2003-05-28 Country tireDuplicate Affidavits of this Pubi'icat!on have been filed in the office of:
County Court 0 Clerk of Dist. Court 0 County Clerk 0 Sec. State 0
Legal N tice
AFFIDAVIT OF PRINTER
NOTICE
r and City Council of the City of,'
STATE OF NEBRASKA
ka, at their regular meeting on
and approved Ordinance
, passed
ridingforthesaleof the following
sS.
1 estate:
icated Chicago and Northwestern
tract, part of vacated
npany spur
i the City of Blair, Nebraska and
SW Section 12 ,
Washington County,
lE 1l4 of the
a North, Rau$ 1 tt Of the 6th County, Ne-
n, Washington
................ Mark ... Rho-a.d.e s........................ being by me
ed as f
more particularly describol-
mo
corner of Lot 16,
first duly sworn, deposes and says that he is the publisher of THE ENTERPRISE a legal
n the southwest
dginalTownsiteintheCityofBlair,
weekl Y news paper printed and published at Blair, in Washington County, Nebr. and of
e bear '90- 00 , 00'°
general circulation in said County and State; that said newspaper has a bona fide circulation
said Blck52
o
saidBl Bloc l-, along the westerly ,
of more than 300 copies weekly, in said County; and, has been published in said County for
Lot 16 a distance of 89.69 f fine of
more than 52 successive weeks prior to the first publication of the attached notice, that the
southwesterly r and Nor intern a ttached
notice was published in said newspaper for ..... .......3 ....................... consecutive
acct d
and the Point Of
�� eek being the issues of.
'ompany spur tracks
thence N43.e36' 10 "W along said
'a
; dis-
erlyxailroad right -of -way line
15.00 feet West of
......... A,p r .], • • $ 1 200. 3 ......
1.73 feet to apoint
.rly line of said lot 16; thence
58 "E parallel to and 15.00 feet West
200.
e of line a dis tance he North
......
i the, ; p ro jection
i westerly 1 E along
idLot 16; thenc, e 58958 52 * Af
.............. May.... 2..... ............................... 200......
............. ...... ............................... 20...........
.............................. ............................... 1 ...........
iveyedtoCounhy
atioti, pursuant to J �� P i
in Agreement be �
the City of Blair. ,�' ubhsher's Signature ''
real estate is the
,wned by�C hs cribed in my presence, and sworn to before me
erk of the City of ...... 2 . day f X,4
y y ............
irb ................
iisinesshours, ... ............................... 20Q.3...........
ed unless, within °�
e and publication GENE NOTARY- State of Nebraska
ranee isfiledwit
PECaGY L. HIPIJAP ............. .... ary Public ... .. .. ...........................
ach sale signed by My Comm. Exp. Nov, 20, 2006
;r to thirty percent is Notice
..................................................... $ . 83.74
City voting at the tration of Affidavit and Billing ..................
" Fees ..... ...............................
)R, CITY CLERK Y ............................... ............................... $
wiseFriday,4 ............................................. ............................... $
Total .................$ 83.7
I County Name
2 County Number
3 Date of Sale
4 Date of Deed
Washington
89
Mo. _D5.- Day 2t3 — Yr. Jl3_
Mo. ( --Day --Yr.
S 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)
City of Blair, NeXuaska
Country .Tire Inc
Street or Other Mailing Address _
Street or Other Mailing Address
213 South 16th Street
1210 Grant Street
City State Zip Code
City State Zip Code
Blair NE 68003
flair NE 66000
Telephone Number Telephone Number
(402) 426 -4191 (402) 426 ,173
7 PROPERTY CLASSIFICATION NUMBER. Check one box In categories A and B. Check C alsdiif property is mobile home.
(A) Statu (B) Property Type (C)
❑ YES ® NO ❑ Spouse ❑ Parents and Child ❑ Family Corporation or Partnership
❑ Grandparents and Grandchild ❑ Brothers and Sis ❑ Aunt or Unde to Niece or Nephew
141f the real estate was transferred for nominal consideration, what is the current market 13 Was mortgage assumed? If Yes, state amount and Interest rate.
value? ❑ YES 1Z NO $ %
16 Does this conveyance divide a current parcePof land? 17 Was sale through a real estate agent? (if Yes, name of agent),
❑ YES NO ❑YES [] NO
ess of Property
City of Blair, Washington "County, Nebraska
20 Legal Description
9 Name and Address of Person to Whom Tax Statement Should be Sent
COUNTRY TYRE, INC.
121`0 Crant Street'
Blair. ICE. 06 O
SEE. - .EXHIBIT "A" HERETO ATTACHED
21 If agricultural, list total number of acres
22 Total purchase price, including any liabilities assumed .... ............................... ....... 22
23 Was nonreal property included in purchase? ❑ YES ❑ NO (if Yes, enter amount and attach itemized list) 123
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
Print or Type Name of Grantee or Authorized Representative Telephone Number
Signature of Grantee or Authorized Representative Title bate
here
REGISTER OF DEEDS' USE ONLY FOR NOR USE ONL
26 Date Deed Recorded 27 Value of Stamp or Exempt Number 28 Deed Book 29 Deed Page 30
Mo. — rf Yr. $ ' r
( F
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 QF REVENUE -- White Copy COUNTY ASSESSOR- Canary and Pink Copies GRANTEE Goldenrod Copy
pdnled zvfHt soylnkon rec}ded paper
EXHIBIT "A"
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