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HomeMy WebLinkAboutL 12013 P 890DISTRICT SECTiON BLOC){ LOT 1 013 (1] Seuth 22 Oe~ree~ 43 ~mlnutes 10 seconds (2) ~)~n~ Lot 21 Tide ('on I~ R¢oo-r ~ 'I ,¢ ~nt Pa P~OPER~ INFORMATION I 1. Prope~y m m SOUTHOLD STATE OF NEW YORK ,RD OF RE, ~L PROPERT RP - 5217 RP-5217 Rev 3/97 REAL PROPERTY TRANSFER REPORT STATE BOARD OF REAL PROPERTY SERVICES i GREENPORT i i CITY OR TOWN 2, ,Buy.rI CASILL~ I .~x' Name LAST NAME / COMPANY i CASII~O i LAST NAME / COMPANY 3. Tax Indicate where future Tax gills are to be sent gliting if other than buyer address (at bottom of form) I Address LAST NAME / COMPANY STREET NUMBER AND STREET NAME CCP( OR TOWN VILLAGE Zip COOE JOHN :, *}..) /C..9 ( FIRST NAME STATE ZIp CODE 4. Indicate the number of Assessment I '" F~ Roll parcels transf~md on the deedI, ,I# of P~ls OR Par~ of a Parcel 5. Deed PropertyI Ixl I o.I , . · , I Sm s~ler I $ILVERI~ I (Only if Par~ a Parcel) Chech as they apply: 4A: Planning Board with Subdivision Authority Exists [] 4B. Subdivision Approval was Required for Transfer [] 4C. Parcel/~proved for Subdivision with Map Provided [] 7. Check the box below which most accurately deacribes the use of the property at the time of sale: B ~] 2 or 3 Family Residential F ~.~ Commemial Industrial C ~ Residential Vacant Land (~_,,.~ Apartment Public Service DL~ Non-Residential Vacant Land HLj Entertainment / Amusement Forest 11. gale ~otract Dnte c 12. Date of Sale / Transfer / o~' / oo I D F Check the boxes below as they apply: 8. 0wn~,t~hip Type is Condominium [] ,~, .> '3 ,' :"~ ' 9. New Construction on Vacant Lan~ [] 10A. Property Located within an Agricultural District [] lOB. Buyer received a disclosure notice indicating [] that the property is in an Agricuitural District 15. Check one or more of tflese conditions as applicable to;transfer: IFull Sale Price is the total amount paid for the property including personal property. This payment may be in the form of cash, other properly or goods, or the assumption of mortgages or other obligations.) Pfease round to the nearest whole dollar amount. 14.1ndicate tbe value of personal i, ,,, , ~ 0, o { property Included in the ~le 5 ~ ' · I ASSESSMENT INFORMATION - Data should m~tect the latest Final Assessment Boll and Tax Bill 16. Year of Assessment Roll from I ~,~ I f?. Total Asses,~l Value Iof ch par~ls in transfer) which information taken 'B. Pr~erty Class ~ '' ' ,Bl $©hoo, Dletrict Name Sale Between Relatives o~ Former Relatives Sale Batween 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 Batvveen Taxable Status and Sere Dates Sale of Business is Included in Sale Price Other Unusual Factors Affecting Sale Price (Specify Below) None ag any wilgul false stat~nent of material fact herFm ~w~/st~ me to the provisions of the pemd law relative to4he mnki~ alld filing ef false instruments. SELLER BUYER'S ATrORNEY WIDMAIER KURT (516) 265-7200 CITY/TOWN ASSESSOR COPY