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INSTRUCTIONS(RP-5217-PDF-INS): waw.orps.state.ny.us
FOR GOUNTY USE ONLY New York State Department of
C1. SIS Code (L4.24,8,9 ; Taxation and Finance
C2. Date Deed Recorded [| & / LE zy 25 | Office RP. S217-PDF
G3. Book | [, | 4 fa ‘6 \ca.page 16,.%,° J i Real Property Transfer Report (8/10)
PROPERTY INFORMATION |
4, Property 0 Jewett Holmwood Road
* STREET NUMBER * STREET NAME
Aurora 14052
“Cy OR TOW VRLAGE “ZIP CODE
2. Buyer Elvers dames C., Jr.
Name * LAST NAMEICOMPANY FIRST NAME
Elvers Christine
LAST NAME/COMPANY FIRST NAME
3. bi indicate where {ture Tax Bilis are to be sent
STREET NUMAGH APE} WANE CIEYOF TOWN STATE WP CODE
4. indicate the numberof Assessment = 1g aes oR [] Pat ofa Parcel (Only If Partof a Parcel} Check as they apply:
Roll parcels transferred on the deed 44. Planning Board with Subdivision Authority Exisis, |
5. Property
Deed . a5 x — oR _0.94
ase ivish Anpmval al was
48. Subdivision was Regul
Required for T Transfer C]
Size 4€, Parcel Appraved for Subdivision with Map Provided O
Murray Daniel J ,
6. Setter * LAST HAMECOMPANY FIRST NAME
Name
LAST NAMEXCOMPANY FIRST NAME
*7, Select the description which most accurstely describes the Check the boxas below as they apply:
use of the property at the time of sale: 8. Ownership Type is Condominium C]
C. Residential Vacant Land 2, New Construction pn a Vacant Land rl
404. Property Located wilttin an Agricultural District C]
108. Buyer received
a disclosures notice indicating that the property is. in as a
_Aaricuitural District
[SALE INFORMATION} 75, Chock one oF more of these condtdons as applicable to transfer:
ub | / | A. Sale Belwaen Relatives or Former Relatives
44, Sate Contract
Data ; y Y / j ad He&. One
Sale che
betweenBurera testesConipanies
Related eisomr or Partners in Business,
; ; / , Buyer
oc Seller is Goverment
Agency or Lending institution
* 42. Date. of SalelTransfor ef fas. E. Deed Type not Warranty or Bargain and Sale (Specify Batow)
F. Sate of Fractional
or Less thar Fee Interest (Spacity Below)
“13. Full Sate Pelee 75,000 .o6 G. Significant Change in Property Bebyean Taxable Status and Sale Dates
(Full Sale Price
js ihe total anount paid for the property including personal cropatty. 4.3, SaleOt of Bus iF is Inciudied in Sale Price
: Affecting: if
This payment may be in the form of cash, other proparty
or goods, othe eatin oft ny piher Unusual actors ing Sale Price (Specity Below}
mortgages or cther obligations.) Plsass roundto the nearest whole dollar amount.
*Comment{(s) on Condition:
14, Indicate the value of personal
property Included in the sale : 0
at Final Assesament Roll and Tax Bill |
46. Year of Azsasanvent Rall fem which Nifernatlantaken(vY] 2 4 17. Total Assessed Value 1,000
“48. Property Class 311 _ *18. School District Nante Orchard Park Central
*20. Tax Map kienkifier{s
jou Identifier(s) {if more than four, attach sheet with additonal identifiar(s})
174. 13-2~4
[CERTIFICAT: a} "
{ Certly vat all of te ames af information siared See elena Gaia and correct {to the best.af my Knowledge and telle}} and | understand that Ge making of witha
fals of material fact herain subjectmo to the provisions
of the penal law rejative to the making and filing of faise festruments. “y
{Enter information for tha buyer. Note: Hf buyoris LLC sodety, association, cerperation, joint stock company, aatate or
entity tttet is not an individual agent or fiduciary, then a name acd contact information of en individualreaponsitie
parly who cen answer questions regarding tis transfer must be entered. Type or print cinarly.)
Elvers dames C., Jr. & Christine
LAST NAME FIRST NAME
i “AREA CODE “TELEPHONE NUMBER (Bc: S0n025)
1305 Jewett Holmwood Road
" STREET NUMBER “STREET NAME
Orchard Park a NY 14127
"CITY OR TOWN a ‘staTE «= HHP CODE
Markello Jeffrey
LAST NAME FIRST NAME
(716) 655-0102
AREA CODE TELEPHONE NUMBER (Bx, 0B808)
Rook11446/Pane6803 Fxtra Pane >