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B 43 L9 G1-278•A—QUIT dLAlbt DEGD t„ THIS INDENTURE, Mad. (his 1St nine hundred and eighty eight Ruth Muchemore of the first part, and Mary Bottolfson day of August between Huffman and Felton & Wolf, Walton, Ne. 68461 , in the year one thousand of file mond part, WITNESSETH, lhm it,. said part y of the flrst part, In consideration of rho stun of One Dollar and other valuable consideration -------------------F�of,hAfts, to ' , duly,pald, Iho r"i't whereof Is hereby'ack..wledged wmised, colons vi, and „quit-claimed,and by� these presents do remiso, release and forever quitclaim unto the said party of the second part, and to his, her or their heirs and assigns forever, all his, her or their right, title and interest, in and to all Graves 1 and 2 in Lot 9, Block 43 in the Blair Cemetery, Washington County, Nebraska . i I cn Togelher with all and singular the hgnvlilamenls thereunto belonging. TO HAVE AND TO HOLD the abovo described promises unto the sold grantee and to aranlro's heirs iw f n ignx Gmever — that neither line said grantor , nor any p.raon in his, her or their name and boboif, .1 It or will horadler claim or douuuui any right or title to tine said promises or tiny part thereof, but llroy and every ono of Thom Audi by (heap presents bo excludwl a I forever barred. ................................................................................................................................................ Ruth Muchemore SPATE OF.......),V.e.�2X:xZ.S.ka ................................ County of, ....:5..... ..r.�.sl.............: YIfI3k1 Before me, a notary public qualified for said county, personall game a* 4# Ruth Muchemore OotrtEwpfuyD,l992 knownto me to be the identical person or persons who signed the foregoing instrument and acknowledged the execution thereof to be his, her or their voluntary act and deed. / Witness my hand and notarial seal on............�G. ....... .,1.......... 19..s .. MY commission expires:... .:c.Lt. Y .......... 19.�... ./ .. �e,e�f„� .... • •..........0.�'olary Public. STATE O '•Z • ....•.............••-...................... r>1 �L� Entered on numerical index and filed for record County ... ................ .........,L.O.�:a.....................�yp� in t}�o Register of Decde Office of said County the .da of...... 19...g at............ r'V .....g...�........ Y .. .....//....................... ((// ....., ............o'clock capd............. ..::... ........mfnulea ......................M., andrecorded in Book.................J..... ...�......of... _ .......at pa e.....�f................`,../..//////..JJ�� ..... ...... ....... ......../.........Reg. of Deed. _ By ................... ... L. .. '.:4/. AV—,., ......................Deputy N EUR!', :i, f ,. � '. ':' EN i AW1 . NOV 2 9 1988 2 1 8 .'. Neeordedx_� G� General—__.__ / Numerical fhotoslat 9b TO BE FILED WITH REGISTER OF DEELIP Real Estate i ranSTer �jaxemenx This Statement is Confidential,— ' forTax Officials Only • Read instructions on reverse side • THE DEED WILL NOT BE RECORDED UNLESS THIS 'STATEMENT IS SIGNED AND LINES I THROUGH 19 AF rntINTV ASSESSOR'S USE ONLY L I rurinn 521 ,Y COMPLETED 0 inty Name County No. Sales No. Loqatlon'J.D. A): -;J) party —Type "'ip d (1) Single Family (4) [],!C�6mrrferclal', M'E],Agricultura 01� �of AcreE��) ,!I IDate ofSale 2Da_teofDeed (2) C] Multi Family :�i(5),[]Industrial ,is ),1(8) []Mineral Interests • ;nn (3) [:] Home Sites (6) [] Racreat (9) [] Other !o,nafli YA-1 I Mo t Month Day ont, Year so M h DR Year n (Cabins etc. --r7r ress, and Telephone 4 Grantee's Name, Address, hope Name, Address, qnd Telephone -Grantor's intor'sme (seller) [tutf� muchemore Grantee's Name (Buyer) Ma Bottolfson —7-d ,at or Other Melling2 ddress Strget'or0th'dr'Maild'Addtdss"-I 1210,,101 ve Branch:.Land South 5 th S 7 7 C. State 'Z( Cod . State I g. Cod e cfba Jose, Ca. naha Nebraska t6811,11W n w; ephone Number Telephone Number. nf Dead Federal Emplo at Identification or tiocial becurny I quit Luaim of Grantee(s) (�f more than two, attach list) "u"`Rary' 476�-,3.04'170 -777777777=77777777T7777 ; I , i � I , , j 7-7-- Type of Transfer 'en�)fuizq �tO D Sale [3CC3ift L Exchange El Foreclosure ❑ Satisfaction of Contract [I Other (explain) 9 Was sale between relatives? (it yes, state relationship) Ownership Transferred In Full (it no, explain) ❑ Y i E - S i!ill J-1,1 6' YES , El NO it, — _N ''I Ili�W TJ Was mortgageiabsu'rridd? (if yes;state atnoUntand Interest rate) It the real estate was transferred for nominal % consideration, what is the current market value? $ El YESl NO $ -bame U Does this conveyance, divide, a current sale,th a pj?vl� f 14Wasir d for,, so? (if no,, explain)! I go areal estate #9 eal estate p , urchase V parcel of land?' 17 El YES NO YES S a Code ty IDB iair late Address of, Pr6parfy B 686 0 ;' 2 11-7 Legal Description Graves 1 and 2 in 1;6t�' 111666 43, in the Blairemei:6iry, .,Washington CoUnty,#j,,Nebra.ska4 01W, Ali '11W!,,W, iW Total 17 :00 `incl4i4l'il'ii chase price, llabifllles ass6nied. Itemized list),.. Includad'in pUr�hW enter amount and attach 18 $ 0 i00 I Was non real property EI:Yes 17!Ad,� f: il� , , � J, i" I 'j- , 19 $ 0 100 I Adjusted purchase price paldfor,re"al estate (line 17 rnlnu6 line, 18),. 'Ilt ... . . . . . t,., a '4 y no1. k"; � iifii ba6t06dgaand;6.11-1,i Under penalties of perjury, I declare that I have examined this statement and that It a,to�tle , true and correct, and that I am duly �uthorlzed to sign this statement. I; V sql,l, Dill 8 1.1 vid ,!,bolwd blilov" xWJ. Title f lio Jm Patel 0-Viginature lit i here REGISTER,OF DEEDS' USE -ONLY J22 Deed Book F23 Dead Page Dat corded 21 Value of St or emptNpmber. $ �.nth Day Year (5K -01 , A,iij_01�% COUNTY ASSESSOR'S USE ONLY 28 A Itural Land 4 Block Parcel Number, i ]j LVGibm �,,J eNd. of Acres' =LVG =,. No; of Acres ownship Section Subdivision "t f to C" -st 5 to Ili ImProved Parcsj4:J.I4.T Code CC QuqlItly No. of $!Pries Story Height ,,chType j°,iijj;tr, Basement iv df), !"i 0 tPk�k ,to 1 .1 3arage Stall' door Area Basement Finish 777-7 Type Y Built i,- Garage Type Year Built ModernIzationtRei1ab t) _'M ---777 RCN ll;fv -�,I Aiscollaneous iJ:t,;i tial ng IT . Type Total Acres/Lots Depreclaton Study,,,,, Reason Nq. OpesJarid adjoin current. 9 1 perall, .r �iscellanw�usrr, W) Unit? 0 YES 0 S1 Z6 Platted Lots NO Irreg. Front Depth -'d ValUe 29 $ 100 loning 29tan :ot —Size -Street —Improvement Site . improvem 3nt 30 $ F 00 30 Improverrientmalue I�ii1 — 27Should this sale be used in an assessment/sales If no, give nonuseable sales code 31 Total .value (line 29 plus ratio study? El YES El NO line 30) . . . . . . 31 $ — �00 Nebraska Department of Revenue Form No. 2-146-67- HOV, 10-85 Authorized by Section 76:214, 77-1327, 77-1328 R.A.S. 1943 Supersedes 2-146-67 Rev. 11-79 COUNTY ASSESSOR - White and Canary Copies NEBRASKA DEPARTMENT OF REVENUE - Pink Copy GRANTEE - Goldenrod Copy