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HomeMy WebLinkAboutL 12209 P 42by ~ party ~e second pan, ~ he. by temise~ mI~ ~ qui~laim mm Ibc pa~y. of ~ ~ pi~. thc he~r~ S;l~ ~ "A" ATTAag~ ~ Ail ~E A eAi~ IF ~f~ln:~:l ~ wl~cnevca, tbc~oir c~ I~r ~ or. ScOa A ~i~t,~ fown of ~utho]d. ~nty of SuffoI~ and ~tate of ~ ~ork. boun~ descrlb~ as 8[G~4[NG at a COnCrete ~n~n~ set on the easterly a~ ~ ~h~sterly co,er of [and conveyed by Jo~ H. Leh? and FJo?ence H. his ~Ife. to ~nry B. L~tle o~ ~ble P. LZtle~ hl~ ~eds ~t Page 06, and running t~en~ along ~and ~ast refer~ to ~orth d~s ~ m)nutes 10 s~ondS East ZO0,OO f~t t~ a concrete ~u~t; t~nce ~r~iel to s~d ~lne of ~uth ~?~r ~ad ~uth g degrees 35 ~inutes East )O.O0 feet to ~ concrete ~u~nt and )~ now o? )ence a~g said ~a~d of Oav~d Lehr ~uth 78 d~rees 56 ~inutes lO seconds ZO0,~ ¢~t to ~ concrete monu~t a~6 said easterty line of ~uth Harbor m~nutes ~st 1~.00 feet to the ~o~ni of BEGI~N)~G, TrrLIE ~ QurrCl~M ~D GARY F~HNER OLSEN Cutch~ ~ TORRENS ~J Sub 02033~ xooo o?~o 0400 oo~o P 042 |~Ta 2, ~ T~ 0~ ,rr er NO Fund Conlidtralioh Amount CPF Tax Due~ V~ca~t Lir~d Title Company Information Co Name ~ 8: Endorsement ra~ by': TO 02-06?03 ~000 0~5 ~00 O& .00 GO. 0 o 09/Z6/3002 OaJSOsX$ ~ ooz22o9 oa2 003.000 $0.00 $0.00 $0.00 1102.00 ~OR ~'~ WHEN WRITING ~RM INSTRUCTIONS: hep://www.orps.state.ny.us or PHONE (518) 473-7222 REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STAI~ BOARD OF REAL PROPERTY SERVICES RP- 5217 1. Property Loc, etlon 2. Buyer Name STREET NUMBER- STREET NAME I Southold ] 11971 VILLAGE ZIp CODE Janet C. (as T~ustee of the Jan~;~ C. 3. Tax Billing Address LAST NAME / COMPANY Indicate where future Tax Bills are to be sent if other than buyer address (at bottom of form) FIRST NAME LAST NAME / COMPANy S~EET NUMBER AND STREET NAME ~ 4. Indicate the number of Assessment Roll parcels transferred on the deed CITY OR TOWN , ~ I #of Parcels OR ~ Part ofaParcel I , I (Only if Part of a Parcel) Check as they apply: 4A. Planning Board with Subdivision Authority Exists [] 5. Deed PropertyI ix L Size FRONT FEET 4B. Subdivision Approva~ was Required for Transfer [] 4C. Parcel Approved for Subdivision with Map Provided [] FIRST NAME 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 D[~ Non-Residential Vacant Land 11. Sale Contract Date Commercial Industrial Apartment Public Service Entertainment / Amusement Forest Month Day Year 12. Date of Sale / '~'ransfer I 5 / / 02 ~ Month Day Year Check the boxes below as they apply: 8. Ownership Type is Condominium [] 9. New Construction on Vacant Land [] IOA. Property Located within an Agricultural District [] 10B. Buyer received a disclosure notice indicating [] that the properly is in an Agricultural District ..15. Check one Or mere of these co.m:litions es al~olicaifie 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) -0- 13. Full Sale Price I I I I I I ~ ~ ~ ~ 0 ~ 0 J ~ ~ · (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 J mortgages or other obligations.) Please round to the nearest whole dollar amount. 14. Indicate the value of personsf [ I I I I I I I 0 I 0 ] probe~/included in the sale ~ ~ · /A~SSESSMENT INFORMATION; DetJa Sfi0Uld ~ect ~Ja~st R~ A~sme~t Reit .nd Tax Biii[ 16. Year of Assessment Roll from ] ~ , ] 17. Total Assessed Value (of all parcels in transfer) J which information taken 18. Prope~yClass I ~i':~' ,L'il-I I 19. School District Name I , ,i' Significant Change in Property Between Tpxable Status and Bare 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 sheet with additional identifier(s)) 1000-O 75.00-0~. ~0-003.000 I I I [ CERTI~ATION I SELLER LAST NAME FIRST NAME AREA CODE TELEPHONE NUMBER