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HomeMy WebLinkAboutL 12210 P 326Vil~ Town of Soul~. Co~mty of $a~lk ~ Sta~ of N~w York m~d d~c~ibcd ~s ol~Ftcc of'tl~ C~ of ~ county ol'Sufl~k cv~ AF4,1! 27. 19(~4 os Maqt t4o~ ~1~ TOG~ whh ~ rigtus m',d ~ ~reto ns ~ t~ ~ made ~ ~, ~ fl,~ i 965 and ~ in th~ ~u~k Coumy ~'s ulY~,:e o~ ~8, I~inLibe~ 5716a~ ~ 16+ 2/1/69 amd recorded ~l~ in ~ Suf~lk C(~u~ly Cl~'~ ol~.c~ in Libel 5503 ~ 171 ~ PARTitA VASSUJADi$ SECTION 033.00 BLOCK 04.000 COLqCT'¢ OURANLA. YASSI~i~ R.A U$£O Sub T~ ~ C~ ~u~ Tc~a~ /05 L ~221o P~ T~ Tax Mam~Jo~ T= YORK Iff ibc VU~GE or HAMIJ.q' of IB~XILS & TI IRU II MUST BE TYIq=J) OR PRII~rLCO IN BLAC~ I~K Ol,~.y PRIOR '1~ i1~ ~ ~. f SUFFOLK ~ ~ ~S OFFZCE TAX ~: 02-077'!2 D:L~tr:Lct: 1000 033, O0 04. O0 ~o. oo ~~ ~ £ollo~ing ~ For ~FER TAX ~R: 02-07712 A PART OF TH~ ~T 09/2O/2002 03:49:43 PM ~0~-210 ~6 030.000 PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM 1. Property I Location 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 1155 I Tas ker Lane I Oreeni~ort 0c3~'~[~ 0 ~ d3~ C~I :law York I Rauseo I Ourania I LAST NAME / COMPANY I FIRST NAME 2. Buyer I Ourania FIRST NAME I STATE ZIp CODE (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 [] 3. Tax Indicate where future Tax B s are to be sent Billing if other than buyer address (at bottom of form) I Rauseo I Address LAST NAME / COMPANY I 1205 Sum~tit Drive STREET NUMBER AND STREET NAME CI3'¢ OR TOWN 4. Indicate the number of Assessment Roll parcels transferred on the deed I 0 ~ 0 , 1 I # of Parcels OR Part of a Parcel 5. Deed 3 4 I Pro.arty I t x [ Size FRONT FEET DEPTH IACRES~ 6. Seller I Vassiliadis I Parthena I I LAST NAME / COMPANY I FIRST NAME 7. Check the box below which most accurately describes the use of the property at the time of sale: ~.~A~ One Family Residential i~ 2 or 3 Family Residential ~ Residential Vacant Land DI [ Non-Residential Vacant Land 11, Sale Contra~ Date I Month Commercial Apartment Entertainment / Amusement Day Year 12. Date of Sale / Transfer I / / b-z--I Month Day Year ,~eck the boxes befo~v as they apply: //8. Ownership Type is Condominium [] Service/~ 9. New Construction on Vacant Land Community / 1gA. Property Located within an Agricultural District r~ Industrial Public Service .: 10B Buye received a disclosure notice indicating Forest ' that the property is in an Agricultural District L-J conditions as applicable to l~ansf~: A elatives B Sale Between Related Companies or Partners in Business C One of the Buyers is also a Seller D Buyer or Seller is Government Agency or Lending Institution E Deed Type not Warranty or Bargain and Sale (Specify Below) F Sale of Fractional or Less than Fee Interest (Specify Below) Gift 13. Full Sale Price I i ~ ~ 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 other obligations.) P/ease round to the nearest whole dollar amount. I Significant Change in Properly Between Taxable Status and Sale Dates Sale of Business is Included in Sale Price Other Unusual Factors Affecting Sale Pric~e (Specify Below) Gift 16'YearofAs~e~smentRotlfr°mI 0 1 I 17. Total Assessed Value (of all parcels in transfer) l which information taken ' 18. Property Class 13, I , 1 I-[---] 19. School District Name I Greenport ½ ,,. , ½ ,$ ,1 ,o ,o ,o I 20. Tax Map Identifier(s) / Roll Identifier(s) {If more than four, attach sheet with additional idenfiflar(s)) L 473889 33-4-30 I I I certify that all of the i~ms of information entered on this forra are true and correct (fo the best of my knowledge and belief) and I understand that the making of any willful false statement of material fact herein wifl subject me to the provisions of the penal law relative fo the making and filing of false instruments. 1205 BUYER Summit Drive STREET NUMBER STREET NAME (AFTER SALE) Mattituck ] NY cr~' OR TOWN STATE SELLER 11952 BUYER'S All'ORNEY Pittas I Jo~n L~ST NAME FIRST NAME 718 ] 726-4184 AREA COOL T~LEPHONE NUMBER SELLER SIGNATURE DATE