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HomeMy WebLinkAboutL 12206 P 371T D~SK~K~'TIC~ Tkis lndeatu~, rru~ tt~ la day e4~Jul¥. Two ~ aacl ~ BETWEErV ~' GA IL O. TISKA, t~siding a 252'/Deenqel~ R~atL Sa~ ~ New York L i96~, L~R, LLC, u New Y~ Lmd~l LinldlitY ~y ~ ~ lo,amd at ~? AND II~rf~J~4DED TO BI~ ~ aa~ ~,~ t Ihe ~ by ~ Jun= 17, 2002 ~ ~ m ~ Sid~ei*k~*10tTnc~ on .lul~ in Liar D00012194 ~ 807, 0e Cmmlor ~ the ~mme per~ ~bed ~ t~ ~ ia satdDcc& Tol~;~r wi~ And ~ pm-fy of lhe fira pan Cov~..~? dmt the pat,_y ord~ fn~l Fa~t ha~ not dau~ ar sufl'cr~d nays.hire wh~c!~y ~ md a lum~ b~ca ~ in ey Il',; PRF_~CE OF: GAlL ~AT~ OF ~ YORK) C'OU~'~FY OF persormily, ~ be fl,~ ~ wl~ u~ is ~b~i~o ih~ ~ ~ ~1 ~ o~ 0U~5695 QUITCLAIM DEED DLWR ~q~ 1C.-~0 GAlL O. TISKA BLOC~: 10o00 ~0 lOT," 0~0.000 LO1P~ L~ C'Oo~ OR ~: ~ ~ BY IKAIL T(k Jay P. P.O, Box 398 Ri~ ~ York i 1901 I£ GRAND 'IOTA L R~;I Prope~y Trix Service ~ Vc~i;fi~li~ 0203~ ~ooo o7ooo ~oo~ L P ~?t 2. Addilt~ai TaI~ ~ub T~dal ~ , I~m~o~l Fund Con~idet~ion Arnoum $ "- C) - Cil. i n~ Due $ V 1~tle Coml~ny ~formnllon & £ndorscmcnt TO 1JOX~ 5,111RU 9 MU,Si ~ 'I~T~ OR FRIN~I~) FN BI.ACK INK 0iqLY I~U. OR'IO ~ OR FLUNG. l llllllllllllmlllltllil ~ of Inst~nt: DEEDS/DDD ~SFER TAX ~BER: 02-04576 070,00 I0,00 $o.oo For P~ge/rilir~ ~9.00 cog $5.00 ~A-CTY $5.00 ?P-584 $5.00 P~T 830,00 T~an~fe~ ~x $0.00 A PART OF THZ IIq~TPSJ~ENT At: LIBER: PA~E: 08/29/20O2 03:3~ :36 ~ D00012206 3'71 040.000 $15. oo $25. oo Ho $0,00 Ho $o, oo HO $o.oo HO $99.00 p~ CI. ~Wt$ Code I ~0~ I~FO~M~TIO~ I Name ~AME /COMPANY' PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222 REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOABD OF REAL PROPERTY SERVICES VILLAGE RP- 5217 RP-5217 Rev ~ FIRST NAME ~p CODE ' LAST NAME COMPANY FIRST NAME 3. Tax Indicate where future Tax Bills are to be sent Billing ifotherthanbuyeraddress(stboOomofform) l ~'-~' Address 4. Indicate the number of Assessment, Roll parcels transferred on the deed I , ~ I # of Parcels ORI I Par~ of a Parcel 5. Deed PropertyI J x l Size FRONT FEET 6. Seller Name LAST NAME / COMPANY OEPT~ IACREsl FIRST NAME (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 [] Ch. FIRST NAME 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 B ~[ 2 or 3 Fam~f Residential C ~[ Residential Vacant Land D[ [ Non-Residential Vacant Land SALE INFORMATION I 11, Sale Contract Date Commercial Industrial Apartment Public Service Entertainment / Amusement Forest Month Day Year 12. Date of Sale / Transfer Month Day Year 13. Full Sale Price I I , , , I I ~ ,~), 0 , 0 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 obligstions.) Please round to the nearest whole dollar amount. 14.1ndicate the value of petsonal I , , , , , ,(~, O , OI property included in the sale ~ ~ · ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill 16. Year of Assessment Roll from ~ 17. Total Assessed Value (of all parcels in transfer) which information taken 18. Property Class ~-LJ 19. School District Name 20. Tax Map Identifier(s) / Roll Identifier(s) (if more than four, attach sheet with additional identifier(s)) 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 notice indicating r---] that the property is in an Agricultural District 15. Cheek one or more of these conditions as applicable to transfer: A Sale Between Relatives or Former Relatives B Sale Between Related Companies or Partners in Business C One of the Buyers is also a Seller D Buyer or Seller is Government Agency or Lending Institution E Deed Type not Warranty or Bargain and Sale (Specify Below) F 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 Factom Affecting Sale Price (Specify Below) J None 70- 10--9o I J I I I CERTIFICATION I 1 celSify 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 malting of any willful 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 Lt..c._ BUYER,~IGNA~-URE DA~E STREET NUMBER STREET NAM~ IAFTER SALE) I SELLER STATE ZIP CODE DATE BUYER'S ATTORNEY AREA CODE · . TELEPHON~ NUMBER