HomeMy WebLinkAboutTR-4656 (2) Y .
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�. Board Of Southold Town Trustees
fs „i SOUTHOLD, NEW YORK I�
.,� PERMIT NO. ... ..., ... ...:
DATE: ..Qctob,er...Z.4,, 199 = t
'n
'I ISSUED TO Edward.Thor IE cs
P.....
Pursuant to the provisions of Chapter 615 of the Laws of
?., the State of New_York, 1893; and Chapter 404 of the Laws of the .
State of New York 1952; and the Southold Town Ordinance en-
=i titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
' IN AND ON TOWN WATERS AND PUBLIC LANDS and the
1 GRAVEL OR OTHER MATERIALS FR
REM OM .+
OVAL OF SAND,
LANDS UNDER TOWN WATERS; and in accordance with the
.. A
Resolution of The Board adopted at a meeting held on ..O.ctober....23, 191`� �
19:.96.., and in consideration of the 'sum of $..15.Q. 00.... paid by
En.-.Cons.ult.ants...an....b.ehalf.of.,Edward..Thorp....... ..... ......:.....
{i N.
and subject to the ' =
... ........ !r
. of ................. . . ..
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following: �k c.
s) 1 ool with
i to construct a 2-story, 1-family dwelling, swimming p E,
r x1j drywells for wash back, decks, pervious driveway, underground
utilities, sanitary system whil, as per--,rrevised survey dated 4
II?
4117/96 subject to bales dum-ing construct with silt fence +
all in accordance with the detailed specifications as presented in F'
the originating application. at 75' line or 15' contour: line.
'j IN WITNESS WHEREOF, The said Board of Trustees here-
d D, by causes its Corporate Seal to be affixed, and these presents to jY
Ni be subscribed by, a majority of the said Board as of this date. li
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TERMS and CONDITIONS
The Permittee
residing at N. Y. as
part of the consideration for the issuance of the Permit does understand and prescribe to the fol-
lowing:
1. That the said Board of Trustees and the Town of Southold are released from any and
all damages, or claims for damages, of suits arising directly or indirectly as a result of any oper-
ation performed pursuant to this permit, and the said Permittee will, at his or her own expense,
defend any and all such suits initiated by third parties, and the said Permittee assumes full liability
with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold
2. That this Permit is valid for a period of mos. which is considered to be the
estimated time required to complete the work involved, but should circumstances warrant, request
for an extension may be made to the Board at a later date.
3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes
to maintain the structure or project involved, to provide evidence to anyone concerned that auth-
orization was originally obtained.
4. That the work involved will be subject to the inspection and approval of the Board or
its agents, and non-compliance with the provisions of the originating application, may be cause for
revocation of this Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigation as a result of the work
herein authorized.
G. That there shall be no interference with the right of the public to pass and repass along
the beach between high and low water marks.
7. That if future operations of the Town of Southold require the removal and/or alterations
in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the
work shall cause unreasonable obstruction to free navigation, the said Permittee will be required,
upon due notice, to remove or alter this work or project herein stated without expenses to the Town
of Southold.
8. That the said Board will be notified by the Permittee of the completion of the work auth-
orized.
9. That the Permittee will obtain all other permits and consents that may be required sup-
plemental to this permit which may be subject to revoke upon failure to obtain same.
Town Hall
fd 53095 Main Road
Albert J. Krupski,President P.O.Box 1179
James King,Vice-President
Southold,New York 11971
Henry Smith Cm
w
Artie Foster �� ® �� Telephone(516) 765-1892
Ken Poliwoda �f®l ��® Fax(516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
September 24, 1998
Gary F. Olsen, Esq.
P.O. Box 706
Main Road
Cutchogue, NY 11935
RE: SCTM#31-7-10
Diana Fischer - - -- -
Dear Mr. Olsen:
The following action was taken at the Southold Town Board of
Trustees Regular Meeting on September 23, 1998.
RESOLVED, that the Southold Town Board of Trustees approve the
request for a Transfer of Permit #4656 from Edward Thorp to
Diana Fischer and to extend the permit one year to construct a
2-story dwelling, swimming pool, drywells, wash back & septic
system. Permit will expire October 24, 1999 .
If you have any questions, please contact our office at 765-1892 .
Sincerely, Q
f
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/lms
cc: Building Dept.
GARY PLANNER OBEN
COUNSELLOR AT LAW
P.O. BOX 706 ■ MAIN ROAD CUTCHOGUE, LONG ISLAND, NEW YORK 11935 PHONE 516-734-7666
FAX 516-734-7712
August 24, 1998
Re: Thorpe to Fischer
Permit Number 4656
Gentlemen:
Please be advised that I represent Diana Fischer who
purchased property from Edward and Virginia Thorpe . The
above referenced permit was issued to the Thorpes on October
24, 1996 . A copy of the permit is enclosed as well as a
copy of the deed dated August 19, 1998 transferring title to
Diana Fischer. I am hereby requesting the Board to approve
a transfer of the permit to the new owner and to extend same
for a year. I understand that the Board will only extend
the permit for a year at a time and will only grant two
extensions . Also enclosed is an attorney' s check in the sum
of $10 .
Very truly ours,
C ry Fl ner Olsen
GFO:dwo
Enclosures
cc : Diana Fischer
Marsha Z. Hefter
Southold Town Trustees
Town Hall
P.O. Box 1179
Southold< NY 11971
Standard N.Y.B.F.U. Form SM2-201-1 -Bargain and Sale Ueetl,wilit Covenants.against Granim's Acts-Individual or co,pmatiun. (single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the 19th day of August ,nineteen hundred and ninety-eight
BETWEEN EDWARD A. THORP, VIRGINIA THORP, id and EDWARD A. THORP, as
Custodian for Benjamin L. Thorp under the Uniform Gifts to Minors Act, both
residing at 12 Norcross Street, Rockville Center, New York 11570
party of the first part,and DIANA FISCHER, residing at 204 Forest Street, Oceanside,
New York 11572
party of the second part,
WITNESSETH, that the party of the first part, in consideration of ten dollars and other 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�aat-Aker at East Marion, Town of Southold, County of Suffolk and State
of New York, being more particularly bounded and described on Schedule A annexed
hereto and made a part hereof.
BEING AND INTENDED TO BE the same premises as conveyed to the party of the
first part by the following deeds:
1. By deed from Lois Johnson Thorp, surviving tenant by the entirety of
Frank S. Thorp dated December 29, 1986 and recorded with the Suffolk County
Clerk on January 20, 1987 in Liber 10224 at Page 350;
2. By deed from Lois Johnson Thorp, surviving tenant by the entirety of
1000 Frank S. Thorp dated January 2, 1987 and recorded with the Suffolk County
Clerk on January 20, 1987 in Liber 10224 at Page'352;
3. By deed from Aaron D. Thorp, Rebecca B. Thorp and Edward A. Thorp, as
w ,M • • Custodian for both Aaron D. Thorp and Rebecca B. Thorp dated April28, 1996
and recorded with the Suffolk County Clerk on September 5, 1996 in Liber
031 00 11790 at Page 951
The Party of the First Part, for himself, his heirs, successors and assigns,
and for Frank S. Thorp, his heirs, successors and assigns, reserves a
pedestrian right-of-way ten (10) , feet in width which right-of-way is located
07.00 parallel to and along the westerly boundary of the premises running from
Due West North Lane to Marion Lake.
SEE RIDER ANNEXED HERETO AND MADE A PART HEREOF.
010.000
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,
ANDthe 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,
-'A_ c"_-`.-_ 7 9 _r 41,- T :e., T .... ..... "ta ttsnl tho mlrty of
INTY OF SS:
STATE Of NEW PORK, COUNTY Of
SUFFOL SS: STATE OF MSW PORK, '
On the 19th day of August 19 98, before me personally came On the day of before me
19 ,
personally cameRDWARD A. THORP and
VIRGINIA THORP
cribed in and who
to me known to be the individuals described led ed that executed d the fon and wl�o to ine known regoing in be the s rument, andividual acknowledged that
executed the foregoing instrument, and ac g executed the same.
they executed the same,
Notary Public
RORERT DEFRESE
Notary Public,State of New York
No.01 DE603511 T
Qualified in Suffolk County
Commission Expires October 24,
STATE OF NEW PORK, .COUNTY OF
SS: STATE OF NEW YORK, COUNTY fOF
SS:
19 before me On the day of 19 before me
On the day of personally came
per s(m Illy camewitness
to me known, who, being by ine.duly sworn, did depose and horn bscribing
personally a o the tedTewho, being byeime duly
say that he resides at No.
; sworn, did depose and say that he resides at No.
t
that he is the that he'knows
of
the corporation described to be the individual
in and which executed the foregoing instrument; that be
knows the seal of said corporation; that the seal affixed described in and who executed the foregoing instrument;
to said instrument is such corporate seal; that it was so that he, said
exe ute the subscribing
amwitness,
e; and thatwas
pre, nt and
sas,
affixed by order of the board of directors' of said corpora-
tion, and that he signed h name thereto by like order. at the same time subscribed h name"as witness thereto.
i rl�Fi tt ttri #alp' Web SECTION
WITII COVENANT AGAINST GRANTOR'S ACTS
BLOCK
TITLE NO.
EDWARD.A. THORP, VIRGINIA THORP and LOT
EDWARD A. THORP, as Custodian for COUNTY OR TOWN
Benjamin L. Thorp under the Uniform
Gifts to Minors Act Recorded at Request of
TO CHICAGO TITLE INSURANCE COMPANY
DIANA FISCHER
Return by Mail to
EE
YORK BOARD OF TITLE UNDERWRITERS
stributed by
A.GG FrilrI.S
CE COMPA1VY
s
Zip No.
w
U
LL
RIDER TO DEED BETWEEN
EDWARD A. THORP AND VIRGINIA THORP, SELLERS
AND
DIANA FISCHER, PURCHASER
The premises conveyed hereunder are subject to the following
covenants and restrictions.
1. The premises shall be improved by a single family
dwelling only and such other accessory structures as may be
permitted by the municipal agencies having jurisdiction thereon.
2 The premises shall be used for private residential
purposes only.
3 . In order to preserve the rural and aesthetic character
of the subject premises, as well as to preserve the value of the
subject premises in general, and to harmonize the individual lot
with the adjacent properties and the wetlands areas, as well as
to preserve the investment of the Party of the First Part , and his
successors in interest, prior to the erection of any buildings
and structures on the aforesaid property, the addition of any
additional improvements, or the alteration thereof, the plans and
specifications for said construction shall be submitted to and
approved by the Party of the First Part, his designees,
successors or assigns. Neither the cost nor square footage shall
be arbitrarily controlling factors in the matter of approval but
rather the aesthetic suitability of the plans and elevations to
the individual site and the construction thereof, it being
understood and agreed that no plans and specifications so
'conforming and meeting the aforesaid requirements shall be
arbitrarily rejected.
4. Any building or structure shall be completed within one
year from the date of commencement of said construction. During
the period of construction, the site will be kept clear of
refuse, garbage and construction waste materials.
5. No signs of any nature, except a sign containing the
personal name of the owner or occupant of the residence shall be
placed upon. the subject premises without the prior written
approval of the Party of the First Part, his successors, heirs or
assigns,
6. Any and all private driveways constructed or installed
on the subject premises shall be covered by gravel, stone or
' asphalt.
7 No garbage, rubbish, leaves, papers or any other refuse
shall be accumulated on the premises, except in enclosed
receptacles. No burning of any kind shall be permitted on the
premises. No garbage, rubbish, leaves, papers or any other
refuse or the receptacles therefor shall be located in the front
yard of the subject premises, except .for the temporary location
thereof to facilitate the pick-up of same.
8. No use of the subject premises shall be made of any
portion thereof which will injure the value, of the subject
premises, or constitute a nuisance. Without limiting the
generality of what constitutes a nuisance, the following uses
shall be considered a nuisance and are thereby prohibited: M
,,,,,a„o „n; co r,r rlictimrbance: (ii) narkina of trailers, mobile
the Town of Southold, and all other rules and regulations of the
Town of Southold, County of Suffolk, State of New York and any
other municipal authority having jurisdiction thereof.
FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK
Title No. FNT9816553
SCHEDULE A
ALL that certain plot, piece or parcel of land, situate, lying and being at East Marion,
Town of Southold, Suffolk County, New York,, said premises being bounded and
described as follows:
BEGINNING at a monument set on the northerly line of North Lane, 22.74 feet
southerly from the southeasterly corner of Lot No. 188 as shown on "Map of Gardiners
Bay Estates Section 3", filed in Suffolk County Clerk's Office as Map No. 5083;
RUNNING THENCE partly along North Lane and partly along said Lot 1$8, North 33
degrees 1 minute 20 seconds East, 190 feet, more or less, to the shoreline of Marion
Lake;
THENCE Easterly along said shoreline, 665 feet, more or less, to land now or
formerly of Lange;
THENCE along said land the following 2 courses:
1. South 18 degrees 30 minutes 40 seconds West, 65 feet, more or less;
2. THENCE North 59 degrees 8 minutes 40 seconds West, 20.47 feet to the easterly
end of the northerly line of North Lane;
THENCE along said northerly line of North Lane the following three courses:
1. North 82 degrees 31 minutes 20 seconds West, 171.74 feet;
2. THENCE North 86 degrees 27 minutes 10 seconds West, 390.71 feet;
3. THENCE due West, 146.07 feet to the point or place of BEGINNING.
TOGETHER with a right of way 30 feet in Width over North Lane.
The policy to be issued under this report will insure the title to such buildings and
FOR improvements erected on the premises which by law constitute real property.
CONVEYANCING
ONLY TOGETHER with all the right, title and interest of the party of the first part, of, in and to
the land lying in the street in front of and adjoining said premises.
TP-584 (10/96) Recording Office Time Stamp
New York State Department of Taxation and Finance
Combined Real Estate
Transfer Tax Return and
Credit Line Mortgage Certificate
See instructions (TP-584-I)before completing this form. Please print or type. -
Schedule A — Information Relating to Conveyance
Grantor Name (if individual;last,first,middle initia)) Social Security Number
j Individual THORP, EDWARD A. and THORP, VIRGINIA
204 Forest Street
❑ Partnership
City State ZIP code Federal employer Went.number
0 Other Oceanside New York 11572
Location and description of property conveyed
Tax ap designation Address City/Village Town County
Section Block I Lot
031. 07.00 010. -North Lane, =East Marion Southold Suffolk
00 000
Type of property conveyed (check applicable box)
1 ❑ 1 - 3 family house 5 ❑ Commercial/industrial
2 ❑ Residential cooperative 6 ❑ Apartment building Date of conveyance Percentage of real property
3 ❑ Residential condominium 7 ❑ Office building conveyed which is residential
4 ® Vacant land 8 ❑ Other I 8 19 98 real property 100 %
month day year (see instructions)
Condition of conveyance (check all that apply)
a. X Conveyance of fee interest I. Conveyance which consists of a mere k. —Contract assignment
b. —Acquisition of a controlling interest(state change of identity or form of ownership or 1. Option assignment or surrender
percentage acquired %) organization(attach Form TP-584,i,Schedule F) m. —Leasehold assignment or surrender
c. —Transfer of a controlling interest(state g• -Conveyance for which credit for tax n. —Leasehold grant
percentage transferred %) previously paid will be claimed o. —Conveyance of an easement
(attach Form TP-584.1,Schedule G) p• —Conveyance for which exemption from
d. —Conveyance to cooperative housing transfer tax is claimed(complete Schedule B,
corporation h. -Conveyance of cooperative apartment(s) Part 111)
e. —Conveyance pursuant to or in lieu of 1. —Syndication q. —Conveyance of property partly within and
foreclosure or enforcement of security j. -Conveyance of air rights or development partly without the state
interest (attach Form TP-584.1,Schedule E) rights r. —Other(describe)
Schedule B — Real Estate Transfer Tax Return (Article 31 of the Tax Law) ~
Part I — Computation of Tax Due
1 Enter amount of consideration for the conveyance (if you are claiming a total exemption from tax, check the exemption 1 115,000 00
claimed box, enter consideration and proceed to Part 111)................................. FI Exemption claimed
2 Continuing lien deduction (see instructions if property is taken subject to mortgage or lien)............................. 2 0
3 Taxable consideration (subtract line 2 from line 1). ......•.•••.••••• 3
4 Tax:$2 for each $500, or fractional part thereof, of consideration on line 3 .................................... 4 460 00
5 Amount of credit claimed (see instructions and attach Form TP-584.1,Schedule G)................. 5 0
—11
.. — — .--- I _♦ - -r--- - -, - 6 460 00
TP-564`(10/96) (back)
Schedule_B (continued)
Part III—Explanation of Exemption Claimed in Part I, line 1 (check any boxes that apply)
The conveyance of real property is exempt from the real estate transfer tax for the following reason:
a. Conveyance is to the United Nations, the United States of America, the state of New York or any of their instrumentalities,
agencies or political subdivisions (or any public corporation, including a public corporation created pursuant to agreement or
compact with another state or Canada)....... ........................................... .............................. a ❑
b. Conveyance is to secure a debt or other obligation. ...................................................................... b ❑
c Conveyance is without additional consideration to confirm, correct, modify or supplement a prior conveyance............ c ❑
d. Conveyance of real property is without consideration and not in connection with a sale, including conveyances conveying realty as bona fide gifts ...... ....... ......... ..................................................................... El
e. Conveyance is given in connection with a tax sale............. ••••••••.•••••• 8 ❑
I. Conveyance Is a mere change of identity or form of ownership or organization where there is no change in beneficial
ownership. (This exemption cannot be claimed for a conveyance to a cooperative housing corporation of real property
comprising the cooperative dwelling or dwellings.) Attach Form TP-584.1, Schedule F....................................... f ❑
g. Conveyance consists of deed of partition....................................................... ..................... ... g ❑
h. Conveyance is given pursuant to the federal bankruptcy act............................ ..............................., h ❑
1. Conveyance consists of the execution of a contract to sell real property without the use or occupancy of such property or
the granting of an option to purchase real property without the use or occupancy of such property .......................... i ❑
J. Conveyance of an option or contract to purchase real property with the use or occupancy of such property where the
consideration is less than $200,000 and such property was used solely by the grantor as the grantor's personal residence
and consists of a 1-, 2 or 3-family house, an individual residential condominium unit, or the sale of stock in a cooperative
housing corporation In connection with the grant or transfer of a proprietary leasehold covering an individual residential
cooperative apartment.. ................. .............. .... ...................................... ...........j ❑
k. Conveyance is not a conveyance within the meaning of section 1401(e) of Article 31 of the Tax Law (attach documents k ❑
supporting such claim). .............. ... ............. ..................................................
I. Other (attach explanation).......... .I.............................. .................... ......................... i ❑
Schedule C - Credit Line Mortgage Certificate (Article 11 of the Tax Law
Complete the following only if the interest being transferred is a fee simple interest.
(we) certify that: (check the appropriate box)
1 ( The real property being sold or transferred is not subject to an outstanding credit line mortgage.
2 ❑ The real property being sold or transferred is subject to an outstanding credit line mortgage. However, an exemption from the tax
is claimed for the following reason:
❑ The transfer of real property is a transfer of a fee simple interest to a person or persons who held a fee simple interest in the
real property (whether as a joint tenant, a tenant in common or otherwise) immediately before the transfer.
❑ The transfer of real property is (A) to a person or persons related by blood, marriage or adoption to the original obligor or to
one or more of the original obligors or (B) to a person or entity where 50% or more of the beneficial interest in such real
property after the transfer is held by the transferor or such related person or persons (as in the case of a transfer to a trustee
for the benefit of a minor or the transfer to a trust for the benefit of the transferor).
❑ The transfer of real property is a transfer to a trustee in bankruptcy, a receiver, assignee or other officer of a court.
❑ The maximum principal amount secured by the credit line mortgage is $3,000,000 or more and the real property being sold
or transferred is not principally improved nor will it be improved by a one- to six-family owner-occupied residence or dwelling.
Please note: for purposes of determining whether the maximum principal amount secured is$3,000,000 or more as
described above, the amounts secured by two or more credit line mortgages may be aggregated under certain
circumstances. See TSB-M-96(6)-R for more information regarding these aggregation requirements.
❑ Other (attach detailed explanation).
3 ❑ ` The real property being transferred is presently subject to an outstanding credit line mortgage. However, no tax is due for the
following reason:
❑ A certificate of discharge of the credit line mortgage is being offered at the time of recording the deed.
❑ A check has been drawn payable for transmission to the credit line mortgagee or his agent for the balance due, and a
satisfaction of such mortgage will be recorded as soon as it is available.
4 ❑ The real property being transferred is subject to an outstanding credit line mortgage recorded in
(insert liber and page or reel or other identification of the mortgage).The maximum principal amount of debt or obligation secured
. -- ---A __.J ,w_ ...., r is
POW COUNTY USE ONLY REAL PROPERTY TRANSFER REPORT
C1. SWIS Code I I I I t I I
STATE OF NEW YORM
STATE BOARD OF REAL PROPERTY SERVICES
C2.Date Deed Recorded (_ f
Month Day Year RP " 5217
It
C3.Book I I I I I i C4.Page I RP-5217 Rev 7/95
PROPERTY INFORMATION
1.Property I NORTH LANE
Location STREET NUMBER I STREET NAME
11939
EAST MARION I L
VILLAGE 21P CODE
CITY OR TOWN
2.Buyer ( FISCHER I DIANA
Name LAST NAME 1 COMPANY , NAME
I I
LAST NAME/COMPANY FIRST NAME
3.Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address(at bottom of form) I LAST NAME/COMPANY FIRST NAME
Address
STREET NUMBER.AND STREET NAME CITY OR TOWN STATE ZIP CODE
4.Indicate the number of Assessment (Only if Part of a Parcel)Check as they apply:
Roll parcels transferred on the deed I I #of Parcels OR ❑ Part of a Parcel 4A.Planning Board with Subdivision Authority Exists ❑
4B.Subdivision Approval was Required for Transfer ❑
5.Deed I I X I 2 6
Property I OR I 2 • I 4C.Parcel Approved for Subdivision with Map Provided ❑
FRONT FEET DEPTH ACRES
Size
6.Seiler I THORP I EDWARD A
LAST NAME/COMPANY _ FIRST NAME
Name
THORP I VIRGINIA
LAST NAME;COMPANY FIRST NAME
7.Check the box below which most accurately describes the use of the property at the time of sale: Check the boxes below as they apply:
8.Ownership Type is Condominium ❑
A One Family Residential E Agricultural I Community Service 9.New Construction on Vacant Land ❑
B 2 or 3 Family Residential F Commercial ) Industrial 10A.Property Located within an Agricultural District El
G Residential Vacant Land G Apartment K Public Service 10B.Buyer received a disclosure notice indicating ❑
D Non-Residential Vacant Land H Entertainment I Amusement L Forest that the property is in an Agricultural District
SALE IRFORMATION 15.Check one or more of these conditions as applicable to transfer.
11.Sale Contract Date I 6 / 26 / 98 I A Sate Between Relatives or Former Relatives
Month Day Year B Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seller
12.Date of Sale/Transfer I 8 / ±R 19/ 98 J D Buyer or Seller is Government Agency or Lending Institution
Month Day Year E Deed Type not Warranty or Bargain and Sale(Specify Below)
F Sale of Fractional or Less than Fee Interest(Specify Below)
G Significant Change in Property Between Taxable Status and Sale Dates
13.Full Sale Price [ , 1 if 5 0 0 L 0 0 Q , Q—I F; Sale of Business is Included in Sate Price
S 1 •
(Full Sale Price is the total amount paid for the property including personal property. I Other Unusual Factors Affecting Sale Price(Specify Below)
This payment may be in the form of cash,other property or goods,or the assumption of I one
mortgages or other obligations.) Please round to the nearest whole dollar amount.
14.Indicate the value of personal I N 0 N E
n Q 1
property included in the sale 0
ASSESSMENT INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill
16.Year of Assessment Roll from 91,7 ,98 I 40 0 0 1
17.Total Assessed Value(of all parcels In transfer)I � � ;
which Information taken
18.Property Class 1 I 1u—U 19.School District Name I Southold NO.2 I
20.Tax Map Identifier(s)/Roll Identifier(s)(If more than four,attach sheet with additional identifier(s))
1000-031.00-07.00-010.000 1 1
CERTIFICATION
ar.:-r,......--t—-A...,.rt—t(to the hpct of my knowledee and belief)and I understand that the making