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SCHEDULE A-DESCriPTiON
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~st~dy ~ ~ Sf~r~e Lane~
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In tl~ %~t~p of
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SUFi~OLK C~KrITI~ CLE-~
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TP~.NSI~R TAX ~ER: 02-07315
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PAGE
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$4~,000.00
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09~32:55 AM
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$12.00 NO
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~-584 $5,00 ~ C~rt. Copte~
~ ~30.00 ~ S~
~= ~ $1,932.00 ~ C~.Pren
Feem Paid
TAX ~ 02-0'~31S
THIS PAGE
A PART
SS.00 NO
$15.00
$25.00
$0.00 NO
$0.00 NO
$6,660.00
$8,694. O0
Coun=y Clerk, 9uffolk Co-.-~=y
PLEASE TYPE OR PRESS FIRMLY WHEN WRIT'lNG ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
RP -5217
1. Property{ 5 10
Location
Shore Lane
STREET NUMBER
Southold
STREET NAME
[ Pec~nic
I 11958
2. Suyer
Name
Cl~ OR TOWN
SASSI, JR.,
I Vincent D.
LAST NAME / COMPANY
FIRST NAME
ZIP CODE
SASSO,
I Sally G.
LAST NAME / COMPANY
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address
STREET NUMBER AND STREET NAME
4. Indicate the number of Assessment
Roll parcels transferred on the deed I
5. Deed
Property
Size
6, Seller
Ixl
FRONT FEET DEF~H
FIRST NAME
LAST NAME / COMPANY
cFrY OR TOWN
gCHEHBRI HOMES. INC. I
LAST NAME / COMPANY FIRST NAME
I
FIRST NAME
r ST.~TE I ZIP CODE
(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 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 Family Residential F ~ Commercial Industrial
C ~ Residential Vacant Land G ~ Apartment Public Service
D[~J Non-Residential Vacant Land H~.~_J,~otertainment / Amusement Forest
SALE INFORMATION I ·
11. Sale Contract Dato I 06 / 11 / 02 I
Month Day Year
12. Date of Sale / Transfer
[ Nq / n3 / 02 I
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 r~
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 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 (Spec~ly Below)
13. Full Sale Price I , , ,4 , R, 3 O, O, O, 0 , 0 I
{Full Sate 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 personal I I I I I I I I 0 I 0 {
property included in the sale ~ ~ ·
I ASSESSMENT iNFORMATION - Data sh0Uid ~ the latest Final Assessmeht R6 and Tax Bill I
20. Tax Map Identifier(s) / Roll Identifier{s) (If more than four, attach sheet with additional identifier(s))
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
16.whichYear OfinformationASSessmenttakenROll from I , I 17. Total Assessed Value (of all parcels in transfer)
18. Property Class k~.~_~-I I le. School District Name I ..~
IE~,~T. )oob I I~c.. o%~,.o0 I
! certi~ that ~
of ~y ~ f~ s~tement ~ ~ ~ct he~ ~ ~bj~t ~ ~ ~e p~iom of ae ~ law ~lafive ~ ~ ~g ~ fllin~ ~ ~ ~n~,
BUYER ~ BUYER'S A~ORNEY
AREA CODE T~LEPHONE NUMBER