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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