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INSTRUCTIONS(RP-5217-INS): www.orps.state.ny.us
FOR COUNTY USE ONLY New York State Departmentof
| | C1. SWIS Code | 14 LY f qi Taxation and Finance
C2. Date Deed Recorded | Pp Jord / { 71 | Office
of Real Property
Tax Services
5 Day “G q |
RP-
C3. Book C4.Page | | i te |
521 7
Real Property Transfer Report (8/10)
2 PROPERTY INFORMATION |
ch ce 4. Property 1590 Hubbard Road
ke " * STREET NUMBER
“ STREET NAME
ae SS Aurora
fi oc 24052
32 2 2. Buyer Reed emenon mcs
Krystal NOR oe 5. SSORS OFFICE
O ay | ‘ome * LAST RAME/COMPANY /
FIRST NAME
SEP 75 2017
“Aa
eECEVED
LAST NAME/COMPANY FIRST NAME
3. Tax . 7
Billing Indicate where future Tax Bilts are to be sent
Address if other than buyer address(at bottom of form) LAST NAME/COMPANY FIRST NAME pee
STREET NUMBER AND NAME CITY OR TOWN STATE ZIP CODE
4. indicate the number of Assessment 1 O Part of {Only If Part of a Parcel) Check as they apply:
Roll parcels transferred on the deed —___ # of Parcels
on
‘art of a Parcel
4A. Planning Board with Subdivision Authority Exists im
5. Pos 100 X 228 OR 0.00
= 4B. Subdivision Approval was Required for Transfer CJ
* FRONT FEET “DEPTH “ACRES
4C.Parcel Approved for Subdivision with Map Provided CT
Blood Carly A.
6. Seller > LAST NAMEICOMPANY :
Name FIRST NAME
3 i
Blood William A.
LAST NAME/COMPANY FIRST NAME
“7. Select the description which most accurately describes the Ghack the oomne ow an tay apply:
use of the property at the time of sate: 8. Ownership Type is Candominium
A. One Family Residential
9. New Construction on a Vacant Land
10A. Property Located within an Agricultural District
108. Buyer received a disci notice indicating that the
Agricultural District
[SALE INFORMATION} 15. Check one or more of these conditions as applicable :
TTT.
A, Sale Between Relatives or Former Relatives BY:
41. Sale Contract Date 06/30/2017 8. Sale between Related Companies or Partners in Bu
é
12. Date of Sale/Transfer
;
0
g | a x + KOTRS »
Pl y
j
{ “7.
C. One of the Buyers is also a Seller
D. Buyer or Seller is Goverment Agency or Lending Institution
“ /
E. Deed Type not Warranty or Bargain and Sale (Specify Below)
SALITITT
\ F. Sale of Fractional or Less than Fee interest (Specify Below)
"43. Full Sale Price 132,355 00 G. Significant Change in Property Between Taxable Status and Sale Dates
( Full Sate Price is the total amount paid for the property including personal property. H. Sale of Business fs Included in Sale Price
This payment may be in the form of cash, other property or goods, or tha assumption of 1. Other Unusual Factors Affecting Sale Price (Specify Below)
mortgages or other obligations.) Please round to the nearest whole dollar amount. J. None
t(s} on Conditt
+
14, indicate the value of personal 0
property included in the sale -00
f ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Rolf and Tax Bill |
16. Year of Assessment Roll from which Information taken(YY) { } “17. Total Assessed Value 48,700
"48. Property Class 210 _ i "49. School District Name EAST AURORA UNION FR
“20. Tax Map Identifier(s}/Roll identifier(s) {if more than four, attach sheet with additional identifler(s)}
175.04-1-17
| CERTIFICATION |
| Cartify 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
false statement of material fact herein subject me to the provisi of the penal ons
law relative to the making and filing of false instruments.
SELLER SIGNATURE BUYER CONTACT INFORMATION
x Com Bfack sfy 4fty (Enter information
for the buyer. Note: f buyer is LLC, society, association, corporation, joint stock company,
estate or
om entity that is not an individual agent or fiduciary, then a name and contact information of an individuavresponsibie
b g Be party who can answer questions regarding the transfer must be entered. Type or print clearty.)
SELLER SIGNATURE 4 - = DATE
Reed Krystal
LAST NAME FIRST NAME
AREA CODE TELEPHONE NUMBER (Ex: 9999999)
6519 Powers Road
* STREET NUMBER “ STREET NAME
H i i! fal Orchard Park NY 14127
Pt (Ana Ta ay etmm oly’i ‘ith vi Ie _ BUYER'SATIORNEY =
yy
ft) jal
he ip
| ae
Marlt5 4 Ag'', jild
oeAu «lh
pt: i iipchaya- Kelley Seth
LAST NAME FIRST NAME
(716) _ 4S1/-692 7
TELEPHONE NUMBER (Ex: 9990909)
Book11317/Page9193 Extra Page 1