HomeMy WebLinkAboutL 12203 P 28r~
T]{~ {M)i~'FURI~.~ tl~ 2nd ~y ~ JuXy
and
142-47 ~eth Avafl~
bounded ted described ~s
RGi~I~ et a P~,~t on the ~CevlF s%de ~ h~n?'w R~ ~e~ tho
s%de o~ ~nu~y'.
dhtance of 28,98
~C~ S~ch ~ degrees 08 .Xnutea 30 ..c~, ~.~C. · d~. ot~t
the flort~l~ .~de o~ ~ka ~v~;
T~ South 40 de.ems 53 e~uCes ~ ~o~ ~t 117.~ feet to C~ ~w~r~ olde
of Ke~ey'o ~a4 Co tho ~%~t or p~CO oE
by dead dated 2/Z7/0~ iud ~eco~dtd on 3/29/02, ~ L~ 12177, tap
1000
01.00
$0.00
D00012~03
038
$5,00
$2S.00
Se.co
$o.0o leo
Ca,ired c~
B kdL
0202~16 xooo osco oxoo oz~oca
A
Tide
Suffolk (
TO
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-722~ . ,
REAL PROPL~TY TRANSFER REPORT
STATE BO. ARDIOF REAL .~,~ .~ERTY SERVICES
RP' 5 7
1. Property I 3625
Location
STREET NUMBER
Southold
CI~Y OR TOWN
2, Buyer IFauvell
Kenney's Road
I I 't ] crT l I
VILLAGE ZIp CODE
FIRST NAME
I Costi I ~nita
LAST NAME ! COMPANY FIRST NAME
Indicate where future Tax Bills are to be sent
if other than buyer address (at bottom of form) I
3. Tax
Billing
Address
STREET NUMBER AND STREET NAME
LASTNAME/COMPANy
Cl~ OR TOWN
FIRST NAME
4. Indicate the number of Assessment
Roll parcels transferred on the deed
5. Deed
PropertyI Ix l
Size FRONTFEET
I #of Parcels OR ~ Part ofaParcel
DEFf~
JORI , , ;900 I
ACRES
I
(Only if Part of a Parcel) Cheek as ttmy apply:
4A. Planning Board with Subdivision Authority Exists []
48. Subdivision Approval was Required for Transfer []
4C. Parcel Approved for Subdivision with Map Provided []
LAST NAME / COMPANy 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
]~ ~ 2 or 3 Family Residential
C ~ Residential Vacant Land
DI I Non-Residential Vacant Land
11. Sale Contrast Date
Commercial industrial
Apartment Public Service
Entertainment / Amusement Forest
I / / I
Month Day Year
12. Date of Sale / Transfer
i7 /2 /02I
Month Day Year
Check the boxe~ b~ow ~s they apply:
8. Ownership Type is Condominium []
9. New Construction on Vacant Land []
10A. Property Located within an Agricultural District []
10~. Buyer received a disclosure notice indicating []
that the property is in an Agricultural District
15. Check one o~ more of these ~ondltions as applicable to transfer:
A
B
C
D
E
F
13. Full Sale Price I I [ I I I I I I I 0 I 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 J
mortgages or other obligations.) Please round to the nearest Whole dollar amount.
14. Indicate the value of personalI , I I I
property included in the sale I I I 0 I 0 I
~ ~ ·
SSES~T JN~ORMA~. Data ~0UI~ ~ect the ! meqtfi011and ~ax ~ I
16. Yaar of Assessment RoB from ~ ~' I 17. Total Assessed Value (of all parcels in transfer) l
which information taken
18. Property Class I 3 I 1 I ~]l~ 19. School District Name
~0. Tax Map Identifier{s) / Roll Identitlerls) (If more than four, affach sheet with additional identifier(s)}
Sale Between Relatives or Former Relatives
Sale Between 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 Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
I lO00-(]sq-o0--O! .Ofl-O2q.O02 I [
~it& Costi -7/2 /~
X~ Fa,uv~l // /': Jeanntne Fauvell
N~BER STREET ~ (A~R SALE)
SELLER
~ Jeann[ne Fauvel
Brae! Rudolph
LAST NAM[ FIRST NAM~
631 I 765-1222
AREA CODE TELEPHONE NUMBER
CITY/TOWN ASSESSOR