1997-02-28 Consolidated BlendersKEEP ME
This is your legal description for your Real Estate, and you
will always have it for futu`re<use.
TAX LOT 87 IN 'SEC 7 -18 -12
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CHARLOTTE L. PETERSEN
County Clerk & Register of Deeds
Blair, Nebraska 68008
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11
City
FOR NDR USE ONLY'l
State
Zip Code
28 Deed Book
29 Deed Page
30
Telephone Number
7 - - PROPERTY CLASSIFICATION NUMBER. Check one box in categories A and B. Check C also if property Is mobile home.
(B)PropertyType
(1)F_� improved
(1) F Single Family
(4) E] industrial
(6) Recreational (8) Mineral interests- (9) [] State Assessed
(2)E) Unimproved
(2) [:] Mufti-Family
(5) F Agricultural
Producing
( 11
(7) Mineral Interests- Exempt
(3)[:] IOLL
(3) E]
Nonproducing F.
8 Type of Deed
_Commercial
M
g,
Warranty
Sheriff
Executor
0
Mineral El cemetery
Quit Claim
Conservator
Partition
Trust Other
10 Type of Transfer
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? 1 [:1 YES ❑ 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 E] NO ❑ YES ❑ NO
18 Address of Property 19 Name and Address of Person to Whom Tax Statement Should be Sent
4
20 Legal Description
n
21 If agricultural, list total number of acres
22 Total purchase price, including any liabilities assumed ...................................................
23 Was nonreall property included in purchase? ❑ YES [:] NO (if Yes, enter amount and attach itemized list) ...
9
9
24 Adjusted purchase price paid for real estate (line 22 minus line 23) ......................................... 124 1 '
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
ign Print or Type Name of Grantee or Authorized Representative Telephone Number
s
h ere Signature of Grantee or Authorized Representative Title Date
I REGISTER OF DEEDS' USE ONLY
FOR NDR USE ONLY'l
26 Date Deed Recorded
Mo. — Day Yr
27 Value of Stamp or Exempt Number
$
28 Deed Book
29 Deed Page
30
Nebraska Department of Revenue Form No. 2-146-67 Rev. 9-94
Supersedes 2-146-67 Rev. 11-92
NEBRASKA DEPARTMENT OF REVENUE — White Copy
Authorized by Sections 76-214, 77-1327, R.R.S. 1943
COUNTY ASSESSOR — Canary and Pink Copies GRANTEE — Goldenrod Copy
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