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HomeMy WebLinkAboutL 12905 P 828SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 03/24/2017 Number of Pages: 4 At: 12:05:42 PM Receipt Number : 17-0049992 TRANSFER TAX NUMBER: 16-25388 LIBER: D00012905 PAGE: 828 District: Section: Block: Lot: 1000 078.00 01.00 018.000 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 $5.00 NO RPT $200.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $400.00 TRANSFER TAX NUMBER: 16-25388 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 12:05:42 PM JUDITH A. PRSCALE CLERK OF SUFFOLK COUNTY L D00012905 P 828 DT#k 16-25388 Deed / Mortgage Instrument I Deed / Mortgage Tax Stamp I Recording / Filing Stamps 3 1 FEES Page /Filing Fee Zp Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP -584 S Sub Total Notation Spec./Assit. _ EA -52 17 (County) 5 Sub Total or Spec. /Add. EA -5217 (State) �� TOT. MTG. TAX R.P.T.S.A. �� Dual Town Dual County_ $ Comm. of Ed. 5. 00 Held for Appointment Transfer Taxes Affidavit +(la, `�� Mansion Tax The property covered by this mortgage is =C,rtifi,dC,py or will be improved by a one or two NYS Surcharge 15. 00 2 �^}, S family dwelling only. Sub Total . 7 U YES or NO Other Grand Total — If NO, see appropriate tax clause on page # of this instrument. 311z1i 4 1 Dist. ' 17009667 5 Community Preservation Fund 1000 07800 0100 018000 Real Proper LPA Tax Servic R 'ul Amount $ Tax Agency 24 -MAR -1 IIIIIIIII II Illi CPF Due Verificatio Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land ll-- r (S '�-7>r' - �C� ��1 TD I QQ0 3,� S k �` �lr,� r TD `S' 1 r0 �Ji" n D L v �C, Ii C' ,i TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Compan-y Information 310 Center Drive, Riverhead, NY 11901 o. Name www,suffolkcountyny.gov/clerk Title # S Suffolk County Recordin & Endorsement Pau This page forms pan of the attached -D c. e � 1 made by: (SPECIFY TYPE OF INSTRUMENT) In i _ TO _ The premises herein is situated in SUFFOLK COUNTY, NEW YORK. 1 In the TOWN of S O In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 1E-0104..10/0RU (over) _This Instrument Prepared by Grantor: Berkhan Family Limited Partnership a Nevada Limited Partnership 385 Shepard Drive Southold, NY 11971 Return Recorded Deed to: TNTB Trust 385 Shepard Drive Southold, NY 11971 Transfer Tax: $ QUITCLAIM DEED THIS QUITCLAIM DEED, made this day of 20_L_-�by Berkhan Family Limited Partnership, a Nevada Limited Partnership herein called the Grantor, whose address is 385 Shepard Drive, Southold, NY 11971 to Thomas W. Berkhan and Theresa E. Berkhan, as Trustee of TNTB Trust, Dated - e�(o r ,r , 24 1-7 and-- any ndany amendments thereto, hereinafter called the Grantee, w ose address is 385 Shepard Drive, Southold, NY 11971: TAX MAILING ADDRESS: 385 Shepard Drive, Southold, NY 11971 WITNESSETH For $1.00 and other valuable consideration, receipt of which is hereby acknowledged, the Grantor, now holding title to the below described property do now hereby convey, remise, release and forever QUITCLAIM any and all interest they may have in said real property, situated in the County of Suffolk, State of New York to the said Grantee, subiect to all taxes, covenants, conditions, reservations, assessments, restrictions, mortgages, liens, rights of way and easements of record, of whatsoever kind and nature; ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate lying and being in the at Southold, Town of Southold, Suffolk County, New York, known and designated as Lot No. 41 on a certain map entitled, "Map of West Creek Estates, Property of Ernest E. and Harold W. Wilsberg, situate at Southold, Suffolk County, New York", made by Page 1 of 3 Otto W. Van Tayl from surveys completed January 28, 1963, and filed in the Suffolk County's Clerk's Office on August 19, 1963 as Map No. 3848. SUBJECT TO mortgages, encumbrances, liens, covenants, easements, grants and restrictions of record, zoning and other municipal ordinances and such a state of facts as an accurate survey may disclose. BEING AND INTENDED TO BE the same premises conveyed to Berkhan Family Limited Partnership, a Nevada Limited Partnership, the Grantor herein, by Deed dated March Yd 1997, and recorded on July 10 h, 1998 in the Suffolk County Clerk's Office in Document #44030 in Liber Book 11903q, Page 850. ALSO KNOWN AS: 385 Shepard Drive, Southold, NY 11971 Section 078.00 Block 0 1. 00 Lot 0 18. 000 In Compliance with Section 13 of the Lien Law, the Grantor 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 words "grantor" and "grantee" shall be construed to read in the plural whenever the sense of this deed so requires. This conveyance is made and accepted, and said realty is hereby transferred SUBJECT TO any taxes, conditions, covenants and restrictions, liens, encumbrances and mortgages now of record (all of which are hereby incorporated herein by this reference into the body of this Instrument as though fully set forth herein), and which shall run with the land and be binding on any transferees, and their successors and assigns. This instrument was prepared based on information furnished by the parties, no independent title search has been made, and tax certificates were not obtained. IN WITNESS WHEREOF, the Grantors have set their hand, the day and year first above written. IN PRESENCE OF: eresa E. Berkhan, Genera artner of Berkhan Family Limited Partnership Page 2 of 3 ACKNOWLEDGMENT State of ) County of ) On 20 before me, a nog public, personally appeared Theresa E. Berkhan, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the Instrument. WITNESS MY HAND and OFFICIAL SEAL �� �/t.,�►c.t-L%.0 --- CNA1 11A 6uFbcE C �1 g, m r H d�• Signature Notary Public (Seal) "10°x'8` Y0�` ChAT ed In Su" county Berkhan Family Limited Partnership Section:.078.00 11 - 3 910 1 ? a Nevada Limited Partnership Block: 01.00 Lot: 018.00 TNTB Trust County: Suffolk Street Address: 385 Shepard Drive Southold, NY 11971 Page 3 of 3 )R COUNTY USE ONLY INSTRUCTIONS(RP-5217-PDF-INS): www.crps.state.ny.us Now York Smile `' C1. SMS code I '�Ir7 3 f CJ q I Taxation nd Finance i a 2 T/ I Date Dead Recorded I �J / � � Office ffice oReal Props t . f rest Tax Saml oi�C2. C3. Book I 1, �, Q, 0IJ I C4. Page yWzr, 2,51 I RP- 5217 -PDF Real Property Tremater Report (Oil 0) pROPERTYINFORMATION 1. Property 3 O s S K I L �G.r Va.AOE -- P _G. Dr I.aSlllOn • STREET r SER - eT NAullaxluPmy 14•sTREETNAwa FIRSTMAME s. Dead X proper 'FRONT FECT Soo hnJ> i N --1q . —1_ 0S_ T I /S 7 2. Buyer Namer -CIVOPTONM —r i1& YYI Q --S-- I_A! �4� K I L �G.r Va.AOE -- P _G. - •SP COnE a.ir Agricultural DistrictV - eT NAullaxluPmy OR L_1 4A. Planning Board with Subdivision Authority Exists FIRSTMAME s. Dead X proper 'FRONT FECT OR 0,00 4B. Subdivision approval was Required for Transfer •CEPTN •ACRES ct -S If L i N --1q . —1_ 0S_ T LvV� :AST NAMeiOYI•AM'-,RST C. One of the Buyers is also a Seller NAPE • •• 3. Tax String Indicate where Mum Tax Bills aro to be sem E. Dead Type not Warranty or Barysin and Selo (Specify Below) Address if other than buyer oddmse(al bottom or fbffn) MIT NOWLCOMPAW FIRST NAYS aTREET NuWKR mC iA,ol C,TVCRTONV SATE ZPCODE 4. Indloate the numberof Asaeeament d Parcels Pad of a Parcel (Only 11 Part of a Parcel) Check as they appy: Agricultural DistrictV Roll parcels transferred an the dead OR L_1 4A. Planning Board with Subdivision Authority Exists Chock ono or mom of theso condldons as applicable to transfer: s. Dead X proper 'FRONT FECT OR 0,00 4B. Subdivision approval was Required for Transfer •CEPTN •ACRES A. Sale Between Relatives or Former Roladves size 4C. Parcel Approved for Subdivision with Map Pro/v�ided ,( B. Sale between Related Companies or Partners In Business. LvV� /f I Ci.•YVt f Y't I i1'1 �,Q��_C.tl�1� C. One of the Buyers is also a Seller 6. Bailor •LAS'. x�A�yexowA�'l ! 1 ee!' rAJ .._ Nana E. Dead Type not Warranty or Barysin and Selo (Specify Below) HANKICCLUNiM - TMS, MARC -7. Select the description which moat accurately describes the Check the boxes below as Bey apply: use of the property at the time of male: I S. Ownership Typo is Candomirtum 9. New Construction an a Vacant Land A -- -- - - _ - S ICA, du Property Located within an Agdwral Eistrlq 100. Buyer received a disclosure notice Indicating that the prdpeny is In an.. I--; Agricultural DistrictV SALE INFORMATION 1& Chock ono or mom of theso condldons as applicable to transfer: A. Sale Between Relatives or Former Roladves 11. Sole contract Date B. Sale between Related Companies or Partners In Business. C. One of the Buyers is also a Seller ' 3 - a - 7 D. Buyer or Sailer Is Government Agency or Lending Institution 12. Date of SohlTmnafer E. Dead Type not Warranty or Barysin and Selo (Specify Below) F. Sale of Fractional or two than Fee Interest (Specify Below) '13. Full Sale Price .()U G. SigryTrwn Change In Property Bmwnm Taxable Status end Sala Dates H. Salo of Business is Included in Sale Pelee ( Full Sale Price is the fetal amount paid for the property including personal property. I. Other Unusual Factors Affecting Sloe Price (Specify Below) This payment may be in the form of cash, other properly Or Boma, or the aswmphorl of J Nora morlgagan or other cite Iorw.i Please round to the nearest whole dollaremount. Comments) on Condhlm: 14. Indicate the value of personal property Included In the sale .00 ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 16. Year of Assessment Roll from which Information mksn(YY) '17. Total Assessed Value n o 0 `' 46. Property class �-. O _ •19. School District Name -1 .. 11 b' U '20. Tax Map IdmUft4oYRoll ldmgnsrts) (N more then four, attach sheat with additional IdentNlerls)) I oao o-r6o(D o Ioo o fgoo 0 CERTIFICATION I Cortlly that as of dis hams of Information entered an this form ere true and correct (to the boat of my knowledge and bell" and I understand that the making of any willful false statement of material fact heroin subject me to fha.p gvJq)0ns ef)ho panel law relative to the making and filling of false instruments. SELLER SIGNATURE BE,I FR 8 faAn.RE GAT rh BgNATURL GATE (EnterInrormaLm for me buyer. Noe It buyer a LLC,sociery. assockdai. cerpwadon, plat siodl cpmpmy Maine in arrcy pat a •Ion M rdhid.nl agwd oreducary. men a name and conuxx lidomeMP d an hdvauarrsepondble pony ono ca: an averitimstAns regaevlp tre trMnYer mYe: be entoed. Type w print dearly I. • LAef IiAY! racer NAM: F a r s1 3- �� y -ML'AfAdt '1l.tN-0NL'AVYmiT I[r an Wel 3 4x 5 S 1� e.O C-1- 'UPECT NUMSER 'STftcr NAML •UTT OR iOYe, -STATE •TIP COCE BAYER'S ATTORNEY --_LAST rMYL � r.es:NwF. MTA CCOE - TELEP.x7NC NUMBER IEr etmeP.