2006-11-7 JohnsenE sta te TO BE FILED �, • "" • S t at emen t
instructi WITH REGISTER Read • F DEEDS 521
1
1 County Name
2 County Number °,,
3 Date of Sale
Mo. Day Yr.
4 Date of Deed
Mo. Day Yr.
5 Grantor's Name, Address, and Telephone (Please Print)
6 Grantee's Name, Address, and 'Telephone (Please Print)
Grantor's Name (Seller)
Grantee's Name (Buyer)
Street or Other Mailing Address
Street or Other Mailing Address
City State Zip Code
City State Zip Code ,
Telephone Number
Telephone Number
7 PROPERTY CLASSIFICATION NUMBER. Check one box in categories A and B. Check C also if property is mobile home.
(A) Status (8) Property Type (C)
Li)" improvea (1)U single ramily
(4) U industrial
(6) L j Recreational (8) U Mineral Interests- (9) U State Assessed (1) U Mobile Home
2 Unimproved
( )❑ 2 P ()❑ Multi - Family
1 (3)E:]
(5) ❑Agricultural
(7) Mineral Interests-
Producing
(10) E] Exempt
(3)❑ IOLL Commercial
Nonproducing
8 Type of Deed
�_;. ; `; , '
❑Warranty ❑ Sheriff
❑ Executor
❑ Mineral ❑ Cemetery
Quit Claim ❑ Conservator
❑ Partition
❑ Trust ❑Other
> >'
10 Type of Transfer
❑ Sale ❑ Auction ❑ Gift
❑ Exchange
❑ Foreclosure ❑ Satisfaction of Contrail ❑ Life Estate ❑ Other (explain)
it Ownership Transferred in Full (if No, explain division)
12 Was real estate purchased for same use? (if No, state intended use)
❑`YES ❑ NO
❑ YES ❑ NO
13 Was sale between relatives? (If Yes, check appropriate box)
❑ YES NO
❑ Spouse ❑ Parents and Child ❑ Family Corporation or Partnership
❑ Grandparents and Grandchild ❑ Brothers and Sisters ❑ Aunt or Uncle to Niece or Nephew ❑ Other
141f the real estate was transferred for nominal consideration, what is the current market 15 Was mortgage assumed? If Yes, state amount and interest rate.
value? ❑ YES 0 NO $
16 Does this conveyance divide a current parcel of land? 17 Was sale through a real estate agent? (if Yes, name of agent)
❑ YES MN ❑YES ❑.NO
Address of Property
19 Name and Address of Person to Whom Tax Statement Should be Sent
20 Legal Description Beginning at the northwest comer of Tax Lot 213 of Section 13, Township 18 North Range
11 East of the 6" P.M.; thence easterly along the north lot line of said Tax Lot 213 to a point
50 feet west of the southwest lot corner of Tax Lot 224 of said Section 13; thence northerly
50 feet along a line 50 feet west of and parallel to said Tax Lot 224; thence westerly along
a line 50 feet south of and parallel to the south lot line of Tax Lot 223 of said Section 13 to
a point on the east lot line of Tax Lot 79 of said Section 13, this point also being 50 feet
21 If agricultural, list total numbs south of the southwest lot comer of Tax Lot 223 of said Section 13; thence southerly along
22 Total purchase price, inclL the west lot line of said Tax Lot 79 to the northwest lot corner of said Tax Lot 213 and the
point of beginning.
23 Was nonreal property included in purchase? ❑ YES ❑.,NO (if Yes, enter amount and attach itemized list) .. 123 a
24 Adjusted purchase price paid for real estate (line 22 minus line 23) .......... . .....................
Under penalties of law, I declare that I have examined this statement and that it is, to the best of my knowledge and belief, true
and correct, and that I am duly authorized to sign this statement.
25
sign ® Print or Type Name of Grantee or Authorized Representative Telephone Number
h e re Signature of Grantee or Authorized Representative Title Date
REGISTER OF DEEDS' USE ONLY FOR NDR USE ONL
26 Date Deed Recorded 27 Value of Stamp or Exempt Number 28 Deed Book 29 Deed Page 30
Mo. Day Yr.
Nebraska Department of Property Assessment & Taxation Authorized by Sections 76 -214, 77 -1327, R.R.S. 1943
Form No. 2- 146 -67 Rev. 12 -00 Supersedes 2- 146 -67 Rev. 9 -94
NEBRASKA DEPARTMENT OF REVENUE — White Copy COUNTY ASSESSOR— Canary and Pink Copies GRANTEE —Goldenrod Copy
printed with soyink on recycled paper
Duplicate Affidavits of this Publication have been filed in the office of:
County Court J Clerk of Dist, Court rJ County Clerk J Sec. State J
ST AFFIDAVIT OF PRINTEI
O F NEBRASKA
ie SS.
2oA pro- WASHINGTON COUNTY
lowing de-
Mark Rhoades
thAvenue; .............................................. ................... I....................... , being by me first duly
rnerofTax Sworn, deposes and says that he is the publisher of THE PILOT - TRIBUNE, a legal
Ip18North, weekly new p rinted and p ublished at Blair, in Washington County, Nebr. and
,m.; thence P p er p
:ofsaidTax of general circulation in said County and State; that said newspaper has a bona fide
west of the circulation of more than 300 copies weekly, in said County; and, has been published
Lo y 50 t in said County for more than 52 successive weeks prior to the first publication of the
d parallel to attached notice, that the attached notice was published in said newspaper
erly along a for ..... .3. ....... consecutive week(s) being the issues of.
rallel to the
?23 of said
stlotlineof September 19 2006
3, this point ................. . ..............
e southwest
said Section September 26 2006
[he :west lot ''
................ . ..............
iorthwestlot October 3
lthepointof 2 Q Q
Johnsen and the City of 131a1r, ......................... ...............................
ca., The purchase price for the
lescribed real estate is Four Thou-
...
>llars ($4,000.00) The sale willbe .- �'' -�°�� ' ,�'°" � � � • •
mated unless, within thirty (30) Ub IS er's Slghature
' the passage and publication of
dinanceNo.2088 ,aremonstrance subscribed in my presence, and sworn to before me
with the Blair City Clerk against
,e, signedby registeredvoters equal 3 O c t b
her to thirty percent (30 %) of the lis ................ _ day of ....... ,..... o ex. 2 00 6„
•e vot of the City voting at the
ular election. j ENERAL NOTARY - Sta, of Nabr BRENDA R. WHEELER, CITY ..fi .................. REGG L. HIPNi4 ; cLERx My Comm. Exp, Nau 2q, 2006 Notary Pu Ib�ic
bHshedinthel?ilot- TribuneTues i
eptember 19 26 & October 3, rinters Fees For Publishing This Notice ... ..............................$ 64.83
reparation of Affidavit and :Billing ............. ..............................$ 1.50 _
NotaryFees ............................................... ............................... $ _ .5
Copy .......................................................... ............................... $ --
........................................................................................ Total $ _ 66- 83
The Mayor and i
September 7, 2006, pass.
described real estate:
x meeting held on
le of the following
Excess right -of -way : of Tax Lot 213 of
Section 13, Township 18 North, Range 11 east of tm; v r .___., ,rly along the north lot line
of said Tax Lot 213 to a point 50 feet west of the southwest lot corner of Tax Lot 224 of said Section
13; thence northerly 50 feet along a line 50 feet west of and parallel to said Tax Lot 224; thence
westerly along a line 50 feet south of and parallel to the south lot line of Tax Lot 223 of said Section
13 to a point on the east lot line of Tax Lot 79 of said section 13, this point also being 50 feet south
of the southwest lot corner of Tax Lot 223 of said Section 13; thence southerly along the west lot
line of said Tax Lot 79 to the northwest lot corner of said Tax Lot 213 and the point of beginning
The above - described real estate is being sold to Lester and Sharon Johnsen, pursuant to the
terms and conditions of the real estate agreement between Lester and Sharon Johnsen and the City of
Blair, Nebraska.. The purchase price for the above - described real estate is Four Thousand Dollars
($4,000.00). The sale will be consummated unless, within thirty (30) days of the passage and
publication of such Ordinance No. 2088, a remonstrance is filed with the Blair City Clerk against
such sale, signed by registered voters equal in number to thirty percent (30 %) of the registered voters
of the City voting at the last regular election.
BRENDA R. WHEELER, CITY CLERK
THIS AGREEMENT made this 15th day of September, 2006, by and between the City of
Blair, Nebraska, a Municipal Corporation, hereinafter referred to as "Seller ", and Lester E. and
Sharon K. Johnsen, husband and wife, hereinafter referred to as "Buyer ".
WITNESSETH:
Seller agrees to sell and convey to the Buyer by Quit Claim Deed, free and clear of all
encumbrances except easements and restrictions of record, the following described real estate, to -wit:
Beginning at the northwest corner of Tax Lot 213 of Section 13, Township 18 North Range 11 East
of the 6' P.M.; thence easterly along the north lot line of said Tax Lot 213 to a point 50 feet west of
the southwest lot corner of Tax Lot 224 of said Section 13; thence northerly 50 feet along a line 50 .
feet west of and parallel to said Tax Lot 224; thence westerly along a line 50 feet south of and
parallel to the south lot line of Tax Lot 223 of said Section 13 to a point on the east lot line of Tax
Lot 79 of said Section 13, this point also being 50 feet south of the southwest lot corner of Tax Lot
223 of said Section 13; thence southerly along the west lot line of said Tax Lot 79 to the northwest
lot corner of said Tax Lot 213 and the point of beginning.
The said Buyer agrees to purchase said property on the following terms and conditions, to-
wit:
The purchase price therefore is agreed to be the sum of $4,000.00, which shall be paid in cash
at the time of closing. Closing of the transaction shall be on or before forty -five (45) days following
passage of an ordinance by the City of Blair approving the sale herein.
It is understood and agreed by and between the parties hereto that Buyer shall receive
possession of the premises upon closing.
The City of Blair hereby specifically reserves an easement over and across said right of way
for a storm sewer and any other utilities on said real estate. The Buyer shall have the right to move
and reconstruct said storm sewer or other utilities to any location on said real estate provided same is
at the Buyer's sole expense and pursuant to Seller's specifications. The Buyer shall be responsible
for any sidewalk or other assessments which may be made and which are attributable to the real
estate.
Seller shall not be responsible for payment of any real estate taxes assessed against the
premises. The Buyer shall be responsible for and shall pay any and all taxes assessed against the
premises including but not limited to any assessments made for any year or partial year during which
the City owned the premises, but which are levied as a result of this transaction.
The Seller shall not have any obligation or liability to provide a survey of the premises.
In the event the Buyer requests, Seller shall provide to the Buyer a title insurance
commitment to said premises showing good and marketable fee simple title in it for conveyance to
said Buyer. The cost of such title insurance shall be split equally between the parties.
The Seller specifically makes no warranties or representations as to the condition of the
premises nor their usability as may be intended by the Buyer. The Buyer is purchasing the premises
"as is ". The Buyer has made an inspection of the property and is familiar with the condition thereof
and is not relying upon any representations made with reference thereto by the Seller except those set
forth herein.
This Agreement shall be subject to the filing of any remonstrance pursuant to Nebraska
Statutes against the exchange of this property by Blair wherein such remonstrance would be deemed
to be valid and which would prohibit, pursuant to the statutes of the State of Nebraska, the
conveyance of the property by the City of Blair. In the event of such remonstrance, the purchase
price shall be returned to the Buyer. Under no other circumstance shall the Buyer be entitled to a
refund of the purchase price.
This Agreement executed the date first aforesaid shall be binding upon the assigns and
successors of all parties hereto.
CITY OF BLAIR, NEBRASKA
B, -
M S E. REALPH, MAYOR
ATTEST:
-,4 /A4
BRENDA R. WHEELER, CITY CLERK
PURCHASERS :
:
,,
SHARON K. 10 III' N
STATE OF NEBRASKA )
) :ss:
WASHINGTON COUNTY )
On this day of r ; & - &2006,before me, the undersigned a Notary Public,
duly commissioned and qualified r in said county, personally came James E. Realph, Mayor of the
City of Blair, Nebraska, Seller, tome known to be the identical person whose name is affixed to the
foregoing agreement and acknowledged the execution thereof to be his voluntary act and deed.
WITNESS my hand and Notarial Seal the day and year last above written.
Z 1A 1 h Ur Nh13KA�;KA )
) :ss:
WASHINGTON COUNTY )
On this � ay of ; . 2006, before me, the undersigned a Notary
Public, duly commissioned and alified for in said county, personally came Lester and Sharon
Johnson, Buyers, to me known tij be the identical person whose name is affixed to the foregoing
agreement and acknowledged the execution thereof to be his/her voluntary act and deed.
WITNESS my hand and Notarial Seal the day and year last
GENERAL NOTARY a State of Nebraska
CHARLES E. 0JER�
_ Z Comm. UP Fab. 2, 200A
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September 14, 2006
Lester and Sharon Johnson
902 Meadow Drive
Blair, Nebraska 68008
RE: Purchase Agreement
Dear Mr. & Mrs. Johnson,
Enclosed are two (2) copies of the above agreement for your signature. After signing,
please return both copies to me. A fully executed agreement will be returned to you after the
Mayor has signed same. Please note that your signatures do need to be notarized. If you do not
have contact with a notary, there are several at City Hall for your convenience.
If you have any questions, feel free to contact me. Thank you in advance for your
assistance in this matter.
Sincerely,
bA A -4
Brenda Wheeler
City Clerk
Enc
218 South 16th Street ^ Blair, Nebraska 68008 • 402 -426 -4191 • Fax 402 - 426 -4195 • E -mail cifyofblair@ci,blair.ne.us
September 14, 2006
Lester and Sharon Johnson
902 Meadow Drive
Blair, Nebraska 68008
RE: Purchase Agreement
Dear Mr. & Mrs. Johnson,
Enclosed are two (2) copies of the above agreement for your signature. After signing,
please return both copies to me. A fully executed agreement will be returned to you after the
Mayor has signed same. Please note that your signatures do need to be notarized. If you do not
have contact with a notary, there are several at City Hall for your convenience.
If you have any questions, feel free to contact me. Thank you in advance for your
assistance in this matter.
Sincerely,
Brenda Wheeler
City Clerk
Enc
218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 -426 -4195 E -mail cityoUair@ci,blair,ne,us
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