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Home My WebLink AboutL 12974 P 977 (I I I I I I I!I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I!I IIIIIII 11111 IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 08/22/2018 Number of Pages : 8 At: 11 :27 : 55 AM Receipt Number : 18--0156678 TRANSFER TAX NUMBER: 18-02355 LIBER: D00012974 PAGE : 977 District: Section: Block: Lot: 1000 127 . 00 03 .00 008 . 000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $175, 000 . 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $0 . 00 YES Handling $0 .00 YES COE $0 .00 YES NYS SRCHG $0 .00 YES EA-CTY. $0 . 00 YES EA-STATE $0 .00 YES TP-584 $0 . 00 YES Notation $0 . 00 YES Cert.Copies $0 . 00 YES RPT $0 . 00 YES Transfer tax $0 . 00 YES Comm.Pres $0 .00 YES Fees Paid $0 . 00 TRANSFER TAX NUMBER: 18-02355 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ' I 1 1 2 Nut,'dw ofPages RECORDED 2018 Aug 22 11 27:55 P1 JUDITH A. PPSCPLE This document will beublic CLERK OF p SUFFOLK COUNTS' record. Please remove.all L D00012474 Soclil Security.Numbers F 977 DT# !F,'-02355 prior to recording. Deed!Mortgage Instrument Deed 1 Mortgage Tax Stamp Recording/Filing Stamps 31 FIBS Page/Filing Fee T Mortgage Amt 1. Basic'flax Handling ^"� 2. Additional Tax TP-584 Sub Tbtal Notation SpecJAssit or EA-52 17(County) Sub Thud Spec./Add. EA-5217(State) �� TOT.MTG.TAX R.PT.S.A. OnD OC) Dual Tbwn Dual County — Held for Appointment Comm.of Ed. 5. 00 Transfer Tax . Affidavit i • Mansion Tax. �� The property covered by this mortgage is Certified Cop or will be improved by a one or two NYS Surcharge 15. 00 g a family dwelling only. Sub Total YES or NO �/ Other _ Grand Total ( '` 4(T A /'j� If NO,see appropriate tax clause on �" � Page# of this' 4 �� 18028014 1000 12700 0300 008000 -vs-ddc) 5 Community Preservation Egad Real bpd PTS iiiiiiiiiiiiiiiiiii Consideration AmountTax Service R LPA i4 Agency 22-AUG-1 CPF Te*Due $ r Verification Improved 6 Satiaafactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: D l�Cn;news Vacant Land SUFFOLK OOUNPY DI<V.dFPEAL PRO1p11R'lYACQUWr= ID AND 8 tllla WXG.godMOOR TD 100 V$ EMM 11WR><Ai.RE WAY PA.BOX 6100 TD AADPPAUCKNY 11788-0)99 Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title&MpanxInfonuation 310 Center Drive, Riverhead, NY 11901Co.Name www.suffolkcourttyrry.9ov/cle* Title# -3k-o f s 6 8 Suffolk County RecorcHna & Endorsement Pa e This page forms � made by: p g part f the attached TYPE OF INS1RiJMEtM �? •..1 :J! `The premises herein is situated in SUFFOLK COUNTY,NEW YORK. In the TOWN of In the VILLAGE a oJ� 23 AS �t4, or HAMLET of BO '6 T HRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) . l�-3k—olJa- // ads' r SUFFOLK COUNTY BARGAIN AND SALE DEED WITH COVENANTS THIS INDENTURE, made the 20th day of April, 2018. BETWEEN Tristate Capital Holdings, LLC, with an address at 35 Marion Circle, Wading River, New York 11792, party 'of the first part, ------- AND the COUNTY OF SUFFOLK, a municipal corporation of the DISTRICT State of New York, having its principal office at the Suffolk 1000 County Center, Center Drive, Riverhead, New York 11901, which -------- will acquire a seventy nine percent (790) undivided interest in SECTION and to the parcel, and the TOWN OF SOUTHOLD, a municipal 127.00 corporation, with principal offices at 53095 Route 25, P.O. Box -------- 1179, Southold, New York 11971, which will acquire the BLOCK remaining twenty one percent (21%) undivided interest in and to 03.00 the parcel, as tenants-in-common, hereafter described -------- individually, or as the parties of the second part, LOT 008.000 WITNESSETH, that the party of the first part, in consideration of ONE HUNDRED SEVENTY FIVE THOUSAND and 00/100 DOLLARS ($175,000.00) and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs. or successors and assigns of the party of the second part forever, ALL, that certain piece or parcel of land, situated in the Town of Southold, County of Suffolk, and State of New York, more particularly bounded and described as follows: (see description annexed hereto as Schedule "A" and made a part hereof) : THIS DEED is given in accordance with Article XII of the Suffolk County Charter, as amended and effective December 1, 2007 and pursuant to Suffolk County Charter Article XII, Suffolk County Drinking Water Protection Program, as amended and effective as of November 30, 2000 and Resolution No.877-2005, Resolution No. 248-201, Resolution No. 108-2017 and Town of Southold Resolution No. 791.2016, all on file with the Clerk of the Suffolk County Legislature. BEING AND INTENDED to be the same premises conveyed to the part of the first part by deed dated September 25, 2013 and recorded September 27, 2013 in Liber 12746, page 222, in the office of the Clerk of the County of Suffolk. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with all right, title and interest, if any, that the party of the first part has in and to any strips and gores between the above described parcel and adjoining owners. TOGETHER with all right, title and interest of the party of the first part in and to all streets and roads abutting the above described premises to the center lines thereof, and the ponds, marshes, rivers, lakes, creeks, waters, and lands under water located in, upon or adjoining the above described premises, and all littoral, riparian and shore rights in any way pertaining or belonging thereto. TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TOGETHER with all other rights heretofore conferred by Seller, and subject to federal, state and local law, party of the second part may undertake, at its own expense or on a cost- . eae:szio-so Dqq 'sbutpTOH TegTdPD agegsTas •uaggTXM anoge gsaTg zeal PUP Aep agq poop sTgq pagnoaxo ATnp set.{ gapd gsaTg agq go Agled agq 'jozaaHM SSaxlim KI saaTnbea os aanquapuT Snug 90 asuas agq .zanauagM „saTglpd„ •peal qT gT se panagsuoo aq TTegs „AlITVd,i CdOM HHS •AloguanuT AqunOD xToggnS auq uT aoeds uado se uTeuuaa gsnuu pup pazTTTzags ATquaupulaed pauuaap sT Tooled Io aoaTd sTgq pup 'sasodand 6uTsnou OOIOgxIOM aog paaanas aaaM (s)HaHM gOTgM 'uue16o.zd sggbT' .quaiudOTanaa go IagsuPas agq Iog SOOZ-ZTb 'ON uoTgnTOsag AqunoO Nl oggns pup ' (aa4aeg0 Aqunoo 5(Tog7nS auq go IIx za4deu0) LOOZ 'T zagtuaoap aATgOagga pup papuauule Sp 'tueaboad uOTgOagoad aageM buTxuTaa AqunOO NTOggnS agq ggTM aOuppzoOOe uT spung buTsn paspuoand sem Taoaed ao aoaTd pagegsaaogP sTgy :AgTngodaad uT puPT agq g4TM una TTegs gOTuM uOTgOTIgsal pue qupuanOO P agngTgsuOO TTegs udPabPapd buTmoTTOg agq QAIEi •pueT go TaOIPd-ao 0007d pa424saa0ge agq uuozg („(s)gaHM„) (s)ggbTg quouudoIDA00 buTsnOH-a0a0;NJOM W MIEZ gg?maaau saaAas 'SOOZ-ZT6 '0N uOTgnTosag Aqunoo xToggnS pup 'goaaagq (0) (Z) (V) Z -ZTO § oq pagTUTT qou qnq 6uTpnTOuT 'LOOZ 'T aagTuaoaa aATgOagga pup papuawe se 1Iagapg0 AqunoO �ToggnS agq go IIx aagdeu0 ggTm aouepi000p uT 'gapd puooas auq go Agapd auq aAi'd •AgTngadzad uT pueT agq Una TTegs quPuanoO STgs quaupuquiu gOns AuP 04 aoTad umoy auq Aq paaTnbOe aTgTq aag go uoTgeuaTTp atiq uodn pasodun suOTgegTwTT agq .zagTP TTugs saagdeua asogq go SUOTSTAosd auq go quauulpuauup quanbasgns ON •uOTgOaTo umoq TpTuuaTq Io TeToads e qe paggTtuqns uoTgTsodoad e uo 6uTgon uMOZ agq go szogOaTa auq go TPAOIddp auq uodn pup buTapau OTTgnd P aagge paeog umoy agq go AgTaOCeTu e g0 agOA aATgeuuzTggP agq uodn gdaoxa 'pagPuaTTe aq IOU TTL-us sxagdeOO pTPs go suoTsTAoId agq oq qupnsand umoy agq Aq paaTnboe 3OKdS NEdO 'pTOugnog go umoy aq-4 go apo0 uMOI agq go (uoTgPAIasaad aoedS uad0) SgT aa4dpg0 pup (pun,3 u0Tg2Alasazd AgTununuo0) LT Iagdp40 uT ug10g gas S1 aNV asodand aaggo Aue zog atups agq gO Tegoq auq go gaed Aup buTsn aaogaq quatuan0adwT agq go qsoo auq go quauAed agq oq gsaTg aloes auq ATddP TTTm pue quaTuanOadTuT aqq go gso0 auq 6uTAed go asodand auq aog gsaTg paTTdde aq oq pung gsnzq e sP uOTgezapTsuOO uOns aATaOaz oq ggbTJ agq PTOg TTTm PUP aOUPAanuoO sTgq aog uoTgezapTsu03 agq aazaOal TTTm gaed gGITg agq go {gjPd auq gegq squeuano0 'MPa uaTq agq go £T TIOT40GS ggTM a00eTTdwO3 CIT 'geed gslTg agq g0 Aglpd agg Cud •pTesaaogp se gdaoxa 'aaeagPgM APM Aue uT paaagtunoua uaaq aAPg sasTuuazd pTes auq AgazauM buTggAuP paaaggnS aO auop qou sPg gzed gszTg agq go Aqaed aug gpuq squeuanoO gaed gslTg aug go Aqaed aqq aNra' •aanaaog gaud puooas agq go Aqapd auq JO su6Tsse pue saossaoons ao slTau auq 'gaed puooas auq go Aqaed agq oqun paqupzb uTaaag sasTTuaad aug aaOH OS atter 3AvH OZ •sanTeA Teangeu sqT aoupqua ao 'sasTulaad agg uTeguTPuu pup 'abeueul 'gOagold 'aaogsal og (SODT40ead quauuabeupuu gseq quauugpaaq AgTTenb aagem Iagemullogs pup UOTIP71TTJUT aoegansgns buT.pnTOuT) saigTnTIDe Aue 'Agrqua Iaggo due ugTm sTseq azegs STATE OF NEW YORK) ) ss: COUNTY OF SUFFOLK) On this 2 a day of /. in the year 2018, before me, the undersigned, person lly appeared _W '>f r'a"n �o�/�c� personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. WENDY STETTINE ,' '�'� .1/ ✓ NOTARY PUBLIC,STATE OF NEW YORK Notar blic: State of New York Registration No,01 ST4642045 OuWified in Suffolk Courcy Commission Ex 'res ust 31,2021 BARGAIN AND SALE DEED DISTRICT 1000 WITH COVENANT AGAINST SECTION 127.00 GRANTOR'S ACT BLOCK 03.00 TITLE NO. 18-38-0150-11065 LOT 008.000 TRISTATE CAPITAL HOLDINGS, LLC TO COUNTY OF SUFFOLK AS TO 79% UNDIVIDED INTEREST AND TOWN OF SOUTHOLD AS TO 21$ , UNDIVIDED INTEREST RECORD & RETURN TO: PHYLLIS J. BENINCASA Dept. of Economic Development and Planning Div. of Real Property Acquisition and Management H. Lee Dennison Bldg. , 2nd Floor P.O. Box 6100 Hauppauge, NY 11787 osmze: y��r AE3STRACTS, INCORPORATED'"' Rasidartitlal E.COmmarulalTttla Insurance almmn 9 5B4 as agent for Chicago Title Insurance Company SCHEDULE A DESCRIPTION Title Number: 18-38-0150-11065 Page: 1 AMENDED 4118/2018: Surveyor's Description: East Parcel: ALL that certain plot piece or parcel of land,situate, lying and being in the hamlet of Laurel,Town of Southold, County of Suffolk, State of New York and further described as follows: BEGINNING at a point at the southwesterly corner of land now or formerly Half Hollow Nursey Realty Corp.,said point being situate the following six(6)courses and distances as measured along the westerly side of a certain right of way from the northerly side of Peconic Bay Boulevard and the seventh course and distance measured along land now or formerly Capital Asset Retirement Fund LLC.; 1. North 38 degrees 17 minutes 20 seconds West 200.00 feet; 2. North 89 degrees 21 minutes 23 seconds West 58.86 feet; 3. North 32 degrees 22 minutes 30 seconds West 141.32 feet; 4. North 57 degrees 28 minutes 17 seconds West 55.41 feet; 5. North 46 degrees 25 minutes 08 seconds West 1,391.33 feet,Survey, (1391.32 feet actual); 6. North 37 degrees 01 minutes 40 seconds West 130.40 feet; 7. North 57 degrees 26 minutes 58 seconds East 202.55 feet; RUNNING THENCE from said point of beginning South 57 degrees 26 minutes 58 seconds West along land now or formerly Capital Asset Retirement Fund LLC 334.85 feet to the approximate mean high water mark of Brushes Creek; THENCE along the approximate mean high water mark of Brushes Creek the following nineteen (19)tie-line courses and distances: 1. North 21 degrees 48 minutes 46 seconds West 10.50 feet; 2. North 50 degrees 12 minutes 46 seconds West 35.51 feet; 3. South 70 degrees 52 minutes 41 seconds West 15.72 feet; 4. South 02 degrees 58 minutes 29 seconds East 46.72 feet; 5. South 25 degrees 17 minutes 19 seconds East 47.73 feet; 6. South 16 degrees 20 minutes 52 seconds West 36.58 feet; 7. South 79 degrees 47 minutes 47 seconds West 24.02 feet; 8. North 44 degrees 04 minutes 14 seconds West 86.04 feet-, 9. North 51 degrees 42 minutes 03 seconds West 114-50 feet; 10. North 46 degrees 03 minutes 29 seconds West 58.95 feet; 11.North 37 degrees 30 minutes 10 seconds West 40.74 feet; ABSTRACTS. INCORPQRATEED"" Rasidantlal 6.Commarcla!Titla lneurr�nca stnca 1 9H4 as agend for Chicago Title Insurance Company SCHEDULE A DESCRIPTION Title Number: 18-38-0150-11065 Page: 2 12.North 23 degrees 16 minutes 54 seconds East 38.29 feet; 13.North 49 degrees 09 minutes 36 seconds East 35.19 feet; 14.South 79 degrees 52 minutes 22 seconds West 30.26 feet; 15.South 64 degrees 05 minutes 54 seconds West 22.72 feet; 16.North 42 degrees 02 minutes 57 seconds West 137.92 feet; 17.North 69 degrees 05 minutes 55 seconds West 51.85 feet; 18.North 60 degrees 45 minutes 49 seconds West 131.06 feet; 19_North 42 degrees 11 minutes 23 seconds West 15.82 feet to land now or formerly Joseph Gebbia; THENCE along land now or formerly of Joseph Gebbia and along land now or formerly of Half Hollow Nursery Realty Corp.the following two(2)courses and distances: 1. North 46 degrees 58 minutes 38 seconds East 280.21 feet; 2. South 60 degrees 27 minutes 02 seconds East 719.35 feet to the point or place of Beginning. CONTAINING an area of 5.0314 Acres or 219,170 Square Feet; TOGETHER WITH a certain right of way bounded and described as follows: BEGINNING at a point marked by a monument found on the northerly side of Peconic Bay Boulevard at the southeasterly corner of land now or formerly Anne Marie McVeight; THENCE from said point of beginning North 38 degrees 17 minutes 20 seconds West along land now or formerly Anne Marie McVeigh 200.00 feet to a monument found and land now or formerly Capital Asset Retirement Fund LLC; THENCE through land now or formerly Capital Asset Retirement Fund LLC the following four(4) courses and distances: 1. North 89 degrees 21 minutes 23 seconds West 58.86 feet; 2. North 32 degrees 22 minutes 30 seconds West 141.32 feet; 3. North 57 degrees 28 minutes 17 seconds West 55.41 feet; 4. North 46 degrees 25 minutes 08 seconds West 996.83 feet to land now or formerly Jeffry- Hallock; THENCE North 46 degrees 25 minutes 08 seconds West through land now or formerly Jeffry Hallock 260.59 feet to land now or formerly Hallock Holding Corp; THENCE North 46 degrees 25 minutes 08 seconds West through land now or formerly Hallock Holding Corp. 133.90 feet to land now or formerly Capital Asset Retirement Fund LLC; 'AE3STRACTS, INGORRCDR. 4. R—idanCial�,CMm rcial Titles In6uranca Minta as agent for. Chicago Title Insurance Company SCHEDULE A DESCRIPTION Title Number: 18-38-0150-11065 Page: 3 THENCE North 37 degrees 01 minutes 40 seconds West through land now or formerly Capital Asset Retirement Fund LLC 130.40 feet to land now or formerly Tristate Capital Holdings LLC; THENCE North 57 degrees 26 minutes 58 seconds East along land now or formerly Tristate Capital Holdings LLC 50.15 feet to land now or formerly Capital Asset Retirement Fund LLC; THENCE through land now or formerly Capital Asset Retirement Fund LLC the following two(2) courses and distances: 1. South 37 degrees 01 minutes 40 seconds East 122.38 feet; 2. South 46 degrees 25 minutes 08 seconds East 8.24 feet to land now or formerly Hallock Holding Corp.; THENCE South 46 degrees 25 minutes 08 seconds East through land now or formerly Hallock Holding Cori?. 133.90 feet to land now or formerly Jeffry Hallock: THENCE South 46 degrees 25 minutes 08 seconds East through land now or formerly Jeffrey Hallock 260.59 feet to land now or formerly Capital Asset Retirement Fund LLC; THENCE South 46 degrees 25 minutes 08 seconds East through land now or formerly Capital Asset Retirement Fund LLC 984.48 feet to other land now or formerly Capital Asset Retirement Fund LLC; THENCE South 32 degrees 22 minutes 30 seconds East along other land now or formerly Capital Asset Retirement Fund LLC 150.00 feet to a point; THENCE through land now or formerly Capital Asset Retirement LLC the following two(2)courses and distances: 1_ South 64 degrees 31 minutes 35 seconds East 91.36 feet; 2." South 38 degrees 17 minutes 20 seconds East 200.36 feet to the northerly side of Peconic Bay Boulevard; THENCE South 39 degrees 22 minutes 10 seconds West along the northerly side of Peconic Bay Boulevard 25.59 feet to the monument found at the point or place of Beginning. r=" ABSTRACTS, IiVCORPORATEO Residential l3 CommarclalTiCle Insurance since 9 e.e L as agentfor Chicago Title Insurance Company SCHEDULE A DESCRIPTION Title Number: 18-38-0150-11065 Page: 4 West Parcel BEGINNING at a point at the northeasterly corner of Lot 7, "Golden View Estates", Suffolk County File No. 7770,said point being-situate South 46 degrees 58 minutes 38 seconds West a measured along the northerly line of the above described"East Parcel"and its continuation westerly 340.03 feet; RUNNING THENCE from said point of beginning North 46 degrees 58 minutes 38 seconds East along land now or formerly Joseph Gebbia 9.85 feet to the approximate mean high water mark of Brushes Creek.- THENCE reek;THENCE along the approximate mean high water mark of Brushes Creek the following eight(8) tie-line courses and distances: 1. South 05 degrees 27 minutes 33 seconds East 94.63 feet; 2. South 52 degrees 41 minutes 43 seconds East 23.68 feet; 3. North 79 degrees 19 minutes 25'seconds East 25.39 feet; 4. North 48 degrees 29 minutes 04 seconds East 22.00 feet; 5. South 54 degrees 58 minutes 50 seconds East 72.15 feet; 6. South 26 degrees 24 minutes 36 seconds West 32.10 feet; 7. South 53 degrees 03 minutes 42 seconds West 27.84 feet; 8. South 11 degrees 43 minutes 11 seconds East 17.74 feet to Lot A,"Laurel Park- Subdivision of Lots 52&53", Suffolk County File No.0212; THENCE south 60 degrees 46 minutes 58 seconds West along Lot A,"Laurel Park-Subdivision of Lots 52&53"16.19 feet to Lot 7,"Golden View Estates"; THENCE North 35 degrees 09 minutes 22 seconds West along Lot 7,"Golden View Estates" 140.36 feet to the point or palace of BEGINNING. CONTAINING an area of 0.1420 Acre or 6,187 Square Feet. INSTIIUCTIONS(RP,5117,PDF-INS)....rp,.,tatS.11y.., FOR COUNTY USE ONLY ez% N—York State Department of C1.SWVIB Taxation and Finance 1112.Data Deed Recorded Office of Real Property Tax services C3.Book L /. 2,9r. RP-5217-PDF - C4.Pago Real Property Transfer Rupert(8110) PROPERTY INFORMATIONF 1.Property -,5:,, 1,1 Dr`vc; 'SmLocation 'AIKUNAME S.)L:-h..-.:al 1.194e 2.Buyer C 0 1;11 ZY -S,1:1.1:0 K 7 9 1 in L Name L-S' "'own of S,uzl1Q1rJ NIT 4WE 3.Tax BillingInd,cale who's future Tax Bi..'s main be sent Address if otherthari who're address(M bottom of form) PST NWE W, blATF ZPCOCAL 4.Indicate the number of Assessment F Part of a Parcel (Only If Part of a Parcal)chock as they apply: Roll parcels transformed an the dead —6 Of PsTels OR 4A.Planning Board inth subdivision Authonly Exists S.Deed X Property -FW•I. EF:_ 413,Subdivision Approval was Required'or Transfer Size El 4C.Parcel Approved for Subdivision with MOP Provided GI sft�-Ae B.Sailer Name LIST *7.Boost the description which Most accurately describes the Chock the boxes below as they apply: use of the property at the time of sale; B.Oamership,Type is Condominium LI Regrill-mlial Vac:,Illi 9.New Construction one Vacarn Land ICA.Property Lamed vi thin an Agricialurell District El 11011.Buyer received 8 d-sdcswS notice indicating that the properly is in an SALE INFORMAIJON Agricultural District IS.Chock one or more of those conditions osapplicableto transfer: A.Safe Between R818tives,or Former Relobves 11.Sale Contract Date 105/01/2017 0 Sale between Related Companies or Partners in Business C.One d the Buyers is also a Sailer I Z Data of Salerrramsfer 04/20/20'A G CJ D.Buyer or Seller is Governmaint Agency or Lending Institution E.Deed Type not Warranty or Bargain and See(Specify Below) F.Sets of Fractional 0'Less thanFee Interest fSperfy Below) '13.Full Sale Price 1715,lj�,O•IN) G.Signi-Irard Change in Property Sahvoen Ta-able Status and Salo Offies of C Full Sale Price is the Jobill afflouird paid for the Properly indud!ng psi a:property. 1.Other Unusual Factors Affecting Sale Price(Specify Below This paymentt may be in the form of cash.other property or goods.or theassumptionassumption of H Salo Business is included in Sale Price moilgages or other ob!ga!ions)Please round to the nearest kt,*delaramounf. J.None Comment(s)an Condition: 14.Indicate tho value of personal Proporly,Included in the sets ASSESSMENT INFORMATION-Data should reflect the-latest Final Assessment Roll and Tax Bill 16.Year of Assessment Roll from which ififbffnaWn taken(YY) 17 Total Assessed Value f) '18.Property Class 3 1 School District Name Mal: ue-It/CIJ L::hnque '20.Tax Map Identilflor(ayfloill Identifier(s)(If more than four,attach sheat with additional Identifier(s)) I'JOG-:27.LIU-1'.q.ro-p3E.t,.00 ICER-11FICATION 1 I Certify that all of ft items of information entered on this form are true and correct(to the best of my knowledge and bollef)and I undorstand that the making of any villiful false statement of material fact heroin subject me to the provislons.of theponal.law relative to the making and filing of false Instruments. $ELLER SDNAJYRE BUYER QQNTAST INF_QRFMT(OH CEmer Lna. !rrl*1xaLM1 far the buy. If wyer is LLC society.associscion.oorpara.on.level exani ,,,pany.sews of -1-rid-1.1 OeClll a 1 -Tr L-01 a rune arid wV=1 Pec"ah-Of an Piditeftson,-Wbla ny.4.0 cal ads*ir qu Osimisreomllvvlhuir-inskrMlISLbowlemd Type arpisixt ciamrit,1 0�". IONMMRF 3ra1 .n ii;Vll 14 53-513,1 All. J.L-)U V11--eLans MeMori.a- lliqhwaV blK=F'JVJMK-P 57P.--1 r'MYL 2- NY 1768 �IATE Go.-V QU.YEU.AnQRffEY 3 r a L;, robe r L WFAXIX E TF1 I A-0N_1@!E-:�Ww"),