th day of December, in the year 2016, before me the undersigned, personally appeared James Putnam Latham 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) ex2pute the same in (his (her) (their) capacity(ies), and that by (his) (her) (their) signature(s) on the instrument, the individual(s) o rs be of w 'ch the individual(s) acted, executed the instrument. — N�tar� Public �� JOHN P. TgGGART ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE NOTARY PUBLIC, State of New York No.02TA5029408 ualified in $�u mlyw State of County of ss: Commission xpires _: 12 On the day of , in the year 20 , 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 individual(s) acted, executed the instrument. ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN IN NEW YORK STATE State of County of , ss: On the day of , in the year 20 , before me the undersigned, personally appeared the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who being by me duly sworn, did depose and say, that (he) (she) (they) reside(s) in ; that (he) (she) (they) know(s) to be the individual described in and who executed the foregoing instrument; that said subscribing witness was present and saw said execute the same; and that said witness at the same time subscribed (his) (her) (their) name(s) as a witness thereto. ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE State of County of , ss: ' (or insert District of Columbia, Territory, Possession or Foreign Country) On the day of , in the year 20 , 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 individual(s) acted, executed the instrument. BARGAIN AND SALE DEED JAMES PUTNAM LATHAM, as Surviving Tenant by the Entirety of JAMES PUTNAM LATHAM and PATRICIA ANN LATHAM, his wife To THE JAMES PUTNAM LATHAM QUALIFIED PERSONAL RESIDENCE TRUST Section: 032.00 Block: 01.00 Lot: 012.002 County or Town: Southold RETURN BY MAIL TO Law Office of Peter S. Danowski, Jr. 616 Roanoke Avenue Riverhead, NY 11901 Schedule A All that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate lying and being at Orient, in the Town of Southold, County of Suffolk, State of New York, being more particularly bounded and described as follows: BEGINNING at a point on the southwesterly line of a 25 foot right of way about 2895 feet southwesterly along said right of way from the southerly line of King Street, and being the northwesterly corner of the premises herein described; RUNNING THENCE along other land now or formerly of George R. Latham, Jr. two courses: 1. South 71 degrees 23 minutes 00 seconds East 175.88 feet, thence 2. South 12 degrees 52 minutes 20 seconds West 420.00 feet, more or less, to ordinary high water mark of Orient Harbor; THENCE northwesterly along said high water mark 200 feet, more or less, to other land now or formerly of George R. Latham, Jr. ; THENCE along said other land North 12 degrees 52 minutes 20 seconds East 355.00 feet more or less to the point or place of BEGINNING. Containing 67,000 square feet. TOGETHER with a right of way over said 25 foot right of way from the premises northwesterly to King Street. INSTRUCTIONS(RP-5217-PDF-INS): www COPS statemy.us IR COUNTY USE ONLY � New York Stab Department of Ci. SMS Code Taxation and Finance CZ Data peed Recorded 1b3 / c2 9 / - Office of Real Property Tax Services � RP- 5217 -PDF C8. Book G. Pago , , Real Property Transfer Report (8110) PROPERTY INFORMATION I-PmPWIV 2790 Peters Neck Road Location • amrsT N,arsx . alx.i• rIRNE , Orient 11957 -CCY OR TOWN Yr,AW 'al•CSI' 2. Buyer The James ?utnam Latham Or,aiified Residence Trust Name • IAn wlRstuedwAAr r,R87NRIL WTN FSYNWiy FeS1M W S. Tax hokcide whom future Tax Bills aro to be sent Billing ,t elt er than buyer adltess(al bottom of form) tAwT N&UMCHWO T ..a - Address. AIYLE1 NWSSP A..1 NAWb Cnv OR—.7,a STATE TP COaE 4. Indicate she number of Assessment T Pan of a Parcel (only If Part of 4 Parcel) Check as they apply: Roll pamele transferred on she dead a of Parcols OR 4A. PtennNlg Board wllh Subdivision Aellhodly Exists a. Prod \ ()11 Properly ONY RET •IR 1 .54 M4B. Subdacrl Approval was Required for Transfer •IA.N:H Size •AI:NLS ❑ 4C. Parcel Approved far Subdivision with Map Provided Latham Janes Pimnan Check one or mom of these conditions as applicable to transfer: ti. Seller .IAffTr LcawAm' Name rReTh E LAST I11IIEECOIIMa7 FTISI Vwe '7. Sheet the description which most accurately describes the Check the boxes below as they apply: use of the property at ars time of sale'. Or. ownership Type Is Condominium r1. One Family Residential e. Now Construction On a Vacant Land 10A. Property Located wllhln an Agricultural District 100. Buyer recolved a disclosure notice Indicating that the properly as In an ❑ Agricultural District SALE INFORMATION 15. Check one or mom of these conditions as applicable to transfer: A Sale Between Relatives or Former Relatives 11. S@le Contract Dsb B. Sale between Related Companies w Pennant In Business. C. One of the Buyers is also a Seller ' 12. Dab of SaleRransfer 12/30/2016 D. Buyer or Seller Is Government Agency or Lending Institution E. Deed Type not whrmnty or Bargain and Solo (Specify Below) F. Solo of Fractional or Less than Fee Interest (Specify Below) 117. Full Sale Price 0 ,flu G. Significant Change In Property Between Taxable Salus and Sale Dales ( Full Bah Pnes the personal al property the amount pars Ira the property or H. Sale of Business Is Included n Sale Pace I. Other Unwast Factors Affecting Salo lines (Specify Below) be This payment may be n the farm d rash, alter property or goods, or the assumption d y goods. the 1 None mortgages or oder obligation a.) Please round to are riffraff where dollar amount Comment(s) on Condition: 14. Indicate the value of personal 0 property Included In the sale .00 ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 10. Year of Assessment Roll from which Information token(YY) 15 '17. Total A■sassed Value 12,400 '10. Property Class 210 _ 'te. School District Name '20. Tax Map MernlSer(s)IRdll tdondBar(s) (It more than Mur, @Bach sheet with additional Identifier(s)) 1000-032.00-01.00-012.002 Oyster Ponds CERTIFICATION 1 Certify that all of the hams df InMnnatlon entered on this form an true and Corraet (to the best o1 my knowledge and bsllel) and I understand that the making of any willful false statement of material foci heroin subject me to theyroyblons of the penal lawmlativs to am making and riling of false Instruments. WJJZR310NATURE RUYERCONTACT INFORMATION Ire rimwA .-I$r Lna buyw. No:a: If b,ew m LLap C,lae, oucco ton, orpwatun !chi YOYI map". "wit or NN rlby -Not n .1 an d ideal apem w rdYiry• into a nem cal ow aci brmm ion of an Indwdefirs" nabN t parry Orin un ■+dew 1Pertlme aaparW:p tie aanssr m W hN amend. Type or Pam elesdy 1 S'a TUR( PATE BUYER SIGNATURE q Latham Janes ?. TART -we ..a, rIRRf. JJ (631) 727-3942 `tti� �Y:ACW1 •ILLLRaIfa NWwRIiT awaaw) r Ir[R sa1xll•WE .E -P.O. Box 177 .'•'I. 114-10W% • AME ET LARNE Canowski, Jr BUYER'S ATTORNEY Peter S. FRST MYE NY 11957 •STR1L VYCpIL (631) '12'1-4900 MEA fiCda IIIEFIxxE h„NBER is. 9a i