HomeMy WebLinkAboutL 12207 P 433~tAID
MAD£LtNE t,1. re~idi~.g oJ 893 Ga_.ri. inet Drive. ii, fy ~ iVY I 17~
sim~e. ~yin~ in I1~ Town
SUBJECT TO I:~e i~ov~ ora ~ion ~,',',.,.orded in
ol'SulTo~kon Jun~ I L 1975 ~b~r 78~i~ nt p~ 0~. ~s~ by~l~r 7~14~d
p~ 27-'L
of~u~ i S~ of~
I0. 19~ in Lib~ 7279m ~.
~of~
~m~ upd~
~veloper, its h~rs or ~ ,~ ~ Duper has any ial~ i~ ~ i~o11~"',0' ~ ~ ~ ~ ~
~ATE 01;' NEW YO~
COUNTY OF
which
the ~ u~o~ ~f of
~ ~-~--,~d
STATE OF NEW Y~ COUNTY OF
On~ dayof ~99,befo~mmepen~onal~ycamc
~o me k~owr~ ~ ~
depo~ and s~y ~
~ of , th~
~ e~ the
knows t~ ~1,
~ h taunt thcrcto by like
NOTARY
STATE OF NEW YORK, ~NTY OF
SS:
NOTARY PUBUC
Block: 02.00
Lo~ 063.000
S~ Add..~s: 893 ~L,~r D~ve
~URN BY MAIL
Bay S~ NY Ii~
ti i
,Sab Tota3 _
GRAND.AL
T01~ M:'T~ TAX
020~ ~ooo o~ o2oo o630oo
SZB£N & SZBEN, LLP.
CPF Tax Due
S
. ~ga~n 6 Saie Oecd
T~e ~ ~n isd~ in
TO
,,, ~DELI NI~ LI
TAX ~: 02-05427
0~0. O0 0~.00
$7S, 000.00
07~48~ AM
0~S3. OOO
~ $5.00
WA*~ $5.00
~-se4 $5.00
/~"'~ $~0.00
'Priz~£e= t&~ $300.00
'~KAII~"'t~ TA3~ ~: G2-GS427
~ P~ XS
~0
HO
A P~ OF ~
SS,GO ~
$~S.00 ~
$25.00 ~
$0.00 ~
$0.00 SO
$0.00 ~0
$3~.00
Cou~ Clerk, Mfolk C~U
PLEASE TYPE OR,Pt~
INSTRUCTIONS: http://www,orps.state.n¥.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP -5217
1. Property
1,1
3. Tax n~icat~vhere future Tax Bills are to be sent~
Biffing if othe~thar ouyer addreSS (at bottom of form
Address
FIRST NAME
L~ST NAME COMPANY
STRE ET NUMBER AND STREET NAME
4. Indicate the number of Assessment
Roll par~els transferred on the deed
5. Deed
Prope~. I I X
Size ;RONT FEET DEPTH
CI3W OR TOWN
~ # of Parcels OR [--~ Part of a Parce
STATE Zip CODE
(Only if Part of a Parcel] Check as they apply'.
4A. Planning Board with Subd~ws~on Author ty Exists []
4B. Subdivismn ~pproval was Reauired for Transfer []
4C. Parcel AnDroved for Subdivision with Map Provided []
6. Seller
FIRST NAME
MADELI NE
LAS3 NAME / COMPANY FIRST NAME
7. Check the box below which most accurately describes the use of the proper~ at the time of sale:
Residential Vacant Lano Aoartment Public Service
Non*Residential VaCant Lan(] Entertainment Amusement Forest
11. Sale Contra~ Date
12. Date of Sale / T~anstor
Morffh Day Year'
13. Pull Sale Price , 7, 5, 0, 0, 0, 0 , 0 I
Full Sale Price is the total amount paid for the ~roperty ~ncluCi~ng personal properly.
This paymen~ may De ir the form of casn. o~ner prope~y or ~oods. or the assumotion of
moffgages or otner OOl gallons P/ease round to the neares~ wtlole dollar amount.
14. Indicate the value of personal ,0 , 0 I
prop~ inciuded in the sale i j
D
E
F
G
H
]
J
Bel~Beb, v~en Rel~Uves er Fo~rrper F~latives
~al~tw~en Related ~omeanies or~Partnet~ 'in Business
One{gf the Bu~ers is also a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Type rmt Warrarr~, or Bargain and Sale {Speci~ Below)
Sale of Fractional or Less than Fee Interest ISpecify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is I~clu~eo in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Belowl
None
16. Year of Assessment Roll from
which information taken t .
18. Property Class , i t 'l--I
20. Tax Map Identifier{s) / Roll Identifier{s) (R more than tour, altach sheet with additional identifier(sD
I Dist: 1000 Sect:
Block :! 02.00 ~ LO%:
17. Total Assessed Value tof all parcels
I 19. School District Name ·
030.00
[ certify that ati'of the items of information entered, on this '{orm are tto the best of my knowledg~md la~lef} and I understand that the nmking
of any widful false statement of material fact he. in wifl subject me to the provisions of the penal law relative to the making and ffl~g of false instruments,
BUYER t. ' BUYER'S AI'rORNEY
BUYER SIGNA'~U~E ' DATE LAST NAME F~RST i~AME
Lot 90 631 665-3400
Soutnold I NY I 11971
SELLER
SELLER SIGNATURE