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HomeMy WebLinkAboutL 12974 P 979 1111111111111111111111111111111111111111111111111111111 11111111111111111111 1111 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: 18-02357 LIBER: D00012974 PAGE : 979 District: Section: Block: Lot: 1000 127 . 00 08 .00 017 . 003 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $900,000 .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 $0 . 00 TRANSFER TAX NUMBER: 18-02357 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County i 2 .NGMI`er of pages REOORDED. 2018 Aug 22 11:27:55 RM JUDITH A. PASCALE This document will be public CLERK OF COUNTY .record. Please.remove-all, SUFFOLK 12974 L D00012974 . Social S®cutity:Numbers P 979 prior to recording. DT# 18-02357 Deed/Mortgage Instrument Deed!Mortgage Tax Stamp Recording!Filing Stamps 3 RMS . Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 2. Additional Tax TF-584 �_ Sub lbtal Notation SpecJAssit. or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT MTG.TAX Dual Tbwn Dual County _ R.P.T.S.A. c ( �g Held for Appointment r Comm.of Ed. 5. 00 F Transfer Tax • • Mansion Tax Affidavit The property covered by this mortgage is Certified Cop 0 or will be improved by a one or two NYS Surcharge 15. 00 — family dwelling only. / Sub Tbtal YES or NO Ocher Grand Total . r P If NO,see appropriate tax clause on page# of this HIS t 4 Dist.o 18027973 1000 12700 0800 017003 5 Community Preservation lend Real Property T S Consideration Amount$ Lt0 � Tax Service R LPA A Agency 21-nuG-1 �I f I�I ®I�I� CPF Tax Due $ f Verification i Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&.RETURN TO: ' aOn n ca,s c,— Vacant Land samxcouNTY DIV.WREALPROPERTYACQUMMON TD - EL UMDID0IISO=WR=.4ndPL00R TD 300vsrz lim mwRuLHIGHWAY P.O.BOX 6100 TD HAUPPALTMN711788-M Mail to:Judith A. Pascale, Suffolk County Clerk 7 MIC jCompanyInformation 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkeountyny gov/clerkfie# _, g Suffolk Coun Recording & Endorsement Pa e This page Isaxt o7ehed 1/ made by: 1 IFY TYPE OF INSTRUMEN T) � �"°� /✓.✓ �1te premises herein is situated in SUFFOLK COUNTY,NEW YORK. / T In the TOWN of �cJ J .o ��i✓ –'r��/� 4r /'J� in the VILLAGE / �ar HAMLET of BOXES b TARU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) SUFFOLK COUNTY BARGAIN AND SALE DEED WITH COVENANTS THIS INDENTURE, made the 20th day of Aril, 2018. BETWEEN Capital Asset Retirement Fund, 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 (79%) 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 08.00 the parcel, as tenants-in-common, hereafter described ----`--- individually, or as the parties of the second part, LOT 017 . 003 WITNESSETH, that the party of the first part, in consideration of NINE HUNDRED THOUSAND and 00/100 DOLLARS ($900,000.00) 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. 248-2015, Resolution No. 105-2017 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 party of the first part herein from John P. Meyerricks, Jr. , Sheriff, by deed dated August 22, 2010 and recorded August 24, 2011, in the office of the Clerk of the County of Suffolk in Liber 12669, page 325 and corrected by deed recorded in Liber 12676, page 650, and by deed from William Ferris, III, .Esq. , referee dated September 28, 2012 and recorded October 18, 2012 in Liber 12708, page 886. 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. oso,z�acn •uaggTaM OAoga gsaTJ aeaA PUP APP aqq paap srgg pagnoaxa ATnp seq gapd gsaTj aqg 40 Aqaed aqg '.3O3iSHM SS3ALLIM HI •saaTnbaa os aanguapuT STgg 3o asuas aqg .zanauagM „saTgaed„ peace gT JT sa panagsuoo aq TTPtis ,XZLddd,, 060M 3HI •AaoguaauT AgunoD NTOJ3ns aqg uT coeds uado se uTewaa gsnw Pup pazTTTaags ATguauewaad pawaap sT TaoaPd ao aoaTd STgg pup 'sasodand buTsnoq aoao;D,[aoM ao3 paaanas aaaM (s)HQHM goTgM 'weaboaa s}gbTg guawdoTanaQ 10 aa3suPas aqg ao; '900Z-ZTb 'ON uoTgnTosag A4uno0 NTOJJns Pup ' (aagaeg0 AgunOD NTo;gnS aqg go IIx aagdeg0) 'LOOZ 'T TagwaoaQ anTgoaJga pue pepuawe SP 'weaboad uoTgz)agoad aageM buTxuTaO AgunoO NTo3jnS aqq ggTM aouepa000P uT spun] 6uTsn paspgoand sem Taozed so aoaTd pagegsaao;e sTgj :AgTngadaad uT pueT aqg ggTM una TTegs goTgM uoTgoTagsaa PUP guPuanoo P agngTgsuoo TTegs gdeabeaed buTMoTTo3 aqg akM •pueT go Taozed ao aoaTd pagpgsaaojp aq-4 woaj („(s)daHM„) (s)gg6T,d guawdoTana❑ 6uTsnoH aoaojxaoM (Z)OM,L ggTMazaq saanas 'SOH-ZT6 'oN uoTgnTosag AqunoO 5[To3gnS pup ';oaaagg {o) (Z) (K) Z -ZT3 § og pagTwTT you qnq buTpnTouT 'LOOZ 'T aagwaoap anTgoaJJG pup papuawe se 1aagapg3 Agunon 3{To33nS aqg go TTX aagdegD g4TM aouepa000e uT 'gapd puooas aqg Jo Agaed aqg QMV •AgTngadaad uT pueT aqq una TTPgs guPuaACD STgs •guawpuawe gons Aue og xoT.Td uMo,L aqq Aq paJTnboe aTgT4 aa3 Jo uoTgeuaTTP aqq uodn pasodUJT SUOT4PgTUITT agg aagTP TTPgs saagdego asogg :o SuoTSTAoad aqg go guawpuawe guanbasgns ON •uoTgoaTa uMog TeTuuaTq ao TPToads P gP paggTwgns uoTgTsodoad P uo 5UT40A uMog aqg go saogoaTa aq4 fro Tenoadde aqq uodn pup buTaeaq oTTgnd e aagje paeog uMol aqg ;o AgTaoCew P go agora anTgPwaTgJP aqq uodn gdaoxa 'pageuaTTe aq you TTegs saagdego pTes 30 suoTsTAoad aqg og guensand uMo,L aqg Aq paaTnbop ZDVdS NHdO 'PToggnoS 3o uMoy aqg go apoD uMog aqg ;o (uoTgPAaasaad aoedS uadO) gel aagdego pup (puna uoTgenaasaad AgTunwwoa) LT aagdegD uT ggaoj gas se GKV -asodand aaggo Aue aoj awes aqq go Tegog aqg 3o gaud Aue buTsn aaolaq guawanoadwT agg Jo gsoo aqg Jo guawAPd aqq og gsaTg awes aqg ATddP TTTM Pup guawanoadIuT aq-4 go gsoo aqg buTAed go asodand aqq ao; gsaTg paTTdde aq og pung gsnag 'P Se uoTIPaapTsuoo gons aATaoaa og ggbTa aqg PToq TTTM PUP aoueAanuoo STgg ao; uoTgPaapTsuoo aqg aATaoaa TTTM gaed gsaTg aqg go Agaed aqg gegg sgueuanoo 'MPa uaTq aqg Jo ST uoTgoaS ggTM a0u2TTdwoo uT 'gaPd gsaT; aqg Jo Agaed aqg O=d •pTesaaoje SP gdaoxa 'aanagPgM APM Aup uT paaagwnoua uaaq aneq sasTwaad ATPS aqg AgaaagM 6uTggAue paaajjns ao auop you Seg gaPd gsaTJ agg go Agaed aqq gpgg SguPuanoo gapd gsaT; agg go Agapd aqq QRV •aanaaog gaPd puooas aqq go Agaed aqg go su6Tsse pup saossaoonS ao saTaq aqq 'gapd puooas aqq go Agaed aqq ogun pagueab uTaaaq sasTwa.zd aqg Q'IOH O,L aMV 3AKH 01 •sanTeA Teangeu sgT aouequa ao 'sasTwaad aqg uTPguTew pup 'abeuew 'goagoad 'aTogsaa og (saoTgoead guawabeuew -Asaq 4uaw4eaag AgTTenb aageM aageMwaogs pup uoT4ea4TT3uT aopjansgns buTpnTouT) SaTITATgoP AuP 'AgTgua aaggo Aup ggTM STseq aaegs -gsoo e uo ao asuadxa uMo sgT ge 'axPgaapun Aew gaed puooas aqq go Aaaed 'MeT TeooT pup agPgs 'Teaapa4 og goeCgns pup 'aaTTas Aq paaaa;uoo aa0_704aaa14 SggbTa aaggo TTe ggTM U3Hs3OOI .'sasTwaad pies og pup uT gaed gsaTj aqq go Agaed aqg go sggbTa Pup agegsa aqg TTP Pup saoueuagzndde aqg ggTM USH13OO1 Capital Asset Retirement Fund, LLC By: (�rfl+•� i. t.ag STATE OF NEW YORK) ) SS: COUNTY OF SUFFOLK) On this k day of 14P� ' / in the year 20q8, before me, the undersigned, personal y appeared W.1//,'a.,, oovlict 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, execu�ted`the instrument.' WENDY STETfINE NOTARY PUBLIC,STATE OF NEW YORK Registration No.01ST4642045 NO r Public: State Of New York ouafified in Suffolk County Commission Fac fres August 31,2021 BARGAIN AND SALE DEED DISTRICT 1000 WITH COVENANT AGAINST SECTION 127.00 GRANTOR'S ACT BLOCK 08.00 TITLE NO. 18--38-0150-11068 LOT 017.003 CAPITAL ASSET RETIREMENT FUND, LLC TO COUNTY OF SUFFOLK AS TO 79% UNDIVIDED INTEREST AND TOWN OF SOUTHOLD AS TO 210 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 xso+as;yea ABSTRACTS. INCORRORATEOTM' Residential 6.Ccmmarcial Title Insurance since'I 984 as agent for Chicago Title Insurance Company SCHEDULE A DESCRIPTION AMENDED 4/16/2018 Title Number: 18-38-0150-11068 Page: 1 SURVEYOR'S DESCRIPTION: ALL that certain plot, piece or parcel of land,situate, lying and being at Laurel,Town of Southold, County of Suffolk and State of new York, bounded and described as follows: BEGINNING at a point marked by a monument found on the northerly side of Peconic Bay Boulevard at the intersection of the westerly side of a certain right of way; RUNNING THENCE from said point of beginning along land now or formerly Anne Marie McVeigh the following two(2)courses and distances: 1. North 38 degrees 17 minutes 20 seconds West 200.00 feet to a monument found; 2. South 39 degrees 22 minutes 10 seconds West 90.00 feet to land now or formerly Tristate Capital Holdings LLC; THENCE along land now or formerly Tristate Capital Holdings LLC the following two(2)courses and distances: 1. North 38 degrees 17 minutes 20 seconds West 173.30 feet; 2. South 51 degrees 26 minutes 40 seconds West 72.08 feet to the approximate mean high water mark of Brushes Creek; THENCE along the approximate mean high water mark of Brushes Creek the following eleven(11) tie-line courses and distances: 1. North 40 degrees 05 minutes 31 seconds West 10.02 feet; 2. North 41 degrees 51 minutes 15 seconds West 148.64 feet; 3. North 38 degrees 13 minutes 10 seconds West 93.58 feet; 4. North 46 degrees 39 minutes 17 seconds West 124.92 feet; 5. North 48 degrees 07 minutes 37 seconds West 150.89 feet; 6. North 42 degrees 04 minutes 56 seconds West 94.29 feet; 7. North 50 degrees 46 minutes 50 seconds West 118.59 feet; 8. North 56 degrees 44 minutes 12 seconds West 145.61 feet; 9. North 68 degrees 01 minutes 15 seconds West 85.72 feet; 10. North 50 degrees 26 minutes 07 seconds West 91.70 feet; 11. North 35 degrees 12 minutes 42 seconds West 42.89 feet to land now or formerly Jeffry Hallock; THENCE North 57 degrees 26 minutes 58 seconds East along land now or formerly,Jeffry Hallock 591.17 feet to land now or formerly Half Hollow Nursery Realty Corp.; ABSTRACTS, INCORRORATEQ— Resid®ntial 8&Corrmmercial Title Insurance since 9 R84 as agenrjor Chicago Title Insurance Company SCHEDULE A DESCRIPTION AMENDED 4/1612018 Title Number:18-38-0150-11068 Page: 2 THENCE South 33 degrees 02 minutes 23 seconds East along land now or formerly Half Hollow Nursery Realty Corp. 905.68 feet to a monument found and land now or formerly Philippe A. Millen and Pamela J. Millen Trust; THENCE South 32 degrees 22 minutes 30 seconds East along land now or formerly Philippe A. Millen&Pamela J. Millen Trust 50.59 feet to other land now or formerly Capital Asset Retirement Fund LLC; THENCE along land now or formerly Capital Asset Retirement Fund LLC the following four(4) courses and distances: 1. South 57 degrees 37 minutes 30 seconds West 150.00 feet; 2. South 32 degrees 22 minutes 30 seconds East 150.00 feet; 3. South 82 degrees 22 minutes 00 seconds East 94.00 feet; 4. North 57 degrees 37 minutes 30 seconds East 78.00 feet to land now or formerly Robert R. Johnson and Margaret A. Feeney; THENCE South 32 degrees 22 minutes 30 seconds East along land now or formerly Robert R. Johnson and Margaret A. Feeney and along land now or formerly Ellen M. Branstein Living Trust 189.58 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 110.61 feet to the monument found at the point or place of beginning; CONTAINING an area of 10.6909 acres or 465,697 square feet. TOGETHER with and subject to 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 McVeigh; RUNNING 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 22 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; ABSTRACTS, IIV0ORROR.47E0— Residential 6.Commercial Titles Insuranc®ainco 1 JB4 as agent for Chicago Title Insurance Company SCHEDULE A DESCRIPTION AMENDED 4/1612018 Title Number: 18-38-0150-11068 Page: 3 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; 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 degree 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 Corp. 133.90 feet to land now or formerly Jeffry Hallock; THENCE South 46 degrees 25 minutes 08 seconds East through land now or formerly Jeffry 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 Fund 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; ABSTRACTS, INCCRRORATE O— Flasidantial6 Commercial Tidl Inauranca since 1984 as agent for Chicago Title Insurance Company SCHEDULE A DESCRIPTION AMENDED 411612018 Title Number: 18-38-0150-11068 Page: 4 SUBJECT to 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 McVeigh; 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 three(3) courses and distacnes: 1. North 89 degrees 21 minutes 23 seconds West 58.86 feet; 2. North 32 degrees 22 minutes 30 seconds West 53.65 feet; 3. North 57 degrees 37 minutes 30 seconds East 25.00 feet to other land now or formerly Capital Asset Retirement Fund LLC; THENCE along other land now or formerly Capital Asset Retirement Fund LLC the following two (2)courses and distances: 1. South 82 degrees 22 minutes 00 seconds East 94.00 feet; 2. North 57 degrees 37 minutes 30 seconds East 30.87 feet to a point; THENCE through land now or formerly Capital Asset Retirement Fund LLC the following three(3) courses and distances: 1. South 38 degrees 17 minutes 20 seconds East 50.00 feet; 2. South 57 degrees 37 minutes 30 seconds West 56.00 feet; 3. South 38 degrees 17 minutes 20 seconds East 167.37 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. • FOR COUNTY USE ONLY INSTRUCTIONS(RP•5217-PDF-PDFworps stale.ny.us New York State Department of C1.1341fiSCcdo 1 J ww. Taxation and Finance C2.Date Deed Recorded / -ice I Office of Real Properly Tax Services ur wr c3.Book r. � RP-5217-PDF I ,2 C4.Page LCL I Real Property Transfer Report(8110( PROPERTY INFORMATION 1.Property .q I, Location - G:-Pc_ R COri% Bay Blvd. 7;T IA4R__k - -•aTWEI LAMP 31,Utin 1d ":1 Yyi TqM, YELnC- YtCp 2.BuyerName :L:sr.ly of i?t:fia'�,i9•t 1r.:. Name 'LAS'•:nV�cY u+V.I IASi 4nVL --- - - TOwh O! :'o;l).:;l.ri, ill ir.: LA5:Y�erA.CY+N.! -• FP"hnVF 3.Tax Indes,e whom future Tax Bills are to be sant Billing It Other than buyer addressla!bottom d fermi Address Y•I.r.•4rX,•ti AhY F.Ps.NAYS F'7Fr'NI.Na'P n17 r:AY[ CI I Y c----:NA- --- s r4ir 7pr'oaE 4.Indicate the number Of Assessment T I--I Pan d e Pares, (Only If Pad of a Parcel)Check as they appy: Roll parcels transferred on the dead- e of Parcels OR I J - 4A.Planning Board wile Subdivision Authordy Exists G S.Dead Property Fath•rEFT - , -(71Z 1A�+Ls" - 40.Subdivision Approval was Required for Transfer G Size Y I 1 4C.Parcel Approved for Subdivision with Map Provided L� F.md, L�.C: Caoi_�1 A;sat RI;L'i rc:l:�r, S.Sailor -5.hnw:vevILI -- - - Name Fic'AAME .MIM1WFrlk:Y+eNf �Wsi r:�Y: '7.Select the description which most accurately describes the Chock the boxes bolow as they appy: use of the property at the time of solo: 8.Owne•Ship Type Is Condominium C.Rueplr•nfiel Vu•ant I and 9.New CanstructiononaVacant Land LJ 19A.Properly Located within an Ag5eulurel District G 108.Buyer received a disclosure notice indlGl!ing that the properly is in an Agncu'turs,District SALE INFORMA'T'ION 16.Chock one or more of those conditions as applicable to transfer: ❑A.Sale Between Relarrves or Former Relebves 11.Sols Contract Data 05/01/2017 Ind B.Sale between Related Companies or Panrem In Business. C.One of the Buyers is also a Seller '12.Data of SAIdTronsfor (A/20/20i18 D Buyer or SNIor is Govornlnels Agency or Lending Institution -• E Deed Type not Warranty or Bargain and Sate(Specify Below) F.Sale of Fractional or Less than Fee Interest(Specify Below) '13.Full Sats Price ­00,U fs O,111) G.Signitsanl Change in Properly Between Taxable Status and Sale Dates (Full Sale Pnx Is the teal amount Itl for thepropertyIndudin lit Sale d Business Is Included in Sale Price Pa 9 Persons,Property. I.Other Unusual Factors Affecting Sale Price(Specify Below) This paymant may be In the form d rasn,other properly or goods,cI the assumption of F-t J. e mortgages or dner drllgations.)Presse round m the nearest whole da8aran Dunt LJ Comments)on Condition: 14.Indicate the value of personal Property lndudodInthe sale a.fiti ASSESSMEN I•INFORMATION-Data should reflect the latest Final Assessment Roll and Tax Bill 18.Year of Assessment Roll from which Information taken(YY) '_7 '17.Total Assessed Value ?,MCI Ci Property Class .122 _ '19.School District Nemo - '-'tst-i L:r.r/CLt.zhogl:n Tax Map IdentlBor(sNRoll ldend ler(s)(ti more than four,attach sheat with additional lderntfier(s)) - _V00-127.30-(;P.00-C 17.Wl3 CERTIFICATION 1 Cantly that all of the Items of Informatlon entered on this form are true and correct(to the beat of my knowledge and bell*Q and I understand that the making of any wlllfol false statement of material fact herein subject me to the provlsions_of tho penal law mladve to the making and filing of fake Instruments. 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