HomeMy WebLinkAboutL 13328 P 620 I I I l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l
I I I I I I I l l l l l l l l l l l l l l l l l
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED Recorded: 03/09/2026
Number of Pages : 4 At: 01 : 35 : 39 PM
Receipt Number : 26--0028252
LIBER: D00013328
PAGE : 620
District: Section: Block: Lot:
1000 070 . 00 05 .00 030 . 002
EXAMINED AND CHARGED AS FOLLOWS
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $20 . 00 NO Handling $20 . 00 NO
COE $5 . 00 NO NYS SRCHG $15 . 00 NO
TP-584 $0 . 00 NO Notation $0 . 00 NO
Cert.Copies $5 . 00 NO RPT $200 .00 NO
Fees Paid $265 .00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
VINCENT PULEO
County Clerk, Suffolk County
RECORDED
Number of pages 2026 tlar 09 01:35:39 PN
UINCENT PULEO
CLERK OF
SUFFOLK COUNTY
This document will be public L DOOO13328
record. Please remove all P 620
Social Security Numbers
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Z(J•UD n Mortgage Amt.
G 1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
or
EA-5217(County) Sub Total Q Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. Dual Town Dual County
Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Affidavit _ Mansion Tax
Certified Copy Sr CL � The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 Z ZS 610 family dwelling only.
Sub Total YES or NO
Other
Grand Total -26 5 OG If NO,see appropriate tax clause on
page* of this instru ent.
/0 �7 z
4 1 Dist.100" "- 5 Community Preservation Fund
26008697 1000 07000 0500 030002
Real Property orrs IIIIIII�I�{ I Consideration Amount$
Tax Service R A
Agency 09,.nwz CPF Tax Due $
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
Robert M. Kowalski
435 Pine Neck Road TD
Southold, NY 11971
TD
I
TD
Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.NameN/A
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This pageforms part of the attached TOD DEED made
by; (SPECIFY TYPE OF INSTRUMENT)
Robert Kowalski The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of Southold
Karen A. Kowalski In the VILLAGE
or HAMLET of Southold
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
REVOCABLE TRANSFER ON DEATH (TOD) DEED
NOTICE TO OWNER: THIS DEED MUST BE RECORDED BEFORE YOUR DEATH OR IT WILL NOT BE
EFFECTIVE. YOU SHOULD CAREFULLY READ ALL INFORMATION ON THE OTHER SIDE OF
FORM, YOU MAY WANT TO rQNSULT A LAWYER BEFORE USING THIS FQRjd,
INDENTIFYING INFORMATION
OWNER OR OWNERS MAKING THISL DEED:
fEJ<j+ t%o6t=pT µI a�ua�-Skl
ROBERT KOWALSKI,residing at 435 Pine Neck Road,Southold,NY 11971
Printed Name and Mailing Address
ROBERT M. KOWALSKI,435 Ping Neck Road,Southold,NY 11971
A4A Kb&r--iLT Kowol—Sk—I
LEGAL DESCRIPTION OF THE PROPERTY:
SEE SCHEDULE"A"attached hereto
Premises known as 565 Pine Neck Road,Southold,NY 11971
ERIMARY BENEFICIARY
KAREN A. KOWALSKI,residing at 435 Pine Neck Road,Southold,NY 11971
ALTERNATE BEN EFICIARY-OPTIONAL
IF MY PRIMARY BENEFICIARY DOES NOT SURVIVE ME.I DESIGNATE THE_FQLLO-WING ALTERNATE
JOINT BENEFICIARIES
SANDRA ANNE KOWALSKI,10751 Caminsto Cascare,San Diego,CA and STEPHANIE ANNE OLIVER, 565 Pine
Neck Road, Southold, NY 11971
Printed Name and Mailing Address
TRANSFER ON DEATH
AT MY DEATH I TRANSFER MY INTEREST IN THE DESCRIBED PROPERTY TO THE
BENEFICIARIES AS DESIGNATED ABOVE. BEFORE MY DEATH I HAVE THE RIGHT TO
REVOKE THIS DEED.
SIGNATURE OF OW. ER OR OWNERS MAKING THIS DEED
G�/ t
ROBERT KOWALSKI DA E 2' DATE
" A P-Dber f- lu• KOWAi-Sk-4
SIGNATURE OF SSES
/ 1 7 12m, l � �07/Z
0f7
SIGNAT E DATE SIGNATURE DATE
lirn r
t2c(- 13Z3s M R
I1 t MC\L+:
SCHEDULE 'W'
565 Pine Neck Road
Southold, NY 11971
1000-070.00-05.00-030.002
ALL that certain plot, piece-or parcel of land,with the buildings and Oprovcments thereon-erected, situate,
lyingg and being in the :Z'owr, of Southold, County. of Suffolk, State of New
York,' being riore' particularly bounded and described .as follows:
•BEGINNING at a point on the northerly line of Pine Neck
Road at the soiithweste,rly corner 'of' land now or €orrnerly of
Gildersleeve and the southeasterly corner of the premises herein,
described;
RUNNING THENCE along said northerly line of Pine Neck
Road, North 830 45' 00" West, 120:0 feet;
THENCE along. other land of the party of the first part.
(Plot II) North 4° 30' 50" East, 379.14 feet to said- land now or
formerly of Gildersleeve;
*THENCE along said land, two courses: (1) South 840 09'
50" East, 120.0 feet; thence (2) South 4° 31' 00" West, 380.0
feet to the point.of BEGINNING.
i
Uniform Acknowledgment
STATE OF N}--J
COUNTY OF SIX"-
On the 11 day of OWE&,_in the year 2025 before me,the undersigned,personally appeared
ROBERT KOWALSKI personally know to me or proved to me on the basis of satisfactory evidence to be the
iridividuals(s)whose names(s) is(are subscribed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their capacity(ies)and that by his/her/their signature(s) on the instrument,the
irdividual(s)or the person upon behalf of which the individual(s)acted,executed the same.
Notary Public
IAIK JOSFPH MCKENNA
[rotary public,State of Now York
No.02MS62SS3f9
Qualified In Suffolk County
Commission Expires February B,20Z-9
Record and Return to:
ROBERT M. KOW ALSKI
435 Pine Neck Road
Southold,NY 11971