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INSTRUCTIONS(RP-t-217-PC'.!'-INS): www.orps.state.ny.us
FOR COUNTY USE ONLY
'L • ~
C1. SWIS Code I, Y 4 1'.) tjI V 1 1 1
New York State Depa
Taxation and Finance
C2. Date Deed Recorded I• :l
VI
Z, ;, I / 7I" Olfice of Real Property Tax Serv,ces
I I 1 0 "'"" O•y )!:>'- RP- 5217-PDF
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PROPERTY INFORMATION
1. Property 559 South Street
OCT 3 0 2015
Location
RECEIVED
• STREET Nu.18ER • STREET NAME
Aurora 14052
'CITY OR TOWN ~UAGE
2. Buyer Brayman f/k/a Lewis Jennifer A.
- IL},/)
Name
_B_r_~_:_•_:_:_e,c_o_•_,_,
_______________
LAST NAMEICOM,...V
:_:_:~~_;_:~L_.____________________v
,.. . . " ' " ' Ir
A
1., J<.J
~~ill!
3. Tex
BIiiing
Address
STREET NUMBER ANO NAME CITY OR TOWN
OR
O Part of a Parcel (Only If Part of a Parcel) Check as they apply:
4A. Plannino eoard wi'lh Subdivision Authority Exists
5. Deed 225 OR 0.00
Property
_1.,..,0==--- X .cB. Subdivision Approval was Required for Transfer
'FRONT~EET ~ 'ACRES
Slzo 4C. Parcel Approved for Subdivision wtth Map Provided
□
Brayman f/k/a Lewis Jennifer A.
e. Seller • LAST NAME/COMPANY FIRST NAME
Name
LAST NAME>COMPANY
Chock the boxes below•• they apply:
•7. Select the description which moat accurately descrlbn the
uu of the property at the time of 11'8: 8. Ownership Type is Condominium 0
A. One Family Residential 9. New Construction on a Vacant Land D
10A, Property Located within an Agricultural District 0
108. !~~~~1=i~t~:isc/osure notice indicating that the property is in an D
SALE INFORMATION 15. Check one or more ofthne conditions H appllcable to transfer:
A. Sale Between Relatives or Former Relatives
B. Sale between Related Companies or Partners In Business.
11. Sale Contract Date
C. One of the Buyers Is a\10 a Seller
o. Buyer or Setter la Government Agency or Lending Institution
• 12, Date of Sale/Transfer E. Deed Type not Warranty or Bargain and Sale (Specify Below)
F. Sale of Fractional or Less than Fee Interest (Specify Below)
*13. Full Sale Price G. Significant Change in Property Between Taxable Status and Sale Oates
H. Sale of Business is lnduded in Sale Price
( Full Sale Price is the total aroount paid for the property including personal property. I. Other Unusual Factors Affecting Sele F'ric.e {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 n&arest whole dollar amount.
•comment(I} on Condition:
14. lnd~ata the value of personal
property Included In the sale .00
ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill
16. YHr of A•H11ment Roll from which Information taken(YY) 14 •17. Total Assessed Value 94,600
•,a. Property Cl••• 210 *19. School District Name East Aurora
•20. Tax Map ldentlfier(s)/Roll ldentlfler(1) (If more th,n four, attach sheet with additional ldentlfler(a))
175.16-1-11
CERTIFICATION
I Certtfy that all of the Items of lnfonnatlon ente,.d on this form are true and correct (to the bfft of my knowledge and ~fief) and I understand that the making of any willful
false statement of material fact herein subject me to the PtPYltlon1 of tht penal Jaw relattve to the making and filing of false Instruments.
SELLER SIGNATURE BUYER CONTACT INFORMATION
(Enter lnfonnation for the buyer. Note: If buy&< is LLC.1ociety, association. c:«pof&Uon. Joint stoek company, estale o,
entity that is not an Individual agent or lk:ludary. then e name and eoc,taci infOf'ITlation of an lndivlduallre1poneible
perty who c,n answer questions regarding the transfer mu.st be entered. T)'PI o, pr1rtt clearly.)
Jennifer & Robert
FIRST NAME
South Street
' STREET NUMSER ' STREET NAME
NY 14052
"ZIPCOOE
BUYER'S ATTORNEY
Carol A.
FIRST NAME
(716) 652-9600
AREA CODE TELEPHONE NUMBER (Ell: 9999999)
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