HomeMy WebLinkAboutL 13301 P 82 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED Recorded: 07/11/2025
Number of Pages : 3 At: 02 :55 :47 PM
Receipt Number : 25-0088429
LIBER: D00013301
PAGE : 082
District: Section: Block: Lot:
1000 055 .00 06 . 00 003 . 000
EXAMINED AND CHARGED AS FOLLOWS
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $15. 00 NO Handling $20 .00 NO
COE $5. 00 NO NYS SRCHG $15 . 00 NO
EA-CTY $0. 00 NO EA-STATE $0 .00 NO
TP-584 $0. 00 NO Notation $0 . 00 NO
Cert.Copies $5. 00 NO RPT $200 . 00 NO
Fees Paid $260 . 00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
VINCENT PULEO
County Clerk, Suffolk County
RECORDED2:
21725 Jul 11 u2:55:47 F'h1
Numtsefof pages VINCENT PULEO
CLERK OF
SUFFOLK COUNTY
This document will be public L D00013301
record. Please remove all P 082
Social Security Numbers. .
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee .UG 1 Mortgage Amt.
1.Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec./Assit.
19 or
EA-5217(County) Sub Total 7 0 O Spec./Add.
EA-5217(State) TOT.MTG.TAX
� O� � jy,, Dual Townfor
Dual County
R.P.T.S.A.
-�A. Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
a
Affidavit + + Mansion Tax
ertified Copy . �� The property covered by this mortgage is
or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total u7 G� YES or NO
Other Grand Total 0,00 If NO,see appropriate tax clause on
page# of this instrumen
L'�
4 Dist, 1000 IC2502703, 1.000 05500 0600 003000 5 Community Preservation un
Real
In T S� Considerationf i f
Tax a ci ertY ' RMK
z I IIIIII IIIII�I�II IIII�II I III CPF Tax Due Arno$nt$
Verification
Improved
6 Satisfactions/Discharges! eleases List Property Owners Mailing Address
RECORD&RETTURN TO: Vacant Land
TD
T D
TD
Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Company Information
310 'Center Drive, Riverhead, NY 11901 Co,Name
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached c:,, .emu made
by: ( PECIFYTYPEOF INSTRUMENT)
..fix- . J• BwY, The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of �•�
In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
REVOCABLE TRANSFER ON DEATH DEED
NOTICE TO OWNER: You should carefully read all information on the other side of this form.
You may want to consult a lawyer before using this form.This form must be recorded before your
death, or it will not be effective.
IDENTIFYING INFORMATION
Owner or Owners Making This Deed:
Siegfried J. Bundschuh-residing at 380 Yennecott Drive, Southold,New York 11971, as
surviving tenant by the entirety to Ursula M. Bundschuh, who died on August 1 l, 2005,
Printed name and Mailing address
Legal description of the property:
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon
erected, situate, lying and being at Southold, Town of Southold, County of Suffolk, and State of
New York, shown and designated as Lot #52 on a certain map entitled "Map of Yennecott Park
situate at Southold," surveyed by Van Tuyl and Son, Greenport, New York, May 1, 1968, and
filed in the Office of the Clerk of the County of Suffolk on the 911 day of October 1968, as Map
#5187.
DISTRICT 1000
SECTION 55.00
BLOCK 6.00
LOT 003.000
Premises known as: 380 Yennecott Drive, Southold, New York H 971
PRIMARY BENEFICIARY
I designate the following beneficiaries if the beneficiaries survives me:
Michael J. Bundschuh 35 Chestnut Hill Apartment 4 Sau erties NY 12477
and
Thomas Bundschuh, 809 Pondview Road, Riverhead, NY_ 11901
as Tenants in Common
Printed name and Mailing address, if available
ALTERNATE BENEFICIARY - Optional
If my primary beneficiary does not survive me, I designate the following alternate beneficiary if
that beneficiary survives me.
N/A
Printed name and Mailing address, if available
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.
I
SIGNATURE OF OWNER OR OWNERS MAKING THIS DEED
I
v 2c�2
caner: Sagckr d J. Bundschuh Date
69
S1�r;eGQ
SIGNATURE OF WITNESSES
fy2 vZI—
Witness Melissa E. Bekisz Date
Address: 828 Front Street, Suite B, Greenport NY 11944
)2 ". �—z 'j'(C' (0, Zo- .T
Witness. Donna M. Bekisz U Date
Address: 828 Front Street, Suite B, Greenport NY 11944
NOTARY ACKNOWLEDGMENT
STATE OF NEW YORK
ss..
COUNTY OF SUFFOLK
On the 01"' day of July in the year 2025 before me, the undersigned, personally appeared
SIEGFRIED J. BUNDSCHUH personally known to me or proved to me on the basis of satisfactory
evidence to be the individual(s) whose name(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 individual(s), or the person upon behalf of which
the individual(s) acted, executed the instrument.
Notary Public
Robert DeFrese
Notary Public State of New lbit
Registration No.01DE5035117
Qualified in Suffolk County
Commission Expires October 24,2020
a