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'FOR COUNTY USE ONLY
· 'Cl. S'WIS Code
INSTRUCTIONS: http:# VWNVV.orps.state.ny.us or PHONE (518) 473-7222
C2. Date Deed Recorded
Month
Day Year
PROPERTY INFORMATION ~
Browa
1. Property 706 I ~'~'~ Street
Location STREET NUMBER STREET NAME
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP - fi217
I Southold I Greenport I 11944
2, Buyer I Corwin I Everett~ C.
Corwin (f/k/a Clark) Melissa J. (f/k/a Melissa)
I [
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form) I I
I I cl.o. TowN I ST TE I Zl. COOE
I -----1 (Only if Part of a Parcel) Check as they apply:
I 0 . 0 , i I # of Parcels OR Pan of a Parcel 4A. Planning Board with Subdivision Authority Exists []
4B. Subdivision Approval was Required for Transfer []
4C. Parcel Approved for Subdivision with Map Provided []
STREET NUMBER AND STREET NAME
4. Indicate the number of Assessment
Roll parcels transferred on the deed
5. Deed
PropertyL J xl JORI .... · , I
Size FRONT F~ET DEPTH ACRES
S. Soger I Clark (n/k/a Corwin) I Melissa ( n/k/a Melissa J.) I
Name LAST NAME / COMPANY FIRST NAME
I I I
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 J~ Residential Vacant Land
D L.J Non-Residential Vacant Land
I SALE INFORMATION I
11. Sale Contract Date
Agricultural ]r~ Community Service
Commercial !~ Industrial
Apartment Public Service
Entertainment / Amusement Forest
07 / 26 / 02 I
Month Day Year
12. Date of Sale / Transfer
I 07 / 26 / 02 I
Month Day Year
Check the boxes below as they apply:
8. Ownership Type is Condominium []
9. New Construction on Vacant Land []
IOA. 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 condi~ons as applicable to transfer:
A
B
C
D
E
F
Sale BebNeen Relatives or Former Relatives
Sale BebNeen 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 (Speci~ Below)
Sale of Fractional or Less than Fee Interest (Specify Below)
(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
mortgages or other obfigatlons.) Please round to the nearest whole dollar amount·
14. Indicate thevalue of personal I I I I I I I (' ~ 0 I 0 I
property included in the sale ~ ~ ·
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill I
16. Year of Assessment Roll from I '/~ ~ ~ 17. Total Assessed Value (of all parcels in tran~er)
which information taken
Greenport
18. Property Class ~-I I 19. School District Name I
20. Tax Map Identifier(s) / Roll Identifier{s) (If more than four, attach sheet with additional identifier(s))
1000 048.00
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
J I
03.00
CER F,CAT,ON
022.000
I certify that aB of the items of infornm~on entered on this form~are true and correct (to the best of my knowledge and belief) and I understaqd that the m~king
of any wffiful false slatement of material fact herein will subject me to the provisions of the penal law relative ~ the making and filing of false imtrmnents.
BUYER BUYER'S ATTORNEY
(_~. I 7-26-02
R T Corwin
Brown
706 I ~ Street
STREET NUMBER STREET NAME (AFTER SALE)
Greenport I NY I 11944
SELLER
n/k/a Me~.issa*'j. Corwin
LAST NAM~ FIRST NAME
ICrTYZTOWN ASSESSOR
COpY