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Home My WebLink AboutL 12925 P 84 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/15/2017 Number of Pages: 4 At: 10 :19 :48 AM Receipt Number : 17-0139886 TRANSFER TAX NUMBER: 17 -01973 LIBER: D00012925 PAGE: 084 District: Section: Block: Lot: 1000 010 . 00 04 .00 010. 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $415, 000. 00 Received the Following Fees For Above Instrument 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 $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 $6, 800. 00 NO Fees Paid $7, 320.00 TRANSFER TAX NUMBER: 17-01973 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County - ❑1 Number of pages RECORDED 2017 Aug 15 1O:19:48 All JUDITH A. PR'SCALE OF This document will be public CLERKSUFFOLKSUFFOLK COUNTY record.Please remove all L D00 129:5 Social Security Numbers P L124 prior to recording. DT# 17-01973 Deed/Mortgage Instrument /Mortgage Tax Stamp 1`f) Recording/Filing Stamps 3 FEES l Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation SpecJAssit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX L�v Dual Town Dual County R.P.T.S.A. Held for-Appointment Comm.of Ed. S. 00 Transfer Taxi V - t Mansion Tai / Affidavit / The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total V ^� If NO, see f ppropriate tax clause on (/(� ✓V page# ` ofthis ins ument. 4 Dist. l l ) 5 Community�reser�fration Fund 17025821 1000 01000 0400 010000 Real Property PTS 1111111 IIIIIaIIIIIEIIiIIEIIIII IIIIIEIIIIIIEIIII cPFST ConsiderationNkA .1 o 5,800100000.00 Tax Service CWH 111 Agency 03-AUG-1 ax Due Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vaca Stephen L. Ham,II1,Esq. TD I OOCD Matthews& Ham,Esqs. TD 38 Nugent Street Southampton,NY 11968 TD Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Fidelity National Title Insurance www.suffolkcountyny.gov/clerk Title a F17-7404-104476-BUFF 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFY TYPE OF INSTRUMENT) Grace B.Hawkins The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold R.Bradford Burnham, 111 In the VILLAGE or HAMLET of Fishers Island BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD RE USED BY LAWYERS ONLY c c�-� o F CArtv�140- r�.�rs 7/11/17 THIS INDENTURE,made the 144y' day of July in the year 2017 BETWEEN Grace B.Hawkins 2274 NW 51st Avenue Gainesville,FL 32605 party of the first part,and R.Bradford Burnham,III 40 Fifth Avenue,Apt.12E New York,NY 10011 party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration 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 described in deed made by Elbert W. Burr,recorded April 24,1974,Liber 7627 page 579 in the Suffolk County Clerk's Office. (Premises and more). TOGETHER with all right,title and interest,if any,of the party of the first part of,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 parry of the second part,the heirs or successors and assigns of the party of the second pan 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 y at first above written. IN PRESENCE OF: Grace"aw-kinsP Fidelity National Title Insurance Company ' TTTLE NO. F17-7404-104476-SUFF SCHEDULE A-1 (Description) ALL that certain plot, piece or parcel of land, situate, lying and being at Fishers Island, Town of Southold, County of Suffolk and State of New York, known and designated as Lot Numbers 71 to 74, inclusive, and Right of Way as lies between Lots 74 and 75 as shown on a certain map entitled "Plan of Peninsula at Fishers Island, owned by Charles W. Hedge and Frances G. Thorp., made by Chandler and Palmer, Engineers,Norwich, Conn., 1913" and filed in the,Offce of the Suffolk County Clerk March 11, 1913 as Map Number 223. �r r �w -s, THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONLY., Together with all the right, title and interest of the party of the first part, of in and to the land lying in the street in front of and adjoining said premises. SCHEDULE A-1 (Description) USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLY, USEACKNOWLEDGMENTFORMBELOWWITHINNEWYORKSTATEONLY: State of New York,County of )ss.: State of New York,County of }ss.: On the day of in the year On the day of in the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared personally known to me or proved to me on the basis of satisfactory 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 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 within instrument and acknowledged to me that he/shelthey executed the same in his/her/their capacity(ies), and that by his/her/their 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 signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument. behalf of which the individual(s)acted,executed the instrument. ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONLY.• ACKNOWLEDGMENT FORM FOR USEOUTWE NEW YORKSTATE ONLY. (New York Subscribing Witness Acknowledgment Cernifecatel (Oul of State or Foreign General Acknowledgment Cenificatel State of New York,County of }ss.: State of Flori0A,•Cc!upty 9f•,A -.LAa..•,••,,}�; (Complete Venue with State,Country,Province or Municipality) On the day of in the year +� before me,the undersigned,personally appeared On the 1`r day of July in the year 2017 before me,the undersigned,personally appeared the subscribing witness w the foregoing instrument,with whom i am Grace B.Hawkins personally acquainted,who,being by me duly sworn,did depose and personally known to me or proved to me on the basis of satisfactory say that he/she/they reside(s)in 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 (ifthe place ofresidence is in a city,include thestreetand street number, the same in his/her/their capacity(ies),that by his/her/their signature(s) if any,thereon;that helshelthey know(s) on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument,and that such individual to be the individual described in and who executed the foregoing made such appearance before the undersigned in the instrument;that said subscribing witness was present and saw said C-jD,i(-eSv P— I f--7L, execute the same;and that said witness at the same time subscribed (Insert the city or other polirical subdivision and the state or country or his/her/their name(s)as a witness thereto. other place the acknowledgment was taken). Notary Public Ly h6r4 Lord f All .•• .�WN/l, 4 LYNDA LORD 5 MYCO WISSIONIFF1214 BARGAIN&SALE DEED ri 4:tea&20rt 79 WITH COVENANTS AGAINST GRANTOR'S ACTS J%O%p M•re•.r.yyyyt,y�� RTLE No. DISTRICT 1000 SECTION 010.00 Grace B.Hawkins BLOCK 04.00 LOT 010.000 COUNTY OR TOWN Suffolk TO R.Bradford Burnham,III RECORDED ATREQUEST OF Fidelity National Title Insurance Company RETURN BYMAIL TO FIDELITY NATIONAL TITLE Stephen L.Ham,I11,Esq. 0 INSURANCECOMPANYCOMPANY Matthews&Ham,Esgs. 38 Nugent Street � A-Fidelity¢' .xaK�" Southampton,NY 11968 M—h-N—Yah S—Intal7rdeA»ori-- W U 0 O 0 z a 0 O v w LL O LU N fY W V Q a N _N W� R W N W INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY � �� Now York Sfate Depa��M of C1.Sums Code I ,Olt I Taxation and Finance C2.Dda%Dsed Recorded I S ice of Real Property Tax Services �7 um °" D Q RP-5217-PDF C9r Book 2 !iJ C4.Page U Real Property Transfer Report(8118) PROPERTY INFORMATION 1.Property Peninsula Road Location 'S�NEET hJwEFR •STRCET NAYF Southold Fishers Tsland 06390 .CIN OR TOM V_ACE 2.Buyer Bsxnhan JZ R. Bradford Name •usrNWEwxwnAN. ea+s:ww: LAS'NALtJmMPANY F.RS'NAML 3.Tax Indicate whore future Tax Bills are to be sem Weinrra:rb 3exnard Billing if other than buyer acki ess(at bottom of form) A5T xAAr,earlFAxr Address FWST NWE 32 Tall-man Avenue Nyack NY :0960 STREET N1r6ER AND YAME CITY On TOM STATE ZPCOOL 4.Indlcap the number of Assess mmt 1 e of powas ❑Pct Of a Parcel (Only N Part of a Parcoll Chock as they apply. transferred parceh transfad on the deed OR 4A.Planning Bond with Subdiaresm Aulilorily Eluate ❑ e.Deed }( OR 0.40 40.Subdivision Required for TransTransfern ❑ Property 'FROM rEEr •DEPTH •A:NLB APPresat was she 4C.Parcel Approved for Subdivision with Map Provided ❑ awkirls Crace rW5. e.}teller LASTxMEA ow Avr -USI NAME Name LAW MMLMMPArr RIS•NWL 7.01eleet the description which most accurately describes the Cheek the poxes below as they apply: use of the property et the time of sale: B.Ownership Type Is Condominium ❑ C.Residential Vacant Land S.New Construction on a vacant Land ❑ ICA.Property Located within an Agricultural District ❑ 108.Buyer received a disclosure nobs Indra aling that the property Is in an ❑ Agricultural District SALE INFORMATION 111.Check one or more of these conditions es applicable to transfer: A Sala Between Relallvas or Fortner Relatives 11.gale Contract Dap 06/27/2017 B.Sale between Related Companies or Partners In Business. p C.One of the Buyers is also a Seller '12.Date of SoleRrensfor /-�GD.Buyer or Sager is Government Agency or Lending Institution E Dead Type not warranty or Bargain and Sale(Spa*Below) F.Sale d Fractional or Lass than Fee Interest(Specify Below) '13.Full Sale Price 415r 000,00 G Significant Change in Property Between Taxable Status and Sols Does (Full Sale Pram is the Intel amount pad for the Property including parwnel property. 1.Saler nusnal F is oAffecting Included to Sok Pira I.Omer Unusual Factms Afiatbng Selo Prim(Specify Below) This payment may be m me frim d rash.other property or gaaea,or Me aswmpbon d mortgages or other obligations.I Please round to The nesreaf whole dollar amount J.None Comment(@)on Condition: 14.Indicate the value of personal proporiy Included In the sap 0 -00 ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax BIII 10.Year of Assessment Roll from which Info w n taken(YY) 17 '17.Total Assessed Value 2,000 M4.Property Class 311 _ 'IS.School District Neum Fishers Island 120.Tax Nap kleTNflerislRRdl IdenUfleds)(If more than four.sttaeh shear with additional Identifier(s)) 1000-010.00-04.00-010.000 CERTIFICATION I Cordly that all of"Items of Information initis on this form orstrue and correct foo the best of my knowledge and belief)and I understand that the making of any wllNul tales mpmentof motorial fact heroin subject me to the Drttylelans lg the rxI I�w nfatiwe to the making and filing or false instruments. ERSIGNATURE BUYER CONTACT INFORMATION (E rerJaunmsbon far it.dyer Nos:if boyar is LLC.soaab arspdalin,Sapormun.Iowa nod,eallowlr.Reels or Ai ' r as b ale a rap an w,dvlsuel easrsar neuoary,tilers a hems entl mmeet�rtam■sm M m NdMumPosponable Party whom ensesr imar ns agmang the bw alarm el be anWW.Type er pint else") L /9E•LER 91GNA. / Te BUYER SIGNATURE lifein-_xaub Bernard •IASI NAM[ FIRSTNAML _0�7 (b45) 358-5089` _ r •rv+ueaoE •rEtFnwawwaERrFa arprrarr eu•EN aowTls+E o.T[ 32 Tallman Avenue 'SIFEEThUVRER 'VRET NWE Nyack NY :0960 -C T-OR TOWN '51uE •IPCOm BUYER'S ATTORNEY 1 i(an Stephen Q I IAor NME FIRST hANE (631) 283-240 AREACOOr IL.C'Dill MUDI.RI[•.mesio, ) 1 I