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'; pLEASEi~E;0R PF~E~S-~:IRMLY WHEN WRITING ON FORM
INSTRUCTIO~i 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
Rocky Point Road
I Easb Marion
j 11939 j
2. Buyer { CAPPADORO,
I CAPPADORO,
LAST NAME / COMPANY
3. Tax Indicate where future Tax B S a e o be sent
Billing if other than buyer address (at bottom of form)
Address
STREET NUMBER AND STREET NAME
{ Pete];
I Margaret
TOW.
Indicate the number of Assessment
Roll parcels transferred on the deed I
5. Deed
Prope~ [ I x I
Size FRONT FEET DEPTH
LAST NAME / COMPANY
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists []
4B, Subdivision Approval was Required for Transfer []
4C. Parcel Approved for Subdivision with Map Provided []
7. Check the box below which most accurately describes the use of the property at the time of sale:
B [~ 2 or 3 Family Residential Commercial Industrial
C ~ Residential Vacant Land Apartment Public Service
D LJ Non-Residential Vacant Land Entertainment / Amusement Forest
11, Sale Contraot Date { 5 / :22 / 02
Month Day Year
12, Date of Sale./Transfer
I 8 / 9 /
Month Day Year
13. Full Sale Price I , , ½ 2 ' 5 ' 9 ; 5' 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
mort~,ages or~ other obligations.} Please round to the nearest whole dollar amount.
la~ Indicate the value of personal ~/
I , , , , , ,' , 0 , 0-T"
property included in the sale ~ ·
Cheek the boxes balo~v as they apply
8. Ownemhip Type is Condominium []
9. New Construction on Vacant Land []
10A, Property Located within an Agricultural District []
10~. Buyer received a disclosure notice indicating []
that the property is in an Agricultural District
A
B
C
D
E
F
G
H
I
J
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
k3uyer or Seller is Government Agency or Lending Institution
()eed 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)
16. Year of A~eesment Roll from
~Which information taken I , I 17. Total As~eesed Value (of all parcels in transfer) L ,
18. Property Claes { : ~ J-L ] 19, School District Name [ /~" 7'
20. Tax Map Ideatifier(s} / Roll IdentiFmr(s) (if more than four, attach sheet with additional ideotifier(s))
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 belied and I understand that the nmking
of any willful false statement of material fact herein will subject me to the provisions of the penal law relative to the maldng and filing of false utstruments.
BUYER BUYER'S AI'rORNEY
LAST NAME FIRST NAME
AREA CODE ~LEPHONE NUMBER