HomeMy WebLinkAboutL 12217 P 692~ ~ 2) ~ ~ ~ 32 ~ 1,0 ~ east~ 497.~ ~to ~ true ~ d ~ng;
~ ~D S~ DEED
RAYMOND JAY ~iN & ~ M. AKSCIN
SECTION
BLOCK
LOT
C~ OR TOWN
STREt:'-r ~ESS
Atm. ~ Z. Heft,
1~$~ P.O.
FUvelttead, ~ 11~4~9
TORRENS
Certificate #
Deed /Mortgage l~ment
$larnp
Deed / Mortgage 'r~ Stamp
$ GO
~ To~i '--~ --'--'
GRAND TOTAL ...... /~c.~ --'"
71 Satlsfacti~s~u:~rgcs/Rel~ Li~ ~pe~ ~ Mailing
...a RECORD & R~URN TO:
~seks, Hef~ & A~gel
Attn. ~ia Z. ~er, ~.
108 l~in ~, P.O. l~x 279
Riverhead, ~ ! 1901-0279
~ngage AmL
l. ~ic Tax
2. Additional Tax
Sub Total
~JAssiL
Or
Spec./Add.
TOT. MTG. TAX
Dual Town ~ Count)' _ _
HeM f~¢ Apl~Mkmmen~
']¥amfer Tax
will be improved by a one or lwo family
YES
I' c°mm~ni tY P~i-va¥ion Fund~
I Consideration Amount
CPF Tax Due 3,~.{
acanl Lan~ X
TD
TD
I~IOIK
This ~ fom-s ~ ofthe al~
~d Jay A~-scin ~ Ste/l~ M. ~in
TO
Title Company Information
Co. Name
Title #
& Endorscmcm
(SPECIFY '~1~ OF INSml~g:.~r )
The ~ses herein is si~ b
SUff~ ~, N~WY~
in ~ To~Mp of ~~
In ~ ~GE
or I ~MLE'r of ~d
UOXI:;$ 5 'I!tRU9 MUST BE'I'Y'PED OR ~~ H'4 BLACK ~K ONLY PRIOR TO 'I~ECOIU.HN~j ~ HLII'a3.
(OVER)
[ Illlli ill ll[ll Iii iiiii ~!11 llll IIIII IIIII Iii llll
SUFFO~ C0~ CLERK
RECO~S OFFICE
RECOF~L%~ P~E
Type of Instrument = DEEDS/DDD
Number o£ Pages= 3
TRANS~R TAX ~ER: 02-13392
District::
1000
aecorded~
LIBER =
PAGe:
Section~ Block=
088.00 02.00
$250,000.00
3.0/30/2002
11~20~15 AM
D00012217
692
017.006
Received the Follow~g Fees For Above I~t~ament
TRANSFER T~ ~ER~ 02-13392
Fees
THIS PAGE IS A PART OF ~ INSTR~
$5.00 NO
$15.00 NO
$25.00 NO
$~.oo No
$0.00 NO
$3,500.00 NO
$4,603.00
Edward P.Romatn~
County Clerk, Suffolk Co~t7
PLEASE TYPE OR PRESS FIRMLY ~/V~-WRITING
INSTRUCTIONS: http://www.orps.state.ny, us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERT~ SERVICES
RP - 5217
RP-5217 Rev 3/97
1. Property I
Location
STREET NUMBER STREET NAME
2. Buyer
Name
CITY OR TOWN
LAST NAME, COMPANY
VILLAGE ZiP CODE
'Z:c.
FIRST NAME
3. Tax
Billing
Address
LAST NAME · COMPANY
Indicate where future Tax Bills are to be sent
if othe~ than buyer address (at bottom of form) I
LAST NAME -' COMPANY
STREET NUMBER AND STREET NAME
4. Indicate the number of Assessment
Roll parcels transferred on the deed
5. Deed
Prope~ I I xl
Size FRONT FEET DEPTH
6. Seller
Name
CITY OR TOWN
FIRST NAME
] # of Parcels
IORI , ,
FIRST NAME
OR ~ Part of a Parcel
IACREs · ,
I , I
STATE
ZIP COnE
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists []
4B. Subdivision Approval was Required for Transfer []
4C. Parcel Approved for Subdivision with Map Provided []
LAST NAME ! COMPANY
I ,a ~ 5c,,,.:
LAST NAME / COMPANY FIRST NAME
FIRST NAME
.~cz
7. Check the box below which most accurately describes the use of the property at the time of sale:
2 or 3 Family Residential ~ ~ Commercial Industrial
Residential Vacant Land ~ ~.~ Apartment Public Service
Non-Residential Vacant Land HL...j Entertainment / Amusement Forest
11. Sale Contract Date [ l0 / [6 / OL
Month Day Year
12. Date of Sale l Transfer I /~/ /~ / ~- I
~ Month Day Year
Check the boxes below as they apply:
8. Ownership Type is Condominium L_J
9. New Construction on Vacant Land []
10A. Property Located within an Agricultural District ~
10B. Buyer received a disclosure notice indicating r'~
that the property is in an Agricultural District
Check one or more of these conditions as ap~plisable 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 Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
15.
A
B
C
D
E
F
G
H
I
J
13. Full Sale Price
·
(Full,ale 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
mot[gages or other obligations.) Please round to the nearest whole dollar amount.
14. Indicate the value of personalI , , , , i , , o, o I
property included in the sale ~ ~ ·
ASSESSMENT INFORMATION- Data should reflect the latest Final Assessment Roll and, Tax Bill
16. Year of Assessment Roll from
which information taken '
18. Prope~ Cla~a
'Ti OU6
~:)o 0I
I J I 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 belief) and I understand that the making
of any wjllftd false statement of material fact herein will subject me to the provisions of the penal law relative to the making and filing of false instruments.
-' ' ,BUYER BUYER'S ATTORNEY
BUYER SIGNATURE DATE
STREET NUMBER STREET NAME IAFTER SALE)
-' ' .... /! :'7
' ': 'I~ :'" :'"' ~ I :" I
Cl~ OR TOWN STA~
SELLER '
SELLER SIGN~URE DATE
:;L k
LAST NAME FIRST NAME
AREA CODE TELEPHONE NUMBER