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Home My WebLink AboutL 12202 P 871July .tatbc ye~ 2002 1000 07.00 017. THIS iND~TURE, rn~ ~ ~' dayof Long,,vo~ F~odd~ 32779 ~ ~ond pad forever be ¢om~ru..ed a~ ifh ~ '~ wtmac'v~ thg ~mg ~fflfl~ indem~.~ t~ ~ Went i~NEMTY N4'ETO~AL Trn.z lI~llm~CIE COMPANY OF NIRe YORK Se:'noa 053.00 m. oc~ o7.00 LOT 017.004 Co~arr~ omt Tow~ i I TAX I~J~ER: 02-01761 1000 $500,0O0.00 PAGE PART OF THE 13tis:l,0fl~i~JT Country' Clerk, ~f'£olk cotm~ 09~ O4~r S0 AM Dooo:1.22o2 873. OX7 ,,004 $S.00 $1S. 00 iR) 83$. oo $0,00 SO, O0 li~', 000.00 is, 2.o4. oo 4 $~bT~ ~ K~ A RECORD, Tille Company Info--ion TO l?ecord~ & Endor~ ~ln Ihe Tov~ of tim ViI.LAGE ~.!?Tof ma~ by: PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222 C2. Date Deed Recorded c3. Book I /, ~ , ~ ~, ~1 c~. Page I PROPERTY INFORMATION I 1. Property t'~-)71 q, I t/d Lq--~ Location I STREET NUMBER STREET NAME FOR COUNTY USE ONLY C1. S~t ~S Cod~ II ~lMo.th~'~,.~' REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERTY SERVICES RP -5217 RP-5217 Rev 3/97 VILLAGE ZIP CODE 2. Buyer Name CI~( OR TOWN 3. Tax Indicate where future Tax Bills are to be sent Biging if other than buyer address (at bottom of form) I Address STREET NUMBER AND STREET NAME FIRST NAME I LAST NAME / COMPANY FIRST NAME ZIP CODE 4. Indicate the number of Assessment Roll parcels transferred on the deed I 5. Deed Property Size FRONT FEET 6. Seller I t-~u ~;)dE I (Only if Part of a Parcel) Check as they apply: t # of Parcels OR Part of a Parcel 4A, Planning Board with Subdivision Authority Exists [] 4B. Subdivision Approval was Required for Transfer [] f OR I ,ACRESI · , t 4C. Parcel Approved for Subdivision with Map Provided [] Name LASTNAME/COMPANY 7. Check the box below which most accurately describes the use of the property at the time of sale: B ~2 or 3 Family Residential F ~ Commercial C ~.~ Residential Vacant Land (} ~.~ Apartment D[~ Non-Residemial Vacant Land H [~ Entertainment / Amusement I SALe INFORMA~ONI 11. Sale Contract Date I ~ / I C~ / b"T-~I Month Day Year FIRST NAME Check the boxes below as they apply: 8. Ownership Type is Condominium 12. Date of Sale / Transfer Month Day Year Community Service Industrial Public Service Forest [] 9. New Construction on Vacant Land [] 10A. Property Located within an Agricultural District [] 10B. Buyer received a disclosure notice indicating [] that the property is in an Agricultural District 15, Check one or more of these conditions as applicable to transfer: A B C D E F 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) 13. Full Sale Price I , , , ~, C ), ~) , ~ , ~ , ~, 0 , 0 I · (Full Sale Price is the total amount paid for the properb/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.) Pleaseroundtothenearestwholedollaramount, 14.1ndicate the value of personal I , , , , , , ©, o , o I property included in the sale ~ ~ · ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Biff 16. Year of Assessment Roll fromI , I17, Total Assessed Value (of all parcels in transfer) I which information taken Significant Change in Properly Between Taxable Status and Sale Dates Sale of Business is Included in Sale Price Other Unusual Factors Affecting Sale Price (Specify Below) None 18. Property Class I , , I--I I 19. School District Name I 20. Tax Map Identiflerls) / Roll Identifier(s) Iff more than four, attach sheet with additional identifier(s)) ~.:,Lo~_ l~ ~q, ~ LJ I L L_~ f' 5 O~ 3. C~/- I I CERTIFICATION I BUYER BUYER'S ATTORNEY STREET NUMBER STREET NAME (AFTER SALEI AREA CODE SELLER ITY.rrOWN ASSESSO