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HomeMy WebLinkAboutL 12207 P 61400 THIS INDI,:NlfU~L a~U,~ ~""~ ~,y~fSepte~er ,Two T~ousand ~ Tw~ a~ 2147 ~e Drive. ~,Llol~ Nc~,~ York, l~Sa;r, lP'Tl0~ A~TTAC'P~ H~ro AND MADE A PART BEING AJ~D IiNTENO~O lO BEetle sa~e pr~tses conveyed :o the grantor herein by deed dated June 9,1980, recorded June 18, 1~80 in. Ltber 8840 ~t page04, D~CR~ION ALL ~ ccrlai~ p~ ~ct or ~4 of ~, si~ lying and being in ~ Town of Sogb~ol~ Comity of Suffolk an~ S~e of Nt~w York. beieg m'~d ~bo~ ~ follows: mit ~ ~ SolOn 39 ~ 55 min~ ~:~,m 2~4.$2 fet~; North 14 ~l~,~.~ ~ miw~ ~ i41 A7 fee~ Not~J~ 4~ ~ ~5 ~nu~ Wcs~ 77J6 f~ct; nonh~ly, ~[y ~ no.rihca~dy ~ng ~ ~ oft,he c~arve ~r,g m r/g~ I~aV/ng a ra&u~ of 39.12 feel a dis~a.qc~ of 61.4~ fe~l ~ ~ ~y ~de of TOGCrHER ~lh ~ c~m of in8~'~ and ~ ow~ ~ foliowiv4: ~ Privme Roadway to ~ from ~ ~vc ~ Wm Drivc, 11~¢ To~ of So.[hold. Counb, of SuffotL Sla~: o[ New BEGINNING ~ L~ ~m¢~ fomaxl by' thc i~on of thc ~Jy ~ of I~e Driv~ AND INTENDED TO BE ~c aaa: ptem~ ~ J~ 9, 1980, ~tck~ Jure Ig. 1980 in Libor Suf~o~ . U: O~mes sE~o~ 05g. C~ LOT 027,~0 of the JA~ES ~NOS REVOCABL!E T~UST AGREEM[~i, dated August 1St d~ES MANOS~ ESQ. P.O. ~X 530 SO. HOLD, NY ~p No. ! lg7 ! ,I OTI 02-05~74 F~ 020338~ xooo osgoo osoo 02?0o0 if NO, ~ a ae iF~e # Community ~r~atio~s Fund lk Title Company Information Co, ~am~: .................... ~ by TO I IIIli lllllllllHlilllllllilliili !HIIl SUFFOLK COUN~ CL~RK ~CORDS 0~ ~COR.D ING PAGE Ty~e of Instr~nt: DEEDS/DDD ~SFER TAX NTrMBER: 02-05574 District 1000 ~ Amount: PAGE: S~Ctio,n: Block 059.00 0.5.00 EXAMINED ~ S0, O0 09/06/2002 02:55:53 PM D00012207 614 027. 000 R, ec. eive,d the FOllowing Fees For $!2.00 ~ $5. O0 ~-CTY $5, O0 TP~584 $5. O0 RPT $ 30. O0 Transfer tax $0.00 TAX ~R: 02-05574 Abov~ Inst~ment Exempt NO NYS SUI%Ct{G NO ~-STA~ NO ~rt. ~pies THIS PAGE IS A PART OF THE INS~NT $5.00 NO $15. O0 NO $25.00 NO $0.00 NO $0.00 No $0. O0 NO $202. O0 Coun~f Clerk, Suffolk Count~ INSTRUCTIONS: http://www,orps.state.ny.uS or PHONE (518) 473-7222 . - REAE i~)i~R~¢ ~'~'~REPORT 2. Buyer Name ZIP CODE 3. Tax Indicate where future Tax Bills are to be sent Billing if other than buyer address (at bottom of form) Address 5. Deed Property [ J X l Siz~ FRONT FEET DEPIH FIRST NAME I #of Parcels OR ~ Part ofaParcel I ORI .... (, I 5 Name L~ST NAME I COMPANY FIRST NAME i ~P CODE (~da ~)~~ ~ Planning Boa~ ~ Su~ision ~ E~ ~ Suhd~ision ~pm~l ~ R~ui~d ~or l~r ~, Pa~l A~ro~d ~r Su~ivisiOn wi~ Map P~i~ ~ I FIRST I.~ST NAME COMPANY FIRST NAME 7. Che~k the box below wh~h most ac~urataly describes the use of the property at the tim® of AE~ One Family Residential E[~] Agricultural ~L~ Community Service B 2 or 3 Family Residential F ~ Commercial Industrial C ~,~ Residential Vacant Land (~ [~ Apartment Public Service DLj Non-ResidentiaIVacant Land H[~] Entertainment Amusement Forest Month Day Year 13. Full Sale Price , , & ~ , ~ , , , O, 0 , 0 [ · [Full Sale Price is the total amount paid for the property including personal property. This payment may be in the form of cash, 'other ;~roperty or goods, or the assumption of monpepes or other OOltgal~ons. i Please round to the nearest whole dollar amount. 14.1ndicata tbe value of personal ] ~ , .... ~'~. 0 , 0 . Ch~k tbe bex~ below aa they app,. 1~ Pm~ ~ w~hin an ~ficu~ral Di~fi~ ~ A B C D E F G H I J One of the Buyers is also a Seller Buyer or Sailer is Government Agency or Lending Inatitution Deed Type not Warranty o~ Bargain and Sale (Specify Below) Sale of Fractional or ~ than Fee Intereat (Sp~ Below) Significant Cha~ge.in property Between Taxable Status and Sale Dates Sale of Business is Included in Sale P~e Other Unusual Factors AffectinG Sale Price (Specify Below) None 16. Year of Assessment Roll from I'~(/~ ~' I 17. Total A~ Value (of all ;)arceb in transfer} wlri(~h ioforlTmtion taken .... , c/,J, Oi /.57x/e' 7- I 20. Tax Map IdmttiEer(s) I Roll Ipentifier(s) (If more than four, attach sheet with adff~onal identifier(s)) '1 [ I J 1 certify that all of the items of Information e~tered on this form are tree and corred (to the best ~ my ~owl~ ~ ~ ~ l ~ ~ ~e ~ of any wflguI false statement of nmterin] fact here~ will subject m~l~ the provisions of lhe ~ law relative t~ the mnk-h~= and flltaE of fa~e htst~nneot~ BUYER BUYER'S AITORNEY .5'o w / // o /p :WY SELLER ~s LAST NAME FIRST NAME