HomeMy WebLinkAboutL 12217 P 54Momv,s Lam;
~ Iqm~ Ol dm~m ~4 mimm ~0 mcmds West 413.87 ~Mt to land now or ftmnmdy of Viih~e d
The wahl "imw" dsdl Im mmmd am t~ k md 'padre" w~mm~ dram m o~ dds kdmsmm so wequlm.
· ,~ by Mb'ba~ ~m t~ lmmmut, U bdividud,
Li~O II'SI~DIUCITr md JAMI~S.4NIN~WSIom Imown, who
.GR.lg~lq3IIT HI~GHTS
DEVELOPMENT,
STATJB OF . COUNTY OF SS.:
$1a~o MlhRmd
Smlllmid, New York 11~/1
,Tax Smace
02041606 zooo o4soo o4oo o03002,
Sub Told
Or
ladd.
I~YlLMI~ TAX _________
DaM To~.
I leM For ApFortimmm~
will be improvtKI bye one or
dwellhIs otqly.
Ir :N~ ~ee qq~q~me m d~ m iqe ~
__ ored~ im~.
l~,escrvmiott Fund
CQrmidemflOn Atrmunt S ~.~
9
550 a o
Tide Compny Information
Title #
tSR':CII"Y TYPE OF INSTIttJIVU,:NT )
BOX]'~ 5 'Ii-i~U 9 MUST l~. I'YPED Ol~ FRIN'r~ IN BLAL'~ INK (.,~l~Y HUOR TO RIF. C(JRDib~ OK FLUNG
III
IIIII IIIIII
liilllillii
TnxwsylaTAZlmimzR~ o2-1289o
1000
Reaordedt
Ate
L3:BZ~:
045,00 04,00
$140o 000.00
~o/18/~oo2
D000~22~
054
003.00~
TH~f PAG~ XS
$5.00 ~o
$XS.00 MO
$~5.00 3fo
$0.00 ~o
$0.00 ~o
$1,300.00 Bo
$X,0S9.00
INSTRUCTIONS: hep://www.orps.state.ny.us or PHONE (518) 473-7~_22_ ~; 2;i;
FOR COUN~ USE ONLY
1. Property
Lo~otion '
2. Suyer
Name
STREET NUMBER STREET NAME
CITY OR TOWN
LAST NAME COMPANY
3. Tax Indicate where future Tax Bills are to be sent
Silting if other than buyer address Ist bottom of form) I
Address
I
STREET NUMBER AND S~EET NAME
4. Indi~te the number of Assessment
Roll parcels transferred on the deed
L~ST NAME COMPANY
REAL P Re R. Ei~'F~_ ~ T~I~_ FE R~ R E PO RT
q~T~TE OF ~EW "~RK
STA~ BO~D OF REAL P~PE~ SERVi~S
ZIP COD~
;IRST NAME
=IRST NAME
CITY OR TOWN
I # of Parcels OR
FIRST NAME
5. Deed
~o.,.~ I x I , oR
Part of a Parcel
, t
'ACRES
STATE ZIp CODE
FIRST NAME
LAST NAME COMPANY
FIRST NAME
7. Che~k the box below which most a~curataly descflbes the use of the property at the time of edle: Cheek the boxes below as they apply:
~2 or 3 Family Residential F ~ Commercial
C~j~Residectial Vacant Land G~ Apartment
Non-Residential Vacant' Land ['] L~ Entertainment Amusement
- 1,.SaleCeotraatDat, I d / 1~7/0C~ I
'"' 12.'DateofSaleUTransfer I 9 / // / O~J
I L O0 0,0 o,ol
14. Indicate the value of personal
property included in the ~ale
,0,01
Community Service
Industrial
Public Service
Forest
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
10B. Buyer received a disclosure notice indicsting
that the property is in an Agricultural District
A
B
C
D
E
F
Sale BeWveen Relatives or Former Relatives
Sale BeWveen Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed T¥~ not Warranty or Bargain and Sale (Specily Below)
Sale of Fractional or Lass than Fee Interest (Spec[f,/ Below)
Significant Change in Properly Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affectin~ Sale Price ISpacifv Below)
None
16. Year of Asse~sment Roll from ~) [ I 17. Total Assessed Value {of all parcels in transfer)
which information taken ' '
20, T~ax Map Identifier(s) / Roll Identifier(s) {ff more than four, attach sheet with additional identJflm(sB
I
BUYER
STREET NUMBEF STREET NAME AFTER SALE)
SELLER
BUYER'S ATTORNEY