APPLICANT
Name:
Address:
Telephone Number:
Fax Number:
Email Address:
On this transaction, Applicant is:
Select One
Buyer’s Attorney
Seller’s Attorney
Lender’s Attorney
Buyer
Seller
Real Estate Broker
Lender
GRANTOR INFORMATION
Grantor 1:
SSN:
Street Address after transfer:
City:
State:
Zip Code:
Grantor 2:
SSN:
Street Address after transfer:
City:
State:
Zip Code:
Grantor 3:
SSN:
Street Address after transfer:
City:
State:
Zip Code:
Grantor 4:
SSN:
Street Address after transfer:
City:
State:
Zip Code:
PROPERTY
Street Number :
Street Name :
Borough / County:
Select one
Bronx
Brooklyn/Kings
Manhattan/New York
Queens
Staten Island/Richmond
Section:
Block:
Lot:
Select Property Type:
Select one
1 to 2 Family w/ Attch Gar &/or Vacant Land
1 to 3 Family w/ Store/Office
4 to 6 Family w/ Store/Office
Apartment Building
Bulk Sale of Condominiums
Commercial Condo Unit(s)
Commercial Co-op Unit(s)
Commercial Real Estate
Condo Unit w/out Kitchen
Dwelling Only - 1 Family
Dwelling Only - 2 Family
Dwelling Only - 3 Family
Dwelling Only - 4 Family
Dwelling Only - 5 Family
Dwelling Only - 6 Family
Industrial Building
Multiple Residential Condo Unit
Multiple Residential Co-op Unit
Non-Residential Vacant Land
Not Applicable
Office Building
Other
Religious Structure
Residential Vacant Land
Retail Building
Single Residential Condo Unit
Single Residential Co-Op Unit
Time Share
Utility
Lot Size:
Select one
Partial Lot
Entire Lot
Dimensions of Property
FRONT
DEPTH
X
CONTRACT/TRANSACTION
Purchase price:
$
Contract Date: (mm/dd/yyyy)
Are you going to record a deed related to this transfer? Yes
No
Date of transfer to Grantee: (mm/dd/yyyy)
Percentage of interest transferred
GRANTEE INFORMATION
Grantee 1:
SSN:
Street Address after transfer:
City:
State:
Zip Code:
Grantee 2:
SSN:
Street Address after transfer:
City:
State:
Zip Code:
Grantee 3:
SSN:
Street Address after transfer:
City:
State:
Zip Code:
Grantee 4:
SSN:
Street Address after transfer:
City:
State:
Zip Code:
CONDITION OF TRANSFER (NYC-RPT)
Select all that apply (Ctrl+Click)
Arms length transfer
Transfer in exercise of option to purchase
Transfer from cooperative sponsor to cooperative corporation
Transfer by referee or receiver
Transfer pursuant to marital settlement agreement or divorce decree
Deed in lieu of foreclosure
Transfer pursuant to liquidation of an entity
Transfer from principal to agent, dummy, strawman or conduit or vice-versa
Transfer pursuant to trust agreement or will (attach a copy of trust agreement or will)
Gift transfer not subject to indebtedness
Gift transfer subject to indebtedness
Transfer to a business entity in exchange for an interest in the business entity
Transfer to a governmental body
Correction deed
Transfer by or to a tax exempt organization
Transfer of property partly within and partly without NYC
Transfer of successful bid pursuant to foreclosure
Transfer by borrower solely as security for a debt or a transfer by lender solely to return such security
Transfer wholly or partly exempt as a mere change of identity or form of ownership
Transfer to a REIT or to a corporation or partnership controlled by a REIT
Other transfer in connection with financing
Other
CONDITION OF CONVEYANCE (TP-584)
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Conveyance of fee interest
Acquisition of a controlling interest
Transfer of a controlling interest
Conveyance pursuant to or in lieu of foreclosure or enforcement of security interest
Conveyance which consists of a mere change of identity or form of ownership or organization
Conveyance for which credit for tax previously paid will be claimed
Conveyance of cooperative apartment(s)
Syndication
Conveyance of air rights or development rights
Contract assignment
Option assignment or surrender
Leasehold assignment or surrender
Leasehold grant
Conveyance of an easement
Conveyance for which exemption from transfer tax claimed
Conveyance of property partly within and partly outside the state
Other
TYPE OF INTEREST(NYC-TRP)
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Fee
Leasehold Grant
Leasehold Assignment or Surrender
Basement
Subterranean Rights
Air Rights
Stock
Partnership Interest
Other
CONDITION OF TRANSFER (RP-5217 NYC)
Select all that apply (Ctrl+Click)
Sale between Relatives or former Relatives
Sale between related companies or partners in business
One of the buyers is also a seller
Deed type not warranty or bargain and sale
Sale of fractional or less than fee interest
Significant change in property between taxable status and sale date
Sale of business is included in sale price
Other unusual factors affecting sale price
None
GRANTOR'S ATTORNEY (Not required if same as applicant)
Name:
Address:
City:
State:
Zip:
Telephone Number:
Fax Number:
Email Address:
GRANTEE'S ATTORNEY (Not required if same as applicant)
Name:
Address:
City:
State:
Zip:
Telephone Number:
Fax Number:
Email Address:
SPECIAL INSTRUCTIONS / COMMENTS:
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