HomeMy WebLinkAboutL 12209 P 549PAR, C~EL t
PARC£L Il
~A~ ~ D~ETI~JO$ HAL~Ki^S
TO
[~[ALI~IA5
D~STmCT
~ O22.OO
B~ O2,,O0
LOT
TORR~tqS
:1
~, OO
Copy
O~ND TOTAL
TOT IriS, T~*~
T~ ~Tax
will be {m~ved ~ a oae et He family
RECO~D ~
Co. Name
Title# C).~ - ~,o
& Endorsement
ur H/,JVlLET,~
UO)Ci~ 51HRU 9 MUb'r ~ T'i,~ZD OR PRINTED IN BLACK INK ONI.Y PIUOR TO RI~'NI~ OR FILq~X).
~FOL~ C'OU'JgT~ ~
R~CORDS OFFICZ
~CORD~I~G
02-0?09?
1000
LZBER:
PAGR:
022.00 02.00
0~/28/2002
0~O.00~
A PART OF ~ ZIfS~
Ss. oo ~
$15. O0 NO
$25.00 ~
$0.00 ~
$0. O0 ~
$0 · O0 NO
$219.00
Edw-.z:d P.
Councy ~erk, ~Olk
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473/722~
REAL PROPEBTY T4~f~FER REPORT
STATE BO~ O~ R~.AL ~,~PERTY SERVICES
RP 17
Location I ,,,'
STREJ~TNUMaER STREET"""E ''~ ~'-' ' /'' ~ /' ''g' ~ I
I Southold
I LAST NAME / COMPANY I FIRST NAME I
3. Tax Indicate where future Tax Bills are to be sent
Billing if other th~n buyer address (at bottom of form) I
4. Indicate the number of As~assment
Roll parcels transferred on the deed
, [~ I #of Parcels OR r~ Par~ofaParcel
5. Deed
PropertyI Jxl Io.L · , I
Size FRONT FEET DEPTH IACRES~
~auline Halikias, as admini~trat~ix of
(Only if Part of a Parcel) Check as they apply:
4A. Planning Beard with Subdivision Autflority Exists []
48. Subdivision Approval was Required for Transfer []
4C. Parcel Approved for Subdivision with Map Provided []
the ~state of Deme~ricS
I
LAST NAME / COMPANY FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
2 or 3 Family Residential Commercial
Residential 'Vacant Land ~ Apartment
Non-Residential Vacant Land Entertainment/Amusement
Month Day Year
,2. DateofSale/Tr,,nsfer I ~ I ( I 02
Month Day Year
Community Service
Industrial
Public Service
Forest
13. Full Sale PriceI , , , , .t , 0 , 0 , 0 , 0 , 0 , 0 I
(Full Sale Price is the total amount paid for the property including personal property.
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations. P/ease round to the nearest whDle dollar amount.
14.
indicate
the
value
of
personal
prop4h'ty fosfuded in the sa/e ·
Check the bexe~ betm~ as they app¥
8. Ownership Type is Comdominium []
9. New Construction on Vacant Land []
10A Prope~y Located within an Agricultural District []
lOB. Buyer received a disclosure notice indicating []
that the propedy is in an Agricultural District
A
B
C
D
E
F
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 Inet/tut/on
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
16. Year of A~e~ment Roll fi`om I ~ ~1 17. Total Assessed Value (of all parcels in transfer)
which ioformotion taken
18. Proper~yClass I~ I , / I-I I 19. SchoolDistrk.'tNeme I ~,
20. Tax Map Identifier(s) / Roll Identifier(s) (If more than four, attach sheet with additional identifie~(s))
~,O,OI
I I [ I
I certify that a~ of the items of information eatered on this form are true ~d ~t (~ ~e ~ of my ~o~ ~ ~ ~ i ~ ~t ~ ~
of any wilHul false stafoment of material fact herein will subject me to the provisions of the penal law relative t~ the making and flBnoo of false instrumen~
BUYER BUYER'S ATTORNEY
AREA COnE ~LEPHONE NUMaER