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Home My WebLink AboutL 12941 P 201 1111111111111111111111111111111 11111 11111 11111 1111 1111 111111 I I I I 111111 I l l l l l l f SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/06/2017 Number of Pages : 4 At: 03 : 56: 50 PM Receipt Number : 17-0217317 TRANSFER TAX NUMBER: 17-15011 LIBER: D00012941 PAGE : 201 District: Section: Block: Lot: 1000 010 . 00 03 . 00 002 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 . 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 $125 . 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 $395 . 00 TRANSFER TAX NUMBER: 17-15011 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ( ❑1 2❑ Number of pagesRECORDED _'017 Dec. 01 03:56:50 PM JUDITH F. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record.Please remove all L D00012941 Social Security Numbers P 201 prior to recording. DT# 17-15011 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee � T Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax. TP-584 G Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total ? Spec./Add. EA-5217(State) _ TOT.MTG.TAX / Go bull Town Dual County _ R.P.T.S.A. V Held for Appointment Comm.of Ed. S. 00Transfer Tax Mansion Tax Affidavit _ The property covered by this mortgage is Certified Copyor will be improved by a one or two _ NYS Surcharge 15. 00 Sub Total 3 family dwelling only. YES or NO Other / Grand Total `—� If N0, see appropriate tax clause on J page it of this instrument. �. 4 Di 1]0392001000 01000 0300 002000 1 5 Community Preservation Fund i JJII II IIliii IEE IEEEEII Ii Consideration Amount$ Real Prc p 'CJ TaAge0 NOV-A en i�IIIIII�uIII�l�lllll�I�I�IIII`�[� CPF ax Due S Verifca' _ i I Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address \// RECORD&RFTURN TO: Vacant Land First American Title TD 0 Insurance Company 666 Tbira Avenue 5thfl New Yod N.Y.10017 \ TD Phone: Fax:(212) M-9417-0881 TD Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.NamePME1 An www.suffolkcountyny.gov/clerk Title a s Suffolk County Recording & Endorsement Page This page forms part of the attached �e�A� made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK.,, TO ell 4n In the TOWN ofw 6� In the VILLAGE n r HAMLET of BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over ' r —Bargain and Sale Dced,with Covenant against Grantor's Acts—Individual or Corporation(Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENTSHOULD BE USED BY LAWYERS ONLY. PA ------------- J3/Z �vA� THIS INDENTURE,made the 7e7"day of Marsh,in the year 2017 BETWEEN Paul H.Burnham as Ancillary Executor of the Estate of David C.Burnham having an address at 239 Thunder H*Road, Wilton CT 0689794 ` 9" party of the first part,and John S.Burnham having an address at 88 Oliphant Lane,Middletown,Rhode Island 02842, Stephen T.Burnham having an address at 118 Parker Street,Newton,Massachusetts 02459, ` `UY,ouise B.Packard having an address at 26 Dexter Road,Lexington, Massachusetts 01354 and �\'�j`( Paul H. Burnham having an address at 239 Thunder kill Road, Wilton CT 06897 Ad At I �b AS TENANTS IN COMMON A6 party of the second part, WITNESSETH,that the party of the first part,in consideration of 1.00 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 pan forever,an 18.75 percent interest each as tenants in common of the total 314 0 interest of the party of first part in such premises as described as follows: ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being In the County of Suffolk, Town of Southhold, State of New York and more particularly described on Schedule A attached hereto lJ Being the same premises acquired by Deed made by Rufus Bradford Burnham and Florence Stark Burnham,husband and wife to Helen Burnham Ward and David Campbell Burnham,an undivided 50% to each grantee as tenants in common dated \� 10/24/1967 recorded 11/13/67 in Liber 6254 Page 256. AND ��- Deed made by Helen Burnham Ward (as to 1/4 undivided interest) to David Campbell Burnham dated 11/1/90 recorded 5/24/91 in Liber 11267 Page 473. 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 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 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 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 year first above written. IIN/�.PRESENCE OF: Paul H.Burnham,as Ancillary Executor of the Estate of David C.Burnham r ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of ,ss: State of New York,County of ,ss: On the_day of in the year before me,the On the day of in the year 5,before me,the undersigned, undersigned,personally appeared personally appeared ,personally known to me or proved to me on the basis of ,personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are) satisfactory evidence to be the individual(s)whose name(s)is(are) subscribed to the within instrument and acknowledged to me that 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 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 his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the person upon behalf of which the individual(s)acted,executed the instrument. instrument. ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK IN NEW YORK STATE STATE State of New York,County of ss: *State of Connecticut,County of Fairfield, ss: '(Or insert District of Columbia,Territory,Possession or Foreign On the day of in the year before me,the County) undersigned,a Notary Public in and for said State,personally appeared S Wilk ,the subscribing witness to the foregoing instrument,with whom On the day ofFebrmary in the year 2017,before me I am personally acquainted,who,being by me duly sworn,did depose the undersigned personally appeared PAO(- N and say that he/she/they reside(s)in "-Bo 12 0�1� 1 Personally known to me or proved to me on the basis of satisfactory (if the place of residence is in a city,include the street and street number if any,thereof); evidence to be the individual(s)whose name(s)is(are)Subscribed t0 the •161st that he/she/they know(s) within instrument and acknowledged to me that he/she/they executed the Jill,' same in his/her/their eapacity(ies), that by his/her/their signature(s)on�y.-III to be the individual described in and who executed the foregoing the instrument,the individual(s)or the person upon behalf of which the"I ' instrument;that said subscribing witness was present and saw said individual(s)acted,executed the instrument,and that sur:h individuals `r make such appearance before the undersigned in the Towu of Wittonu r ,- 'f t ST execute the same;and that said witness at the same time subscribed Connecticut his/her/their name(s)as a witness thereto (add the city or political subdivision and the state or country'nrotna...'..L� place the acknowledgement was taken). er 'r . ..to , Bargain and Sale Deed corlMlssl°" �' EXPIRES With Covenants %9j•.4J30/2019 ti. SECTION:010.00 '�''�•��rCONNo`''` BLOCK:03.00 Title No. —� LOT:002.000 COUNTY OR TOWN:SOUTHOLD TO RETURN BY MAIL TO: DISTRIBUTED BY 1#*1**^ YOUR TITLE EXPERTS The Judicial Title Insurance Agency LLC 800-281-TITLE(8485) FAX:800-FAX-9396 SCHEDULE A ALL THOSE CERTAIN plots, pieces or parcels of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, County of Suffolk, and State of New York, as more particularly described as follows: PARCEL 1: All that certain lot, piece or parcel of land, situate, lying and being in the Township of Southold, County of Suffolk and State of New York, known and designated as and by Lot Number Thirty-One (31) on a certain map or plan of the peninsula at Fishers Island, comprising Ninety (90) lots owned by Charles W. Hedge and Frances G. Thorp, located on Fishers Island in the Township of Southold, County of Suffolk and State of New York, surveyed by Chandler and Palmer, Engineers and Surveyors, of the Town of Norwich, County of New London, State of Connecticut in the year 1913, which map was filed in the office of the County Clerk of Suffolk County on the 1111 day of March in the year 1913 as Map Number Two Hundred and Twenty Three (223) and more particularly described as follows: running from the westerly side of a twenty (20) foot right of way to the high water mark of Great Harbor an average distance of One-Hundred Twenty-Six and One- half (126-%2) feet, more or less, being fifty (50) feet wide. Being the same premises conveyed by Charles W. Hodge and Belle Hodge, his wife, to Ernest J. Jones by Warranty Deed dated March 13, 1913 and recorded in the Suffolk County Clerk's office in Liber 842 of Deeds, page 301, on the 27' day of March, 1913. PARCEL 2: All that tractor parcel of land situate on Fishers Island, County of Suffolk and State of New York, known as Lot Los. Thirty and Thirty-two(30 &32) on "Plan of Peninsula at Fishers Island, owned by Charles W. Hodge and Frances G. Thorp, made by Chandler& Palmer, Engrs., Norwich, Conn., 1913", filed March 11, 1913, No. 223, in County Clerk's Office, Riverhead, N.Y. INSTRUCTIONS(RP-5217-DF-INS):www orps.stato.ny.us FOR COUNTY USE ONLY ^ �1 Now York State Department of C1.BWIS Code OV/Y 1 Taxation and Finance C2.Date Dead Recorded �l /Q�/ / i Office of Rea:Prope.1y Tax Services g Lq �' "' RP-5217-PDF C9.Book C4.Page Real Property Transfer Report(&11o) PROPERTY INFORMATION 1.property Row Off ' Location Peninsula Road •aTa6rkYMEER •alF�IAAYE Southold' Fishers Island 06390 2.BuVer Name Win 3711 / 4J '=rcacE tame aLjL •wreAexawAw - rrwrawe • �a� to�isz B. - . . . L.r.a•YEeaYrNr•• Wer hien. 3.Tax ;ndkata whero f•Jture-.aa Biro stem be sent mlling .fother than buyer adamse(MGommofmrrra Address n�rdAwe tl:rReT laalaC#AY]Alaw ON:R 1'aYW KATE WOME �.Ihdieara tM nrmhef aPAtsysamerd 1 e m Parma ❑Flan d a o�p (Only IF PRI Ufa Parseq Check as they apply: Rail permits 7amfarrse an Weekend OR a.Deed M.Planning Board with Sutdifton AuthorAuthority,Mde s t 0.4 3 ❑ Property —7i�r� x •ort OR —assn 4B.SuhdhdalmAPPmniwas Requhed crTrsnafer Sias 4C.Pam Approved for Subd•vli on with Map Prodded B.Sekr BUMM Paul 8., Ancillary Executor, Estate of . M ww_ Name David C. Burnham rAw SAMENOYMN} Ars.Mae 7.Select the description which most accurately daecribn Ike Check go baso•below as they apply. use of the prvperq at the time at sale: L . t7ru:Iershlp Typo Is CcndomSNim ❑ Residential !ti New MrillydcELaid an s Vaned L �. One Family ❑ 10A.Propvy 1. -'- wehlnan AgdwlWra of cket ri }0B.auyw esceivad a detlosurs erodce Imp aWng that aha pn pely Is N A7 IJ Agricultural Ghmdat ❑ SALE 14FORMATM 13.Check aro or more of these conditions m applkxdde to tranafw: A.Sae 99MN n Relsomm or Former Relatives If.little CoirbactDate none B.Sale between RaWedCamilmalasorPamwrsInBuslrmse. C.One at am Buyers is visa a Saler •iZ Date of SpXrrmnebr 6/13/2017 D.Buyer or Seller is Gcvwmerd Ageary ar Lending lnmilubm E.Dead Type not W mny or Bergain and Sale(SpR7y Balowl -13.Purl sale price $0.00 F.Sere of Fractional or Leas Iran Fee•merest(Specify Bd*M G.BgrgrQd Chsngs in PmpmV egMeen Ta:ege S M and 3au Ceras (Full Sale Prim isms talar amours paid-for IM prep"including pereonel pmpery. H.Sale d Butmss Is Induced In Bala Pan Th's payment may be in the form Of 0051•other property or goods,or the mumpaon of I.OlherUmmusl Factors Affecting Sae P.Tae(Specify scrawl rwxe949e5adMfetl1189MUL)Pka mmaFtaOmneamatmh*dabramooL J.None Cenmard(s)onCondNon: 1e.properyaleYchalblpmsand $0.00 3/4th fee interest nb r.Y propvrrytnrJoded la tresa4 ASSESSMENT INFORMATION-7ata shoUd rafted ere WNW Final AneSSMKd Roll and Tax Bill I&Yoerol'Aatieaement Roil firma which lnrormx&dtoken(YY) 16 117.Total Amassed value $38,000 •18.1sraponycass 260 _ 19.school 0155 tNams Fishers island •IIB.Tlx sup ldempur(IpRoB Idenenw(E)FFinars than fea4 amcS eheatwllh addMOMI khamer(a8 1000-010.00-03.00=DD02 FICA N I Csrtlfy that all of the Raw of inlomiagon vntmw on eda form Iry true and correct III ars bestotmy knowledge and b llso and I understand IML the making of any-I Ful false staumatall material Poet hamrn auWodt me to tirq,pyptlslggigLgrAJlagi[Ja7LrslatlYa to the making and filing of to n Instrumvrrt:, i zFLLEFtsirNATuRE AU01121INTAf:TIRFORMATION R.T.e•In'aviadm fa ate toner.near ab-0erstrt.5adeq,aeeda.,pr,,eepaatlar„rera aaaiaeeey,Banner enlbeelIs•R:anreaa,elspewxadw,y,senarm:eraorrad----•—ermisomrs nerra+dme Feh WN oesvwg �•a Jealma iIns wafer RYm he ede ft TWw pint dee*1 JUTE BUYER SIGNATURE Burnham Paul X. --L.WKWE rJeFThwe 203 571-6301 •AesAOaai 'rsJdMa'i rareea:hee nsewr, ar.sanaE 239 Thunder Lake Road _.1ME rr.Jeheal 'eramrrtws rI r i Milton CT 06897 tirttae TnYm ;FAM RS:am I t Coleman Jaclyn r :Asrwws •P/TItiAYE 1 e I 516 319-5633 wrow-rE tEswtoeesJ.eEvp::wlNee: