HomeMy WebLinkAboutL 11999 P 509 REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTYSERVICES
RP - 5217INE
"-MIT➢n 7M
t.PyOperly I (Land under water) I
Location STREET NUMBER STREET NAME
Fishers Island, Town of Southold I 106390 I
Cm'ORTOWN VILLAGE ZR'CODE
2Buyer J N C Holdings, LLC. I I
Name USTNAME/COMPANY FIRST NAME
IAST NAME/COMPANY FnST NAAEE
3.Tax Indicate where future Tax Bills are to be sem
Biting if other than buyer address(at bottom of form)
Address I.AST NAME/COMPANY FIRST NAEE
STREET NUMBER AND SmiEET NAME Cm OR TOWN STALE Zlp CDDE
4.indicate the number of AssessmentEl (Only R Part of a Parcell Chack as they apply:
RON parcels transferred on the dead I 1 I y of Parcels OR Part of a Parcel 4A Planning Board with Subdivision Authority Exists
S.Deed 13,9009 4B.Subdivision Approval wee Required fpr Transfer ❑
Properly ��X I I OR L I 4Q Parcel
Subdivision
7��FEET DEPTH AIRES Approved Approved foSubdivision with Map Provided
e.sellsr I New York State Office of General Serviced I
Name usr NAME/COI,WANY FIRST NAME
VS'r NAME/COMPANY FIRST NAME
7.Check the box bolow which most accurately dsaenbss the uea of the property at the time of sale: Chock the boxes below as they apply.
9.Ownership Type is Condominium
A One Family Residential E Agricultural I Community Service 9.New Construction on Vacant Land
B 2 or 3 Family Residential F Commercial 7 industrial 10/L Property Located within an Agricultural District
C Residemiall Vacam Land G Apartment Public Service 1013.Buyer received a disclosure notice indicating ❑
D Non-Residential Vacant Land H Entertainment/Amusement L Forest that the property is in an Agricultural District
15.Chad on er more of tMes condition Be appilic"to transfer
11.Sale Contract Date - I 04 / 15 / 99 I A Sale Between Relatives or Former Relatives — -
Monrh nay year- B Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seller
12.Data of Sale/Transfer I 10 /19 / 99 I D KE Buyer or Seller is Government Agency or Lending Institution
Month Day year E Deed Type not Warranty or Bargain and Sale(Specify Below)
F Sale of Fractional or Lass than Fee Interest(Specify Below)
2, 2
73.full Sala Price 9
G Significant Change in Property Between Taxable Taxable Status and Sale Dees
I 3, 5, 0 1 1
� ' e 0 H Sale of Business is Included in Sala Price
(Full Sale Price is the total amount paid for the property including personal property. IOther Unusual Factors Affecting Sale Price(Specify Below)
This payment may be in the form of cash,other property or goods,or the assumption of J None
mortgages or other obligations.) Please round to the nearest whole dollar amount.
14.Indicate to value of immortal I 0 0 I
properly Included in the asks e
IS Year of Assessment Roll from '
which irdormat an taken I y 4 J 17.Total Aaseesad Value lot all parcels in transfer)I ; ; 1 6 '0 0 0 I P/0
18.Property pass I 4•B • fk I—U 19.Sdrool District Name I Fi ahera Island 1
20.Tax Map IdmrtiRsrls)/Roll Idon#Ws)(N mora than four,attach West with additional klsntifwrlsll
I 10 - 9 - 19.1 P/0
I I I I
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)Brad I understand that the making
of my willful false statement of material fad herein w11 Subject me to the provisions of the Penn]law relative to the making and fi ing of false Inshn cents.
BUYER BUY'ER'S ATTORNEY
Jhiftaf.a, Holdings, LLC
Bye-.-n— J I Lark I Richard F
BUVEfl SIGNATURE LAST NAME FIRST NAME
>Jeau N. Calhauu, Managing Member
I Y_ 0. Box 447 (516) 1 734-6807
STREET NUMBER STREET NAME(AFTER SALE) AREA CODE TELEPHONE NUMBER
:.nd xv 1 n639n
CITY OR TOWN STATE ZIP CODE
New York State SELLER
Office of General Services
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SEl1Efl SIGNANRE� PATI