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I)IinG - belng TOII'lof Sou_ ~ofQdlOlk Ind StdlofNewVOlt.lleIBoan ~ bounded.
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!he ~ of lit Efl1tltf.. oJ Cedar Lane wilt l1li SDuIletIJ side of NcdI"" RDerI;
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Rl.INNING THENCE South. 28degrllas as 1'111md114O I8COI'IIf$ WesU30.oo_
RUNNING THENCE North II .15 2S ~ 20 seeonclI West 173.91_
RUNNING THENCE North 24 dtIgl!. a 149 fIIinIJtes 0lJ seconds EaII Z3O.06 filIeI;
RUNNING 1'1ENCE Sol.1lII6S .. 2S __ 20 IIIIlCOnds East 16&81 feet to the point or p1a of
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Stftct A4drtlll 5aO Priva1e Road 121
SoudlokI. New Vorl U911
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KaahIcm M, ~l"-I'
28 DumIr Drive
~ Ntw Vork 11963
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OIlAHD TOTAL
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Suffolk COon Recordin & Endorsement
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1000
s.cn:loru
071.00
8100Jn
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.....
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031.DIO
01111/2002
07.21.U all
DOOO12209
COO
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""M1"__.. MID .....WftWft as P'\t1I;tIfII
*,11,000.00
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..... lIaU
'18.00
'5.00
$5.00
'5.00
'30.00
l1,n2.00
'5.00
'15.00
'25.00
'0.00
'0.00
'5,310.00
",UO.OO
Itoll: lIII
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PlEASE-TvP~~Rr-.aL. Y WHEN WRITING ON FORM
INSTRUCTIONS: http://wwvt.orps.st~t~ny.us or PHONE (518) 473-7222
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,FOR_:eO~ US~~N~Y
:<f. ~ c.;.,; <
<:2. DOt. DeectRscorded
IY,'l..],i,8,c!
~l' :,<i~:/<t j 02
'f!ifOlith....;. ."."I).y'- Year
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
,4I,O~1
REAL PROPERTY TRANSFER REPORT
C3.Book
PROPERlY INFORMATION
" P,operty I !l80
location
C1, p.gel
RP - 5217
RP-5217 Rev31fJ7
STREET NUMBER
Private Road #21
STREET NAME
.Southold
CITY OR TOWN
Southold
VILLAGE
11971
ZIP-CODE
2. Buyer
Name
Gleason
Diane J.
lAST NAME I COMPANY
FIRST NAME
Adkins
Deborah Lynn
lAST NAME I 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
Address
LAST NAME I COMPANY
FIRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
STATE
ZIPCOOE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
DEPTH
lOR I
.
(Only if Part of a Parcell 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
D
D
D
1
# of Parcels OR D Part of a Parcel
5. Deed
Property
Size
FRONT FEET
Ixl
'ACRES'
9. 01
6. Sener
Name
VYSQCki
LAST NAME I COMPANY
Nancy
FIRST NAME
-I
Meagher
LAST NAME I COMPANY
Loretta
FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
A~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant land
E ~ Agricultural I ~ Community Service
F Commercial J Industrial
G Apartment K Public Service
H "Entertainment / Amusement L Forest
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
10B. Buy~rreceived'a disclosure notice indicating
that the property is in an Agricultural District
D
D
Di
[J
SALE INFORMATION
Month
Day
Year
15,' Check one or more of these conditions as applicable to ~nstjr:
A Sale Between Relatives or Former Relatives /
B Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seller
D Buyer or Seller is Government Agency or lending Institution
E Deed Type not Warranty or Bargain and Sale (Specify Below)
F Sale of Fractional or less than Fee Imerest (Specify Below)
G Significant Change in Property Between Taxable Status and Sale Dates
H Sale of Business is Included in Sale Price
I q.ther Unusual Factors Affecting Sale Price (Specify' Below)
J None
'''':j
11. Sale Contract Date
07 / 08 / 02
Month Day Year
12. Date of Sale I Transfer
08 / 16 / 02
13. Full Sale Price I , I j 4, 1 18 , 0, 0 ,0 , 0 , 0 I
.. , , .
(Full Sale Price is 'e total amount paid for the property including personal property.
This payment m,ay be in the form of cash, other property or goods, or the assumption of
mortgages or aher obligations.) Please round to the nearest whole dollar amount.
14. Indicate the value of personal I, I, 0, 0 I 0 I
property Included In the sale, , .
I ASSESSMENT INFORMATION - Oata $hou@ rolleet th~ ""llS! FInal Assessinenl !lQIl and Tax llilll
16. Year of Assessment Roll from 1 0, 2 I 17. Total Assessed Value {of all parcels in transfer) I
which information taken
;
;
6 8 0 0
;
18. Property Class
I 2 ,1 ,0 I-U 19. School Di""i.. Nome I
Southold
20. Tax Map ldentifier{sll RollldentiflerlsJ (If more than four~ attach. sheet with addition. identifier(s))
1000-078.00-09.00-038.000
I
JCEAt"'~.;:. , ...'. .',
I'certify that aD of the items of information entered on this form b true ahd correCt (to the' best of my knowledge and IJeIief) lmd I undetstand that the making
of any willfnI false statement of material fact herein will subject me to the provisions of the oenallaw relative to the making.and filing of false instnunents.
~
--;) /' ' ,( ~UYER
tL-~ Kif~ ~(~
i)'ft" ~u,
UYER SIGNA URE
S~iA_A~; /'
BUYER'S ATTORNEY
I ri'/!61:J;:)
OATE .i^
Delaney
LAST NA>>J-'~
(031 )
Kathleen M.
fIRST NAME
61- /~
STREET NUMBER
ts M 0r.
STREET NAME (AFTER SALE)
725-2710
AREACOOE
TELEPHONE NUMBER
i
;1i DDLE
CITY OR TOWN
YILL.4GE
rlLf
STATE
//379
ZIP CODE
SELLER
,CITYffOWN ASSESSOR
COPY
0'.,
-~ "t.;.
"
V , .
. 7, Jt ~-l)~/''''rf",/t..
V" ELLER SIGNATURE . ~
'-'
DATE