HomeMy WebLinkAboutL 12212 P 899NY 11971
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~ NO. 02..3'704-437~ I -SUFF
AZ.L th~ ccrtzin plat. piece or parcel cd' hind, sit,~., lylnff, and ix:ia& a~ .Anhmt~nnq~, Town ol~ Somhold, Suffolk
subdlTvi,sio~ oi' pl, opetly known u Smmaer Haves~ b~ to W'dliam G, Henc I~at ,~mfhold, ~ ~, T4ew
¥cx,k' h'Tled in the ~k C:oun~ ~ ~e~ Juty $, 1~'3~ ast~'~pNo, t133.
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~ of Xn~txument: I~EDS/DDD
Nulblz of hiE;is: 4
TRAM~ T.M[ :IG~MBI~: 02-09723
1000
PAGE:
So~c:Lon: B:LOc~:
052.00 05.00
$X60,000.00
10/03/2002
01:5~:17 I'M
D0001223.2
899
Lot::
040.000
hge/r:L].XncJ J~[2.00 nC) UancU:Lug
BA.-CTlr $5.00 I~0 IA-S'JMS
T'~=584 $5.0O #O Ger~.,. Cop:Lell
RI"T $30.00 HO SC'O(
'Z~--,- fer m $640.00 HO Ccmm. I,z'e.
02-09'/23
THZ8 PAGE
$5. O0 I10
SiS. O0
$25.OO IlO
$0.00
$0. O0
$200.00
$942.00
Cenirmale #
IM~ QL #
Oeed/~~
Deed I Mon_s _~ Tax Stump
3
Handlia~
EA-5217 (State)
R.P.T.s.A.
Cmnm. of i~
Affidavit
C~W~J C~
2002 0~t 0~ 0h~2t l? Pti
Ed~rd P. Rmmtne
L ~RX}12212
DT~
Recording I F'din8 Stamps
Ml~t~a~ Amt.
!. Basic Tax
2. Addi~mal Tax
Sob Tolnl
Sp~JA~v, it.
Spe~. ladd,
TOT. kTI'~G. TAX
Dual Towa
Held fi~*Appoinlnlent~
ar will he ~
Copy ~ --*'* family dwc41ing ualy.
----*r /<~.- .......SubTotal /*.a -- YES ........ m* NO
~ /"'~ Grand Tntal ~ "-'" .~ I If NO, nee aPPmlwlalc tax cinowe ~m
Pmpeny
Vcrirnsntion
6 1 so ti~fucfions/Dia.~ U~t P,-,¥erly Owuer~ Mailin~ Address
Suffolk Coun Recordin & Endorsement Pa
t SPf~II-*Y TYPE OF iNSTRUMENT)
The pr~mts~.~ herein i~ silua~d in
SUFI~OLK COUNTY. NEW YORK.
In die VILLAGE
BOXES & THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY flUOR TO RECORDING OR FI~.
NST hap://www.orps.state.ny.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
' ' ~ STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP -5217
1. Property
Location
2. Buyer
Name
3. Tax
Billing
Address
Indicate where foture Tax Bills are to be sent
if other than buyer address lat bottom of formJ r
STREET NUMBER AND STREET NAME
4. Indicate the number of Assessment
Roll parcels transferred on the deed
~ST NAME COMPANY FIRST NAME
I I
5. Deed
Property
] # of Parcels OR Part of a Parcel
I
LAST NAME COMPANY
(Only if Part of a Pan:el) Check as they apply:
~A. P ~nning Board with Subdivision Authority Exists []
48. Subdivision Approval was Required for Transfer []
4C. Parcel Ap~F6ved for Subdivision with Map Provided []
7. Che~k the box below which most accurately des~ifbas the use of the property at t~e trn~ ,of~sale:
A [] One Family Residential
B [~ 2 or 3 Family Residential
C ~ Residential Vacant Land
D [~ Non-Residential Vacant Land
Agricultural
Commercia
Apar;ment
Entertainment Amusement
1( / 0224
Month Day Year
11. Sale Contract Date
12. Date of Sale ! Transfer
,,.,.,,..,.,.,- , , I ,(,,o,
[Full Sale Price is the total amount paid for the property including personal property.
This payment may be in the form of cash. o;ner properly or goods, or the assumotion of
mortgages or other obligations.) Please round to the nearest whole dollar amount
14. Indicate the value of personal I 0
prope~y included in the sale ~ · 0 ,
Check the boxes below as they apply:. '
~.8. Ownership Type is Condominium []
Industrial ~;~IOA. Property Located within an Agricultural District r~
Public Servic~ 10R.~Buyar received a disclosure notice indicating
Forest that the property is in an Agricultural District
16. Year of Assessmont Roll f~om ] ~",~, :~J 17. Total Asses~ Valuo (of ag parcels in t~ansfor) .
which ioformatfon taken ~
18. Propm'tyClass ~-I I 19. SChoolDistriotName. ~C_~__~,// ~.~"% {
20. Tax Map IdmttiCmr(e)/Roll Identif',e~fe){If more than four. attach sheet with addlSoncl ,denthl.fe,)
I I I
I cert~y that ali of the items of infornmfion en~red on fids form are true and correct tm the best of my knowledge and belic~ and I understend thnt the maldng
any w~ful false statement of material fact herefo w~ subjeet me fo the prov~dons of the penal law relative to the maldng and Slin~ of false instrument~
BUYER
SELLER
BUYER'S ATrORNEY
LAST N~ME
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