TOWN OF BROOKHAVEN
OFFICE OF THE ASSESSOR
One Independence Hill, Farmingville, New York 11738
Phone: (631) 451-6300 Fax: (631) 451-6379
E
dward P. Romaine, Supervisor
Richard P. DeBragga, Assessor
ASSESSMENT ESTIMATE For A New House
NAME & ADDRESS TAX MAP # _____________________
ITEM #______________________________ _________________________
PHONE # ______________________________ _______________________
PHYSICAL ADDRESS______________________________ _______________
_____________________________________ ________________________
____________________________________________________________________________
Provide current survey and/or plans if available.
Additional Finished Area:
Second Floor
Breakdown: First Floor:
(Colonial, Ranch, Contemporary, Cape, High
Ranch, Split Level)
Total Square footage of house using outside dimensions
Please Describe New Home:
Style of Home________________
_____________
______________
___________
____________
Square Footage of Garage:Garage: Story Height:
Basement (Full, Crawl, Partial, Slab):
Additional Unfinished Area: __________
_____________
_______ ____________
Number of Kitchens:_Number of Bathrooms: _______ ___________
Square Footage:Detached Garage: Story Height
Sheds: sq foot
Decks: sq footPorches: sq foot
Central Air Conditioning (yes/no)
If yes, how many? __Fireplace (yes/no):__________ _______
_________
________ _________
_______
__________ _________
Market Value of Home:
Does cost of construction include land?:
Estimated cost of construction:
Size of lot (in acres):_______________
____________
_____
_______________
___________________________________
Signature
Additional Notes, pictures, or graphs:
ASSESSMENT ESTIMATE
Fr
om: Land _________________ To: Land _________________
Full __________________ Full __________________
Item # _____________________
_____________________________________________________________________________
If there are any questions concerning this assessment estimate only, please call
the Assessor’s Office between 9 am and 4:30 pm on weekdays.
THIS ESTIMATE IS SUBJECT TO FIELD VERIFICATION OF ALL DATA.
THE FIGURES GIVEN IN THIS ESTIMATE ARE GOOD FOR ONE YEAR FROM DATE OF ESTIMATE.
Thank you.
Assessor ___________________
Date: ____________________