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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 -"...,_._-_..._._---~---- SELLER SlGNATURE OA" ,..-',..~~ 11. ,