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HomeMy WebLinkAboutL 12205 P 577 $ou=~ld, County of ~£f~olk ~$~e o£ b pa~tcu~ar~ ~u~ded ~r~ ~ £ollO~: ~ $ou~ 15 degrees 29 ~tu 10 .~~ ~t, 90.00 ~: s~ G8 ~ 10 m~-~tes 50 second~ ~t, 60'37 to the ~he~ si~ of :Sterl1~ Avenue ~t the ~tor place' o~ and ~ing aC Greenport, in o~ Southold. o£ ~£olk ~ $~ce of Ne~ York, ~ing ~~d ~ ~=~~ ~oll ~~ aC a ~t o~ the ~~ly si~ o~ :St~li~ ~e ~ ~ along mid I~ ~ or ol SC~, North t? ~rees OS ~nuCes O0 sec~ West~ ~ I~ Scll~,~uie & ~ge 2 ?itle ~o. b-277656-S =nd dist~a~ce~: ~ $~£11 along ~e norCh~l¥ wid~ o~ S~ ~, porn1: o~ Place o~ ~BZIEIi:NG, 5 ~J~ TOT. M~TAX Co..idm,~i~ Ameuat $ lO /0 , Suffolk Title . mid*ii)-: (SlT:ClFY ~ JO!t INS'I~) The~kadni~~ia TO ~ 51~ 9 MLtff BF~ ~ OR i~l]~D {N BLACK INKONLy pRIOR1~ ~ ORI,~ ~ I I III HHi ~l ~ Ill IH ~11 ~ TAX I~NSE~: 02-03952 I001 LZBE~= PAGe= 003.00 04.00 08/26/2002 0:3~ 21:20 D0003~Z?.05 5'/'; O47.0O0 C2. Date Deed Recorded C3. Book INSTRUCTIONS: http://wvvw.orps.state.ny.us or PHONE (518) 473-7222 REAL PROPERT~ TRANSFER REPORT STATE OF NEW YORK STATE BOARD OF REAL PROPERi'Y SERVICES RP 5217 1. PropertyI1 20 a~t 1 :)~;I g~-~rl (.~:.--~ A*~,,~,~ J Location STREET NUMBER T~'r¥~ ~E'~ I~v~E~ ....... ~ OR TOWN 2. Buyer I ~ Name LAST NAME ~ COMPANY -LAST NAME/COMPANY FIRST NAME 3. Tax Indicate~.__ w. he~e~.futur~Pa3~:~'~ are to be sent Billing 'if~ ~[-'~han buyer address (at bottom of form) I .,,, ~ '~ ~ " LAST N~ME-~-COMPANY Address ~lt~T~MBER AN~TR~ET ~ME .,, :"~' -- ~ Cm~ OR TOWN 4. Indicate the~num~r of ~eotI ~ ~ Roll parcels tra[~a'On the de~ . , ,~m~ of Parcels OR Pan of a Parcel PropertyI I xl JORI .... o , I · Size FRONT FEET DEPTH ACRES VILLAGE 6. Seller Name FIRST NAME FIRST NAME FIRST NAME ZIP CODE (Only if Part of a Parcel) Check as th~y,'~/: "~,, 4A. Planning Board with Subdivision Authority Exists aB. Subdivision Approval was Required for Transfer 4C. Parcel Approved for Subdivision with Map Provided 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: B ~2 or 3. F~mily Residential C ~.~ Resi(:re~ial Vacant Land DL.~ Non-Residential Vacant Land SA~E: 11. Sale Contract Date 12, Date of Sale / Transfer Check the boxes below es they apply: 8. Ownership Type is Condominium [] 9. New Construction on Vacant Land [] 10A. Property Located within an Agricultural District [] lOB. 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: Community Service Industrial Public Service Forest Agricultural Commercial Apartment Entertainment ! Amusement A B C D E F G H I J M6nth D~y- Y~ar M~nth Day Year 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 Jnstitutio'h Deed Type not Warranty or Bargain and Sale (Specify Below) Sale of Fractional or Less than Fee Interest (sPecify Below) 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 13. Full SalePrice I , , ' q' 5, n, 0,01 (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 whole dollar amount. 14. Indicate the value of personal I 0 0 property included in the sale ' I A tl t ? ~sessment Reti and:TaX Bi~ I 16. Year of Assessment Roll from I ? ~";~1 17. Total Assessed Value (of all parcels in transfer) which information taken " 20. Tax Map Identifier(s) / Roll Identifier(s) (ff more than four, attach sheet with additional identifier(s)) !000-003_00-04_00-891_000 I I I 1000-003.00-05.00-016.003 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 beliei~ and I understand that the making of any willful false statement of material fact herein will subject me to~b,e provisions of the penal law relative to the making and filing of false instruments. B.U .'s ATTORNEY - I ~arles R. FIRST NAME SELLER SIGNATUR~~ --~ ~, ~