HomeMy WebLinkAboutL 12205 P 760. . /
Ne~ Jer~e~,
~o l~nd now or for~rly o[
I N WITNESS
, It:
pe~Jlly tmovm m rM o~ IX'Oved ~o m~ on ~ ~oaa~ c~
~ ~ In Nme ~=~it S~Ii
~FF, R TAX ~: 02-04107
10Oo
025, O0 01.00
$0. O0
o8/27/2oo2
~2:54:53
DOOO:L2205
?6O
PaO~/Filin~ $9,00
EA-CTY $5.~
~P-584 $5,00
aPT $30,00
?~a~sffer t~x $0.00
TAX ~,.u,fa~: 02-04107
815.00 MO
$2S.00 ~
$0.00 MO
00,00 NC)
$0,o0 HO
$99~00
Edward p. R~SLt~O
County Clerk, 8U~o~ Co~flty
Or, AND TOTAL
CAMfNITI & GIBBONS, LLP
53345 ~ R~
PO B~x ~46
SouU'~oI~, NY ~1971
Suffolk Corn
Record
Title C~mpJtlI~ hlferlnltfio!~
Ja£e IIaz, lI~r Title
Deed
-~ __ or ?IAMI~ iff So,at. hold
~ope~ 1~5
Location I
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP- 5217
I King St. I
I Southold I Orient I 11957
I RO~e I Donald Bruce
I
2. Buyer
Name
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)I I
I
STREET NUMBER AND STR~ ET NAME
CITY OR TOWN
STATE ZIP CODE
Roll pamsfs transferred on the deed I ,1 I # of Parcels OR Part of a Parcdi
Property [ 62' IX] varies IoRI .... · , I
S. Seller I Channing I
(Only if Part of a Pardi) Check a~ they ~¢4y:
4A, Planning Board with Suedivision Authority Exists
4a Subdivision Approval was Required for Transfer
4C. Parcel Approved for Subdivision with,Map Pro~i~d
Susan Rose
Name LAST NAME / COMPANY FIRST NAME
LAST NAME / COMPANY FIRST NAME
' 7. Check tho box below which most ee.~uratsfy describes the u~e of the property at the time of ssfe:
B ~ 2 or 3 Family Residential F ~ Commercial ~ndustdal
C ~.~ Residential Vacant Land G~._.~ Apartment Public Service
D[~ Non-Residential Vacant Land HL~ Entertainmeat/Amusement Forest
Check the boxes bsfow as they apgfy:
8. Ownership Type is Condominium []
9. New Construction on Vacant Land []
IOA. Property Located within an Agricultural District []
10B. Buyer received a disclosure notice indicating []
that the property is in an Agricultural District
11. Ssfe Contract Date I n°ne/ / I A
Mo~h Day Year B
,z o.ta of Re,a/T,a..~.. i &' I ~'~ [z/ 02 I D
Mon{h Day Year E
F
none
13. Full Sale Price I I I I I I I I I I 0 I 0 1
)Full Sale Price is the total amount paid for the properb/including personal property.
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Please round to the neareat who/e dollar amount.
14.1ndkmtathevsfueofpemonal I no, ne , , 0 , 0 I
property included in the sale ' ·
Sale Between Relatives or Former Relatives
Sale Beb,veen Related Companies or Partners in Business
On~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 CSpecify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sdie Price
Other Unusual Factors Affecting Sale Pdce (Specify Below)
None
Ouitclatm Deed
16. Year of Assessment Roll fi'om I
which info.nation takeni .
O, 1 [ 17. Total Assessed Value (of all parcels in transfer) I
2 7 0, 0I
, ,
;S. P,~ ~,,, I 2 1 ,0 I-I I 19. S~=hool D~ Name
Oysterpond$
20. Tax Map IdemiFmr(s) I Roll Ide~tifiM(s) (If mor~ than fou~, ~ sheet ~th ad~nal ide~tiRe~is)) ,
10OO-026.0G-01.00-O23.000 Z~- t--Z5
I I I
I I
1 certify that ali of the items of ioformolion entered on this form are true and correct (to the Est of my knowledge and belief) and I understand that the maldng
of any willgof false statement of material fact he.in will subject me to the provisions of rite penal law relative to the making and fiBn~a of false h~trmnen~
BUYER BUYER'S ATTORNEY
248 Grand Avenue
Rutherford NJ 07070
I
SELLER
DATE
Gibbons, Esq.
631
765-5900
AREA CODE TELEPHONE NUMBER
Joseph H.
FIRST NAME