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
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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.