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~ENCE North 44 ~ I I mlnum W~ I57~ f~t ~ ~e ~1 ~ ~ ~ ~
the grnntor h~ Liher I ! 798 Page ~,
~ granlor~ being the ss~ persaa(s) ns the named &tal~es in a certa~ deed In Ll~e~ I1'1~
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Lot
COre'fY M
TORR£NS
GRAND
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TP~LNSFER TAX NL~4B~P.: 02-01947
1000
At::
LIBER:
078~ 00 03.00
o8/2.3/2ooa
03:38:00 Zql
D00012203
105
037,000
Pa./Filing $9.00
COg SS.0&
liA-C~ $S,00
TP-564 $5.00
~ $30.00
T~nsfoz 'c&x $520.00
TAX ~: 02'01947
TH~S P~n~_ I8
A PAinT GF Ti~ 331~
$5.00 ~0
015.00 HO
$25.00
$o.oo no
~o.oo tm
Sp.oo
$619, O0
FOR COUNTY USE ONLY
Cl, SWlS Code
1. Property 1 9 4 5
Looation
PLEASE TYI~OR PRESS FIRMLY WHEN WRiTING ON FORM
INSTRUCTIONS: http://wvvvv.orps.state.ny.us or PHONE (518) 473-7222
REAL'PROPeRTY TRANSFER REPORT
STt~TE OF,~NEW YORK
STATE BQ~AR~)=qF IfF~I~ ,P~OPERTY SERVICES
5217
] Nakomis Road
STREET NUMaER STREET NAME
Southold I Southold
CII~ OR TOWN VILLAGE
2. Buyer ] Schro~der I William O.
I
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form) ]
Address
111971 I
ZIP CODE
LASTNAME/COMPANY
I
STREET NUMBER AND STREET NAME
cn~ OR TOWN
RRST NAME
I , I
STATE
ZIP CODE
4. Indicate the number of Assessment I I ~
Roll parcels transferred on the deed , , 1 , # of Parcels OR Part of a Parcel
5. Deed
Propecty I ]xl I ORI , , , ,3,--~1
Size FRONT FEET DEPTH ACRES
{Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists []
48, Subdivision Approval was Requited for Transfer []
4C. Parcel Approved for Subdivision with Map P?vided []
6. Seller I Schroeder I ~illiam D.
LAST NAME / COMPANY FIRST NAME
7. Check the box below which most accurately describes the use of the property et the time of sale:
B ~ 2 or 3 Family Residential F ~.J Commercial Industdal
C ~ Residential Vacant Land G~ Apartment Public Service
DI I Non-Residential Vacant Land H!.~I Entertainment/Amusement Forest
SALE INFORMATION I
11. Sale Contract Date r / / r
Month Day Year
12. Date of Sale / Transfer
I 7 / 24 / 02 I
Month Day Year
Cheek the boxe~ below as they apply:
Ownership Type is Condominium []
9. New Construction on Vacant Land []
10A. Property Located within an Agricultural District r~
10B. 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:
A
B
C
D
E
F
Sale Bet~veen Relatives or Former Relatives
Sale BeWveen 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 BelO~L
13. Full Sale Price I , , , 1, 3,0 ~ 0 0, , 0 , 0 I
(Full Sale Price is the total amount paid for the property including personal property. I
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 personalI , i , , , , O i 0 , 0 I
property included in the sale ~ ~ ·
I~ASSESSMENT INFORMATION = Data should reflect the latest Final Assessment Roll ~nd Tax Bill
16. Year of Assessment Roll from
which information taken ~ 17. Total Assessed Value (of all parcels in transfer) I
18. ProperWClass 12,1 ,o I-I ~ 19. School District Name I Southold
Significant Change in Property Between Taxable Status and Sale~;latesi
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
20. Tax Map Identifier(sf / Roll Identifier(s) (if more than four, attach sheet with additional ident;Ser(s})
L 1000-78-3-37 J I
L J I I
I CERTIFICATION I
l certify that all of the items of information entered on this fonn are true and correct (to the b~st of my knowledge and be~eD and I understand that the making
of any wilful false statement of material fact herein will subj~t me to the provisions of the penal law relative to the making and filing of false instruments.
BUYER
~UYER SIGNATURE ~ DATE
W±!liam D. Schroeder
1945 I Nako£ais Road
STREET NUMBER
STREET NAME (AFTER SALE)
Southold NY 11971
I
CI~ OR TOWN STATE ZIp CODE
SELLER
BUYER'S ATrORNEY
Caminiti I Paul
631 I 765-5900
ICITY/TOWN ASSESSOR1