HomeMy WebLinkAboutL 12215 P 211i O01
BARGAIN AND SALE DEED WITH COVENANT AGAINST
GRA~R'S A~, (INDIVIDUAL OR COR~RATION)
TILLS/LJ~I~'I' ~iOULI) il~ 1~4~AP.,Bi) NY A~N ATTORNF. Y ~D KEVIRW/~D BY A~ ~
~ Al~ PIJIO~ IM~/~KE SICIlimG.
F, uln'a Loa~ Island Medical ~ hl~ a domes~ torpor hay'rog a In'incilal place of
lmsiness lo~at~l ~ 222 Manor Place. Oreenpofl. ~. y~ 11~4
part, and
Joseph L. Townsend Jr. m~l Sutta T. Jobnnn, u Tcmnls in conmme, ee~h with fifty
inlm~idin8 at21SMainSlreeL, Orecn~.. ~.N=L~ork 119~4m~:!6100~Av~me,
Waltham. MA 0245.4; "' -
u~~~~n~~~ ~ M~. ~~J~ ~ M~I!
RU~ ~CE N~
R~ ~~ ~ 72 ~ ~ ~nu~ ~ ~ We~ 4.71 f~
s~ of M~lJ
R~ING ~~ a~
!~ ~ ~ N~. 87 ~ 88 ~ hid :~;
R~G ~I~CE n~g ~M ~ ~ ~ 17 d~ 33 ~ 10 ~ F~
~ W~ 12~.~ fmm ~ ~or p[~ of BEG~ING.
~~ 1~7 ~ ~ ~/67, in Li~6110, ~8e~7.
~~Zf ~ ~
in ~ m ~ ~mi~
~ ~g w~y
~ nf~id.
~ ~ ~ of ~ ~ ~ will
i '
Helen O, ~en-PreeLd-~nc
STATE OF NEW YORK
COUNTY OF SUFFOLK
On the 30th day of' ~lem~r, 2002~ bo[om me, the undorsign~, n Notary Public in and for ~d Stnte,
personally appoared Helm O. Hanson, ~lly known ~o m~ or provod to me on th~ tmsis of satisl'a~ory
rvidenco to bo tho ~ividu~! whose namo is subscri~ to tho within instrtunmt and ooknowl~ to mo t~
she execuled tim same in her capao[ly, and thai by bor si~naturo on the ilUSlrumenl, lh~ [ndi~uluals, or the
person ~ behalfofwhich tho individual acted, executed tho instrument,
m,L HAGEN
ToRReS
~rtp~ Atm.
2. Additional Tm
~,l/~iL
Or
Spec;Add,
TOT. MTn, TAX
n--,To.
Held i:-~ Appofllomnem
ldmui~ Tsx
1~ pr,~rty~ by mb ~ iso,*
wilt be Lmprovod by fi one or two hmlly
dweilbt8 only.
or NO__ ,
If NO, see appreln~te tax clause on ~ #
YKin~ I,und
TD /0
~ $1~ 9 ~ BE I'YPED OR ~ IN BLACK IN~ ONLY PRIOR TO ~ NG OR FIUN~
l, ! '- Title Comim,y lnrorm.~n ......
8u~ol[ t.~tmty...~di,g. & R. dorScn-, _~t
TD
i lBIIIgllllllllllgilllillllllfflllll
ImUlllWBimml
~ of' Xnatzumont: DEEDS/DDD
Ihnd~z of' I'ege8:3
TRANSJ'BR TAX ~: 02-:1.2,490
x00X
At:
002.00 02.00
$530,000.00
02-11490
THIS PM~ IS A IFART OF THE ~
X0/X6/2002
03:i4:09 ~1(
D00012215
211
041.000
Exempt
85.00 iK)
$:L5.00 ~
825.00 mO
$0.00 IgC)
4,0.00 MO
$8,000.00 lllO
SlO, 299.00
....... "'='~-'~~~'~i~'~]~O~'~ESS FIRMLY~I*i~'N-WRITING ON FORM '
· '-~ INSTRUCTIONS; http://www, orps.state.ny, us or PHONE (518) 473-7222
FOR~COUN'I~Y USE ONLY
REAL PROPERTY TRANSFER REPORT
C1. SWIS Code
C2. Date Deed Recorded
C3. Book
PROPERTY INFORMATION I
1. Property I
Location
STREET NUMBER
CITY OR TOWN
LAST NAME ! COMPANY
LAST NAME ! COMPANY
STATE OF NEW YORK
STATE BOARD OF REAL ~SERVICES
2. Buyer
Name
3. Tax
Billing
Address
STREET NAME
ZIP CODE
I
FIRST NAME
Indicate where future Tax Bills are to be sent
if other than buyer address (at bottom of form)
LAST NAME f COMPANY
FIRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
I , I I
STATE ZIP CODE
4. Indicate the number of Assessment
Roll parcels transferred on the deed
5. Deed
PropertyI l xl
Size FRONT FEET
6. Seller I
Name LAST NAME f COMPANY
E (Only if Part of a Parcell Check as they apply:
, , '/] # of Parcels OR Part of a Parcel 4A. Planning Board with Subdivision Authority Exists
4B. Subdivision Approval was Required for Transfer
I ORI o ~ ,~ I 4c. Parcel Approved for Subdivision with Map Provided..~[]
DEPTH I I IACRESI
I
LAST NAME f COMPANY FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
i~ One Family Residential ~: Agriculture
2 or 3 Family Residential F Commercial
Residential Vacant Land ~ Apartment
Non-Residential Vacant Land H Entertainment/Amusement
I SALE INFORMATION I
11. Sale Cont~a~D~ate I ~'"1 ~ I ~' 2
Month Day Year
12. Date of Sale I Transfer
I ~ I ~'~'' ioz I
Month Day Year
Community Service
Industrial
Public Service
Forest
15.
C
D
E
F
G
H
I
J
Check the boxes below as they apply:
8, Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
10B. Buyer received a disclosure ~tice indicating
that the property is'in an Agri[;ultural District
Check one or more of these conditions a~,applicable to transfer:
Sale Between Relatives or Former Relatives
Sale Between Related Compames or Partners in Business
One of the Buyers is also a Seller
Buye[ or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of ~actional or Less than Fee Interest (Specify Below)
13. F~II Sale PriCe I 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
mortgages or other obligations.) Please round to the nearest who/e dol/ar amount.
Indicate
the
value
of
personal
property included in the sale ~ ~ ·
ASSESSMENT !NF~RMATION -Data should, reflect the latest Final Assessment Roll and Tax Bill [
16, Year of Assessment Roil from
which;Jnformatlon taken I 17. Total Assessed Value [of all parcels in transfer) I ,
18. Property Cia.
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
20. Tax Map Identifier(s) / Roll Identifier(s) (if more than four, attach she~ with additional identifier(s))
I I I
I CERTIFICATION' I "
I certify that all of the items of information entered on this form are true and correct (to the best of my knowledge and beflef) and I understand that the making
of any willful false statement of material fact herein wffi subject me to the provisions of the penal law relative to the making and filing of false instruments.
BUYER
STREET NUMBER STREET NAME {A~R SALE)
ZIP CODE
SELLER
D
DATE
BUYER'S ATTORNEY
LAST NAME
W'7'7 -
I
FIRST NAME
?S'o 7
AREA CODE
TELEPHONE NUMBER