HomeMy WebLinkAboutL 12207 P 611- F~L.A N~ NF:SIN
encan Ti e Inaurance C mpany New York
AS Ti') LOT
ALL ;h~t certain plo:, piece or ~l of }and~ ~t~t~ lying and ~i~ al C~, Tw~
of Map of Ford~ A~ Sc:~[~ 2, fil~ April 6. 1~5 ~ Map No. ~5. ~d ~ of
-~o~alh~[erly, a~ m~ -,long L~R: ~, from L. he,co~ formed by ~ int~ton of
Bc southez~£eriy iide of Nor,.h Roaci ~th ~ no.easterly ~de o/'Gat] Pond I,ane;
RD~N'~4~Ci THENC£ North 66 de~ 0R mmu~ 20 ~n~s F. as~ t70 fee~ ~ or lt~.s
(Deed) (R 74 l~et more ot tells ~vaal)to T~he so~lhw~tedy side ora dredg/M; canal;
I'H~:'4CE $ou~ ~ dcgree~ 01 mm~ 20 Kc, on& We~I 16:5 feet m~ or less CDcecl)
( J:~3 feet rnoo~ o~ {ess Act~l) to Ibc notl~a:~erly aide of Gull Pond L/me; a~
~{~CE alon8 ~he northcaslerly aide of Guli Pond Lane North 68 dtegrv-.~ t9 minu~ ~
~:onds West 140 feet (Deed) {i36.55 feet A~) to the poim or PLace of BEG~G.
FOR
CONVEYANC~
ONL%
~c policy to be L~%~ed o~',Me'r this ~rt ~ll irem~'c the title
by ~aw ~x:~n~£imte real prope~y~
~y, oIF L~, and to thc land [yiag in the sl~t ~n ~t of ~
~djolning ~d p~mi~s,
L~NIFORM FORM 'CERTIFICATE OF ACi(LNOWLE~ME~
(VVithin New York State)
County of __
On thc ,~f' day of ycar~o~before me, the
per,~onally known to mc or proved to me on ~e bas~ of ~l~sfaclory
evidence ~o bc thc h,d~¥idua~(~) who,sc ,~amc~s) ~ (are) subscr~bc~
the same in heir c:,pacity(ies), and that by h~cr their
~irmncm. lt~e individual(s), or Cne pemon u~n
behalf [ividu;d(~) acted, executed thc tnstrumenL
L C~a~C~O LOaD
~llr of
TO
7 Kcrn~ Stp.-~t
Sub Toud
ORAND TOTAL __
R JME
Ii,CORD & R~..~ruI4J,t TO:
~aiion ~und
V~Cll n~ LItid
TiII~ Compa,y Information
& do e nt
SU~ .OLK COU,~TY. NEW YOR~
In tt'~: VJ~GE
HK)XF~ S 'I~IRU 9 M~ BE 'IYP~ OR PRIN'IEg IN BLACK ~ ONLY PP2~R TO RECORE~t~i OR FLUNG
I Illllll lilt ~ Illff ~ I~ Ifil ~ IIIlt ~ ~[
IIHIWt IIII I
SUFEOLK CC~"~Y C~.~
~CORDING P~
TAX ~F~: 02-!55571
~000
035.00 04.00
~ARD Cfi,~:~AS
$[0~,500.00
02-05571
THIS PA~ IS
A PA~T OF T~
C~un~y Clm=k0 SuffoLk Coun~
o9/o6/2oo2
02:51:53
D00012207
611
007.004
$15.00 No
~25.00 No
$0.00
$650.00 No
$1,195.00
PLEAsE'~PE ,OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: 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
~.PrppenvI 87~: t Gull Pond Lane
Location STEm ET NUMBER STREET NAME
I Greenport I I 11944
CITY OR TOWN VILL~G E ZIp CODE
///
2. DuyerI ~-~'~' I '~ ~~'
Name LAS] NAME / COMPANy FIRST NAME
LAST NAME / COMPANY FIRST NAME
3 Tax t ndcaewhere utu e Tax Bills are to be sent Te~timentary trust of
Silllng dothertbanbuyeraddress(atbotlomofform) l ~arah Rauch, Victor Rauc[h~ l'rustee
6. Seller
LAST NAME / COMPANY
I Berkeley
CI3¥ OR TOWN
# of Parcels OR [-~ Part of a Parcel
Address
~ I ]40 %outham~ton
4. Indicate the number of Assessment
Roll parcels transferred on the deed I
5. Deed
Property [ Ixl JoRL
Testimentary trust of
I~;a r ~h R~uch
ICh I9~707 I
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists []
4B. Subdivision Approval was Required for Transfer []
· I 4C. Parcel Approved for Subdivision with Map Provided []
IVictor Pauch & Jeffrey Vauch, Trustees
Name LAST NAME / COMPANY FIRST NAME
LAST NAME / COMPANY ~ FIRST NAME
· Check the boxes below as they apply:
7, Check the box below Which most accurately describe, the use of the property at the time of ~ile: :~80wnem"i~ ~ype=~,~,
Vndo~'n~um
~ AI~ One Fami,~ Residential E ~ Agricultural I ~ community Se~ice ~9. Ne~ Co~st;~ct~n on Vacant L~nd
B I ~ 2 or 3 Fam;ly Residential F I I Commercial J I I Industrial ~ I~A. Pro~e~ Located within an Agricultural Di~rict
C~Residential Vacant Land G~ Apartment m~ Public Se~ice ~ 10g. Buyer r~eivedadisclosurenoticeindicating
D~ NomResidentia~ Vacant Land H~ Ente~ainment / Amusement ~ Forest that the prope~ is in an Agricultural Distrim
11, Sale Contract Date J?',' "-'/ / I
Month Day Year
12. Date of Sale / Transfer I ,3 / .~ l') / O ~ I
Month Day Year
13. Full Sale Price I , , , , , , , 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 ethel obligations.) Please round to the nearest whole dollar amount.
14. Indicate the value of personal I , , , , , , ,0, 0 I
property included in the sale ~ j ·
15. Check one or more of these conditions as applicable to transfer:
A
B
C
D
E
F
G
H
]
J
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 Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than Fee Interest (Specify Below)
Significant Change in ProperW 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 Assessment Roll from I / 2 ,~.- I rT. Total Assessed Value {of all parcels in transfer)
which information taken
18. ProperWClass I -¥, ' ,;~ I-I I 1g. School District Name I i!-~ ~,-v::~c~> _,/~
20, Tax Map Identifierls) / Roll Identifier(s) (If more than four, attach sheet with addition?~l~otifier(s))
1 ce .r~y that all of the dams of ~nformation entered on this form are true and COrrect (to the 3best of my knowl~lge and belief) and I understand that the making
of an~ willful false statement of material fact herein will subject me to the provisiods of the penal law relati~ to the making and f'fling of false instruments.
BUYER BUYER'S A'FrORNEY
STREET NUMBER
STREET NAME (AFTER SAL~)
CiTY OR TOWN / STATE
'.!. ~x~, ,.~. ;.~. SELLER ~\..
SELLER SIdNATURE DATE
LAST NAME FIRST NAME
AREACODE TELEPHONENUMBER