The URL can be used to link to this page

1995-08-03 HipnarDuplicate Affidavits of this Publication have been filed in the office of: ■ ■ ■ ■ STATE OF NEBRASKA ss. Washington County, Kenneth H. Rhoades .... ............................... being by me first duly sworn, deposes and says that he is the publisher of THE ENTER- PRISE, a legal weekly newspaper printed and published at Blair, in Washing- ton County, Nebr. and of general circulation in said County and State; that said newspaper has a bona fide circulation of more than 300 copies weekly, in said County; and, has been published in said County for more than 52 successive weeks prior to the first publication of the attached notice, that the attached notice was published in said newspaper for ...... Thr- P_ e.......... consecutive week being the issues of. July 2 .. ............................ 19 .... 9 5 Au us.t...3.2 .. .......................19.... Augus.t ... l 0.t ...................... 19 ....9 5 .................. ............................... 19 ...... f ;. � ,,1......... ... ........ .. Publisher's Si Subscribed in my presence and sworn to before me ... ...�:.....hdayof....Au us .t.... ...... ,19..9.5 GENERAL NOTARY-State of Nebraska PEGGY L. HIPNAR .......... ..... ................ My Comm. Exp. Nov. 20,1998 fNotary Public Printers Fees For Publishing This Notice .... ............................... $ 27.6 Preparation of Affidavit and Billing .............. ..............................$ Notary ................................................... ............................... $ Copy............................................................. ............................... $ Total ...................$ 27.6 0 CITY OF BLAIR, NEBRASKA Phone 402 - 426 -4191 1 7 # �G y. I i' i I I r` k EE. L. r, THANK YOU KEEP THIS COPY FOR YOUR RECORDS. RECEIVED BY EMANUEL PRINTING. FREMONT, NE �68025 TO BE FILED WITH REGISTER O F DE EDS Real Estate Transfer Statement This Statement is Confidential — for Tax Officials Only ® Read Instructi on reverse side -HE DEED WILL NOT BE RECORDED UNLESS THIS STATEMENT 15 SIGNED AND ONES 1 -25 AHE AGVUKA I cLT 1 County Name 2 County Number 3 Date of Sale 1 4 Date of Deed 8 9 Mo. 8 Day Yr. 12 1 Mo. - a-- Day Yr. 1 9 9 5 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) Larry Hipnar ,Pegg y City of Blair, NE Hi nar, and Todd Hi nar Street or Other Mailing Address Street or Other Mailing Address 218 South 16th'Street 1947 Park Street city State Zip Code City State Zip Code Blair NE 68008 Blair NE 68008 Telephone Number Telephone Number (402) 426 -4191 (402) 426 -4679 7 PROPERTY CLASSIFICATION NUMBER. Check one box in categories A and B. Check C also 11 property is mobile home. (A) Status (B) Property Type (C) (1)U Improved (2)❑x Unimproved (1) u Single Family (2) ❑ Multi - Family (4) LJ Industrial (5) ❑ Agricultural (6) LJ mecreauonai tol LJ mrnerar mcerebtb tZFr U -- - -- (7) ❑ Mineral Interests - Producing ( ❑ Exempt %., u . .. (3) ❑IOLL (3)❑ Commercial Nonproducing 8 Type of Deed ❑ Warranty ❑ Sheriff ❑ Executor ❑ Mineral ❑ Cemetery 9 Federal Employer Identification or Social Security Number(s) of Grantee(s) (d more than two, attach list) ❑ Quit Claim ❑ Conservator ❑ Partition ❑ Trust ❑ Other 10 Type of Transfer [� Sale ❑ Auction ❑ Gift ❑ Exchange ❑ Foreclosure ❑ Satisfaction of Contract ❑ Life Estate ❑ Other (explain) 11 Ownership Transferred in Full (f No, explain division) 12 Was real estate purchased for same use? (if No, state intended use) X❑ YES ❑ NO Q YES ❑ NO ❑ YES ENO ❑ Spouse ❑ Parents and Child ❑ Family Corporation or Partnership ❑ Grandparents and Grandchild ❑ Brothers and Sisters ❑ Aunt or uncle to Niece or Nephew ❑ Other 14 If 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 Ei NO $ % 16 Does this conveyance divide a current parcel of land? 17 Was sale through a real estate agent? (d Yes, name of agent) ❑ YES DUO I []YE )G NO 18 Address of Property Name and Address of Person to Whom Tax Statement Should be Sent Larry Hipnar, 1947 Park Street Blair, NE 68008 20 Legal Description Tax Lots 155 and 126 in Section 12, Township 18 North, Range 11 East of the 6th p.m., Washington County, Nebraska 21 If agricultural, list total number of acres 22 Total purchase price, including any liabilities assumed .................... ............................... $ 42,500 1 00 $ 23 Was nonreal property included in purchase? ❑ YES © NO (if Yes, enter amount and attach itemized list) ... 23 —0— 24 Adjusted purchase rites aid for real estate line 22 minus line 23 ....... ............................... 24 $ 42,500 00 Under penattift of taw, 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 duty authorized to sign this statement 25 L Telephone Number Print or Type Name of Grantee or Authorized Representative sign t . F Signature of Grantee or Authorized Representative Title Date hee REGISTER OF DEEDS' USE ONLY FOR NDR USE ONLY 26 Date Deed Recorded 27 Value of Stamp or Exempt Number 28 Deed Book 29 Deed Page 30 Mo. Day Yr. $ Nebraska Department of Revenue Form No. 2- 146.67 Rev. 9.94 Authorized by Sections 76. 214, 77 -1327, R.R.S. 1943 Supersedes 2 -146 -67 Rev. 11.92 NEBRASKA DEPARTMENT OF REVENUE — White Copy COUNTY ASSESSOR — Canary and Pink Copies GRANTEE — Goldenrod'Cgpy QUIT CLAIM DEED THIS INDENTURE made this /9 day of Z , 1995, between the City of Blair, Nebraska, a Munici al Corporation, herein called the grantor whether one or more, and Larry Hipnar, Peggy Hipnar, and Todd Hipnar, as joint tenants with right of survivor- ship, herein called the grantee whether one or more, WITNESSETH, that the said grantor, in consideration of the sum of One Dollar and other valuable consideration to it duly paid, the receipt whereof is hereby acknowledged, remised, released, and quit- claimed, and by these presents do remise, release, and forever quit -claim unto the said grantee, and to his, her or their heirs and assigns forever all his, her or their right, title, and interest in and to the following described real es- tate: Tax Lots 155 and 126 in Section 12, Township 18 North, Range 11 East of the 6th P.M., Washington County, Nebraska. Together with all and singular the hereditaments thereunto be- longing. TO HAVE AND TO HOLD the above described premises unto the said grantee and to grantee's heirs and assigns forever so that neither the said grantor, nor any person in his, her or their name and behalf, shall or will hereafter claim or demand any right or title to the said premises or any part thereof, but they and every one of them shall be these presents be excluded and forever barred. Attest: Alice I. Diedrichsen, City Clerk STATE OF NEBRASKA, County of City of Blair, Nebraska A Municipal Corporation Michael A. Mines, Mayor Washington: Before me, a notary public qualified for said county, per- sonally came Michael A. Mines, Mayor of the City of Blair, Ne- braska, a Municipal Corporation, known to me to be the identical person who signed the foregoing instrument and acknowledged the execution thereof to be his voluntary act and deed. AGEMNOTARY-StMOttuds's my hand and Notarial seal on , 1995. ALICE 1. DIEDRICKEk My Exp. Nov.1, . ' 97 My Commission expires. I /- r 7 Notary Public STATE OF NEBRASKA, Washington County :ss Entered on numerical index and filed for record in the Register. of Deeds Office of said County the day of , 1995, at o'clock .M., and recorded in Book of at page Reg. of Deeds By Deputy