Form RP-5217 PDF Details

Form RP-5217 is a form that the New York Department of Taxation and Finance has released for tax reasons. This new form can be confusing, so taxpayers should seek help from professionals to ensure they are completing it correctly. Filing incorrectly can result in penalties.

This information will aid you in comprehending better the details of Form RP-5217 before you begin filling it out.

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Form Name Rp 5217 Form
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Other names 5217 form, rp 5217 pdf fill in, new york rp 5217 pdf, rp 5217 pdf fill

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INSTRUCTIONS(RP-5217-PDF-INS): www.orps.state.ny.us

FOR COUNTY USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C1. SWIS Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C2. Date Deed Recorded

 

 

 

 

 

 

 

 

 

 

 

 

 

RP- 5217-PDF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Month

 

Day

Year

 

 

 

C3. Book

C4. Page

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Real Property Transfer Report (8/10)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROPERTY INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clear Form

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Property

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Location

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* STREET NUMBER

 

 

 

 

 

 

 

 

 

* STREET NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* CITY OR TOWN

 

 

 

 

 

 

 

 

 

VILLAGE

 

 

* ZIP CODE

 

2. Buyer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* LAST NAME/COMPANY

 

 

 

 

 

 

 

 

FIRST NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LAST NAME/COMPANY

 

 

 

 

 

 

 

 

 

FIRST NAME

 

 

 

 

 

3. Tax

Indicate where future Tax Bills are to be sent

Billing

if other than buyer address(at bottom of form)

Address

 

LAST NAME/COMPANY

 

FIRST NAME

 

 

STREET NUMBER AND NAME

 

 

 

 

 

 

 

 

 

 

 

 

CITY OR TOWN

 

 

 

 

 

STATE

 

 

ZIP CODE

 

 

 

4. Indicate the number of Assessment

# of Parcels

OR

Part of a Parcel

 

(Only if Part of a Parcel) Check as they apply:

 

 

 

 

Roll parcels transferred on the deed

 

 

 

 

 

 

4A. Planning Board with Subdivision Authority Exists

 

 

 

 

5. Deed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X

 

 

OR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4B. Subdivision Approval was Required for Transfer

 

 

 

 

Property

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* FRONT FEET

* DEPTH

 

*ACRES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Size

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4C. Parcel Approved for Subdivision with Map Provided

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. Seller

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* LAST NAME/COMPANY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

 

 

 

 

LAST NAME/COMPANY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*7. Select the description which most accurately describes the

 

 

 

 

 

 

 

 

 

 

Check the boxes below as they apply:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8. Ownership Type is Condominium

 

 

 

 

use of the property at the time of sale:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. New Construction on a Vacant Land

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10A. 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. Sale Between Relatives or Former Relatives

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. Sale Contract Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. Sale between Related Companies or Partners in Business.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C. One of the Buyers is also a Seller

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* 12. Date of Sale/Transfer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D. Buyer or Seller is Government Agency or Lending Institution

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E. Deed Type not Warranty or Bargain and Sale (Specify Below)

 

 

 

 

 

 

 

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

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 Dates

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

H. Sale of Business is Included in Sale Price

 

 

 

( Full Sale Price is the total amount paid for the property including personal property.

 

 

 

 

 

 

 

 

 

 

 

 

I. 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.

 

 

 

 

 

 

 

 

 

 

 

 

 

Comment(s) on Condition:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14. Indicate the value of personal

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

property included in the sale

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ASSESSMENT INFORMATION - Data should reflect the latest Final Assessment Roll and Tax Bill

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16. Year of Assessment Roll from which information taken(YY)

 

 

 

 

 

*17. Total Assessed Value

 

 

 

 

*18. Property Class

_

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*19. School District Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*20. Tax Map Identifier(s)/Roll Identifier(s) (If more than four, attach sheet with additional identifier(s))

CERTIFICATION

I 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 I understand that the making of any willful false statement of material fact herein subject me to the provisions of the penal law relative to the making and filing of false instruments.

 

SELLER SIGNATURE

 

 

 

SELLER SIGNATURE

 

DATE

 

BUYER SIGNATURE

 

 

 

BUYER SIGNATURE

 

DATE

BUYER CONTACT INFORMATION

(Enter information for the buyer. Note: If 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 information of an individual/responsible party who can answer questions regarding the transfer must be entered. Type or print clearly.)

* LAST NAME

 

 

 

 

FIRST NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

*AREA CODE

 

 

 

*TELEPHONE NUMBER (Ex: 9999999)

 

 

 

 

 

 

 

 

 

 

 

 

 

* STREET NUMBER

 

 

* STREET NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

*CITY OR TOWN

 

 

 

 

 

 

*STATE

*ZIP CODE

BUYER'S ATTORNEY

 

LAST NAME

 

FIRST NAME

 

 

 

 

 

 

AREA CODE

TELEPHONE NUMBER (Ex: 9999999)

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