The URL can be used to link to this page

Home My WebLink AboutL 13323 P 840 1 lllllll 11111111111111 Illll 11111 lull lllil IIIII IIII llil ' 1111111111111111111111111 �� SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 01/23/2026 Number of Pages: 7 At: 03 : 46:22 PM Receipt Number : 26-0009682 TRANSFER TAX NUMBER: 25-16753 LIBER: D00013323 PAGE : 840 District: Section: Block: Lot: 1000 009. 00 01 . 00 001 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $35. 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 $8. 75 NO RPT $200 . 00 NO Transfer tax $0 . 00 NO Comm.Pres $0 . 00 NO Comm.Pres Fund $0 . 00 NO Comm.Housing Fund $0 . 00 NO Fees Paid $418 . 75 TRANSFER TAX NUMBER: 25-16753 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL VINCENT PULEO County Clerk, Suffolk County •4 Numberof pages 7 RECORDED 2026 Jan 23 03:46:22 Pt9 007.001 OINCENT PULED This document will be public CLERK OF 5UFFOLK COUNTY record. Please remove all L D00013323 Social Security Numbers P O40 prior to recording. DT# 25-16753 Deed/Mortgage Instrument :I Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee �S GG Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 S.DG Sub Total Notation Spec./Assit. EA-5217(County) s, Ua Sub Total 5�GG Speco/Add. EA-5217(State) Z s' TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held for Appointment Comm.of Ed. 5. 00 Transfer Tax a Affidavit e Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 5 3�'�5 family dwelling only. Sub Total YES or NO Other Grand Total 14 t�Z 5 , If NO,see appropriate tax clause on page# of this instru ent. 12A C) t T I Z(- 4 Disk.10{ 26003111 1000 00900 0100 001000 a 5 Community Preservation Fund Real Tax encyerty QMIK 111111111111111111111111111111 CPFSTax DueConideratio AmD$nto D Verification �� Improved�� 6 Satisfactions/DischargeslRel eases List Property Owners Mailing Address /(�/� RECORD&RETURN TO: y [ Vacant Land Leigh A. Newman, Esq. / TD 1000 Day Pitney LLP Blue Back Square TD 75 Isham Road-Suite 300 West Hartford, CT 06107-2237 TD Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Fidelity National Title Insurance Company www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DEED made by. (SPECIFYTYPEOF INSTRUMENT) CHARLES E.BRAINARD III&JENNIFER B.PHILIP,AS TRUSTEES OF The premises herein is situated in THE CHARLES E,BRAINARD,JR.REVOCABLE TRUST UTA DTD 02/1112008 SUFFOLK COUNTY, NEW YORK. TO In the TOWN of SOUTHOLD CHARLES E.BRAINARD lit,AS TRUSTEE OF THE CHARLES E. In the VILLAGE BRAINARD.JR.GST FAMILY TRUST U/A DATED 02 I1/20DB or HAMLET of FISHERS ISLAND BOXES 6 THRU B 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 THIS INDENTURE,made the day of ��h��✓� , 13ETWEEN CHARLES E. BRAINARD III and JENNIFER B. PHILIP, as Successor Trustees of the CHARLES E. BRAINARD,JR.REVOCABLE TRUST ula dated February 111 2008,as amended,168 Main Street,Wenham, Massachusetts 01985, party of the first part,and 1 CHARLES E. BRAINARD III, as Trustee of the CHARLES E. BRAINARD,JR. GST FAMILY TRUST fbo Charles E.Brainard III ula dated February 11,2008,as amended,168 Main Street,Wenham,Massachusetts 01985, 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 erected thereon,situate,lying and being at Fishers Island,Town of Southold,County of Suffolk and State of New York,being more particularly 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 September 19,2022 and recorded in the Office of the Suffolk County Clerk on December 1,2022 in Liber 13180 at page 223. 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 partyof 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 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 forthis conveyance and will hold the rightto 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 parry of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: /T Charles E.Brainard III,as Successor Trustee of the Charles E.Brainard,Jr.Revocable Trust ula dated February 11,2008,as amended Jennifer B.Ph ip,as Successor Trustee of the Charles E.Br inard,Jr.Revocable Trust ula dated February l 1, 008,as amended Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Commonwealth of Massachusetts,County ofs"C/—//c ss.: State of Vermont,County of ss.: On the iq,- day of 14*--�' in the year-0�1-5-lbefore me,the On the day of in the year undersigned,personally appeared before me,the undersigned,personally appeared Charles El Brainard III • Jennifer B.Philip 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 evidence to be the individual(s)whose name(s)is(are)subscribed the within instrument and acknowledged to me that he/she/they to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by executed the same in his/her/their capacity(ies), and that by his/her/their signature(s)on the instrument,th %i0LAMl9Y(q or the his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual,+ c�dCki the person upon behalf of which the individuals acted,executed the instrument. �.`��`� •�gsfoy•;90 instrument. l7 el OTAgP<+', U), 1� otary PulAtg�> F.. = Notary Public (signature arid office of individusi&k%ac Gdgrde_)` (signature and office of individual taking acknowledgment) y� i1C t h i I V.'`!L 5 �i�7�(,• *2025••'QC�� Lis,, 5 Gc�ec� I ekeU-Ae �"il�0;10,%.` State of ,JL ,& ;County of �� ss.: r On the "ay of J AvriA the year � ��fore m e undersigned,personally appeared personally known to me or proved to me o�bas f satisfactL dence to be the individual whose name is subscribed to the within instrument and acknowledged to me uted the sa his capacity,and that by his signature on the instrument,the individual,or the person upon behalf of w 'dual actecuted the instrument,and that such individual made such appearance before the undersigned in t oS in the State of n,pss (insert th"ity or other political subdivision) (signature and office of individual taking acknowledgment) DISTRICT 1000 SECTION 009.00 BLOCK 01.00 BARGAIN AND SALE DEED LOT 001.000 WITH COVENANT AGAINST GRANTOR'S ACTS COUNTY OR TOWN SUFFOLK-SOUTHOLD STREET ADDRESS 828 LOWER SHINGLE HILL ROAD Title No. FISHERS ISLAND,NY 06390 CHARLES E.BRAINARD III and JENNIFER B.PHILIP, AS SUCCESSOR TRUSTEES OF THE CHARLES E.BRAINARD, JR.REVOCABLE TRUST U/A DATED 02M1/2008,AS AMENDED TO CHARLES E.BRAINARD III,AS TRUSTEE OF THE CHARLES E. BRAINARD,JR.GST FAMILY TRUST FBO CHARLES E. RETURN BY MAIL TO: BRAINARD III UTA DATED 02/1112008,AS AMENDED STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by RESERVE THIS SPACE FOR USE OF RECORDING OFFICE Commonwealth of Massachusetts,County of SS.: State of Vermont,County of SS.: Off the day of in the year before me,the On the day of in the year undersigned,personally appeared before me,the undersigned,personally appeared - Charles E./Brainard III Jennifer B.Philip 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 evidence to be the individual(s)whose name(s)is(are)subscribed the within instrument and acknowledged to me that he/she/they to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by executed the same in his/hediheir capacity(ies), and that by his/herltheir signature(s)on the instrument,the individual(s),or the his/her/their signature(s)on the instrument,the individual(s),orthe person upon behalf of which the individuals acted, executed the person upon behalf of which the individuals acted,executed the instrument. instrument. Notary Public Notary Public (signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) State of N ;County of Y V�w �-I' SS.: On the q day ofij 2VI,in the year Gv before me,the undersigned,personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity,and that by his signature on the instrument,the individual,or the person upon behalf of whit the indiv'dual acted e,eoyC d the instrument,and such jndividual made such appearance before the undersigned in the N�i1 h tJ�bV TJ V in the State of (insert the City or other politica subdivision) / A TIARA B QUIMONES �f Notary Public-State or New York No.DIQUO019532 (signature and o ice of in Ividual taking acknowledgment) Qualified in Bronx county A/y Commisslon Expires Jan 5,202E DISTRICT 1000 SECTION 009.00 BLOCK 01.00 BARGAIN AND SALE DEED LOT 001.000 WITH COVENANT AGAINST GRANTOR'S ACTS COUNTY OR TOWN SUFFOLK-SOUTHOLD STREET ADDRESS 828 LOWER SHINGLE HILL ROAD Title No. FISHERS ISLAND,NY 06390 CHARLES E.BRAINARD III and JENNIFER B.PHILIP, AS SUCCESSOR TRUSTEES OF THE CHARLES E.BRAINARD, JR.REVOCABLE TRUST UTA DATED 02M 112008,AS AMENDED TO CHARLES E.BRAINARD III,AS TRUSTEE OF THE CHARLES E. BRAINARD,JR.GST FAMILY TRUST FBO CHARLES E. RETURN BY MAIL TO: BRAINARD III U/A DATED 0211112008,AS AMENDED STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by RESERVE THIS SPACE FOR USE OF RECORDNG OFFICE CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the day of h u.rku y )-Q BETWEEN 1 Fr CHARLES E. BRAINARD III and JENNIFER B. PHILIP, as Successor Trustees of the CHARLES . BRAINARD,JR.REVOCABLE TRUST ula dated February 11,2008,as amended,168 Main Street,We am, Massachusetts 01985, party of the first part,and CHARLES E. BRAINARD III, as Trustee of the CHARLES E. BRAINARD,JR. GST FA LY TRUST fbo Charles E.Brainard III ula dated February 11,2008,as amended,168 Main Street,Wen m,Massachusetts 01985, party of the second part, WITNESSETH,that the party of the first part,without consideration paid by the arty of the second part,does hereby grant and release unto the party of the second part,the heirs or success s and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land,with the buildings and impr ements erected thereon,situate,lying and being at Fishers Island,Town of Southold,County of Suffolk and ate of New York,being more particularly bounded and described as set forth on Schedule A hereto. BEING AND INTENDED TO BE the same premises con v ed to,the party,of the first part by deed dated September 19,2022 and recorded in the Office of the Suffo County Cl6rk"on December 1,2022 in Liber 13180 at page 223. ' r ..,.., _4 •t.._,,.� ... TOGETHER with all right,title a d interest, if any, of the party of the first part in and to any streets and roads abutting the above described p mises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party the first part in and to said premises;TO HAVE AND TO HOLD the premises herein granted unto the party of a second part, the heirs or successors and assigns of the party of the second part forever. AND the party of th Irst part covenants that the party of the first part has not done or suffered anything whereby the said premise ave been encumbered in any way whatever,except as aforesaid. AND the pa of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will re ive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to a applied first for the purpose of paying the cost of the improvement and will apply the same first to the pay nt of the cost of the improvement before using any part of the total of the same for any other purpose.The w d"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: Charles E.Brainard Ili,as Successor Trustee of the Charles E.Brainard,Jr.Revocable Trust ula dated F bruary 11,200008,as amended 'J Jennit6rB.Philip,as Su essor Trustee of the Charles E.Brainard,Jr.igievocable Trust ula dated February 11,2008,as amended Standard N.Y.B.T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment SCHEDULE A DESCRIPTION PpHcy NO.: 1294-05331 ALL THAT CERTAIN PLOT, PIECE, OR PARCEL OF LAND, SITUATE, LYING, AND BEING AT FISHERS ISLAND, IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK AND STATE OF NEW YORK BEING MORE PARTICULARLY BOUNDED AND DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE NORTHEASTERLY SIDE OF FOX AVENUE; SAID POINT BEING 3633. 98 FEET NORTH OF A POINT WHICH IS 3102. 39 FEET WEST OF A MONUMENT MARKING THE U.S. COAST AND GEODETIC SURVEY TRIANGULATION STATION "PROS": RUNNING THENCE NORTH 68 DEGREES 50 MINUTES 30 SECONDS EAST 129. 91 FEET TO THE SOUTHWESTERLY SIDE OF A PRIVATE ROAD: RUNNING THENCE ALONG THE SOUTHWESTERLY SIDE OF. SAID PRIVATE ROAD, SOUTH 29 DEGREES 39 MINUTES 30 SECONDS EAST 62. 20 FEET TO THE INTERSECTION OF SAID PRIVATE ROAD WITH ANOTHER PRIVATE ROAD; RUNNING THENCE ALONG THE SIDE OF SAID LAST MENTIONED PRIVATE ROAD, SOUTH 14 DEGREES 34 MINUTES 50 SECONDS WEST 110. 25 FEET; i RUNNING THENCE STILL ALONG THE SIDE OF SAID PRIVATE ROAD, SOUTH 45 DEGREES 44 MINUTES 55 SECONDS WEST 29. 12 FEET TO THE NORTHEASTERLY SIDE OF FOX AVENUE; RUNNING THENCE ALONG THE NORTHEASTERLY SIDE OF FOX AVENUE, NORTH 37 DEGREES 35 MINUTES 40 SECONDS WEST 169. 35 FEET TO THE POINT OR PLACE OF BEGINNING. I TOGETHER WITH A RIGHT IN COMMON WITH OTHERS TO USE THE EXISTING SANITARY SEWER, CESSPOOLS AND DRAINAGE FIELD UPON PREMISES TO THE WEST OF THE PREMISES HEREIN DESCRIBED AND WITH THE RIGHT IN COMMON WITH SUCH OTHERS TO REPAIR, REPLACE AND MAINTAIN THE SAME. TOGETHER WITH A RIGHT OF WAY IN COMMON WITH OTHERS OVER THE EXISTING PRIVATE ROADS SITUATED IN THE PREMISES HEREINAFTER DESCRIBED: A CERTAIN TRACT OR PARCEL OF LAND CONTAINING THE MANSION HOUSE GROUP OF 24 BUILDINGS KNOWN AS "COTTAGES #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 AND 12, A. 8, C, D. E AND F, BUNGALOWS #1, 2, 3, 4, 5 AND THE DIET KITCHEN" LOCATED AT FISHERS ISLAND, TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, STATE OF NEW YORK BEING MORE PARTICULARLY BOUNDED AND DESCRIBED AS FOLLOWS: BEGINNING AT A STONE MONUMENT AT THE INTERSECTION OF THE NORTHERLY SIDE OF FOX j AVENUE AND THE WESTERLY SIDE OF EQUESTRIAN AVENUE; SAID MONUMENT BEING 3160. 38 FEET NORTH OF A POINT WHICH IS 2296. 94 FEET WEST OF ANOTHER MONUMENT MARKING THE U.S. COAST AND GEODETIC SURVEY TRIANGULATION STATION "PROS"; RUNNING THENCE SOUTH 87 DEGREES 07 MINUTES 30 SECONDS WEST 232.01 FEET TO A MERESTONE; THENCE NORTH 84 DEGREES 53 MINUTES 40 SECONDS WEST 145, 36 FEET TO A MERESTONE; THENCE NORTH 60 DEGREES 10 MINUTES 10 SECONDS WEST 102. 58 FEET TO A MERESTONE; ALECMR SCHEDULE A DESCRIPTION Policy No.: 1294-05331 THENCE NORTH 44 DEGREES 05 MINUTES 20 SECONDS WEST 109.04 FEET TO A MERESTONE; THENCE NORTH 37 DEGREES 35 MINUTES 40 SECONDS WEST 432. 84 FEET TO A MERESTONE; THENCE NORTH 22 DEGREES 22 MINUTES 20 SECONDS WEST 36. 39 FEET TO A MERESTONE; THENCE NORTH 8 DEGREES 57 MINUTES 50 SECONDS WEST 214. 55 FEET TO A MERESTONE; THENCE NORTH 12 DEGREES 05 MINUTES 50 SECONDS EAST 55. 94 FEET TO A BRASS PLUG SET IN A ROCK, THESE LAST EIGHT LINES ABUTTING SOUTHERLY, SOUTHWESTERLY AND WESTERLY ON FOX AVENUE; RUNNING THENCE SOUTH 80 DEGREES 30 MINUTES 40 SECONDS EAST 262.48 FEET TO A MERESTONE ON THE NORTHWESTERLY SIDE OF SAPPHO ROAD, THIS LAST LINE ABUTTING NORTHEASTERLY ON LAND NOW OR FORMERLY OF ELEANOR M. FERGUSON; THENCE CONTINUING SOUTH 80 DEGREES 30 MINUTES 40 SECONDS EAST 50. 86 FEET; .� I RUNNING THENCE NORTH 20 DEGREES 05 MINUTES 30 SECONDS EAST 34, 04 FT TO A MERESTONE; THENCE NORTH 73 DEGREES 25 MINUTES 30 SECONDS EAST 104. 89 FEET, THESE LAST THREE LINES ABUTTING NORTHEASTERLY AND NORTHWESTERLY ON SAPPHO ROAD; RUNNING THENCE SOUTH 14 DEGREES 35 MINUTES EAST 186. 94 FEET; THENCE SOUTH 28 DEGREES 39 MINUTES 30 SECONDS EAST 105. 31 FEET; THENCE SOUTH 55 DEGREES 28 MINUTES 30 SECONDS EAST 108. 91 FEET; THENCE SOUTH 73 DEGREES 48 MINUTES 30 SECONDS- EAST 97. 20 FEET; THENCE SOUTH 76 DEGREES 20 MINUTES 30 SECONDS EAST 70. 08 FEET; THENCE SOUTH 70 DEGREES 39 MINUTES 24 SECONDS .EAST 123. 60 FEET; THENCE SOUTH 9 DEGREES 39 MINUTES 0 SECONDS WEST 190. 02 FEET TO A BRASS PLUG IN THE SIDEWALK ON 'THE WESTERLY SIDE OF EQUESTRIAN AVENUE, THESE LAST SEVEN LINES ABUTTING NORTHEASTERLY AND EASTERLY ON REMAINING LAND OF FISHERS ISLAND FARMS INC. ; RUNNING THENCE SOUTH 4 DEGREES 24 MINUTES 30 SECONDS WEST 179. 39 FEET TO THE POINT OR PLACE OF BEGINNING. THIS LAST LINE ABUTTING EASTERLY ON EQUESTRIAN AVENUE. FOR INFORMATION ONLY: DISTRICT 1000 SECTION 009. 00 BLOCK 01. 00 LOT 001. 000 PLE=NR 2 INSTRUCTIONS(RP-5217-POF-INS):www.orps.state.ny.us FOR COUNTY USE ONLY New York State Department Of C1.SWS Code �1r ,�T,Q I Taxation and Finance i C2.Date Deed Recorded ) a�'1j OHice of Real Property Tax Services / O I L4 ewes I � RP-5217-PDF C3.Book C4.Page , ,914 lit l 1 Real property Transfer Report(100) PROPERTY INFORMATION I.Property 828 LOWER SHINGLE HILL ROAD Location 'STREETNOt®ER •atREETMAYE TOWN 07 SOUTHOLD FISHERS ISLAND 06390 •CIT.OR tam V41AM •WCegE 2.Buyer CHARLES E. BRAINARD, JR. GST FAMILY TRUST (f4nrLes 71wn:-4r-P 1f! 77`r~1rc.r- Nama •LAST NAYFJCOYPAM FIRS,l41K LAST NAhWJWMPAW FIRST NAPE 3.Tax Indicate where future Tax Bills are to be Sent Billing it other than buyer addrelmat bacon or tam) LAST RAMECOMPA FRg.MAYA Address 81REE.MtIleR AND NAME CRY OR TOM STATE LPCOCE 4•Indicate the number of Assmsmam 1 0 d Paroeh OR ❑Pad of a Parcel (Dryly if Pan of a Parcel)Chock as they apply: Roll parrots transferred on No dead 4A.Planning Board with Subdivision Authority Exists s.Dead ,FRONT FEET X o<� OR 0t.3'CREs 40.Subdivision Approval was Required for Transfer Propertysize 4C.Parcel Approved for Subdivision with Map Provided CHARLES E. BRAINARD, JR. REVOCABLE TRUST T C1i4f �, (�tt Try J��— B.Sailor a w-ar •IARTNWnCa11PANY FI ANI.E Name LAST NAYEICOMPI FRS.NAPE •7.Solna the description which most accurst*describes the Chock the boxes below as they apply: use of the property at the time of sale: S.Ownership Type Is Condominium A.One Family Residential L Now Construction ana Vacant Land 10A.Properly Located within an Agrirullural District 106.Buyer received a disclosure notice indicating that the property is in an Agricultural District SALE INFORMATION IL Check one or more of these conditions as applicable to transfer: A.Sale Between Relatives OF Former Relatives 11.Sala Contract Date 12/11/2 02 5 B Sale between Related Companies or Partners in Business. C.One of the Buyafs is also a Seller 12.Data of Solortranster 01/114/2 0 2 6 D.Buyer or Sadler is Government Agency of Landing Institution E.Dead Type not wenanty or Bargain and Sale(Specky Below) F.Sale of Fractional or Less then Fee Interest(Specify Below) 't 3.Full Sale Price 0.00 G.Significant Change to Property Between Taxable Status and Sale Dates H.Sale d Business is Included in Sole Pries 1 Full Sole Price is the total omoum paid for the properly including personal properly. 1.Other Unusual Factors Affecting Sale Pdra(Specify Below) This payment may be in Ula form of cash.other property or goods.OF the assumption of J.Novo mortgages or other obligations.)Please round to the nearest whole dollar amount. •Cammaot(s)on Condition: 14.Indicate the value of personal property included In the sale 0.00 TRANSFER TO FAMILY TRUST WITHOUT CONSIDERATION ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 1s.Year at Assessment Rail from which Information takonlYY) 25 '17.Total Assessed Value 13,800 •1e.Property Class 210 - .19.School District Nome FISHERS ISLAND '20.Tax Map Idondfier(syRoll IdandOarys)[if more than four.Such shoot with additional Mongflar(all 1000-009.00-01.00-001.000 CERTIFICATION I Certify that all of the Items of information entered on this form are true end correct(to the beat of my knowledge and belief)and I understand that the making of any willful false statement of materiel fad herein subject me to the nrovlsions al the Banal law rolstve to the making and filing of false Instruments. BUYER CONTACT INFORMATION (Enter irxwmotion for the buyer.Nato.If buyer is UZAade y.asmdoem.earpon tan.jam am*ramp ury.apes or entity,UNI is role an imrdtliYl oemt cur MCu tur.Than a nerve Ara corset Inforsisbon of on InGwEuwhosp chi. Lparry who rat anwer quas art.rapRetng the tromter mule be arnema.Type ar prim clearly.) SELLER eaLtTTYtE GATE BRAINARD CHARLES E. III BUYER SIGkI&$E •LAST NAYS FIRST NAPE �/! (617) 519-5366 -AREA CCaE -rEutyRlOoe xWyER1E.:aaaaeRt Br+ER agNMTRE DATE' 168 MAIN STREET -STREET NJYatR 'STREET NAvE 1 y WENHAM MA 01985 -CmoRTOWN 'STATE •aP cow BUYER'S ATTORNEY 1 I rl I 1 HAM STEPHEN L., III LAST—M RMT NAPE 1 (631) 283-2400 AREACTICE TELFAIaa:MUMA(b.w M)