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Home My WebLink AboutL 12979 P 856 l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l I l l l l l l l l l l l l l l 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: 18-06325 LIBER: D00012979 PAGE : 856 District: Section: Block: Lot: 1000 004 . 00 05 . 00 005 .015 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 $250 . 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 $525 . 00 TRANSFER TAX NUMBER: 18-06325 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County � Y FI] 2] RECORDED Number of pages 4 2012 Sep 25 12.00.24 PM JUDITH R. PASCALE CLERK OF F:r This document will be public SUFFOLK COUNTY , record.Please remove all L D00012979 err' Social Security Numbers P+65$5kj9 DT# t g—Olo3o15 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling G20. 00 2. Additional Tax TP-584 " l Sub Total Notation Spec./Assit. l or EA-52 17(County) �7 Sub Total V Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. uiy „°L�, Held for Appointme(nl,�,___ Comm.of Ed. 5. 00 Transfer Tax Affidavit + Mansion Tax ,n G �� The property covered by this mortgage is .F� Certified Copy ior will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total "J�� If NO, see a9promate tax clause on page# thi nstrument. t a Dist. 1 8030214 5.015 5 Comm ervation Fund 1000 00400 0500 005015 R Agency o�P_, IIIIIIII1111III1lIIlIlII111II11111IlIIIIIIIUIIIII CPF Tax Due n Amount$r Tax Servicl' F2 DTy q Ve genc is Imprgved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land STEPHEN L. HAM,III,ESQ. TD_ 110 MATTHEWS& HAM 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 www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by: (SPECIFY TYPE OF INSTRUMENT) ANNE H.POLK The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD ANNE H.POLK,AS TRUSTEE OF THE ANNE In the VILLAGE H.POLK REVOCABLE TRUST dtd April 3.2018 or HAMLET of FISHERS ISLAND 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 tt THIS INDENTURE,made the jb day of August,two thousand eighteen, BETWEEN ANNE H.POLK, 11651 SE Florida Avenue, Hobe Sound, Florida 33455, party of the first part,and ANNE H.POLK,as Trustee ofthe ANNE H.POLK REVOCABLE TRUST dated April 3,2018,11651 SE Florida Avenue, Hobe Sound, Florida 33455, V 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, i• 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 1 on a certain map entitled"Minor Subdivision Plan,Property of Samuel S..Polk",which map was` filed in the Office of the Suffolk County Clerk on May 22,1992 as Map No.9223,said Lot 1 being'mote'parttcularly bounded and described as set forth on Schedule A hereto. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed,dated February 1, 1993 and recorded in the Office of the Suffolk County Clerk on March 1, 1993 in Liber 11620 page 048. 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 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 sam6'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. IN PRESENCE OF: c Anne H.P�l Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of NewwYyork,County of Suffolk ss.: State of New York,County of ss.: On the /(O 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 Anne H.Polk 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 individualSWwhose names satisfactory evidence to be the individual(s)whose name(s) is (ar subscribed to the within instrument and acknowledged tome (are)subscribed to the within instrument and acknowledged to me athetde�j xecuted the same iDtAtherl�r capacity(Os); that he/shetthey executed the same in his/hedtheir capacity(ies), and that by�thedthef signaturejee)'on the instrument, the and that by histherttheir signature(s) on the instrument, the individuaW,or the person upon behalf of which the individuaW individual(s),or the person upon behalf of which the individuals acted,e e ted t ins ument. acted,executed the instrument. Z4-zz Notary Public #H,2Z Z% Notary Public a d office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) .,�.. � ':, kp' .,,,:,,.• �y ,.TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE 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 instrumentand acknowledged to me thatthey executed the same in their capacities,and that bytheir 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 005.015 COUNTY OR TOWN SUFFOLK-SOUTHOLD STREET ADDRESS(no#)Top of the World Drive ANNE H.POLK Fishers Island, New York 06390 TO ANNE H.POLK,AS TRUSTEE OF THE ANNE H.POLK REVOCABLE TRUST DTD 41312018 RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by RESERVE THIS SPACE FOR USE OF RECORDING OFFICE SCHEDULE A to Deed Party of the First Part: Anne H. Polk Party of the Second Part: Anne H. Polk, as Trustee of the Anne H. Polk Revocable Trust dated April 3, 2018 Deed Dated: August IL , 2018 BEGINNING at an iron pipe at the westerly end of a road, said iron pipe being 110.11 feet North of a point which is 177.41 feet West of a monument marking the United States Coast"- and and Geodetic Triangulation Station "CHOCOMOUNT 2"; and RUNNING THENCE South 72 degrees 52 minutes 09 seconds West, 237.45 feet to an iron pipe; THENCE South 89 degrees 36 minutes 20 seconds West, 165.62 feet to an iron pipe; THENCE South 24 degrees 56 minutes 10 seconds West, 189.27 feet to an iron pipe; THENCE South 54 degrees 38 minutes 30 seconds East, 284.48 feet to an iron pin; THENCE North 38 degrees 19 minutes 31 seconds East, 459.35 feet to an iron pin on the southerly line of said road, said iron pin being 63.13 feet North of a point which is 132.88 feet West of said monument and being at a point of a curve to the right having a radius of 50.00 feet; and THENCE northwesterly, following the arc of said curve, 70.41 feet to the point or place of BEGINNING. FOR COUNTY USE ONLY fNSTRUCTIONS(RP-5217-PDF-INS):www orps.stale.ny.us � r� New York State Department of CC.awls code j��1,�d� I Taxation and Finance Cz'Dots Dead Recorded ,1E, Lj i Office of Real Property Tax Services C3.Book L1 C•.Pa rI I RP-5217-PDF 9e Li��Lp Real P PROPERTY INFORMATION Real Pmf7l Transfer Report(BI I- on (no — TOP OF THE WORLD -)R!Vr, IM N-m- TOWN OF SOL"P)oLT) FISHERS ISLAND —•:irY:lVT:IYYh— ----------- — --- 06390 Nemo 2.Bother vi. - AN-NE H. POLK REVOC TRUST rP"o — _ UhT YNIEe:Cw'eN•-----�--- .--- 3.Tax — Bllang Indicate where future Tax Bills are t0 be eery, Address B other than buyer address(m bodam of form)— vier nvxYEar.1n•.xr — IRS;WE — STY-A7 w•atE94.n r1xYL --- --C.}::Nh -----— _ _ _ 514 :1•Cp;L 4.IMksN the nmbomnere of Aus a does ] (may B Part are Pabel)Check as W s Roll parols treraferred 1m the tload.—— k of Parcels OR ❑Part of a Parcel ry PPb: eA.Planning Board with Subdnnsion Authority Exists 11 s.Deed LLJJ Properly :rYcvr`=r'r --X _OR 7_4`� 411L Subdivision ❑ size -�`' •.C9I:a —' Approval was Required for Transfer 4C.Pamal Approved for Subdwslmr with Map Provided El POTIR �J s.Seller --- ANNE F. Name '7.Select the description which most accurstaly,descrlbes the Check am bases below asa use of the Property at the tree of safe: mY ��' S.Ownership Type is Condominium C] C.Itrtidrntial Vat::uhl(:Ind a.New Construction on a Vacant Land ILI-''s� 10A.Pro ------- LJ Property Located within an Agricurturof Dlatncl f 1 108.Buyer reoeved a disclosure notice IndiCabng that the property is m an FI--1I SALE INFORMATION Agricultural District LJ 16.Chock ons or mora of these conditlons n applicable to transfer: 11.sale contract Deas 07/27/2018 A Sale Between Relatives or Former Regir s _—---_ B Sale bohman Related Compenres or Partners in Business C.One or the Buyers is ale,a Seger •12.Dale of BalelTransfer o a/16/2018D.{ Buyer or Seller is Government Age"or Lending Institution ----- PJ E.Deed Type not Wwfmrny Of Bargain and Sale(Specify Below) '13.Full Salo Price 0•()� F Sale of Fractional or Less than Fee Interest fSpsafy EkI � G.Signhfrcent Chengo in Property Between Taxable Status Status and Sale Dates (Full Sale Price is the total amount paid for the Properly including personal property Kyl H.Sore or Business is Included in Set-Price This payment may be in the form of cash.other property or goods.or the we OPOeon or I Other UnYNel Factors Affecting Sale Price[S mortgages or other obFQel lea ons.t Pse round Po tra n rareaf whole dateramount LJ 1.None PBOty Below) 'Commsrhga)on Corrdhlon: 14.Indlaafe the value of personal Properly Included in the sole _ C_00 Tanti4F�i -O RF:VCtiA64E .RUS7' NIT-OiT.'CJ:1SI71iRA-I:1:� ASSESSMENT INFORMATION T -Data should reflect the latest Final Assessment Roll and Tax Bill 1111.Year of Assessment Rail from whish Information takanly y) 17 '17.Total Assessed Value _—_ T 3,400 '16.Properly Class 331 Tax Map IdarlaBarls� '1B.School DistdetNam. FISHERS ISLAND •20. Rail Idalailorys)(If mom than four,attach shoot with sddklaml idemHler(s)) '------- 1000 004.0C-05.00-005-015 CERTIFICATION -- -------- --------- 1 Cerny that all of no Items of Infomrsaon entered oft this form are true and coarea(to are best army knowledge and battery and f underetand that she making Of any willful fele ataferlleM of matelfal fact hareln subject me to tlw PtOv'liQnt of_the.P@na(lap relative to the making and filing of false Instruments. 8 RJ31OMWRE BUYEBCONrACT.1NFORMAI (Enter ndarrrretlm.r Me buyer.Nate.11 bure-Is l LC.11eaeiy,aseat:abor mrooaI AYrr gnu twrssny,caoro ar ` W.Ly I'm re'Wr.ira.viaua egrn N fid—ir.aen a torteape mnlap.raornabF'1-an MrrldrrWreseane0.e -16.1f earl ern un grower a.asbdre regarding 11.11 aanfer rn1 be wRww Type x para eye 1 Sr.LLF,r G:NA JeT! — dip RUYER$1 I FOLK AN%h: if. rTt5�4.YE ---- --_ I(631) _788 7708 . •a.r!.ear�,u.•.a-- a.r! i 'tie[.�R7E r—TFL.ft-cmic 3Ge.e.va�R'i7i SE FLORT,DA AVENEIE i YSYE HOSE SOUND 33455 Fir BUYEMAT ID NEY I HAM STEPHIN L., I3I 7 E/S'NML" --'---- (631)` _ 283-2400 _ Map W" 1111WF NI.YtiC:d.•axe51Fl-- � � I