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INSTRUCTIONS(RP-5217-PDF-INS): www.orps.state.ny.us
A
FOR COUNTY USE ONLY
C41. SWIS Code
(Wyars3 4, New York State Department of
Taxation and Finance
C2,DateDeed Recoreea | Y Aly Zor | Office of Real Property Tax Services
Month Day
C3. Book | Ll Y SAC ca, RP- 5217-PDF
PROPERTY INFORMATION i
rae VI, | As e
Real Property Transfer Report (8/10)
1.Property 115
Location Woodland Drive
* STREET NUMBER
* STREET NAME
Aurora
* CITY OR TOWN
VILLAGE
2, Buyer Chase
Name
Korianne
* LAST NAME/COMPANY FIRST NAME
Chase Cody
LAST NAME/COMPANY FIRST NAME
3. Tax
BI Indicate where future Tax Bilis are to ba sent
ng H other than buyer address(at bottom of form) LAST NAME/COMPANY
Addreas FIRST NAME
STREET NUMBER AND NAME. CITY OR TOWN STATE
4. Indicate the number of Assessment 1 p, (Only if Part of a Parcel} Check as they apply:
Roll parcals transferred on the deed # of Parcels 2
pr [_]Pertota Parcet
4A. Planning Board with Subdivision Authority Exists CT]
5. ra
Dead 164
Pen xX 180 OR 0.00
— at 4B. Subdivision Approval was Required for Transfer im
Size 4C. Parcel Approved for Subdivision with Map Provided Cc
Estate of Linda D. Baker
8. 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:
usa of the property at tha time of sale: 8. Ownership Type is Condominium
A. One Family Residential
OOOO
9. New Construction on a Vacant Land
10A. Property Located within an Agricuttural District
108. Buyer received a disclosure notice indicating that the property Is
in an
Agricuttural District
[SALE INFORMATION} 15. Check one or more of thege conditions as applicableto transfer:
aeays)4/2/
[_| A. Sale Between Relatives or Former Relatives
11, Sate Contract
Date 06/04/2024 B. Sais between Related Companies or Partners In Business.
TTTTIT TT
C. One of the Buyers fs also a Saller
“12, Date of Sale/Transfer D. Buyer or Seller is Goverment Agency or Lending Institution
E. Deed Type not Warranty or Bargain and Sale (Specify Bstaw)
F. Sale of Fractional or Less than Fea interest (Spacify Below)
"13. Full Sale Price 360,000 00: G. Significant Changs in Property Between Taxable Status and Sale Dates
H. Sale of Businass Is Included In Sale Price
{ Full Sats Price (s 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.) Pisase round fo the nearest whole dollar amount.
Commant(s) on Condition:
14, Indicate the vaiue of personal
property Included In the sale 0 .00
i ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill |
18. Year of Assessment Roll from which Information taken{YY) 2 4 “47. Total Asseased Value 74,000
"48. Property Class 210 1 “19. School District Name East Aurora Union Free
“20. Tax Map Mentifier{s)Roll Identifier(s) (if more than four, attach sheet with additional Identifier(s}}
164.11-1-58
[CERTIFICATION]
| Certify thet all of the Items of Information entered on this form are true and correct (to the best of my knowledge and belief} and | understand that the making of any willful
faise statement of material fact herein subject me to the. provisions of the penal Iaw trelative to the making and fillng of false instruments.
SELLER SIGNATURE
(Enter information for the buyer. Note: ff buyer is LLC,sociaty, association, corporation, Joint stock company, estate or
entity that ‘s not an individual agent or fiduciary, then a name and contact information of an individual/responsible
who can answer questions regarding the transfer must be entered. Typs or print cleariy.}
CAO KOviOnne
7 SELLER SIGNATURE 7 aor rH Fey Dong"
BUYER SIGNATURE
Koda Olen G//f 22
IR aod \ ond Ny
"AREA CODE “TELEPHONE NUMBE
icon
BUYER SIGNATURE
Coly Chase 6 fig(2euy * STREET NAME .
“CITY OR TOWN “STATE *ZiP CODE
| Cichourd
Til AREA CODE
AdUu-UG43 TELEPHONE NUMBER (Ex. eo9ge9)
RanlbA4A2Ri(Danai1t1&& Evtra Dana 9