HomeMy WebLinkAboutL 12236 P 466
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NY (In..' - IInr8l1in nnol Snte- ncc:..i whh t:"VCl1lulI ..&ill" (Inrnlnr'" ^cl" Indh.kbm.1 '" <:1"pU",'ic"1 rSillCle lliihl~l! eNY'''' II NII121
cnNS\lI.l" YOUR 1.A\VVlm n..:FOIU: Slf:NING TillS INS...NlII\II-:N.... - -, IllS IN~~I.HUI\lV.N"I. SIIOUl." In: 11."'.m In" 1.A\yVI-;RS ONI.'"
TillS INI>I<:NTUKI;:' I1IlLllc the
ImTWlmN
JEI'F O'NKIlL residing at 87 Olerry Avenue, west Sayville. New York 11796
"i'ltt
<<.Iayur
January
. in the year
2003
(lII1lY of Ihe fir,;' pun, DrKI
:MY BREEZE.....~~IA'l'ES, INC'.,a dc:mestic corporation, with offices at 10 Poplar
Street, Sayville, New York 11782
'.
party urllle 5CCond pan.
WITNI':SSIi.".", thot Lhc party or thc lillil part, in cOl1llioidemuuII ofTen Dulhar.llli DJ1d other valuable cUI1~idcratinn paid by the
party ofthc 5CL'UIKI pan. du" herehy grunlllnd rc:lcul'C unto Lhe IX"I)' orllle IOCcuI.d pan.. the hein Of" MIL"CC5I1;on ulKI .."ign,;. uf
tbe: 1'8I"t)' or the :rccL"t.nd pari. forever.
T~u 1\1_11
I h!"l~nalinn
AI..I~ th."1l L"Crtai1l plUl~ pio.-c or pilfl'cl u( "nd. with OIC huikling." and irrq"uyoncnLO;:lhcn:u:1 erccted~ .iwole"lyi,. a.... hclllB.......
;;11 Easl Mariun. Tuwl1llf Suulhuld, Cuunty ()fSull'i..lk uml State of New York. knowlI mid d,,:sigmlled a;c; LUI N."
37 un a .,,:crtaillllltlp entitled "'M:lp ofScC:lion 2. Ch.";l\'CS Point" umllilcd in the Ollice uftll(" Clerk ,)1' Ihe C(tlllll~:
"fSull'llk on March 13, 1~16:2 :I~ Moll) N,I. 3521, whidl said lut i.s boundcd ilnd JL"~cl.ilx..'d:.ls Ivll(lw~:
Ul'lit. 1000
BEGINNING al a I)oint un the ..."astl'l'ly side nfSnug I-Iarbur Road, ...IisliJlU 100 f':l:l northerly as IIlca5L1n~d ~lltll1~
thc eusterly side of Snug l'larho.- W.unu 'h,tlll thl: l'orlll:r IllrmcLt by the inlcrsccliun of the C~15[crly side ,-tfSnug
I'harbor RUOlc.l with the.' l1orlh""JI'ly sHle (If Marille ('I.lce:
Sn'.
35
IUjNNING THENCE Nurlh 33 Lk'g,n.-,,:s 22 lIIil1l1h.'~ 50 Scc.-OIl(J~ \VC5t alulI!; 1111..' l-ash.:dy sidl: ufSllu1:; I'brltor
RomJ. GlUt' fect:
TIIENCE Nl,rlh 19 dcgrL'es 311 minutes 00 sc.:cumls E;I~t ;;1lnll!:; thc easle.'rly siue urSnug. Jlm'bur ({u:.ul. 80.2(1 fl-L'"
'I.I'II~NCE Sltllth H6 de.'l:;.rcC's.s'l1linlltes JB ~C'elm..l~ E"::O:l. 144.17 feet;
TIIENCE Sllllth :zI,.dcj;n.:'cs::q minule:;;" secumJs \Vesl. 42_J3 I"eel:
THENCE South 56 dcgrL'CS:n millulc~ In ~I:c"ntl~ \Vcst. I 45,OC) ti'Cllu th~ puinlul. "lacL'lIf UEGINNIN(i.
.sl!!:.~ ATTA~/"Ie;..o FDIl.. LoI!!:"c;r,C(..E;: ~I"'{ Of&. -me>" t'V!HNf!!S ~~
UEING AND lNTENDED hJ' b.., ~11"" Ilrcl11isL.'s l'uII\'cyed tv Ihe Gmnlvr by deed 111i.1lh: hy ChOlrh.:s Guhl and
n:",'nrdcd M~lY ]0, 2002. in Libcr 1218~ (:1' R5~J.
IUk,
6
1."11') 8
IJRE1\'IISES "''''I11I11"mly knuwn ~IS 475 Snug IliUI'klr I{llau, Grccnpor1, NY.
TOGJ~TIII~H willi all righl. title IllIlI inlcn:,;I. ir HlIy.Ur Ihc party or llle finn run. nr, in Alld In ;IIIY ';ICCCI~ and roads ahlllling the
nIK'\"c~clc!'l(:rihcd prcrnPcJ; 10 the L"Cllter liIJC511ll.."reuf; 'J"OGJ.:J'II":K wilh lhe DllfJurtcnance.o;: allll ull thc e5lDlc Rnd fiSh.... urlhe
IJaI'IY o(lhc first pan in lI.ncllQ Mid prcani!M:$: TO IIA VH ANOTO 1101.0 the prelOisc."fo herein gl"nnlcd unlo the lxuty orlhc
5CL"1.Hld plUt, the heirs or 5UL"CC5.O;:UI'5 Ilnd a:-;signs uflhe puny urlhe ~"(lnd 110R forever.
ANI) thc purty uf IlIe firr;[ IXll't L"(l1YClINllS I.hUllhc 1J;.\fIY of thc nnn pan hiLt; IKIt d"lue ur 5urfe-red 11IIything whcreby the 5Rid
premise. have been inculllbered in Dny WilY whalever. CXL"CJH at; aroI'C.'\ulicl.
AND the pollrty or the lin;t part. in L"(lmplian"."e wilh Seelion 1;1 oflhe Lien Law. cpvenunls that tile IHU1y urlbc 11M pari will
rcc:ciw: Ihccon5idcnltiuII (CM' ll,i~ c;:o.....eyanc:c 1111'" wj.IIKlld IJIC "ghlln nx.'civ..: fiUC:" L'onlllidc:n.lion as Illna;l fund III he uPIJlicd
fil'fit fol' the PUllxlIic of paying thl:: cO$l of [he illlpmYCfIICIIL and will Dllply the ,;amc (initio the puymenlof lhe (.'U"l of the
illlpR1VCI0ClIl hcfore usinB any part uf IIIe lUIn'of tbc ~mc for any uther pllrJXl!iC. ~
Thc WC,lru "I~Y" 51lull be L'mUilmcd as if il Il:llll"pl1rlics" whenever'the K''''iiC uf lhis indenlUrc so I"Clluiroo: .
IN \VITNI~ \\'III~RI~OI"'. Ihe pnrty or tbe fir,;,t parllws duly cs.eclllcd Ihm deed tbe day and year first ahoyc wriucn.
IN FKt:.s....NC'.: Ol'~
~
IJ.",~ "C:M"'''"I.I~'JC.IU'iN'. ,..,IN,.. 81i1.ll.... t\I1"'"N Nr,;1\" ..tllt" S",i\lli.l}NU":
Stnl~ufNew York, County or Suffolk t ~.:
.."".,....
e )1I111c".r.-, c.I:IY uf January ill the yen... 2003
hefon:: IIIL-, thc lIndc",i~IIL't1. pcr.alllnlly RIJJ'ln1fCd
Jeff O'Neill .
(JCr,Il(lll;1l1y knnwlI In mc ....If" I'l"uVClI In me nil the ba.o;i!lOo nf Mlisfw.....tury
cvidclK.'C 'III~ die inllividunl{!I;) who!li1C nun...'(~) i".(lIIc) !lOouhr..:...i1x...llu IIIC
wilhill in.qnllllCllt nnd DcknuwlaJgcd 10 me tlml hcl:sllCllhcy cacl.:lIk:d
1Jk: ,;mne in hi,;lhcdlhci... c3fJDCilyC i(5). and thai h)' hMK.Tllhcir
sign:tlllrcl'",,) tn) lhe in!lOolnnncnl. the irxlivhlua.1{!'O). UI" lhe ''IC'~un II,XIII
hc..h:d( tI( whk:h IIIe in.JivichmlC",,) acini. cacc..'ltct'lhc imtmnx:lIl"
CAMI\J..E UJCARINI
Nol8IY Public, Stale of New Yorl<
No. 4910722
Qualified In Suflo\k County
Commission Expires 'IlllPl05
p~
/I'/~""",/# # -"
. I' .I;!.o .~ i.I ~ I
....._.. ".a:... fH J':
t...tL . 11.__ ~.. _!!J Y n1lH f 6111/. _ n.
,..
Stnt("ofNew. VtlI"k. County or
~;
.....
On lhe: c.lilY u( in the year
hc(urc me. Ihe IIIM.Jcn;igllcd, pcr.'inllnlly QI'I'lcW'td
the l'Iolllw.Tihing wilnc::~ In die (un.'~(lillg imlmmcn~ wilJ, wht1111 Inn;
(lCl'llilmnlly Bcqllainlcd, whtl, beillg by n~ dilly ~mI. did dcp.~ nncl
JliUY IhalllCh;hcJlhcy n.<5il..:(!il.) in
rif'''r. phln~t~rrr...o:;tl",u:c ix i"t~dt}". include "'t! .."t't:r.I.ultlS'rccl n..mbt!r.
if tlllY. ,h,.rru./J: thol hC/!il.hcl!'ICY knllWi!ll.)
tn hi: Ihe ilKli,,'idual dcl'iCriI1l.."t1 in and wt.:1 CACl."Utcd IIIe ron..'sning
inSlJ1U1lC'nl: llm' Mid :qrhl'iCrihing wilna;.-; wall; 111'C5CI1l aiM' ,;a:IW !lOoaid
CJl.CCIIlC Ihe slIlIIe; dnd thrd snid wiUIeM al the: 5Ilme Lime I'ul1'!K..-rihcx.l
his/hcrllbcir IIR1IK'(5) a.; a witJ~51hcn.'tU.
'. ,
T,n.F.Nc'.
IIAHt:AJN A SALK OgKI)
wml CflVt:NAN'r.' MII\JlrISTUIlAM'n.....AI:D
Fide1ity 02-3704-46165-Su~
JEFF O'NEILL
TO
B!\Y BREEZE ASSOCIATES, INC.
~'JI)F.I.I"'V N.."IONAI. Tn...: INSUltANCF.
~ COMPANY 0.' NEW YORK
., k",__,.n,O!1I/
".'~"""""" F;d"'ity~~,,'
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(/,"'iAI:A"NC',,"IElH.M/~Nl ""'RIIf ,,"U,W ",",,",v ""~,,. '.tIRK.\ ,;" '~l 1.'.,..:
Slale!' of New "orle. Counly elf
1S'i.:
(~~ tll~l~ irlll~~I'"
heflllc me, the nr.lcr.cigltctl. p:r~ulllllly IIl'llClIR..'l.1
f"C1"'I'lIlully knuwlI In IlIe \lr pruvcd In mc I..' the hn...;r., of JOIui!lOofnl.:'ltH'}'
l.~vMIL'Ik.'\: UI he. dlc iIKlivir.hlitl(,.) wbnNc IlIIn.:(s) ~ (aJl:) lOt.h.ccril'lC'l.ltu Ihe
will.ill illstlllll1enl and udtl1l.JW1cdlF'l1.o tIIC tllal hcl"hcllhcy cacclllc.."tl
Ihe !IOIIIIIC in hil'ilherAhcir ...:apal.:'ltytiaJ. ;,IIKl dmt hy hi:'V1lcrl1hcir
!il.iAlUdlln.'(lO) till Ihe II1,..nlllleld. Ihe individuul(!ll.). ur dcc IJCn:.....1 11111:111
"""'h:llr Ilf which the illdividllnl(s) :lClo.', exa...ulc.....llhc illloOlnJlIICIlI.
Lu <:.""A.lNI
07~ ~\AL. ~vtetaol.Jc::..~.
Af!l1L 1711 IWI (. .._.. _ "_".l'I'Iu~n.(J....~...........n ].v......::..ll"r.e. I:
,....f- ~.. ~.). -... :
. ~.~ro'" .~.X .... /1./1111 . n-r-:-.............~
I("~""'J'''''' Vf'I'IlU' M'j,h S"'t'''. ('"'mm,,,., r,.."oI,rno ",. M....I..q.,.,f~'
On lhe d.l.IY ur inlhc ycar
l'IC'f(1f'C II..... thc Inklcr.dgIlL"t'. 1'JCf5f.Jllally 811('1C':1n::d
JlCf!llflnnlly klluwn to II": (If" IJI1IYCtIIClIIIC nil IJIC l1USis of flaliM"actl'C).
cviLkncc II.I he tl1C individllalu;) whose IIIIRIC:("") illio (me) Rlh!;cribcd kl die
",ithin i.",lrurm.,1l Blld IK"kl1l'1wlcdgctllu me ....ot hc:I!ChcIlIlCf cx.cclllcd
the !'Ollie in hi!li/hcrAhc:ir CRflDCityt'ie!ll.). IIUlI hy hwhcrllhcir ,1.I8n8l11lC(loO)
Cllllhc illMnnllcnt, Ihe i..Jivitluolb), ur the IICI1IioIJll U(XIII bchalf of wh-=h
Ihe ilKlividll.II~)uclotL cKa:'lIlcd Ih.... im;tnlllK.'III. =100 111:11. ~lIch indivic.lual
nr....k. !Uk.-tl 11J1J'lCnmIlL"C hefure tJ.... UlICII:r.;.igla:d in the
(In.o:,.rlll,,- d,y 'Ir IIII,U polilirtll.~"btli,.;.~itHI IIIMI ,II~ .,"1111," IIr '."rnm,ry W.
,,''''r I""':(! '''fir ttc*,.""./ftIRIJft!'11 ""&.," "~"t!1I}.
[)'STRK:T 1000
Sl~:nu('tl 35
DUX:K 6
LOT 8
,.:u,JN>:>:LlR TUWN
=" of SOuthold
R~CORT'E" A T Rr:.(JUFSr (JF
lildellty NIIIIOIIAI1"ltle 'manllKe Company or NeW' '\:'ork
RF.7VRN nr MAn. TO
PAUL A. CAMINITI, ESQ.
PO BOX 846
saJl'IIOLD, NY 11971
.
. '
.
"
Fidelity Nati~Dal Title Insurance Co;'pany of New York
TITLE'NO.02-J70446f6S-SUFF -,
.. . -.. ... -
SCHEDULE A-I (Dncrlpllon)
AMENDED 12/13/02
ALL that certain plot. piece or parcel of land. situate, lying and being at East Marion, Town of Southold, County of
Suffolk and Stall: of New York, known and designated as Lot No. 37 on a certain map entitled, "Map of Section 2,
Cleaves Point" and filed in the Office of the Clerk of the County of Suffolk on March 13, 1962 as Map No. 3521, which
said lot is bounded and described as follows:
BEGINNING at a point on the easterly side of Snug Harbor Road, distant 100 feet northerly as measured along the
easterly side of Snug Harbor Road from the comer formed by the intersection of the easterly side of Snug Harbor Road
with the northerly side of Marine Place;
RUNNING THENCE North 33 degrees 22 minutes 50 seconds West along the easterly side of Snug Harbor Road. 60.83
feet:
ll~ENCE North ] 9 degrees 30 minutes 00 seconds East along the easterly side of Snug I (arbor Road, 80.26 fect;
THENCE South 86 degrees 59 minutes 2J seconds East. 144.17 feet;
THENCE South 22 degrees 31 minutes 18 seconds West. 42.33 feel;
THENCE South 56 degrees 37 minutes 10 seconds weSt 145.00 feet to the point or placc of BEGINNING.
TIlE POLICY TO BE ISSUED Ilncler Ihis cOllllllillllenl will illS/lI'fIlhe lille 10 Juch bllildings and illlprOl'elllents on Ihe premises which
by law cOIISlilule nfll properly,
FOR CONVI::Y A^'CING ONL Y: Together wilh alllhe righl. lille and inlentSl of lhe party of lhe firSI pari. of in and 10 lhe land lying
in lhe J/re.' in fronl of and adjoining Jaid prelllises.
SCIfEDULE ,4-1 (IMICriplionJ
. .
r!- 2
J
Serial #
REo)RDE[)
2003 F~ 21 10.2'3: 57 RI'!
E~rd P.Romaine
CLERK OF
SUFFOLK COUNTV
l [)OO012236
P 466
[)Tt02-28035
Number of pages
TORRENS
Cenificale #
Prior Of. H
Deed I Mong.ge Instrument
Deed I Mortgage Tax Stamp
FEES
Recording I Filing Stamps
4
Page I Filing Fee
I,;}.
.5
.5
Mortgage Ami.
llandling
. TIJ-:584
I. Basic Tax
2. Additional Tax
Notation
Sub Tolal
R.I'.T.S.A.
:5
c95
.~..-.
Sub Total
0(1
Spec.lAssil.
Or
Spec. IAdd.
EA-S2 17 (County)
eA-S217 (State)
Comm. of Ed.
S~
TOT. MTG. TAX
Dual Town Dual County_
Ileld for Apponionmcol _
Transf'"f Tax .:3"7 O.
~
ARidOlvit
.
Reg. Copy
15
Sub Total
,.6.
1()5}.
Mansion Tax
The propcny covered by this mong.ge is or
will be improved b)" a one or two family
dwelling only.
YeS orNO__
If NO. see appropriate tax clause un page #I
_of this instrument.
Cenilird Copy
Other
GRAND TOTAL
I
Real Property Tax Service Agency Verification
Dist. Seclion B Ioc:k loOt
03006249 1000 03500 0600 008000
6 Communit I>reservlltion Fund
Consideration Amount S
Stomp
I
CPF Tax Due
$
C>
Ila.e
Improved
.e.---
Inilials
7 SalisfactionslDischargcslReleases List Property Owners Mailing Add",
RECORn", RETURN TO:
PAUL II. CAmo,/,' -r-I , ESf.Q.
f. O. 13 0)( K'--Ic.
SDu.r/l-OJ...{J, N'f 1/97/
VacaRt Land
10
TD
TD
TD
9
Suffolk Count
8 Title Company Information
Co. Name FiD~LiT 'ON'4-i... "77'
Titlefl . " "
Recordin &'Endorsement Pa e
.BAl!ti II/N' ....Afl) Sfq",,;f( /Je7aJ
(SPECIFY "riPE OF INSTRUMENr)
u=:
'Ihis pogc fon11s part of the 8uachcd
made hy:
,JEPF 0 '/II~;Li.:
'Ihe pn:mises herein is sihwlro in
SUFFOLK COUNTY. NEW YORK.
In the Township of J"o I.-{.~ 6L)
In the VILLAGE
or HI\I'vlLET of
TO
...BA 'f -B.eE: €- ::l.E A SSocun-e:.s; ,
INt"..
BOXES 5 TI-IRU 9 MUST BE 'IYPED OR PRlI'ITED IN BI.ACK INK ONLY PRIOR TO RECORDING OR FILING.
COVER)
. ,
1111111111111111111111111111111111111 1111111111111I1111
1111111111111111111111111
SUFFOLK COUNTY CLBRK
RECORDS OFFICE
RBCORDING PAGE
Type of Instrument: DBBDS/DDD
Number of Pages: 4
TRANSFBR TAX NUMBBR: 02-28035
Recorded:
At:
LIBBR:
PAGE:
02/21/2003
10:29:57 AM
D00012236
466
District:
1000
Section I Block:
035.00 06.00
EXAMINED AND CHARGED AS FOLLOWS
$92,500.00
Lot:
008.000
Deed Amount:
Received the
Following Fees For Above Instrument
BxUlpt
NO Hanclling
NO NYS SURCKG
NO BA-STATB
NO Cert.Copies
NO SCTM
NO Camm.Pres
Fees Paid
$12.00
$5.00
$5.00
$5.00
$30.00
$370.00
$5.00
$15.00
$25.00
$0.00
$0.00
$0.00
$472.00
BXUlpt
NO
NO
NO
NO
NO
NO
Page/Filing
COE
BA- en
TP-584
RPT
Transfer tax
TRANSFBR TAX NUMBER: 02-28035
THIS PAGB IS A PART OF THE INSTRtlMBNT
Bdward P.Romaine
County Clerk, Suffolk County
.'
FOR COUNTY USE ONLY
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS-http:// www.orps.state.ny.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
C1. SWIS Code
..,.
, ij
,. ...... ~
-~---
PROPERTY INFORMATION
1. ~:~~:j~ I
475__-'-
STREET NUMB&R
Snuq Harbor Road
STflH, NAME
ci.[-;;;~';:Jpnrt-
r
~
~1n n-r ~nllt-hnlrl
YILLAGE
_ 11 q44
7.'PCODE
2. Buyer
Name
Bay Breeze Associates, Inc.
LAST NAME/COMPANY
~IRST ""ME
t.ASTNAMI;ICDMPA,NY
FIRST NAME
3. Tax
Billing
Address
Indicate wl1aref.JIIJ,e Tax Bills are 10 besenl
jf oH;er than buyer address (at bottom of forml
LAST N.\MEICOMPANY
STR=ETNUM(J.ER^N:JSTfl~FTNM(,r
1..
CIT'O'OIlTOWN
4. Indicate the number of ASSll$Smellt
Roll parcels transferred DO the deed
I U 0
I # of P'HceIS OR D Part of a Parr;;e[
5 Deed
Property
Size
L
'RONTFfF.T
I X I
JORL
.3
DEPTH
ACI1€S
6 Seller
Nilme
O'Neill
Jeff
LAST NAM~ I COMPANY
FlflSTNAME
LAST NAME/COMPANY
FIRST NAME
7. Cheek the box below wl1ich most accurately describes the use .of the property at the time of sale:
A~oneFamilYReSidenti:'l1
R 20r3Fal"'lilyResidential
C Residel1tialVacanlUmd
D Nan-Re"dential Vacant Land
E ~ A,,,"",,",,, I ~
F Commercial J
G Apartmenr K
H Entertainment I Amusement L
Communily Service
ndustrial
Public Service
Forest
SALE INFORMATION
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RI'.5217 He,. .1I~7
~IIISTNAME
STATE
ZIP COD~
(Only if Part of a Parcell Check. as they apply:
4A. PlannIng Baard with Subdivision Author'll' Exists 0
48. Subd;vision Approval was Required for Transror 0
4C, Parcel Approved lor SlIbd;vision wit~l Map Provided 0
Check the boxes below as tl1ey apply:
8, OWllership Type is Condominium
9. New Construction Oil Vacant Land
10A. Property Located within an Agricultural Dist'ict
108. Buyer recewed a disclosllre nofce indicating
that the property is in an Agricultural District
D
~
D
D
15. Cheek on. or more of th8$e conditions as applicable to transfer;
11_ Sale Contract Date
L.!O ! /6 /~
Month D,y Year
iJiL! Or;, I 03
Month D., y~,
A
B
C
D
E
F
G
H
j
J
12. Date of Sale I Transfer
13. Full Sale Price 9 ,2 i 5 ,0 ~~
, , .
JFull Sale Price is the total ",mount paid for the propertv including personal property.
This flayment may be in the form of cash, other property or goods. ortheassumptiOIl of
mortgag"s .or ather obligations_) Please round 10 the neareST wllOle dollar amount.
14_ Indicate the value of person..1
property included in the sale
L 0 0 0 I
-, , .
Data should reflect the latest Final Assessment Roll and Tax Bill
ASSESSMENT INFORMATION
16. Year of Assessment Roll from 1011.02 I 17. Total Assessed Value (of all parcels in transfer) I
which information taken
18_ Property Ctass
L3,_--.!~-U 19. School District Name I
10 Greenport
. .___--.J
20. Tax Map Identifiedsl I Rollldentifierlsl Ilf more than four, attach $heet with additional identifieJ"($ll
1000-35-6-8
L--
CERTIF1CATION
Sale Betwesll Relatives or Former Relatives
Sale Between Related Companies or Partners ir 8usiness
One of the Buyers is also a Seller
Buyer or Seller is Gavernment Agency or Lending Institution
Deed Type n01 Warranty .or Bargain and Sate (Specify Below)
Sale of Fr<Jctional .or Less than Fee Interest iSpecify Belowl
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Orner Unusual Factors Affecting Sale Price (Specify Below)
None
9
o
1 certify that all of lhe items of iufocmation cntl'red on this form Un" true lU1d corTl~ct (to the be1>t 01' m): knowledge and belief) and I under.~t:llnd that thO;" makillg
of any willful false ~t.atemellt "r material fact hetl'in will subject me to the pro'VisiollS of the Dl.'Jllll law relative to the making and nling of f31st': instrumcllls.
BUYER'S ATTORNEY
Bay
/J BWYER
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gUYE~ IG"Ar~,"f John ~1~;iial Pres. DATE
ST~E'TLgER~etl~~'::M~ERSAlEI.sr.
lAST NAME
631
AI'lEACODE
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Z'PCOOE
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> SELLER
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, '- eff 0 'Neill
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DArE I
Paul A~
FIRST NAME
765-5900
TELEPHONE NUMBER
NEW YORK STATE
COPY
01
1