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SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 05/17/2017
Number of Pages : 5 At: 03 : 04 : 45 PM
Receipt Number : 17-0083876
TRANSFER TAX NUMBER: 16-31043 LIBER: D00012912
PAGE : 938
District: Section: Block: Lot:
1000 127 . 00 03 . 00 009 . 002
EXAMINED AND CHARGED AS FOLLOWS
Deed Amount: $8,000 . 00
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $25 .00 NO Handling $20 . 00 NO
COE $5 . 00 NO NYS SRCHG $15 . 00 NO
EA-CTY $5 . 00 NO EA-STATE $250 . 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 $525 .00
TRANSFER TAX NUMBER: 16-31043
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
FIT
` RECORDED
Number of pages .S 1017 May 17 03:04:45 PH
JUDITH A. PASCALE
CLERK OF
This document will be public
SUFFOLK COUNTY
record. Please remove all L DOOh
F 93:38
Social Security Numbers DT# 16-311043
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Z5� Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Tota I
Notation Spec./Assit.
G or
EA-52 17(County) l / SubTotal S S
Spec./Add.
EA-5217(State) Z'jG TOT.MTG.TAX
R.P.T.S.A. ZO 0— Dual Town Dual County
Held forAppointment
Comm.of Ed. 5. 00 Transfer Tax _ —E, t`D7
Affidavit • . Mansion Tax
Certified Copy The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 ! / family dwelling only.
Sub Total I�d YES orNO
Other
Grand Total / If NO, see appropriate tax clause on
page ofthis instrument.
311 3)3olo
4 Dist. 17012759 12 5 Community Preservation Fund
1000 12700 0300 009002
Real Props P T S Consideration Amount$ 000
Tax
�f�t X17 APR-7 I Illlllllllllflll Illllllllll�ll IQlllllllllllllll CPF Tax Due $
Imp aved
Satisfactions/Discharges Releases List Propperty Owners Mailing Address
6 R1CORD&RETURN 70: Vacant
IL(a'nnd V.
•' RECORD&RETURN TO- ` TD--i
Nationwide Court Services,Inc. TD
761 Koehler Avenue,Suite A -
Ronkonkoma,NY 11779 TD
i
Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name NCS
www.suffolkcountyny.gov/clerk
• Title ft NCS17-3578-5 B
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached DEED made
by: (SPECIFYTYPE OF INSTRUMENT)
RICHARD M KLEIN ESQ The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of SOUTHOLD
CAPITAL ASSET RETIREMENT FUND LLC In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
REFEREE'S DEED
THIS DEED, made the 30`h day of March, 2017, between RICHARD M. KLEIN, ES ., the 4 Aaokj
Referee duly appointed in the action hereinafter mentioned, as Grantor, and CAPITAL ASSETAly- r
RETIREMENT FUND LLC, a domestic Limited Liability Company having offices at 2885 Alzaler4�a.-r-
Sandford Avenue, SW #17763, Grandville, Michigan 49418 as Grantee; /V Y Il7bg
WITNESSETH that Grantor, the Referee appointed in an action in partition instituted in the
Supreme Court of the State of New York, County of Suffolk, bearing index number 13-3869
between Capital Asset Retirement Fund LLC, Plaintiffs, and Tristate Capital Holdings, Llc,
Delmar International, Inc., Eric H. Alexander d/b/a Reginald H. Tuthill Funeral Home,
Charles Kutscher, Commissioner of Taxation and Finance, United States of America,
Defendants, in accordance with a judgment dated December 14, 2016 entered in the Office of the
Suffolk County on January 13, 2017 and in consideration of$8,000.00 paid by Grantee, being the
highest sum bid at the sale conducted pursuant to said judgment, does hereby grant and convey
unto grantee
See SCHEDULE "A"Annexed hereto
TO HAVE AND TO HOLD the property herein granted unto grantee, its successors and assigns
forever.
IN WITNESS WHEREOF, Grantor has hereunto set its hand and seal.
In presence of:
RICHARD M. KLEIN, ESQ.
STATE OF NEW YORK, COUNTY OF SUFFOLK
On the 30th day of March in the year 2017, before me, the undersigned, personally appeared
RICHARD M. KLEIN 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 on behalf of which
the individual(s) acted, executed the instrument.
�tL
qwblic
COURMIE M.CACIOPPO
Notary Public,state of Now York
No.01 CA61 OW9
oustified in Suffolk COWIN
r my Commission Explres Nov.17,20 K 1
Schedule A Description
Title Number NCS17-3578-S(B) Page 1
ALL that certain plot, piece or parcel of land, with the buildings and
improvements thereon erected, situate, lying and being at Laurel, Town of
Southold, County of Suffolk and State of New York, bounded and described as
follows:
BEGINNING at a point on the southerly side of the premises to be described,
distant the following five (5) courses and distances from a concrete monument
on the northerly side of Peconic Bay Boulevard marking the southeast corner of
land of Anne Marie McVeigh and the southwest corner of land of Eleanor
Diachun:
1) North 25 degrees 40 minutes 05 seconds West along the easterly side of
land of McVeigh , 200.00;
2) North 76 degrees 44 minutes 08 seconds West, 58.86 feet;
3) North 19 degrees 45 minutes 15 seconds West, 141.32 feet;
4) North 44 degrees 51 minutes 02 seconds West, 55.41 feet;
5) North 33 degrees 49 minutes 06 seconds West, 1390.65 feet to the point or
place of beginning;
RUNNING THENCE South 69 degrees 59 minutes 40 seconds West, 66.73 feet
to the easterly side of Brushes Creek;
THENCE along the easterly side of Brushes Creek as it winds and turns the
following three (3) courses and distances:
1) North 71 degrees 33 minutes 18 seconds West, 124.34 feet;
2) South 41 degrees 25 minutes 25 seconds West, 68.44 feet;
3) North 38 degrees 59 minutes 21 seconds West, 90.32 feet;
THENCE North 69 degrees 59 minutes 40 seconds East, 775.96 feet;
THENCE South 20 degrees 00 minutes 20 seconds East, 130.00 feet;
THENCE South 69 degrees 59 minutes 40 seconds West, 522.37 feet to the
point or place of BEGINNING.
TOGETHER with the benefits of a right-of-way for ingress and egress from the
above described premises to Peconic Bay Boulevard, with right-of-way is
bounded and described as follows:
BEGINNING at a concrete monument on the northerly side of Peconic Bay
Continued On Next Page
Schedule A Description^continued
Title Number NCS17-3578-5 (B) page 2
Boulevard marking the southeast corner of land of Anne Marie McVeigh and the
southwest corner of land of Eleanor Diachun;
RUNNING THENCE North 25 degrees 40 minutes 05 seconds West, 200.00
feet;
THENCE North 76 degrees 44 minutes 08 seconds West, 58.86 feet;
THENCE North 19 degrees 45 minutes 15 seconds West, 141.32 feet;
THENCE North 44 degrees 51 minutes 02 seconds West, 55.41 feet;
THENCE North 33 degrees 49 minutes 06 seconds West, 1390.65 feet;
THENCE North 69 degrees 59 minutes 40 seconds East, 51.49 feet;
THENCE South 33 degrees 49 minutes 06 seconds East, 1378,36 feet;
THENCE South 19 minutes 45 minutes 15 seconds East, 150.00 feet;
HTENCE South 51 degrees 54 minutes 23 seconds East, 91.36 feet;
THENCE South 25 degrees 40 minutes 05 seconds East, 200.36 feet to the
northerly side of Peconic Bay Boulevard;
HTENCE South 51 degrees 59 minutes 25 seconds West along the northerly
side of Peconic Bay Boulevard, 25.59 feet to the point or place of BEGINNING;
SUBJECT to the burdens of a right-of-way across the westerly portion of the
above described premises, which right-of-way is bounded and described as
follows:
BEGINNING at a point on the southerly side of the premises to be described,
distant the following five (5) courses and distances from a concrete monument
on the northerly side of Peconic Bay Boulevard marking the southeast comer of
land of Anne Marie McVeigh and the southwest corner of land of Eleanor
Diachun:
1) North 25 minutes 40 minutes 05 seconds West, 200,00 feet;
2) North 76 degrees 44 minutes 08 seconds West, 58.86 feet;
3) North 19 degrees 45 minutes 15 seconds West, 141.32 feet;
Continued On Next Page
Schedule A Description- continued
TWe Number NCS17-3578-S (B) Page 3
4) North 44 degrees 51 minutes 02 seconds West, 55.41 feet;
5) North 33 degrees 49 minutes 06 seconds West, 1390.65 feet to the point or
place of beginning;
RUNNING THENCE North 24 degrees 28 minutes 58 seconds West, 130.40
feet;
THENCE North 69 degrees 59 minutes 40 seconds East, 50,15 feet;
THENCE South 24 degrees 26 minutes 58 seconds East, 122.40 feet;
THENCE South 33 degrees 49 minutes 06 seconds East, 8.21 feet;
THENCE South 69 degrees 59 minutes 40 seconds West, 51.49 feet to the point
or place of BEGINNING.
For information only:
District: 1000 Section: 127.00 Block: 03.00 Lot: 009.002
Premises known as 560 Diachun Road, laurel, NY 11948
i
INSTRUCI'IONS(RP-5217-PDF-INS):www.orps.statemy.us
FOR COUNTY USE ONLY9 Naw York State Department of
�
C1.SVVIS code i S(�/�-7/ � Taxation and Finance
•C2.Date Dead Recorded i / /-7/ / / Off ce of Real Progeny Tax Sarv.cos
�.�� RP-5217-PDF
Ymw Lear Yea•
C8.Book � � Page i- Real Property Transfer Report(8110)
PROPERTY INFORMATION
t.Property 560 Dr_achur. Roc;ad
Location —.--- •-
- STRFFT 1A1V:1a 'SFFT Y"Vr
Lau_el
•rlly 09 T6;1;.••_• v1:-UF ._. .._.- •:Pt:x::
2.Buyer CaDita: AsseL RC_1re-men- LL-
l en-•YYeJ:CYaµ, rRST•.YE
:431 Yw:••4%:Y•"N!__ —• •_•• iPST\"IE• •• - •- -- __
J.Tax indicate where future Taa Bills are lobe sent CAPITAL A:;SL"' RRT-.EI•:='!:_ FJ!dU L:J..
Billing If other tnan buyer addross(t bottom of term)- Lesr vaa�•owaw - - 'Ivsl MwE
Address
2685 Gifr:!i:r !.:,:.
S:itLI YIIMMr,AND MM- _ LT•OR TC(W S:FTE ;P.:z-0
4.Indicate the number of Assessment 1I I Part of a Parcel (Only if Part of a Parcel)Check as they appy:
Roll parcels transferred on the dead 0 of Parcels OR — ❑
4A.Rlannirg Bolrat at Suodlvision Authority Exists
s.Deed
OR •! 49.Subdivision Approval was Requued for Transfer
Property •1 PCYI VOLT •OEPTx viafi little 4C.4C.Parcel Approved for Subdivision with Map Provided ED
Tr)s'tn1 CctP�� D�d,. 11X.
S.Seller •yur
�41 M .nYP_Y.Y 5.sC�c
Name
LAS.YAYEI[C'aPAv! .. —• _•_•- Fn.al+,"sl- __. -___._
•7.Select the description which most accurately describes the Chock the boxes below as they apply:
was of the property at the date of sato: 6.Ownership Type is Conaominmm
C.Remdentitil Vacant(.and 9.New ConsC.cean on a Vacant Land
— ---- IDA.Property Located wlthn an Agricultural District I J
100.Buyer received a dlscioswe no'ace indcating the:the prox'ly.s in an
Agrio.hural District ❑
SALE INFORMATION 15.Chock ono or more of those conditions as applicable to transfer:
A.Sale Binween Relatives ar Former Relatives
7 L Salo Contract Date 1( f��_ B.Sale between Related Companies or Partners in Business
C.One at the Buyers`s also a Seller
12.Date of SoleRronsfer 03/30/2017 D.Buyer or Seller Is Government Agency or Lending Instibeian
E.Deed Type not Wa'lanty or Bargain and Sala(Specify Belowi
F.Sale of Fractonal or Less than Foo Interest(Spedry Below;
'13.Full Salo IMae a,0C.�,.00 G S:gnificarlt Change in Property Between Taxable Status and Sale Does
_ ri Sale o1 Buslriess is Indudeo in Sale Prix
L F:.II Sale Pr1ce is:rte total amaur:t pain Idr Inc pope:y mdudmg personal property. I. Other Unusual Factors Affecting So a Price!Specify Screw)
This payment may he in the form of cash,other property or goods•or the assumq.on nl ,d None
mortgages or other obligations)Ploase round M the nearest whofo daflm amount
•Cammar(s)on Condition:
14.Indicate the value of personal
property Included in the sate _ .�() beIe:aa'y deed Parti'J".1 b t°o:m
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
15-Year of Assessment Roll from which Information taken(YY) 20 '17.Total Assessed Value "100
'16.Property Class 311 _ •10.School District Name 472rfl:: Me L;:i tuck Wit:=::l:n•�?
•20.Tax Map Identiflertsyltoll Ideatlfler(s)(If more than four,attach shoot with additional Iddndfler(s))
h(11-1110 1 0.1[0-0x].C1Ck3
CER7'IFICA IION — - —•-—• •- -- --_--
I Certify that 1 the lams of Information entered on this to=am true and correct(to the bust of my knowledge and bellon and I understand that the making of any willful
false ate stand fact he bleat me to the p ons.M.tle.penal law relative to the making and filing of false Instruments.
$lGNA f RM9&OQNTACT INFOR J&TQJ4
(Enter adantian an Ila Ne sayer.Nate,I buy&Is L I C w':col/.aexiaeall owperaim-:aur s!r6—par,.-I.u•
O well"'Al IF nal ern r•d W&W age-:Cr•.puaary.Nen a nxne enc carved 44001'x":Lf w1 rMvuuaNespalabpa
M1e4 f pX^.•awn Can a�1J.er0.eslNne rega•d rip ale Bruer mag bo enlurea Type w pont eleerty 1
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BUYERA19NAT.URE
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