HomeMy WebLinkAboutL 12017 P 68078.00
made the 11th day of January .2000
........................... ( 10. - ........................................ -~ollar~
f~ pa~t will receive the considecatJon fo,' this conveyance and will hOld the Hght tO
'%.
~5 '12017~I065 ~
' 26828
$~
REAL E8TAT~
,JAN 2 8 3100
~UFFOU(
OOJ~N28 PN ~:23
SUFF0.H COUdTY
Handling
TP-$$4
I. Basic Tax
2. Additional Tax
Sub Total
Real Property Tax Service Asency Vetit]catlon
Communl Preservation Fund
Section Block Consideration Amount Sj.~ 'Y~ ~/
RECEIVI~D
Sadsl'actions/Discharges/Releases List Pmpe~
RECORD a RETURN TO: JAN 2 8 2000
AZan Sehvart%. Esq. CO,'v~,~Ut'*I~T~
, . ,~, Title Company IRformntio.
Suffolk Count Recordin & Endorsement Pa e
' (SPEC1FY TYPE OF INSTRL,~ )
8UR~OLK COUNTY, NEW YORK.
TO In Ihe Tow~hlp
~ In Ihe VILLAOE
or HAMLET of~ ,r.__..._.....__
UOXLL'4 ~ TIIRU 9 MUST BP, TYPED OR PRINTED IN BLACK lng ONLY PRJOR TO RECORDINO OR FIUNO,
'%..
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
FOR COUNTY USE ONLY
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518)473-7222
' I~EAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
1. Property
Location ] 3165
STREET NUMBER
Soutimld
South Harbor Road
STREET NAME
I Laughing Water II1971 I
2. Buyer
Name
CI~ OR TOWN
I Cart
I Vincent I
LAST NAME / COMPANY FIRST NAME
Gatt ] Donna M.
3, Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
I
STREET ~UMBER ANO STREET NAME
CI3~' OR TOWN
FIRST NAME
4. Indicate the number of Assessment
Roll parcels transferred on the deed
5. Deed
PropertyI J x L
Size FRONT FEET
DEPTH
1 I # of Parcels OR ~] Par~ of a Parcel
I oRI '^CRES' o 3,7 I
{Only if Part of a Parcel} Cheek as they apply:
4A. Planning Board with Subdivision Authority Exists []
4~. Subdivision Approval was Required for Transfer []
4C. Parcel Approved for Subdivision with Map Provided []
6. Scller I Hughes J Arthur W. I
Name ~ST NAME / COMPANY FIRST NAME
I Hughes I Rosemary
LAST NAME / COMPANY FIRST NAME
7, Check the box below which moat accurately describes the use of the property at the time of sale:
A~ One Family Residential
B ~ 2 or 3 Family Besidential
C I I Residential Vac~t~t Land
D [] Non-Residential ~[ant Land
SALE INFORMATION ~
11. Sale Contract Date
Commercial Industrial
Apartment Public Service
Entertainment / Amusement Forest
I Zl / 26 / 9~ I
Month Day Year
12. Date of Sale / Transfer
I IL /:tl /2000 I
Month Day Year
13. Full Sale Price I ~ ~ ~ I ~ 4 ,0 ,0 , 0,0 , 0 , 0 I
(Full Sale Price is the total amount paid for the prope~y including personal property.
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Please round to the nearect whole dollar amount.
Check the boxes bifiow as they apply:
8. Ownership Type is Condominium []
9. New Construction on Vacant Land []
10A. Property Located within an Agricultura~ District []
10B. Buyer received a disclosure notice indicating []
that the property is in an Agricultural District
15. Check one or more of these conditions as applicable to t~ansto~:
A
B
C
D
E
F
H
!
J
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)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
14, Indicate the value of personalI ", , , , , 0 I
property included in the sale ; ; · 0 ,
ASSESSMENT INFORMATION ' Data should reflect the latest Final Assessmem Roll and Tax Bill
16. Year of Assessment Roll from 199 Oq 17. Tntcl Assessed Value (of all parcels in trensfer} l
which information taken '
18. Property Class I 2, i, 0 I-I I t9. OchoolDictrictName I Southold #5
20. Tax Map Identifier{s) / Roll Identifier(s) (if more than fo?, attach sheet with additional idenfifie~(s))
, j , , ½ ,4 ,4 ,0 ,01
I 1000'.078.00-03.00-006.000 I I
I I I I
I CERTIFICATt~ I
! cerfif7 that'all ef the it·fas of information enfored on this form are true and correct (to the best of my knowledge amd I~lief) amd I amlersi~nd that the ~g
of any willful false statement of material fact herein will subjec~ the to the provisions of the penal law relative to the making and filing of false instrtunents.
BUYER
SIGN
Vis,test ~att Doz~na M. Gatt
CITY OR TOWN STA~
ZIP CODE
BUYER'S A'I-rORNEY
Schwartz
Alan
LAST NAME
516
AREA CODE
248-6311
YaOWS ^ss sso
COPY
· , , ,~' SELLER
. ? Z' --
SELLER SIGN~.TURE, . ,' - DATE
.. .,,...,,.::'.....,:':,,'