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HomeMy WebLinkAboutL 12117 P 537 sima~, ly~ ~d ~ ~ Ba~, ~ ~ To~ of ~uthoi~ ~ of S~olk ~d S~te of N~ ~29, 1958; is ~ 65 d~ 2 ~ ~ ~o~ ~t o di~ of 101.7~So~ 63 ~ 03 ~n~ 10 P~sh ~v~ Al.l(to3 FOR CONVEYANCING ONLY · he policy to bu issued under thio re~ MI11n~uro the tWe to lUCh buildings imp~vemeflfs emct~d on the IXImMI which by Inv (~nst~ute real p~upefly. TOGETHER w~ all the ~ght, tJtSe and Mtm~st o(~he Imflb, ed l~m Ii~t piti, M, h~ ~ the lind lyMg in the tb~et In/r~t of und adjMnJn9 smd P~nlles- Page 3 t~ 2 ComTYO~l~ Suffo~.k~outhold , f. O~-$~u, Esq. sox 706 Gucebosue, Ir: TOTRL P.06 Ill I~ lll~ Ill ~ I Ill lilll ill ill SUFFOI, K COUIq~ ~ RECOI:tDZNG Pit,~ Tltppe o£ Ynstr, z'umen&--: DEleD-q/DDD Nlmbo= o£ Eage8: · ~%,HS~',I~t TAX Nt~4BBR: 00-372.43 Dis?,~icf.: ~tctk:Lon: Block: ~000 0~.00 0~.00 ~ ~t: $410,0O0.00 ~age/Fillng $12.00 tOE $5.00 n-S~ $25.00 SC~ $0.00 ~. ~os ~6,700.00 TAX 'IvOmec.: 00-3"/143 TILTS ~ I8 ~orded: 05/09/2001 &~: 11:55:5~AM LI'BE~: D00012117 9AGE: 537 012.000 PART OF THE r.d~a_-.d p. Rce~kue Coun'L"y Clezk, Suffolk Count, lqumbec of p~le~ TO~tI&F~NS Smd# Real ~,~4~,~y T&x Savicc Apmcy Verffkl~iea 1000 07L.O0 p 9 TI) 1o Title Compnny Information & Endorsemem PLEASE TYPE OR PRESS FI~M~ WHEN WRITING ON FORM INSTRUCTIONS: hep://www, orps.state.ny.us or PHONE (518) 473-7222 REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES RP -5217 ~' Pr°perty I tta~Z l~O~ I Logit Ion STREET NUMSER Souhbol d CITY OR TOWN 2. Buyer [ PAPPAS Name ~ST ~ME / COMPANY North Parish Drive STREET NAME GEORGE r ltqT] ZIP CODE FIRST NAME PAPP~S MARINA I I STRPH^NTF ~A~ES/CO M PAN¥ FIRST NA McMgUS ~R~TINA I STREET NUMBER AND STREET NAME C~3~ O1~ TOWN FIRST N/~ME I , I 4. Indicate the number of Assessment [~1 Roll parcels transferred on the deed I ~ , [ I # of Parcels OR Part of a Parcel 5. Deed Pro.e,W I IxL ]ORI .... , 5, 2I Size FRONT FEET DEPTH ACRES (Only if Part of a Parcel) Check as they apply: 4A. Planning Board with Subdivision. Authority Exists 4B. Subdivision Approval was Required for Transfer 4C, Parcel Approved for Subdivision with Map Provided s. $eger I SI~ACUSANO I ROSE~LARIE Name LAST NAME / COMPANY FIRST NAME LAST NAME / COMPANY FIRST NAME 7. ~heck the box below which moat accurately describes the use of the property at the time of sale: B ~ 2 or 3 Family Residential C ~_~ Residential Vacant Land DI I Non-Residential Vacant Land SALE INFORMATION I 11. Sale Contract Date Agricultural Ill Community Service Commerclal !~ Industrial Apartment Public Service Entertainment / Amusement Forest 1 / [9 / O0 I MoMh Day Year 12. Date of $ifie / Transfer I 2 / 6 / O1 Month Day Year 13. Pull Sale Price I , , , 4 , 1 , 0 , O, O, O, 0 , 0 I (Full Sale Price is the total amount paid for the ftrgperty including personal property. This payment may be in the form of cash, other property or goods, or the assumption of J mortgages or other obligations.) Please round to the nearest whole dollar amount. 14. Indicate the value of personal · I ...... O, 0,01 property ~ncluded in the sale ~ ~ · I Bi"l 16.Year of Asleesmeat Roll from I ~), ~ J 17. Total As~e~md Value (of all parcels in transfer) I which information taken Check the boxes below aa they apply:. 8. Ownership Type is Condominium [] 9. New Construction on Vacant Land [] 10A. Property Lccsted within an Agricu~uurai~istrict [] 1OB. Buyer received a disclosure notice i~di~ifiing that the property is in an Agricultural D~ct 15. Check one er mine of these conditions as applical~le to transfer: A Sale Between Relat vas or Former Relat~ves~ B Sale Bet,~een Related Companies or Partners in Business C One of the Buyers is also a Seller Buyer or Seller is Government Agency or Lending Institution Deed Type not Warranty or Bargain and Sale (Specify Below) Sale of Fractional or Less than Fee Interest (Specify Below) Significant Change in ProperW BeWveen Taxable Status and Sale Dates Sale of Business is included in Sale Price Other Unusual Factors Affecting Sale Price (Specify Selow) None tB. Pro~r~ C=e. I ~, ~ ~l-r I 19. SchooIOistriat Name I Southo!d I 20, Tax Map Identifier(s) / Roll Identifier{s) (If more than four, attach sheet wRh additional identifier(s}) [ 10OO-71-1-12 J [ I CERTIRCATION I certify that all of the items of information entered on this form are true and correct (to the best of my knowledge and belief) and l understand that the ~ of any wBKal false statement of material fact herein will subject me to the provisions of the penal law relative to the i~klno ~ fllino~ of false instruments. BUYER~ ~ BUYER'S ATrORNEY I/~9 [ Oxford ~lvd 516 I 739-1462 Garden City I NY I 11530 CITY OR TOWN STATE ~P CODE / ~ 1/ ~ ,-