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FOR COUNTY USE ONLY
New York State Department of
G1. SWIS Code i | fa ob BF | ye Taxation and Finance
C2:Date Deed Recorded | {O A QIVO Office of Real Property Tax Services
Month Day | Your RP- 524 7 T
G3, Book | F L | 1d D j\c4.page | "7 7h q Y ; Real Property Transfer Report (8/10}
PROPERTY INFORMATION| AURORA ASSESSOR'S OFFICE
i
1. Property
* STREET NUMBER,
Lewis Road
j
“ BTREET NAME :
NOV 29 2010
Aurora , . 14952,
‘CITY OR TOWN VILLAGE 7 7IF CODE RECEIVED
2. auyer FONTAINE Robert J,
° *TAST NAMEAOURANY ; FIRST NAME
FONTAINE Cathryn E,.
(AST NAME/COMPAHY FIRST NAME
3. anh indicate where future Tax Bills are to be sant
Address
ng if other than buyer addresa(at bottom of form) TAST NAMEICONPANY RRS NAME
STREET NUMBER AND NAME CITY OR TOWN STATE.
4, Indicate the numberof Assessment =. [_] Part of a Parcel (Only if Part of a Parcel) Check as they apply:
f P
Roll parcels transferred on the deed __—_FofParcels OR 4A, Planning Board with Subdivision Authority Exists
5. Deed
Property
2 T REET X 190* DEPTH
OR _O-o6-
"*AGRES
A270 4B, Subdivision Approval was Required for Transfer
ze 4C.Parcel Approved for Subdivision with Map Provided
DIAZ : Jay M.
6. Seller * (AST NAMEIGOMPANY FRST NAME
‘Name DIAZ Deborah M.,
LAST NAME/COMPANY FIRST NAME,
*f, Solect the description which most accurately describes the Gheck the boxes below aa they apply:
use of the property at the time of sale: 6. Ownership Type is Condominium LC]
C. Residential Vacant Land _ 8, New Construction on a Vacant Land CJ
: 410A. Property Located within an Agricullural District C]
40B. Buyer recelved a disclosure notice indicating that the property is in an O
Agricultural District
{SALE INFORMATION] 15.Check one or more of these conditions ab applicable to transfer:
[__| A. Sate Between Relatives or Former Relatives
44, Sale Contract Date 08/25/2010 __| B. Sale between Related Companies or Partners in Business.
|__| G. Ona of the Buyers is also a Seller
“! “ |_| D. Buyer or Seller is Government Agency or Lending Institution
* 42. Date of Sale Transfer / Of Z 9 { 20 l O |_| E. Deed Type not Warranty or Bargain and Sale (Specify Below)
f [| F. Sale of Fractional or Less than Fes Interest (Specify Below)
“43, full Sale Price 100,000 00 G, Significant Change in Property Between Taxable Status and Sale Dates
_| H. Sale of Busines Is included in Sale Prica
( 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 tn the form of cash, other property or goods, or the assumption of J. None ,
mortgages or other abligations.) Please round to fire nearest whole dollar amount.
Comment(s) on Condition:
14, Indicate the value of personal 0
property Included in the galo . 00
| ASSESSMENT INFORMATION - Data should reftect the latest Final Assessment Rell and Tax Bill |
18. Year of Assessment Roll from which information taken{YY) 10 “47. Total Assessed Valua 18,700
“48, Property Class 322 _ “19. School District Name Rast Aurora
*20. Tax Map Identifier(s)/Roli dentifier{s) (If more than four, attach sheet with additional idantifier(s))
201.900-3~13.132
| CERTIFICATION |
1 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
fatsa statemant of material fact harein subject me to the provistons of the penal law relative to the making and filing of false Instruments.
BUYER CONTACT INFORMATION.
(Enter information far tha buyer, Nols: H buyer Is LLC saclely, association, corporation, foint stock campany, estate or
entity that ts riot an individual egent or fiduciary, then a name and contac! Information of an individual/responsibie
parly who can anawer questions regarding the transfer must be entered. Typa or print clearly.)
FONTAINE Robert J. & Cathryn E.
LAST NAME FIRST NAME
AREA CODE ‘TELEPHONE NUMBER (Ex: ggggg89)
12940 Sanders Hill Road
* STREET NUMBER " STREET NAME
Holland NY 14080
"OMY OR TOAN “STATE “Zip CONE
BUYER'S ATTORNEY
COLLIGAN David J,
LAST NAME FIRST NAME
(716) 852~3540
AREACODE TELEPHONE NUMBER (Ex: 9899999)
Book11190/Page8796 Extra Page 1