HomeMy WebLinkAboutL 12203 P 40fl~y (50%) peri. rd ~ m~ ANOR~WrR. CAJS6~Y, rnalding M0 HlIDdve, Ped~ ~Y~
052. O0
BLOCK
RU~N~ ~ S~ 82 ~ ~ rrdn~ ~ ~Um ~ ~ of ~ t~mn,. B1
m~mJment;
THE PARTY OF THE F~P~.q.T PART ~ ~ dOM Io poiaea~ (xx:aLny Bad ixmb~ ~I# M thddi~l~,bed ~
~ ~e title to t~e rei~t ~Ity kl ~ ~ ~
the said ~ hove bMm ~I~ in any way ,eflalevet. ~~.
W Wl~F..SS WHEREOF~ tim pater of ~ ~'~ p~ h~s duly
l~N PRE~£NCE OF
Veronica F.
New York
,M
P.O. ~x 279
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040
055.000
R~c~tved. ~ ffoi/.ovzng Fees Fo=
Paq~/~liav $9. O0
CO~ $5. O0
U-CT~ $5, O0
/'~-$84 $5.00
~ $30.00
02-0:i891
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0202G44~J looo osioo os~ o~
i~viF~be.f~, I~Y ~1901
CJ,.~BflLE )l. ~;I)Y ~ ~! L CASSZIJY
USE ONLY
C1. SWlS Code
~ ~1-~o1= ITl'l= UN I"Hl::~ I~IHIV~LY WIll=IN WHIIT~ UIN PUH[V[
INSTRUCTIONS: http://www.orps.stete.ny.us or PHONE (§18) 473-7222
~TA~'E OF. NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
Month Day Yea~
, ~,_~I~,Pa~I , ,~,~1
PROPER~ INFORMATION ~
1. Prope~ 2055 I Al~ertson Lane
LocatioR S~EET NUMBER STREET NAME
RP? .5:2117
I Southold I GreenporC I 11944
DI3W OR TOWN VILLAGE Zip CODE
2, Buyer I CASSID¥ I CAROLE M.
Name LAST NAME / COMPANY FiRST NAME
I CA~[DY I ANDREW R.
LAST NAME / COMPANY FIRST NAME
3. Tax Indicate where futura Tax Bills are to be sent
Billing ifotherthanbuyeraddress(atbottomofform) l Cassidy I CurDle M.
Address LAST NAME / COMPANY FIRST NAME
[ P.O. Box 193 [ Greenport I N, ¥1 11944
CITY OR TOWN STATE ZIP CODE
[ '~ {Only if Part of a Parcel) Check as tfley apply:
]' I # of Parcels OR Part of a Parcel 4A. Planning Board with Subdivision Authority Exists [~
4B. Subdivision Approval was Required for Transfer []
I ORI 'AC..' 6, 6, 1I 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
PropertyI I xl
6, Seller I CASSIDY
I M TE D. I
F~RST NAME
I
Name LASTNAME/COMPANY
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
B ~ 2 or 3 Family Residential
C ~ Residential Vacant Land
DL~ Non-Residential Vacant Land
SALE INFORMATION I
11. Sale Contract Date ll/a
12. Date of Sale / Transfer
Agricultural
Commercial
Apartment
Entertainment / Amusement
f / / J
Month Day Year
8 9 2002
Month Day Year
Community Service
Industrial
Public Service
Forest
Check the boxes below as they apply:
Ownership Type is Condominium []
9. New Construction on Vacant Land []
1BA. 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:
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 BebNeen Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
7 0,0I
13. Pull Sale Price [ , ~ I i , ~ I --0~-- , 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 properly 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 , , , , , -0,- , 0 , 0 I
prope~/included in the sale ~ ~ ·
ASSESSMENT INFORMATION - Data should reflect the latest Final AsseSsment R0il, and Tax Bill
16. Year of Assessment Roll f~om I 0[/021 17. Total Assessed Value (of all parcels in transferl I
which information taken
18. Property Class I 3, 1, l~-L..~ 19. School District Name I ~473810
20. Tax Map Identifier{s) / Roll Identifier(s) (if more than four, a~ach sheet with additional identifier{s))
[ 1000 - 052.00 - 05.00 - 055.000 J I
I . I [ I
I CERTIFICATION I
I certify that all of the items of information entered on this-~;orm are hue and correct (to the best of my knowledge and belied and I understand that the making
of any willful false statement of material fact herein wifl subject me to the provisions of the penal law relative to the m~kinoo and filing of false instruments.
DATE
BUYER'S A'n'ORNEY
Refter I Marcia Z.
LAST NAME FIRST NAME
Esseks, Hefter & Angel, Esqs.
(631) I 369-1700
AREA CODE TELEPHONE NUMBER
BUYER
BUYER SIGNATURE CarOle M. Ca~stdy
[ P.O. Box 193
Greenport I NY I 11944
CITY OR TOWN STATE ZIp CODE
I 7/26/02
SELLER
SELLERSIGNATUREMa~le D. Cassldy
DATE