HomeMy WebLinkAboutL 12204 P 60210o0
07, O0
le~izmem, ~ai i~ ~id~ ~ ~ (*GO/~.00) ..................... -
and ~esc~btd as ~o~s:
~O~ZF of ian~ of ~kor ar~ the ~ot:hveetet~y ~ of t~ p~ee ~eLn deme~,
c~s=8 a~ disr~nc~.:
; thence S. 21~ 20' 50"
i~. ~4' 30' ~. 295.0 feet ~o a ~ent eot
No. 1123 P 1976.
TOGE'ZH~R wi~ all ~ighL ~tlo ami ~L ~, of ~ p~ of the fJtsl pelt in ~ Io ~ Streetz ~ ~
~lt or ~i~; ~ F, AVE A. ND TO HOL,D ee ~ bemln ~ uato ~he Patty of ~ seined Init, the
~ ~X 279
TORRE~
N~
Re~ C~
02050316
PO ~ 279
Suffolk
Tlas ~ r.~u p~ of the
Title Corn
Co, H~m~
(Sm'EOL=~V TYFE OF IN~I~JJVENT )
TO
lnfurmnlion
made by:
SU~;~OLK ~ CLEP. K
P~CORDS OFFZCE
~ of Pa~es: 3
TRANSFiCR TAX ~ER: 02-03168
lO00
Deed Amount:
PAGE:
Section: Block
096.00 0~. 00
~XAl~b~O AND CHAP~ AS
~0 ~oo
08/20/2O02
02:52:00 ~
D00012204
602
007.004
Re~ei~ t~e Following Fees For
02-03168
THZS PAGE Z8
A PART OF
FOR COUNTY USE ONLY
Cl. SWlS Code
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www.orps.state.ny.us or PHONE (518) 473-7222
I ~/-~2~/.~.2 I
Month Day Year
REAL PflOPEI~TY ~TRANSFER REPORT
STATE OF N,E ,~1/YORK
STATE SOARF! ~F REAl, I~ERTY SERV CES
RP' "'5217
C2. Date Deed Re~orded
PROPERW INFORMATION I
1. Property
Location 7430 I Indian Neck Lane I
STREET NUMBER STREET NAME
Southold I Peconic I 11958 I
CI~' OR TOWN VILLAGE ZIp CODE
2. Buyer I ltolzner I Anne S. I
Name LAST NAME / COMPANY FiRST NAME
I LAST NAME / COMPANY I FiRST NAME I
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)I I [
Address LAST NAME / COMPANY FIRST NAME
4. Indicate the number of Assessment
Roll parcels transferred on the deed
5. Deed
PropertyI Ix L
Size FRONTFEET
Prellwitz
6. Seller I
11 # of Parcels OR ~ Par~ of a Parcel
I OR I '~eR~s' 1 o 6,5 I
(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. Pamel Approved for Subdivision with Map Provided []
Estate of Samuel B. I
F~RST 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[~ On0 Family Residential
B I~ 2 or 3 Family Residential
C ~ Residential Vacant Land
DL.~ Non-Residential Vacant Land
I SALE INFORMATION I
11, Sale Contract Date
12. Date of Sale / Transfer
F ~ Commercial
G~..~ Apartment
HI I Entertainment/Amusement
I / / I
Month Day Year
I 8 /9 / 02I
Month Day Year
13. Full Sale PriceI , , = , , , , -~-- , 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 obligations.) Please round to the nearest whole dollar amount.
14. Indicate the value of personal I I I I I I I --01'~ I 0 I
property included in the sale ~ ~ ·
I ASSESSMENT INFORMATION - Data shodld r~ the latest Final Assessment Roll and Tax Bill
16. Year of Assessment Roll from 00~ 01I
which information taken I 17. Total Assessed Value (of all parcels in transfer) I
18. Property Class I 3, I , 1 I-LJ 19. School Diattict Name I
Check the boxes below as they apply: ,
8. Ownership Type is Condominium []
Service 9. New Construction on Vacant Land []
Community
Industrial 10A. Property Located within an Agricultural District []
Public Service 10B. Buyer received a disclosure notice indicating ~
Forest that the property is in an Agricultural District
15. Check one or more of theSe conditions as applicable to t~ansfer:
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)
Signigcant Change in Properb/Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
Executor'e Deed, settlement of estate
Southold
2 4 0
0I
20. Tax Map Identifier(s} / Roll Identifier(s) (If more than four, attach sheet with additional identifier(s))
[':00-086.00-07.00-007.004 I I
certify that alt of the lib-ms of mformaUon entered on this form are true and correct (to ~ best of my knowledge and belief) and I understand that fl~e making
of any willful fa]se statement of material fact herein will subject me to the provisions of the penal law relative to the making and filing of false instrument.
BUYER
947 LaClatr
STREET NUMBER
STREET NAME (AFTER SALE)
Pittsburg? PA 15218
I I
CITY OR TOWN STA~. ZIp CODE
SELLER
SELLER SIGNATURE DATE
BUYER'S ATrORNEY
Hefter I Marcia Z.
LAST NAME FIRST NAME
(631) 369-1700
AREACODE TELEPHONENUM~ER
ITY/TOWN ASSESSOR
COPY