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Home My WebLink AboutL 12965 P 888 1 1 1 1 1 1 I I I I I I I I I I 111111 i l l l I I I I I I I I I I I I I I I I I I I I I I I I 11111 111 I I I SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 06/18/2018 Number of Pages : 3 At: 01 : 35 : 31 PM Receipt Number : 18-0111376 TRANSFER TAX NUMBER: 17-34643 LIBER: D00012965 PAGE : 888 District: Section: Block: Lot: 1000 128 . 00 06. 00 002 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15 . 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 $395 .00 TRANSFER TAX NUMBER: 17-34643 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County RECORDED amber of pn.ges J 2013 Jun 1:3 01.35:31 PM + JUDITH P. PRSCRLE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D°°P 'd°388 65 Social Security Numbers DT## 17-34643 prior to recording. Deed 1 Mortgage Instrument Deed I Mortgage Tax Stamp Recording/Filing Stamps 3 FEHs 'age/Filing Fee 15 Mortgage Amt. — I. Basic Tax Iandling 20. 00 2. Additional Tax CP-584 5 Sub Total — Spec./Assit. Flotation _ of :A-52 17 (County) Sub Total r J Spec./Add. 3A-5217 (State) TOT.MTG.TAX Dual Town Dual County— Held L�' Held for Appointment Comm.of Ed. 5, 00 Transfer Tax Affidavit * _ Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 S 0 family dwelling only. Sub Total YES or NO Other Grand'I`otal � � If NO,see appropriate tax clause on page# of this instrument 4 Dist. 10. ?•000 5 Community Preservation Fund 18018975 1000 12800 0600 002000 Real Property p T S IIIIIII IIIIIIII llll ul Illlllllllpllll IIII Consideration Amount $ Tax Service R LWi A I IIII Agency 16-JUN-1 CPF Tax Due $ 3� Verification --J Imwed� 6 Satisfactions/Discharges/Releases List Properiq Owners Mailing Address RECORD&RETURN TO: Vacant Land WILLIAM F. BATES, ESQ. 120 Court Street I TD l0 Gd Riverhead NY 11901-3003 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title ComPany Information 310 Center Drive, Riverhead, NY 11901 www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms pant of the attached BARGAIN & SALE DEED WITH COVENANTS made by: (SPECIFY TYPE OF INSTRUMENT) ROBERT D. KELSEY, Successor The premises herein is situated in Trustee unaer IrreVuQable 11USC SUFFOLK COUNTY,NEW YORK. Dated ,lune 23. 1989, as to an Undivided One-Half Interest TO In the TOWN of SOUTHOLD ROBERT D. KELSEY and WILLIAM A. REESE*, BAGH AS Tf1 T One—Quarter In the VILLAGE Interest as Tenants in Common or HAMLET of LAUREL BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. :•oo..wroekf (over) Form 3290 ♦i CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made day of May,2018, BETWEEN ROBERT D. KELSEY, residing at 2345 Rose Walk Drive, Alpharetta, Georgia 30005, as Successor Trustee of the IR EVOCABLE TRUST DATED June 23 1989.as to-an Undivided One-Half Interest.Partyof the First Part, And ROBERT D. KELSEY, residing at 2345 Rose Walk Drive, Alpharetta, Georgia 30005 and. WILLIAM A. KELSEY, residing at 5149 Masonboro Harbour Drive,Wilmington, North Carolina 28409, Each, as to an Undivided One-Fourth Interest as Tenants in Common,Party of the Second Part, WITNESSETH,that the Party of the First Part, in consideration of TEN DOLLARS AND 00/100*****($10.00)***** AND OTHER GOOD AND 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 at Laurel, in the Town of Southold, formerly Franklinville, County of Suffolk and State of New York, and bounded and described as follows, to wit: BEGINNING at a point on the Southeasterly side of Peconic Bay Dis. Boulevard,distant 540.5 feet Southwesterly from a stone monument marking the division line between the lands of 1000 Van Brunt Tandy and Frederick Russell; RUNNING THENCE Southwesterly along said Southeasterly side of Sec. Peconic Bay Boulevard and through a stone monument 117.24 feet; THENCE South 14 degrees 48'East to Great 128.00 Peconic Bay passing through a stone monument near the high water line of said Bay; THENCE Northeasterly Blk* along the line of said Bay to a point where same would be intersected by a line drawn South 15 degrees 16'East 06.00 from Peconic Bay Boulevard at the point of beginning herein mentioned; and THENCE RUNNING North 15 Lot degrees 16'West to Peconic Bay Boulevard at the point or place of BEGINNING. 002.000 TOGETHER with all the right, title and interest of the Parties of the first part, if any, of, in and to the land lying under the waters of Peconic Bay in front of and adjoining the premises above described. TOGETHER with all the right,title and interest of the Parties of the first part,of,in and to the land lying in front of and adjoining the above described premises in the bed of Peconic Bay Boulevard to the center line thereof. Premises also known as 4000 Peconic Bay Boulevard,Laurel, New York 11948. BEING AND INTENDED TO BE the same premises described in Deed to Grantor herein dated 06/23/1989 recorded 08/16/1989 at Liber 10912 Page 270 **Initial Trustee AUGUSTUS D. KMEY having died March 17, 1999 (Surrogate's Court File No. 1384P.1999 and Initial Trustee BARBARA S. KELSEY having died November 1, 2016 (Surrogate's Court File No. 2016-4225). TOGETHER with all right,title and interest 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 convents 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 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 nay 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 part of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF IRREV C LE ST D JUNE 23,1989 BY: ROBERT D.KELSEY, uccessor Trustee • TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE 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 On the day of in the year before me,the undersigned personally appeared before me,the undersigned personally appeared Fpersonally known to me or proved to me on the basis of personally known to me or proved to me on the basis of FSatisfactory evidence to be the individual whose Satisfactory evidence to be the individual(s)whose (� sd, name is subscribed to the within instrument and name(s) is(are)subscribed to the within instrument and acknowledged to me that he executed the same in his acknowledged to me that helshetthey executed the same in ,bra capacity,and that by his signature on the instrument,the hislherttheir capacity(ies),and that by histherltheir signature(s) individual or the person upon behalf of which the on the instrument,the individual(s)or the person upon behalf of Individual acted,executed the instrument. which the individual(s)acted,executed the instrument. (signature and office of individual laking the acknowledgment) (signature and office of individual taking the acknowledgment) NOTARY PUBLIC TO BE USED ONLY WHEN THE ACKNOWLEDGMENTS IS MADE OUTSIDE NEW YORK STATE a f_ A_ PI IS State of jafiGRG4A : Ce SS: On the -7 day of May in the year 2018,before me,the undersigned,personally appeared @ROBERT D.KELSEY personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name i! subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by hi: signature on the_Ins ryRppj,tV individual,or the person upon behalf of which the individual acted,executed the instrument and that such dt)Rl rd�efoyc h appearance before the undersigned in the Town of ' Staje o �C7Kwnn rrl. ��.j��.....�� CJe /L�iP'i ir.� We My Comm.Expires )sia re and offi f individual taking acknowledgment) May 7,2019 '1 PUBLICNo.FF 228622 t riei. 5/7. ��/��,J',��tiA�8006..'Q �� mission Expires I BARGAIN AND SECTION WITH COVENANTS AGAINST GRANTOR'S ACTS BLOCK LOT COUNTY OR TOWN SUFFOLKISOUTHOLD Title No. STREET ADDRESS ROBERT D.KELSEY,Successor Trustee Under the IRREVOCABLE TRUST DATED June 23,1989 as to an Undivided One-Half Interest TO ROBERT D.KELSEY AND WILLIAM A.KELSEY, Each as to a One-Fourth Interest in Equal Shares as Tenants in Common RETURN BY MAIL TO: WILLIAM F.BATES,ESQ. SAFE HARBOR TITLE AGENCY 120 Court Street 1529 Main Street Riverhead NY 11901-3003 Port Jefferson, NY 11777 (Reserve this space for recording office) %e INSTRUCTIONS(RP-5217-PDF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY New York Stam Department of c,.SwIS cede I�},�/,3 I�r v I 1 I Taxation and Finance C2.Dam Dead Recorded I `�/ �+/ I I Office of Real Property Tax SerAces 11— a" y" RP-5217-PDF C3.Book I I, vs; , ,' I C4.Page I 1 Iv I Rural Properly Transfer Report(W10) PROPERTY INFORMATION 1.Property 4000 Peconic Bay Boulevard Location •a1REET WYSER 'STREET NAM: Town of Southold Laurel 11949 .CIIT Oq TaYa vii.-AGE -ZIPCOCE 2.Buyer KELSEY Robert D. Undiv. 1/4 Int Name F RST NAYS 'LAST NAYEICOYPANr KELSEY William A. Undiv. 1/4 Int IASTNA,EBICOYPAW MST WWE 3'Tax Indam where future Tax Bills we m be sent Billing if other than buyer address(el bottom or farm) ;AS!NAME-COMPANY FRET NAYE Address ergFFTNUYEERAN2Y C Cry OR ILMI 6-ATE LP CODE 4.Indicate the number of Assessment 1 pof Parcels OR ❑Part of a Parcel (Only N Part of a Percol)Check es they appy: Roll parcels transferred on ONE deed 4A.Planning Board with Subdrislon Autherity Exists ❑ 5.Dood X OR 0-00 4B.Subdivision Approval was Required for Transfer ❑ Property •FPOW FEET •OCP I.1 -MVEe She 4C.Parcel Approved for Subdivision with Map Provided ❑ RREVOCABLE TRUST DATED June 23, 1989 AS *0 An \InAlUlf4pd 6.Sailor •LANTIWEICOMPANY FIRST FAME Name LAS'WnElCOMKW C'MST NW F '7.Select the description which most ICCur4 sy dnerlbes the Check the boxes below as they appy: use of the property at the time of tats: 0.Ownership Type is Condominium ❑ A.One randly Reskdrntlal 6.New Construction on a VecaM Land ❑ 10A.Property Located within an Agricultural QW01 ❑ 10B.Buyerreceived a disclosure notice indicating that the property Is in an ❑ Agricultural District SALE INFORMATION 1 L Check ons or more of these Conditions as applicable to transfer: A.Sale Between Relatives or Former Reladves 11.Sale Contract Dale B Sao between Related Compenin or Partners in Business �+ C.One of the Buyers is also a Seller 77.Dam o4 SNa/fmmmr a 7 /r D.Buyer or Safer is Government Agency a Lancing Institution d E.Dead Type not Warranty or Bergen and Sala(Spedy,Below) F.Sae of Fractional or Leas than Fee Interest(Specify Be" •1 S.Frill Sale Price 0.00 G.Significant Change In Property Damon Taxable Status and Sale Dates H,Sole of Business is Included in Sale Pala (Full Sale Price is the tateI amount paid for the properly including personal property. I.Other Unusual Factors Affecting Sale Price(Specify Bestow) This payment may be in the form of ash•other property or goods.or the assumption of J.Nolle mortgages or affair abbgaiom.)Please round in the nearest wWo doear amount. Commenttsl on CordMon: 14.Inmate the value of personal •00 -bl,5-ml,Q property Included In the sale V ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which Information tahen(YY) 1 117.Toil Assessed Yalu@ /J/ �O 0 9&Property Cress (tiff _ •19.School District Nemo • — � 3e& '20.Tax Map Identifisdayltoll Idenafler(s)IN more than four.allach show with addldonel ldowtiler(e)) 1•� :000-126.00-06.00-00 .000 CERTIFICATION I Certify mal all of the Items of Intormaaon entered on this form aro truo and correct(to the best of my krawledge and belied and 1 understand that the making of any willful hlae sI- ant of material fact heroin Subject me to the preylftons g the canal Jaw relative to On making and filing of false Instruments. $ E BUYER CONTACT 1NFORMATIGH Irrev. st (Enver Idxm■Ien for as buyer.Note If buyer a LLC.eonty.naooadon.wmouran.Pins Was mmpmy.ease a .,Ly KI is net nm bak+du■I Sava a ad.-.V.Then■Ilmis Ma reread Hann■ban d.n d...VIEW-sift by: 05/07/18 vire ww ran meser eumm�e IsaMwna dy s.nlfr nun a arneles.Type x pant acedy.) txIV. Kelsey, uc. T=90istee am RE p RobeftA'"D. Kelsey rINa1NwE ax. �5 O 18 'ARr.AaJL 'TELEP-K)MMNEEPIl.e : R -D-. Ke sey 2A11 2345 Rose Walk Drive 'STIF_ET NIIYwA '67`41.0 NAYS t 1 Alpharetta GA 30005 -CTv ORTOAN -e1AIE 'n.CaOC• ROEIM ATTORNEY BATES William F. Mar WYE F.RST NAPE (531) 727-0050 mEACJCE TFIERIaW_NuesEq IL.n"" I