HomeMy WebLinkAboutL 12211 P 545('TH RI~T ,~I~AT^Kt$ ;i~ MARY' C $~TAKIS
MAt;RICE SCAffNELL ~nd PATRICLa, SCA.'~INEI:L/ ~r~&
~ itt ~ ~n ~p ofS~-~lm~ ~ wh~h ~; fil~ ~ ~y ~. I~, ~ Map ~, 3?23 wilh ~ ~
haw bc~**l cnc~;,ml~qad ~ any mray wt~.wr, ~:~ ;~ fnr~aid~
t~ PP~F~-~C£ OF:
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02-08652
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Coun~ Clerk, 8u££olk County
03.~ S2 s 17 ~
DOOOX22XX
545
006.000
$$.OO
$3S.00
$0.oo
So.oo
$1,200.00
$1,842.00
PLEASE TYPE OR P~RES~Fi-RMLY-WH~N-W-R~i'FT~-01~' FoRM ~
INSTRUCTIONS: hep://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
1, Property
Location I ST~EErNUM.ER I ~ Wl .~p #3723
STREET ~AME
CI~ OR TOWN VIL~E
2: Buyer I ~l 1
Name LAST ~AM; / COMPA~ FIRST NAME
· I ~. IPa~i~a
Z~P CODE
3, Tax
Billing
Address
STREET NUMBER AND STREET NAME
4. Indicate the number of Assessment
Roll parcels transferred on the deed
5, Deed
Property I
Size ERONT FEET
g. S,.e~I Stratatd.s
I stratayJ, s I
LAST NAME / COMPANY FIRST NAME
Indicate where future Tax Bills are to be sent
if other than buyer address (at bottom of form) I
LAST NAME / COMPANy
CIT~ OR TOWN
Ix[ IORI , , , · ~,~'1
DEPTH ACRES
I STATE I Zip CODE
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exlst~ []
4B. Subdivision Approval was Required for Transfer []
4C. Parcel Approved for Subdivision with Map Provided []
I
F[RSTNAME [ ~r3
LAST NAME / COMPANY FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time ,of sale:
B~.~ 2or3FamilyResidentia, Fl~ Commercial .
C ~.~ Residential Vacant Land G~..~ Apartment
DI I Non-Residential Vacant Land I-Ill Entertainment/Amgsement
I SAUl' aF~.An0N I
11. Sale Contract Date
12. Date of Sale / Transfer
I 5 /lo / 20021
Month Day Year
Month Day Year
13. Full Sale Price I , , , 1,3 , 5, O, O, 0,0,01
(Furl Sale Price is the total amount paid for the property including personal property.
This payment may be in the form of cash, other prpperty or goods, or the assumption of
mortgages or other obligations.) Please round to the nearest whole dollar amount,
14. Indicate the value of personal I -
pro~e~ included in the sale I , I I '-1 / I I
Community Service
Industrial
Public Service
Forest
Cheek fl~e boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
t0B. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
15, Check one or more of the~e ~ond~tlons ss applicable to transferr
Sale Between Relatives or Former Relatives
Sale BebNeen 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) ..... ~
Year
of
'1 ~ ~ 17. Total Assessed Value (of all parcels in transfer)
,8. Property Class ' ~"~ /,/ '" ' lg. School Diatrict Name I
20. Tax Map Identifier(s) I Roll Identifier(s) (If more than four, attack sheet with additional identifier{s))
! certify flint all of the items of information entered on this form are true and correct (to the best of my knowledge ami belier) and I tmderstand that~ae~making
of any ~ false statement of material fact herein will subject me to the provisions'of the penal law relative to the making and filing of false instrumentS.
BUYER SIGNATURE DATE
STREET NUI~IBER
SELLER SIGNATURE
STREET NAME (AFTER SALE)
CI~ OR TOWN STATE Z~p CODE
BUYER'S ATTORNEY /
/
Li~REAbCODE I TELEPHONE NUMBER
CITYFO/ASSE$SOR~