B106 L7 G1-2-3 (2)KEEP
Thisisyour legal descrvo-- for your Real Estate,
and you will always have it for future use
Grave Spaces 1, 2 and � Rik inti
LAE— FnRM
Lot 7 Blair Cemetery
24
City of Blair
26 Agricultural Land
CHARLOTTE L. PETERSEN
Township
County Clerk & Register of Deeds �)
Quar,
1 Date of Sale
2 Date of .Deed
Blair, Nebraska 68008
���. '.
Month : Da r "
Month Day Year
3 Grantor's Name, Address, and Telephone
4 Grantee's Name, Address, and Telephone
Grantor's Name (Seller) s t •tom
Grantee's Name (Buyer)
By y L3�. s.. , u T .a
r
Stree��ggt or Other Malting Address -
Street orQther Mailing Address
:. 16 Ponca
--`–
G:ity State Zip :Code ':
City "' .. `� `" '� ':.State - :Z:ipCode
Rd�t
TelephoneNumber ''
► 8
Telephone umber
426-4191
5 `Federal Employer Identification or Social Security Number `
6'Type of Deed -
of Grantees) (if move t'Iian two, attach tilt) ��;�,„�
Finish
006106
7Type of Transfer
Sale ❑ Gift ❑ Exchange ❑::Foreclosure ❑ `Satisfaction of Contract '❑ Other (explain)
6 Ownership Transferred in Full (if no, explain) : 9 Was sale between relatives? (if yes, state relationship)
a YES ❑NO ,❑ YES' Iwo=:NO
10 If the real estate was transferred for nominal 11 Was mortgage assumed? (if yes, state amount and interest :rate)
consideration, what is the current market value? $ ❑ YES NO $
12 Does this conveyance divide a current 1 3 Was sale through a real estate agent? < 14 Was real estate purchased for same use? (if no, exi lain)
".Parcel of land? ❑ YES NO ❑ YES NO :YES ❑ NO
-15 Address of Property City State Zip Code
Blali
Blair
96Ls al Description _ .� °' � �€
gav Spaces �. u, and , ❑ "1'a , Lot , ��.a� P � (�, � r� m°w"� � 1) �
rv*c A.A .,>"SX $f' P"° -'$,;
e
17 Total purchase price includin any Liabilities assumed .................... 17 $ t7 � X00
1 �.Nas non real property included in purchase? {❑ Yes ❑ No (If yes, enter amount and attach itemized list) ....... 18 $r ,00
19 Adiusted purchase price paid for real estate (line 17 minus line 18)......... ................ .. . 19 $ 00
Under penalties of perjury, I declare that I have examined this statement and that it is, to the best
true and correct, and that I am duly authorized to sign this statement.
here " — Signature Title
REGISTFR OF DEEDS' HqF ONI Y—
of my knowletdge and belief,
Date
20 Date Deed Recorde/d/ �q�/ 21 Value of Stamp or Exempt Number 22 Deed Bookp�> 23 Deed Page
Month DaY ( Yea r" $ l ,. 61-2. ! r3 `^`" �
COUNTY AS SSOR�'S USE ONLY
24
Parcel Identification
26 Agricultural Land
Township
Section
Quar,
Subdivision
Block
Parcel Number
LVG
No. of Acres'
_
LVG
No. of Acres
L25 Improved Parcels
Arch Type
Occ. Code
Cc
Quality
No. of Stories
Story Height
-
Floor Area
Basement
Finish
Garage Stall
Garage Type
Year Built
Modernization/Rehab
Miscellaneous
RCN I
$ 00
Miscellaneous
Depreciation Study Reason No,
YES ❑ PVO
Does land adjoin current operating
unit?
❑❑ YES ❑ No
Irr. Type
Total Awes/Lots
26 Platted Lots
_
Zoning ---
Lot Size
eg. Front — Depth -
- -----
Street Irnprovernent Site Improvement
29 Land value . . . . . . . �29
-
; 30 Improvement value . 30
Tota; vallte (line 29 flus
line 30).. .. 31
$ --_
I
is
— 1 00
00
;IJ
----
27 d °i site be used n n ay<_es nnof/sales If no, give nonuseable sales code��1
'La ❑ NO
!Nebras ..r Department of Revenue Form No. 2 i46 67 Rev. 10-85 Authorized by Section 76-214, 71-1327, 77-1328 R.Q.,, __ .a
Supersedes 2-146-67 Rev. 11-79
COUNTY ASSESSOR ;:ite an:l Canary up NEBRASKA DEEAR ! MENI OF REVENUE -Pink Coo, GR,A- ;I,
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1.2 Hultman and Felton 8 Wolf, Walton, Ne. 66461
QUITCLAIM DEED
Rudolph A. Thaden Conservatorship Estate
By, Roger D. Thaden, Conservator..... , ...... Grantor, whether one or more,
inconsideration of ONE DOLLAR ($1.00) and other valuable consideration
.................................. receipt of which is hereby acknowledged, quitclaims and
conveys to The City of Blair, Nebraska ......................... . Grantee,
the following described real estate (as defined in Neb. Rev, Stat. ® 76-201) in
Washington County, Nebraska: ,
r
Graves Spaces 1, 2 and 3, Lot 7, Block 106,
Blair Cemetery, in the City of Blair,
Washington County, Nebraska.
t�
P'
1 NEBRASKAP"MMENTARY'
SI ANi H T,' -',X
It
NOV 10 1988 f
Executed: ................NoY.@?x.. 19.$?.• RUDOL� A. H DFS ON VATORSHIP ESTATE
............................................................. $ ..... `
Ro e D. T den, oriservat:o'r"""'
............................................................ ,..................... ...............................
..........................................................................................................................
........................................
State of ...........
County of ..........................
The foregoing instrument was acknowledged before me on .NAuembex.....,.� ...7 9.8.7.........
by ....Rosp,r-Tbsdvn,., Pnm,u.4tRK.
.............
STATE OF NEBRASKA -.),d/ 1'
Not ta;y ..P .l i .
GEAIHlAI. NOTARY•state o! Hetlra;Ya
County of ...,Washington.,,,,,,...
K
"ATHY KLAMM[R
Comm. Exp. Mar. 29,16itQ
/ y�7
Filed or record and entered in Numerical
Index on........................./..u .y... ,......,.....
at !�., o'clock_ . ! M., and recorded in Deed Record � ........... a e ..................
/
County or Deputy County Clerk
J / \
Reg4ter of Deeds or Deputy Register of Deeds
1
I