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FOR COUNTY USE ONLY
New York State Department of
C1. SWIS Code 1 (Ua 4 2 9 Taxation and Finance
C2, Date Deed Recorded | _ Y , la 73l | ; Office of Real Property Tax Services y
| Month Day Yast RP- 5217-PDF
c3.Book | f,/ 3,7 ,Bjcspage | » Did Lt yf | Real Property Transfer Report (8/10)
PROPERTY INFORMATION |
1.Property 9850 Davis Road
Location
* STREET NUMBER * STREET NAME
Aurora 14052
* CITY OR TOWN VILLAGE *2IP CODE
2. Buyer Seifert Matthew C.
Name are ve FIRST NAME
AURORA ASSESSOR’S
LAST NAME/COMPANY FIRST NAME
4. ee indicate where future Tax Bills are tobe sent POincelot Frank L. and Serena A. riay | 3 2021
Billing if other than buyer address(at bottom of forrn) LAST NAME/COMPANY FIRST NAME
Address
850 Davis Road Aurora NY 14052... ;
STREET NUMBER AND NAME CITY OR TOWN STATE TTR
COO ~
4, Indicate the number of Assessment 1 of Parcels on ‘a PartofaParce) (Only if Part of a Parcel) Check as thay apply:
Roll parcels transferred on the deed —_____ 4A. Planning Board with Subdivision Authority Exists C]
§. Dead 120 xX 400 OR 0.00 48. Subdivision Approval was Required for Transfer
Property [J
* FRONT FEET * DEPTH “ACRES a
Size 4C. Parcel Approved for Subdivision with Map Provided [|
Poincelot (Seifert) Serena A.
6. Seller “LAST NAME/COMPANY ; FIRST NAME
Name g
4 |
LAST NAME/COMPANY PST NAME
*7. Select the description which most accurately describes the Caen ite DORs alowas they apply:
use of the property at the time of sale: 8. Ownership Type is Condominium []
A. One Family Residential 9. New Construction on a Vacant Land [|
410A. Property Located within an Agricultural District [|
108. Buyer received a disclosure notice indicating that the property is in an
Agricultural District {J
[SALE INFORMATION| 15. Check one or more of these conditions as applicable to transfer:
x A. Sale Between Relatives or Former Relatives
|_| 8. Sale between Related Companies or Partners in Business.
11. Sale Contract Date nL A |_| C. One of the Buyers is also a Seller
. |__| D. Buyer or Seller is Government Agency or Lending Institution
12. Date of Sale/Transfer “4izolsa1 |__| &. Deed Type not Warranty or Bargain and Sale (Specify Below)
|_| F. Sate of Fractional or Less than Fee [nterest (Specify Below)
*43, Full Safe Price 1 .00 |__| G. Significant Change in Property Between Taxable Status and Sale Dates
|__| H. Sale of Business is Included in Sale Price
( Full Sate Price is the total amount paid for the property including personal property. 1. Other Unusual Factors Affecting Sale Price (Specify Below)
This payment may be in the form of cash, other property or goods, or the assumption of T+. None
mortgages or other obligations.) Please round to the nearest whole dollar amount. =
Comment(s) on Condition:
14, Indicate the value of personal
property inctuded in the sale OO
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill i
16, Year of Aunesamant Roll from which information taken(YY) 21 “17. Total Assessed Value 53,200
*18. Property Class 210 “48. School District Name Bast Aurora
20, Tax Map Identifier(s)/Roil Identifier(s) (If more than four, attach sheet with additional identifler(s)}
186.00-1-35.1
CERTIFICATION |
| Certify that all of the items of inf n entered on this form are true and correct (to the best of my knowledge and belief} and | understand that the making of any willful
false statement of materi erain subjett me to the provisions of the penal faw relative to the making and filing of false instruments.
BUYER CONTACT INFORMATION
{Enter information for the buyer. Note: If buyer is LLC society, association, comoration, joint stock company, estate or
entity that is not an individual agent ar fiduciary, then a name and contact information of an individual/responsible
ss _ ‘ e-2 / parly who can answer questions regarding the transfer must be entered. Type or print clearly.)
DATE
AT Siefert Matthew C.
* LAST NAME FIRST NAME
A < ” Yl S e-2 / Al “TELEPHONE NUMBER (Ex: 9899999)
BUYER SIGNATURE TA DATE “
5783 Quaker Road
* STREET NUMBER * STREET NAME
Fast Aurora NY 14052
“CITY OR TOWN - *STATE °ZIP CODE
BUYER'S ATTORNEY
mS Roo “Ne HA RQ :
LASTNAME | FIRST NAME
G16) b14- Ftop
AREA CODE TELEPHONE NUMBER (Ex: 9998999)
Book11378/Page2212 Extra Page 2