HomeMy WebLinkAboutL 12017 P 199
12017 1§9
Title No. CLC I0103S
SCHEDULE A
DISTRICT: 1000 SECTION: 051.00 BLOCK: 03.00 LOT: 009.001
oil Tax Map of Suffolk County
ALL that certain plot, piece or parcel of land, siluate lying and b~ ng n he Town of Sou ho d, Coun y of
Suffo[k. State or New York, being more pattlcular y bo n~led and described as follows:
BEGINNING at a concrete monument located at [be northern line of North Road and thc so~tbwest comer
JAN ,3 1 2000
SUFFOLK
COUNTY
2~889
_.._ot?~o.~_~
Comm, or~. } Og
'Res'C°py
~'~_' [ .%,~ Real Proparty Tax Sec'ce Agcncy
CLC- /0~o3
TO
SpeC./Add.. -. :~,, . ,
ToT. MTG. TAX
Mansion Tax
will be improved by a one or two family
J s Community Preservation Fund
Consideration Amount $~,~/~;
CPF T~x Due S /. ~0.~
TD
JAN3 1
PRESERVATION
FUND
Title Company Information
Suffolk County Recording & Endorsement Page
'ms page rom~ pm ortho attached
~e p~scs he.in
SUFFOLK ~, NHW YO~
In the To~p
In t~ VIL~GB
13OX~ 5 ~ IRU 9 MU~ BE ~PF~ OR ~D ~ B~CK ~K ~Y I'RIOR ~ RF~ OR ~LJNO~
PLEASE TYPE OR PRIES .S~J:.~M[Y WHEN WRITING ON FORM
NSTRUCTIONS: http://v~vvvJ3r[3s.state ny us or PHONE (515) 473-7222
C1. SWlS Code
C2. Date Deed Recorded
C3. Book I I . Pttge
PROPEfl~ iNFORMATION
Prope~y
1. Location J '
STREET NUMB~ ~ ST~ T N ME
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP -5217
RP-5217 Rev 3/97
2. Buyer I Elenis I Antonios and F. lisabeth
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)'1 I
Roll parcels transferred on the deed I I # of Parcels OR I I Par~ of a Parcel
S. Deed L/ / I
Proper I IX[ JoRI , /. ,
Size FRONT FEET DEPTH IACRES
6. Seller I Cajole
(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 []
I Salvatore I
Name LAST NAME / COMPANY
LAST NAME / COMPANY FIRST NAM~
7. Check the box below which moat accurately describes the use of the property at the time of sale:
i~ One Family ResidenBal !~ igricugura, i~ CemmuniWService
2 or 3 Family Residential Commercial Industrial
Residential Vacant Land Apartment Public Service
Non-Residential Vacant Land Entertainment / Amusement Forest
I SALE INFORMATION !
11. SaleContraatOate I10 / 26 / 99 I
Month Day Year
12. Date of Sale / Transfer
I ! / t,, /~ooI
Month Cay Year
Cheek the boxes below as they apply:
Ownership Type is Condominium []
g. New Construction on Vacant Land []
10A, Property Located within an Agricultural District r~l
lOB. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
15. Check one or more of these cond~ons as applicable to transfer:
A
B
C
D
E
F
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
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)
13. Full Sale Price I , ~ ~ 2 , o , o , o , o , o , 0 , 0 I
(Full Sale Price is the total amount paid for the property including personal properb/, I
This payment may be in the form of cash, other property or goods, or the assumption of j
mortgagesorotherobllgstions.) Pleaseroundtot~e~stwholedogaramount._
14. Indicate the value of personal I I I i i I I 0
property included in the sale ~ ~ er
ASSESSMENT INFORMATION - Data Should rdlect the latest Final Assessment Roll and Ta~ Bill
16. Year of Assessment Roll from I I I 17. Total Assessed Value (of all parcels in transfer)
which information taken
tB. ~op..~ C,a. {'' , , I-r I.?:~c~heolJ~striot Name I
20. Tax Map ifientifier(s) / Roll Identifier(s) (ff more than four, at~ach sheet with additional identifier{s)l
Significant Change in Properb/Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
I CERTIFICATION
I certify that all of the items of information entered on this fo~m are true and correct (to the best of my knowledge and belief) and I understand that the making
of any willthl false statement of material fact herein will subject me to the provisions of the penal law relative to the making and fillag of fa~e instruments.
BUYER
BUYER SIGNATURE
DATE
STREE~ NUMBER STREET NAME (AFTER SALE)
SELLER
BUYER'S ATFORNEY
Bianco I Alan
LAST NAME FIRST NAME
516 I 747-0500
AREA CODE TELEPHONE NUMBER
I~CITY~OWN ASSESSOR~