HomeMy WebLinkAboutL 12015 P 238
PLEASE-rYPE OR PRESS FIRMLY WHEN WRITING ON.. FORM -
INST~!JCTlliNS: http:// www.orps.state.ny.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - 5217
RP.5217 Rev 3197
.1. Prop~rty I
Location
620
STREET NUMBER
Wu.nneveta Rd.
STREET NAME
Southold
CITY OR TOWN
Cutcbo2Ue
VILLAGE
I 11935
ZIP CODE
2. Buyer
Name
ARr.illt:':t:.o
LAST NAME I COMPANY
Basil
FIRST NAME
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)
Address
LAST NAME I COMPANY
FIRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
ST~TE
ZIP CODE
5. Deed
Property
Size
FRONT FEET
Ixl
lOR I
'ACRES'
.
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists D
.tR. Subdivision Approval was Required for Transfer D
4C. Parcel Approved for Subdivision with Map Provided D
4. Indicate the number of Assessment
Roll parcels transferred on the deed
# of Parcels OR D Part of a Parcel
DEPTH
6. Seller
Name
Patterson
Hobert J.
LAST NAME I COMPANY
FIRST NAME
Patterson
Patricia A.
LAST NAME I COMPANY
FIRST NAME
9ne Famllx Residential
-tor3 F~mi'~ Residential
Residentiat V~nt land
Non-Residential Vacant land
E ~ Agdcultu,,1
F Commercial
G Apartment
H Entertainment I Amusement
I ~ Community Service
J Industrial
K Public Service
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
108. Buyer received a disclosure notice indicating
that the property is in an. Agricultural District
D
D
D
D
j,t'the box below which most accurately describes the use of the property at the time of sale:
SALE INfORMATION
11. Sale Contract Date , 11 I 19 I 99
\
Month Day Year
12. Date of Sale I Transfer 1 I 7 100
Month Day Year
3 2 0 . 0 0 0
15. Check one or more of these conditions as applicable to transfer:
A
B
C
D
E
F
G
H
I
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 personal I I 0 I 0 I
property Included in the sale, , .
I ASSeSSMENT INFORMATION - Ooto shQuld ",fleet the 'otost Final Assessment Roll and Tax BiIIl tj <I
16. Yn. of Aunsment Roll from I -// / I " I J 6 - II --I
h. h In! ..." t k " 17. Total Assessed Value lof all parcels In transfer) ". /. j .
W IC onn on a en , '" ., r ,
18. Property Class
::,:; I, {,-l-u 19. School Disbict Name--I
20. Tax Map Identifierls) I Rollldentifierfsl (If more than four, attach sheet with additional identifier(s))
1000-104-11-14
I
I
rtmi;l~;:~
#.,
:;
_.
I certify that all of the items of infonnation entered on this fo~ aretnte and correct (to the best of my knowledge and belief) and I understand that the making
of any willful false. statement of material fact herein will subj~ me to the DrovisiODS of the penal law relative; to the making and filing of false instnunents.
BUYER
BUYER'S ATTORNEY
7
il/CA-"..; k,z.c{cctlt[-
v BUYER SIGNATURE
-*"
".,.
i /7 l [
LAST NAME
FIRST NAME
OA"
./.i
" ../
AREA CODE
TELEPHONE NUMBER
STREET NUMBER
STREET NAME (AFTER SALE)
L
v
C70RTOWN.
/ (cit) (lJr?v--
t-
STATE
ZIP CODE
SELLER
CITYffOWN ASSESSOR
cqPY
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SELLER SlGNATURE
OA"
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