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INSTRUCTIONS: hitp:/Avww.orps.state.ny.us or PHONE (518) 473-9791
FOR COUNTY USE ONLY REAL PROPERTY TRANSFER REPORT
C1. SWIS Code pt U2dy, a J STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
C2. Date Deed Recorded | O' / i\ vA 25 J
C3. Book | \. l Ft, # ek. Fege | WA 6 ' SF, RP - §217- PDF
RP-5217 Rev 1/29/09
PROPERTY INFORMATION |
1.Property 2085
Location
Boies Road
* STREET NUMBER
ZL
* STREET NAME. ———
Aurora 14052
* CITY OR TOWN VILLAGE *2IP CODE
2, Buyer Lachina Jordan A.
meee * LAST NAME/COMPANY FIRST NAME
Terhart Alissa M.
LAST NAMEICOMPANY FIRST NAME
3. Tax .
Bui Indicate where future Tax Sills are to be sent
ing
Address
if other than buyer address(at bottom of form) TAST NANECOUEANY Saat NA
STREET NUMBER AND NAME CITY OR TOWN STATE ZIP CODE
4. indicate the number of Assessment 1 ‘a Part ofa Parca! (Only If Part of a Parcel) Check as they apply:
Roll parcels transferred on the deed —___! # of Parcels on 4A. Planning Board with Subdivision Authority Exists CT]
5. Deed 125 X 400 OR 1.15 4B. Subdivision Approval was Required for Transfer
— ty ° FRONT FEET > DEPTH “ACRES C]
me 4C.Parcel Approved for Subdivision with Map Provided r]
Marfurt Deborah
&. Seller * LAST NAME/COMPANY FIRST NAME
Name
LAST NAMB/COMPANY FIRST NAME
“7. Select the description which most accurately describes the vidicnaiie boxes neon as el apply:
use of the property at the time of sale: 8. Ownership Type is Condominium
A Lone fam i ly PLA deh. a4 9. New Construction on a Vacant Land
OOOO
140A. Property Located within an Agricultural District
10B. Buyer received a disclosure notice indicating that the property is in an
Agricultural District
{SALE INFORMATION} 15. Check one or more of these conditions as applicable to transfer:
|_| A. Sate Between Relatives or Former Relatives
14. Sate Contract Date 10/01/2020 |__| B. Sale between Related Companies or Partners in Business.
|_| C. One of the Buyers is also a Seller
P D. Buyer or Seller is Government Agency or Lending Institution
* 42. Date of Sale/Transfer Ol / o tf CDR | |_| E. Deed Type nat Warranty or Bargain and Sale (Specify Below)
|__| F. Sale of Fractional or Less than Fee Interest (Specify Below)
°43, Full Sale Price 309,000 00 |__| G. Significant Change in Property Between Taxable Status and Sale Dates
( Full Sale Price is the total amount paid for the property including personal property. H. Sale of Business is Included in Sale Price
. | 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 | J. None
mortgages or other obligations.) Please round to the nearest whole dollar amount. ral
Comment(s) on Condition:
14, Indicate the value of personal 0
property included in the sale .00
i ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill |
16. Year of Assessment Roll from which information taken{YY) 20 “17. Total Assessed Value 282,769
*48. Property Class 210 _ “19. School District Name East Aurora
*20, Tax Map identifier(s}/Roll identifier{s) (If more than four, attach sheet with additional identifier{s))
200.00-4-16.12
| CERTIFICATION |
| Certify that 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 provisi of the penal ons
jaw relative to the making and filing of false instruments.
SELLER SIGNATURE
(Enter information for the buyer. Note: {f buyer is LLC, society, association, corporation, joint stock
company, estate or
entity that is not an individual agent or fiduciary, then a name and contact int ion of an individuals
dit Sg) ye i
\ .> j PY
j q { Ww party who can answer questions regarding the transfer must be entered. Type or print clearly.)
SELLER SIGNATURE . DATE
BUYER SIGNATURE Lath: WA B28 2
LAST NAME FIRST NAME
. 2/e G83 Yi7t
/ - ? ~ wn On, / AREA CODE TELEPHONE NUMBER (Ex: 9999999)
BUYER SIGNATURE
ABS BHEERD
DATE F
* STREET NUMBER * STREET NAME
EAST riU ROA Wy sfés2
“CITY OR TOWN “STATE “ZIP CODE
BUYER'S ATTORNEY
Deew DEAN
LAST NAME FIRST NAME
TIO
AREA CODE
SES /1T/TELEPHONE NUMBER (Ex: 9999999}
Book11372/Page6061 Extra Page 2