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HomeMy WebLinkAboutL 12979 P 855 1111111 IIII iilll illll VIII lull VIII IIIA(IIII IIII IIII 1111111111111111 IIII 1111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 09/25/2018 Number of Pages : 4 At: 12 : 00 :24 PM Receipt Number : 18-0178664 TRANSFER TAX NUMBER: 18-06324 LIBER: D00012979 PAGE : 855 District: Section: Block: Lot: 1000 004 . 00 05 . 00 005 . 016 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 $5 . 00 NO RPT $200 .00 NO Transfer tax $0 . 00 NO Comm.Pres $0 .00 NO Fees Paid $400 . 00 TRANSFER TAX NUMBER: 18-06324 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County r - ❑t 2❑ Y RECORDED Number of pages 2018 Sep 25 12.uCi r 24 PM JUDITH G. PASCALE CLERK OF This document will be public SUFFOLK COUFIT,3 record.Please remove all L D00012979 Social Security Numbers P 855 prior to recording. IaT# 18-06324 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee AD Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total5.� Spec./Add. R.P.T. 7(State) _' TOT.MTG.TAX Dual Town Dual County _ R.P.T.S.A. Held for Appointment Comm.of Ed. S. 00 Transfer Tax Affidavit • + Mansion Tax 1:5— IRSThe property covered by this mortgage is Certified Copyor will be improved by a one or two NYS Surcharge 15. 00family dwelling only. Sub Total YES or NO Other Grand Total e4a'— If NO, see a pna tax clause on page# o ' in trument. C` 1� 4 Dist )5.016 5 Community ervation Fund 18030213 i000 ooaoo osoo oosoie Real ProK P T" S Consideration Amount$ Ver fiat) OIDTYs P-1A IIIp IuIIIElIII��I��l�fl IIlll�ulll�II�IIIIIII CPF Tax Due $ —�� Improved i 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land STEPHEN L.HAM, III,ESQ. TD MATTHEWS&HAM TD 38 NUGENT STREET SOUTHAMPTON,NY 11968 TO Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name ,W www.suffolkcountyny.gov/clerk Title# Coin — ISa 8 Suffolk County Recording, & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) SAMUEL S.POLK The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD SAMUEL S.POLK,AS TRUSTEE OF THE In the VILLAGE SAMUEL S.POLK REVOCABLE TRUST or HAMLET of FISHERS ISLAND dated April 3, 2018 BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over CONSULT,YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY t THIS INDENTURE,made the 16"' day of August,two thousand eighteen, BETWEEN SAMUEL S.POLK, 11651 SE Florida Avenue, Hobe Sound,Florida 33455, party of the first part,and SAMUEL S.POLK,as Trustee of the SAMUEL S.POLK REVOCABLE TRUST dated April 3,2018,11651 SE Florida Avenue,Hobe Sound, Florida 33455, party of the second part, WITNESSETH,that the party of the first part,without 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 Fishers Island, Town of Southold, County of Suffolk and State of New York-known, shown and designated as Lot 2 on a certain map entitled"Minor Subdivision Plan,Property of Samuel S.Polk",whict map.vda`s filed in the Office of the Suffolk County Clerk on May 22,1992 as Map No.9223,said Lot 2 being more particularly bounded and described as set forth on Schedule A hereto. BEING AND INTENDED TO BE a portion of the same premises conveyed to the party of the first part by deed, dated December 6,1990 and recorded in the Office of the Suffolk County Clerk on January 15,1991 in Liber 11205 page 127. rl 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. ,. t 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 partwill 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 firstabove written. IN PRESENCE OF: n p Samuel S.Polk Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment i T SCHEDULE A to Deed Party of the First Part: Samuel S. Polk Party of the Second Part: Samuel S. Polk, as Trustee of the Samuel S. Polk Revocable Trust dated April 3, 2018 Deed Dated: August 2018 BEGINNING at an iron pin on the southerly line of a road, said iron pin being 63.13 feet North of a point which is 132.88 feet West of a monument marking the United States Coast and Geodetic Triangulation Station "CHOCOMOUNT 2"; and RUNNING THENCE South 38 degrees 19 minutes 31 seconds West, 459.35 feet to an iron pipe; THENCE South 54 degrees 38 minutes 30 seconds East, 360.66 feet to an iron pipe; THENCE North 0 degrees 47 minutes 20 seconds West, 49.75 feet to an iron pipe; THENCE North 21 degrees 57 minutes 50 seconds East, 120.25 feet to an iron pipe; THENCE due North 444.14 feet to a point on the southeasterly line of said road, said point being at a point of a curve to the right having a radius of 50.00 feet and the direction of whose radius at that point is North 74 degrees 29 minutes 32 seconds West; and THENCE southwestwardly, following the arc of said curve, 70.41 feet to the iron pin at the point or place of BEGINNING. TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of Suffolk ss.: State of New York,County of ss.: On the 1� day of August in the year 2018 before me,the On the day of in the year undersigned,personally appeared before me,the undersigned,personally appeared Samuel S.Polk pe 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 individualW whose namef2y is satisfactory evidence to be the individual(s)whose name(s)is (aya�subscribedtothewithininstrumentandacknowledgedtome (are)subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in hisA%FAheiccapacity(iipef, that he/she/they executed the same in his/herAheir capacity(ies), and that by his/herAbeir signatureW on the instrument, the and that by his/her/their signature(s) on the instrument, the individuaw,or the person upon behalf of which the individuajs' individual(s),or the person upon behalf of which the individuals acted,exe u d the i m nt. acted,executed the instrument. S 2 K.22 Notary Public ZZ2S�3 Notary Public )y;�signature'and,office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) Q• z .•yam IT , OR TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE if State of ;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 individuals whose names are subscribed to the Within instrument and acknowledged to me that they executed the same in their capacities,and that by their signatures on the instrument, the individuals,or the person upon behalf of which the individuals acted,executed the instrument,and that such individuals made such appearance before the undersigned in the in the State of (insert the City or other political subdivision) (signature and office of individual taking acknowledgment) My Commission Expires On: BARGAIN AND SALE DEED DISTRICT 1000 WITH COVENANT AGAINST GRANTOR'S ACTS SECTION 004.00 BLOCK 05.00 Title No. LOT 005.016 COUNTY OR TOWN SUFFOLK-SOUTHOLD STREET ADDRESS 1180 Top of the World Drive SAMUEL S.POLK Fishers Island, New York 06390 TO SAMUEL S.POLK,AS TRUSTEE OF THE SAMUEL S.POLK REVOCABLE TRUST DM 4/3/2018 RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by RESERVE THIS SPACE FOR USE OF RECORDING OFFICE FOR COUNTY USE ONLY- tINSTRUCTIONS(RP-5217-PDF-INS):www.orps.slatemy.us Ct.31MS Code Now York Efate Department of .�^L�i J Taxation and Finance C2.Date Deed Recorded LQ OS � I Office of Real Property Tax ServicestNFO�RMATION C3.800k C4.Page I RP-5217-PDF PROPERTY I Real Property Tranahr Report(8110) rty 1 Loatioon 1180 ---- TOP OF THE WORLD DRIVE NINEx ------ - TOWN OF SOUTHOLD -- FiSHRRS ISLAND �rT,-ter. ----------- - 05390 2.slaver Name SAMUEL S. POLK REVD TRUST ------- '�Pc�F - _ F iiil Y.V ------- 3.Tax LIST R.Vr. ------- Billing Indicate where future Tax Blas are to be am Address 9 Other than buyer addresstat bottom of form) .asi vYVrAw4'.N• - . �w7S:LI.RF --�- • 4.Indicate do number of Assessment ST--r SFCQCE T Roll W reeb transferred on the dead.---a or Parcels OR LJ Part of a Parcel (Only If Part of■Parcel)Check as,tial,apply: L Deed p 4A.Planning Board with Subdivision Authority Exists 1-I PfOPalty -•ri'1M1TreE1 - -•n'F1• OR 2-44 48.Subdi anon Ragmred far TransMr L.I Stu •.rlEs Approve, was J 4C.Parcel Approved for Subdivision with Map Provided r Pozx `I B.Seller ;.s*h.wswn s. ------ SAM EL S. Name - 9.Select the description which most accurately describes the Check the bum below,as th a ----- use o/the Property at the Bme of axis: y PWY rL�w e-Ownership Type is CondominiumI� A.O'x'i':If111Iy'I�PSIfl4`fll l✓f( 9.New Can LJ ------------ - sanction on a Vaunt Land rl 1111A.Property Located within an AgriculluiW District I^ 108.BoYar f lmived a disclosure notice Indicating that the properly is m an 7 SALE INFORMATION Agricultural District ❑ 19.Check ow or more oftlwae Wnditbm es eppliubiv to transfer. 1 L Sale Contract pats 07/27/2018 U A.Sale Between Rel"tives or Former Relatives -- ___ B Sal"btlaroed Related Companies or Portnere in Business. C.One of the Buyers Is also a Seller 12.Date of SalolTnnsfer o8/3.6/2018 �� -_ I.I D.Buyer or 3e3sr is GovernmentAgenLy or Lending Ingitid,oll I I E.Deed Type not Warranty or Bargain and Sale(Specify Below, '13.Full Sale Price 0.00 F Sale Or Fractional or Less than Fee Interest ISpecily Befdw) _ _-_ G.Significant Change in Property Behwsen Taxehle Status and Sale Dates I Full Sal"Price is Iia total amount paid for the Property Including Personal properly N.Sale of Business is Included In Sale Price That payment may be in the form Or cash,other Property Of goods.or the assumption of L Other Unusual Factors Affecting Sale Price 15peclfy Below) mortgages or other obligations.)Pleeae round to the neereat stel"ddteramamt J None 'COrnmwnt(U on Condition: 14.Indicate clic valve Of personal property Included In the sale _ 0 .00 ASSESSMENT INFORMATION-Data should reflect the latest Final TiUL4SFER .•-C REV`•:A;I;E TRZI T Assessment Roll and Tax BIII -- 19.Year of Aesessmam Roll from which Information taken(YY) 17 '17.Total Assesso l Valve 23,200 '19.Property Clsax 2'_C - -- - - •19.School DlydrfetName PISBERS ISLATD '20.Tax Map Identlfier(syRoll Idengaer(s)its more than four,attach sheet with additional Identl me)) -- 1000 004.00-04.00-005.015 CERTIFICATION CeNly that all of ft tams of InMrmatlon mbr*d on this farm are true and canaet(to the best of my knowledge end ballet)and I undOmUnd that the making of any wltiful al"o statement of material fact herein subject me to the PlOvisi9ee 01.90 penal.Nwr.rel"tivie to the making and 91ing of falso instrumeltis. SELLER S1G11AIUBE t BUYEBCONrADTINEOBMATjo n S ,Ener lnFjr sax•air ire buyar.h'W If buwern LI Cuda y assomeen.wrperewn Ant e'Atl.ranpariy,ewe air Only eaI Is 9N s:.4%is .11]arr.rl fiducsn.eel a vna and xn'x Ffam:M.la l cyan 65r-pony. e u A'LF+S.'.---•]--\C1L!(1 ---�.�6-`a" iwrb wnc ra�a•Iseer queaod:sr%amr.gia:•a+L4rnuetbeams:ed 7ypsar plea Wary.) ry LSF ver BUYERSIGNATURE I POLK SAMUEL S. TY.YF �- ,,D (631) 788-7708 J4 -------- zmR,&%L_ ----- -_ I •.ifs 'CR •lelr�l•C•CwY7EN:Faw.1/Itpp;- 1.L651 __ SE FLORrDA AVENUE •S'PF,.-M.Yeryt •61-EF'N.16 1 HOBS SOUND FL33455 I BUYERZATL08NEY TR Vine IHAM STEPHEN L., CIC .AST I --------- FMSTWNL ------• 283-2400--- - 4YE.00CL TElcl'YC•zYlYery;lFy ewf&Ie.