HomeMy WebLinkAboutL 12921 P 356SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEED Recorded: 07/20/2017
Number of Pages: 5 At: 03:38:42 PM
Receipt Number : 17-0122654
TRANSFER TAX NUMBER: 16-37810 LIBER: D00012921
PAGE: 356
District: Section: Block: Lot:
1000 111.00 01.00 008.004
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
$25.00
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
$400.00
NO
Transfer tax
$0.00
NO
Comm.Pres
$0.00
NO
Fees Paid
$600.00
TRANSFER TAX NUMBER:
16-37810
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 Jul 27 03:38:42 PM
JUDITH H. PASCALE
CLERK OF
SUFFOLK COUNTY
L D00012921
P 356
DT# 16-37810
Deed /Mortgage Instrument I Deed / Mortgage Tax Stamp I Recording/ Filing Stamps
3 1 FEES
Page / Filing Fee 7�� 0D
Mortgage Amt.
Handling �.��-e
1. Basic Tax
2. Additional Tax
TP -584
Sub Total
Notation
Spec./Assit.
/
Sub Total VLJ
or
EA -5217 (County)
Spec. /Add.
r�.LM
EA -5217 (St l Z-�S CID
R.P.T.S.A.
TOT. MTG. TAX
Dual Town Dual County _
Held for Appointment
Comm. of Ed-. 5. 00
Transfer Tax
Mansion Tax
Affidavit •.
The by is
Certified Copy
property covered this mortgage
v
or will be improved by a one or two
NYS Surcharge 15. 00 �
familydwe11in only.
Sub Total
YES or NO
Other
Grand Total
If NO, see appropriate tax clause on
page # of this instrumen /
--Z—(C) a Z
4 Dist. 17024175 2:) ee CCk(h�j
5
Community Preservation Fund
Consideration Amount $ 0.00
Real Propel
Tax Service RL PA q IIIIli1111111`ll���®��®���
Agency 1U1I1 I1W1 Ilffllll uu
CPF Tax Due S N/A
Verificatior 20-JUL-17
Improved X
6 Satisfactions/Disc aages%Releases List Property Owners Mailing Address
RECORD & RETURN TO:
Vacant Land
0
ANTHONY B. TOHILL, P.C.
TD
12 First St.
TD
P.O. Box 1330
Riverhead, NY 11901
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 #
8
Suffolk County Recording & Endorsement Page
This page forms part of the attached
by:
Executor's Deed
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
ESTATE OF THOMAS E. SAMUELS SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of Southold
made
A/1 a�l,6 In the VILLAGE
ANITA�SAMUELS. as Trustee or T�stee or HAMLET of Nassau Point
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
District Secton Block Lot
1000 11100 0100 041001
1000 11100 0100 008004
pT S
Doc ID: 17024175 R LPA A
O-IUL-17
Tax Maps
School District Sub Division Name
1. .1.. 7A ']A47
Standard N.Y.B.T.U. Form 8005 — Executor's Deed - Uniform Acknowledgment
FORM 3307
CONSULT YOUR LAWYER BEFORE SIGNING THIS DOCUMENT -THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made this 20th dayof July , in the year 2017
BETWEEN
ANITA M. SAMUELS, residing at 155 Fisherman's Beach Road,
Nassau Point, New York 11935
As Executrix of the Last Will and Testament of THOMAS E. SAMUELS, deceased,
late of Nassau Point, New York,
parties of the first part, and
Anita Marie Samuels, Trustee of the The Credit Shelter Trust U/W of Thomas
E. Samuels, 155 Fisherman's Beach Road, Cutchogue, NY 11935 (Suffolk
County Surrogate's Court File No. 2016-3451)
party of the second part,
WITNESSETH, that the party of the first part by virtue of power and authority given in and by said last will and
testamentand the specific devises contained'in PARAGRAPH THIRD thereof,
and in consideration of
No consideration -----------------------------------------------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 at Nassau Point or
Little Hog Neck, in the Town of Southold, as shown on a certain map
entitled "Subdivision Map, Peconic Bay Properties, Inc., surveyed February
6, 1931, by Otto W. Van Tuyl, Surveyor" filed in the Suffolk County Clerk's
Office on April 15, 1931 as Map No. 786 of Maps more particularly bounded
and described on Schedule A annexed hereto and made a part hereof.
BEING and intended to be the same premises conveyed to the party of the
first part by deed dated July 28, 2011 and recorded in the Suffolk County
Clerk's Office on July 29, 2011 at Liber 12667 page 27.
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 line thereof; TOGETHER with the appurtenances and also
all the estate which the said decedent had at the time of decedent' death in said premises, and also the estate
therein, which the party of the first part has or has power to convey or dispose of, whether individually, or by
virtue of said will or otherwise; 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 to 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
ESTATTEJ- OF
THOMAS
, E . SAMUELS
BY W�"" "�' �'( `�1�d
ANITA M. SAMUELS
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York, County of SUFFOLK ss.:
On the 20th day of July in the year 2017
before me, the undersigned, personally appeared
ANITA M. SAMUELS
personally known to me or proved to me on the basis of
satisfactory evidence to be the individual whose name is
subscribed to the within instrument and acknowledged to me
that she executed the same in her capacity, and that by her
signature on the instrument, the individual or the person upon
behalf of which the individual acted executed the instrument.
(signature and office of individual taking the acknowledgment)
Notary Public
ANTHONY B. TOHILL
NOTARY PUBLIC, State of New York
No. 02TO9350510
Qualified in Suffolk County
Commission Expires Sept. 30, f�
State of New York, County of 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 individual(s) acted, executed the instrument.
(signature and office of individual taking the acknowledgment
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State (or District of Columbia, Territory, or Foreign Country) of
On the In the year
personally appeared
before me, the undersigned,
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 person upon behalf of which
the individual(s) acted, executed the instrument, and that such individual made such appearance before the
undersigned in the
in
(insert the City or other political subdivision)
EXECUTOR'S DEED
Title No.
ESTATE OF THOMAS E. SAMUELS
TO
ANITA M. SAMUELS, Trustee
SAFE HARBOR TITLE AGENCY
1529 Main Street
Port Jefferson, NY 11777
(Reserve this space for recording office)
(and insert the State or Country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgment)
SECTION
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS
RETURN BY MAIL TO:
ANTHONY B. TOHILL, P.C.
12 First Street
P.O. Box 1330
Riverhead, NY 11901
SCHEDULE A
PARCEL 1
ALL that certain plot, piece or parcel of land, with the
buildings and improvements thereon erected, situate, lying and
being at Nassau Point or Little Hog Neck, in the Town of
Southold, Suffolk County, New York, known and designated as
"Fisherman's Beach" Lot 2 and Lot 3 as shown on a certain map
entitled "Subdivision Map, Peconic Bay Properties, Inc., surveyed
February 6, 1931, by Otto W. van Tuyl, Surveyor" filed in the
Suffolk County Clerk's Office on April 15, 1931 as Map No. 786 of
Maps. Said Lots 2 and 3 together are more particularly bounded
and described as follows:
BEGINNING at a point on the south side of Haywaters Road North 87
degrees 30 minutes 00 seconds West a distance of 65 feet from a
concrete monument set at the intersection of the southerly side
of Haywaters Road with the westerly side of Landing Road;
RUNNING THENCE from said point or place of beginning the
following two (2) courses a distance along the south side of
Haywaters Road:
1. North 65 degrees 15 minutes 00 seconds West 65 feet to the
division line between lots 2 and 3;
2. North 54 degrees 50 minutes 10 seconds West 65 feet to a
point and the division line between lots -3 and 4;
RUNNING THENCE South 14 degrees 24 minutes 40 seconds West along
the division line between lots 3 and 4 as shown on said map
275.81 feet to the high water line of Cutchogue Harbor;
THENCE along the high water line of Cutchogue Harbor the
following two (2) courses and distances:
I. South 52 degrees 22 minutes 07 seconds East 66.14 feet to the
division line between lots 2 and 3;
2. South 59 degrees 47 minutes 03 seconds East 66.21 feet to
the division line between lots 2 and 1 as shown on said map;
THENCE North 14 degrees 27 minutes 30 seconds East along last
mentioned division line 285.22 feet to the point or place of
beginning.
Said premises are depicted on survey prepared by Joseph A.
Ingegno, Land Surveyor, dated April 4, 1998.
SUFFOLK COUNTY TAX MAP NO. 1000-111-1-41.1,
PARCEL 2
ALL that certain plot, piece or parcel of land, with the
improvements thereon erected, situate, lying and being at Nassau
Point or Little Hog Neck, in the Town of Southold, Suffolk
County, New York, known and designated as "Fisherman's Beach" and
being part of Lot 32 as shown on a certain map entitled
"Subdivision Map, Peconic Bay Properties, Inc., surveyed February
6, 1931, by Otto W. van Tuyl, Surveyor" filed in the Suffolk
County Clerk's Office on April 15, 1931 as Map No. 786 of Maps.
Said lot is more particularly bounded and described as follows:
BEGINNING at an iron pipe on the northerly line of Haywaters Road
at the southwesterly corner of Lot 32;
RUNNING THENCE North 35 degrees 09 minutes 50 seconds East along
the division line between Lots 31 and 32 -as shown on said map
69.82 feet to the high water line of Haywaters Cove;
RUNNING THENCE along the high water line of Haywaters Cove as
measured along a tie line course of South 85 degrees 19 minutes
17 seconds East a distance of 43.98 feet;
RUNNING THENCE South 33 degrees 14 minutes 20 seconds West
through Lot 32 a distance of 92.19 feet to an iron pipe set at
the northerly side of Haywaters Road;
RUNNING THENCE North 54 degrees 50 minutes 10 seconds West a
distance of 41 feet to the point or place of beginning.
Said premises are depicted on survey prepared by Joseph A.
Ingegno, Land Surveyor, dated April 4, 1998.
V.Coq
SUFFOLK COUNTY TAX MAP NO. 1000-Z11-1
TOGETHER with all the right, title and interest of the parties of
the first part of, in and to the lands under water of Haywaters
Cove in front of and adjacent to the above described premises.
TOGETHER with all the right, title and interest of the parties of
the first part of, in and to Haywaters Road in front of and
adjacent to said premises to the center line thereof.
A. INSTRUCTIONS(RP-5217-PDF-INS): www.orps.state.nY.us
�� [ New York State Depari;tTtant of
DR COUNTY USE ONLY
C1.SWISCode I 7.3,R I �I !J � Taxation and Finance
office of Real Property Tax Services
C2. Date Deed Recorded 10'���0°°```7 /a 0 / '—� RP- 5217 -PDF
V, r o Y
C2. Book , C4. Pop I Real Property Transfer Report (8110)
PROPERTY INFORMATION
BUIL hPCOLIF
9.+I . T NAM... A- NANL CITY UP TOM
4. Indicate the number of AssaaareaM3 - of Parcels OR ❑ Part Of a Parcel (Only N Part of a Parcell Check as tilt appy:
Roll parcels tneafimd on the dead 4A. Planning Board with Subdivision Authority Exists ❑
S peed \ (,)]1 0.00 4B. Slbdmsion Approval was Required for Tmnsfn ❑
Property 'FMAii rFF.T •:*M" --ES
She 4C. Parcel Approved for Subdivision with Map Provided ❑
SAMUELS Thomas 8., Estate of
s. Seller .87wApXCWAM FIMI Wyh
Name
FIRRI WNL
1.81-drFRONHIIN"
Cheek the boxes nd they eppy:
1?isherman's Beach Road
f.Propery
155
❑
Location
'RTRLLI NAAf
A. Onr Pnnil4 Rradential
•RTxtL-M)YIIFP
CScuthold_ C r+C}10
Hamlet of Nassau Point 1' 9f1
1aA. Property Located within an Agnoultursl District
NLl AGE
• Cc tiJR 1:1NN
Anita M A I' l -G
2. Buyer
3AMU8LS
Name
- wASr NUCd.C-a•AN•
HRS- WK
SALE INFORMATION
A. Sale BetuvaLvl Relatives or Former Ralalivas
rMST--E
LUST M1Anl.O]L f
B. Sao bemoan Related Companies or Partnere In Business.
3. Tax
Indicate whore rubra rax Bib are to be sent
Billing
if other then buyer address(al hot= Of form)
teal WrF-x;0WAM 9 Pa- "AW
Address
D. Buyer or Seller is Goverro em Agency or Lending Iratiluoon
Below)
BUIL hPCOLIF
9.+I . T NAM... A- NANL CITY UP TOM
4. Indicate the number of AssaaareaM3 - of Parcels OR ❑ Part Of a Parcel (Only N Part of a Parcell Check as tilt appy:
Roll parcels tneafimd on the dead 4A. Planning Board with Subdivision Authority Exists ❑
S peed \ (,)]1 0.00 4B. Slbdmsion Approval was Required for Tmnsfn ❑
Property 'FMAii rFF.T •:*M" --ES
She 4C. Parcel Approved for Subdivision with Map Provided ❑
SAMUELS Thomas 8., Estate of
s. Seller .87wApXCWAM FIMI Wyh
Name
FIRRI WNL
1.81-drFRONHIIN"
Cheek the boxes nd they eppy:
7. Select the dowriplkm which moat ecustsy dmwJU a the
Is ken
9. O is C
❑
onof the property at use time of win:
❑
A. Onr Pnnil4 Rradential
NowOwnC nstType
n a VacantL
g. New Cblhstructlon on a Vacao Land
1aA. Property Located within an Agnoultursl District
❑
108. Buyer received a disdosum nohoe indicating that the property a in an
❑
Agricultural District
ILCreekoroermoreofdm@GwWiineaasapplicabletotm..sft
SALE INFORMATION
A. Sale BetuvaLvl Relatives or Former Ralalivas
B. Sao bemoan Related Companies or Partnere In Business.
11. ash Co-utrsct Daft N/A
C. One of to Buyers is also a Seller
07/20/2017
D. Buyer or Seller is Goverro em Agency or Lending Iratiluoon
Below)
• 12. IHR of aalelfrerefir
E. Deed Type not warranty or Bargain and Sale (Specify
F. Sale of Fractional or Lew than Fee honest (Specify Brdow)
0.00
G. Sgndlwnt Change In Property Between Taxable Slake and Sale Dross
'13. Full Sale Price
H. Sale Of B,maae is Included in Sale Price
( Full Salo Price is on total amount pad for the preparty Irckding personal property.
I. Other Unusual Factors Affecting Sale Price (Specify Below)
This payment may be in the form of cash, direr Property or goods. or the assumption of
J. None
morgages or cher obligations.) Ploae round to the nearLW whole dollar amount.
•Commsnt(s) on Condition:
14. Indlcaft the value of persoeal 0 .00
property Included In tho ale Executor' a Deed
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll end Tax Bill
16. Year of Asseernsd Rdl hom wf ch Infa i adorn taken(YY) 17
'17.Total AseeaadYaluls 1,049,505
'18. Property Chas 210 _ MA School District Name Matti tuck
•20. Tax Map k%rdMN4s)1Rotl Identifler(s) (M mom than four, altsch shed with oddeionsl WemlMr(U)
1000-111.00-01.00-041.001 1000 -111.00-01.00-008 .00 1004-2
CERTIFICATION
1 Carey that all of the lams of Irdormovon sreemd on this form aro trine and correct (m the heat of my knowledge and dwlloi) and 1 understand that the making of any wlliful
false statement of material feet hemin subject me to Me_Mrvdill®.vf th0.allaal.hW.rahtive to the making seat Mine offake Ira4tmnnts.
SELLER IBE 1101pOHMUIIF
ORMOR
9F THOMAS SAMUELS (E•ter"'fo1e'el'w' for 1M Mrlit.
X 7 �.l•h ryerklLG.rooery. aFWOe on. WraO abwh. q.R s7oCL C�r-W^7 aaaed
ESTATE amJy ere: a not rn IReMdal aarin or Rd■:Iwy. awn a'umr and Cwrap Imcmaaer elan meaarnlRwawheGe
/ 2 0 / 17 Part ,* ran answer aromas ratiardro ted wrefar muss a mored. Type or PNM clearly.)
Rv- v -
� w sP syYro
An1La,r M. Samuels Executrix SAMUELS Anita M.
@Dain Samuels
k
-v- nuc neer xsac
X "t 1 ° 7/20/17
OUTI N ILNAT,W- DATE
AnitaA. )Samuels, Trustee
LyA Q�rI'G
155 Fisherman's Beach Road
.RTREET Ia1W1LR 'STRLLI NAW
Cutchogue. NY 11935
J'vox.own 'WAIF •.TPCOM
MILMER'S ATTORNEY.
TOHILL
(631)
AREA LOX
727-8383
Anthony B.
FmST Wer.
Tr. FM"C9G hLA"R rE• wwtwl