Text · page 11 of 14
Read the whole document on one page (all 14 pages, each with its own heading)
This document was a scan. Its text was produced by character recognition and may contain errors; check the original for exact wording.
INSTRUCTIONS(RP-£217-PDF -INS): www.orps.state.ny.us
FOR COUNTY USE ONLY
New York State Department of
C1. SWIS Code | LUV do 4 J Taxation and Finance
C2. Date Deed Recorded |_ iv) eZ 4 } 5 | Office of Real Property Tax Services
. Month Oay +. Yea
RP- 5217-PDF
C3. Book ut { L.@, 1 jca.Page (4 qu, ,
|
aR!
| Real Property Transfer Report (8/10) AURORAASSESsoRe OPPIC!
PROPERTY INFORMATION |
1. Property 559 South Street
Leéation aes
* STREET NUMBER * STREET NAME
Aurora
14052
* CITY OR TOWN VILLAGE * ZIP CODE
2. Buyer Brayman f£/k/a Lewis Jennifer A.
hare “ LAST NAME/COMPANY FIRST NAME
Brayman Robert L.
LAST NAME/COMPANY FIRST NAME
3. Tax indicate where future Tax Bills are to be sent
Billing if other than buyer address(at bottom of form) “Pinan Sher hae ree ae
Address a:
STREET NUMBER AND NAME CITY OR TOWN STATE | » att
4, indicate the number of Assessment 1 # of Parcels ‘5 Cc] Part of a Parcal {Only If Part of a Parcel) Check as they apply: =
Roll parcels transferred on the deed R 4A. Planning Board with Subdivision Authority Exists
hoe
Property 70 Xx 225 OR 0.00 48. Subdivision Approval was Required for Transfer
* FRONT FEET * DEPTH *ACRES
= 4C, Parcel Approved for Subdivision with Map Provided
Brayman £/k/a Lewis Jennifer A.
6. Seller * LAST NAME/COMPANY FIRST NAME
Name
LAST NAME/COMPANY FIRST NAME
“7, Select the description which most accurately describes the Check the boxes below as 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
OOO
410A. Property Located within an Agricultural District
108. Buyer recaived a disclosure notice indicating that the property is in an
Agricultural District
[SALE INFORMATION| 16. Check one or more of these conditionsas applicable to transfer:
x A. Sale Between Relatives or Former Relatives
aomeswnoe — __ZIS\O\S\ 5,
11. Sale Contract Date B. Sale between Related Companies or Partners in Business.
SZ C. One of the Buyers Is also a Seller
O.~ Buyer or Seller is Government Agency or Lending Institution
x E. Deed Type not Warranty or Bargain and Sale (Specify Below)
|_| F. Sale of Fractional or Less than Fee Interest (Specify Below)
*43, Full Sale Price 1 .00 |__| G. Significant Change in Property Between Taxable Status and Sale Dates
H. Sale of Business is Included in Sale Price
( Full Sale Price is the total amount paid for the property including personal property.
|_| |. 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
J. None
mortgages or other obligations.) Please round to the nearest whole dollar amount,
*Comment(s) on Condition:
14, Indicate the value of personal
property Included In the sale 00
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill |
16. Year of Assessment Roll from which information taken(YY) 14 “47. Total Assessed Value 94,600
*48, Property Class 210 1 *49. School District Name Bast Aurora
*20. Tax Map Identifier{s)/Roll Identifier(s) (if more than four, attach sheet with additional identifier(s))
175.16-1-11
| CERTIFICATION |
| Certify that all of the items of Information entered on this form are true and correct (to the best of my knowledge and bellef)
and | understand that the making of any willful
false statement of material fact herein subject me to the_provisions of the penal law | relative to the making and filing of faise Instruments.
B NT !
(Enter information for the buyer. Note: If buyer is LLC,soclety, association, corporation, Joint stock company, estate
or
entity that is not an individual agent or fiduciary, then a name and contact information of an individual/responsibie
parly who can answer questions regarding the transfer must be entered. Type or print claarty.)
Brayman Jennifer & Robert
* LAST NAME FIRST NAME
AR OME, TELEPHONE NUMBER (E> s9adges,
559 South Street
* STREET NUMBER * STREET NAME
East Aurora NY 14052
“CITY OR TOWN “STATE *21P CODE
ER’
Flaherty Carol A.
LAST NAME FIRST NAME
(716) 652-9600
AREA CODE TELEPHONE NUMBER (Ex: 6999999}
Book11287/Page496 Extra Page 1 Page 4 of 4