1988-01-13 RyanKEEP ME
This is your legal description- for your Real Estate,
and you will always hgve it for future use
Lot 38 "66" Heights Blair City
City of Blair
CHARLOTTE L. PETERSEN
County Clerk & Register of Deeds
Blair, Nebraska 68008
0
TO BE FILED Real Estate T State FORM
WITH REGISTER This Statement is Confidential — for Tax Officials Only
OF DEEDS ® Read instruc on rever s ide
®THE DEED WILL NOT BE RECORDED UNLESS THIS STATEMENT IS SIGNED AND LINES 1 THROUGH 19 ARE PROPERLY COMPLETED
CO UNTY ASSESSOR'S USE ONLY
County Name county No. I Sales r o. Location I.D.
Property Type
(1) ❑ Single Family (4) ❑Commercial (7) ❑Agricultural (Total
No. of Acres )
(2) ❑ Multi Family (5) [_]Industrial (8) ❑Mineral Interests 1 Date of Sale 2 Date of Deed
(3) ❑ Home Sites (6) ❑Recreational ❑Other y
(Cabins, etc.) ( Year Month Day_ AS
3 Grantor's Name, Address, and Telephone 4 Grantee's Name, Address, and Telephone
Grantor's Name (Seller) Grantee's Name (Buyer)
<e lly P. � _ d Ca=la Ry&n The Ca, City of Blair _
o a Yess Street or Other Mailing Address
218 SoUth 16th Blair
State c t lai 68008 e C a le as' , 6 _ 1 2 008 ode
Telephone Number 426 -3741 Telephone -4191
5 Federal Employer Identification or Social Security Number �- 6 Type of Deed
of Grantee(s) (if more than two, attach list) - !
we3�e "!1
Deee
7 Type of Transfer
❑ Sale n Gift ❑ Exchange Foreclosure ❑Satisfaction of Contract ❑ Other (explain)
8 Ownership Transferred in Full (if no, explain) 9 Was sale between relatives? (if yes, state relationship) `
s YE ❑ NO ❑ YES ® 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 R NO $ %
12 Does this conveyance divide a current 13 Was sale through a real estate agent? 14 Was real estate purchased for same use? (if no',',explain)
parcel of land? ❑YES NO ❑ YES NO YES ❑ NO
15 Address of Property City State Zip Code
Blair, �� aka 6800
16 Legal Description
Lo 38, tt66" Heights, Clay of Bladr, Tx7ashin1 g 1b sealed
17 Total purchase price including any liabilities assumed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 $ *1 1.t�0
— i
18 Was non real property included in purchase? ❑ Yes ❑ No (If yes, enter amount and attach itemized list) .. • . • .. 18 $ 1 00
I
19 Adjusted purchase price paid for real estate (line 17 minus line 18) ............................... 19 $ 00
Under penalties of perjury.,,l 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.
sign ® rl
h ere " Signature Title Date
REGISTER OF DEEDS' USE ONLY
20 Date Deed Recorded
Month Day 3 Year r .rf �4
21 Value of tamp or Exempt Number
$ (J° �)= .,
22 Deed Book
!•`__,
23 Deed Page
". I r ".
COUNTY ASSESSOR'S USE ONLY
24 Parcel Identification
26 Agricultural Land
Township
Section
I Quar.
I Subdivision
Block
Parcel Number
LVG
No, of Acres
LVG
No. of Acres
25 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
$ 00
Miscellaneous
Depreciation Study Reason No,
❑ YES ❑ NO
Does land adjoin current operating Irr.
unit?
❑ YES n NO
Type
Total Acres /Lots
26 Platted Lots
Zoning
Irreg.
Front
Depth
29 Land value
29
I
$ l_00
Lot Size
Street Improvement
Site Improvement
30 Improve value ..
30
31
_
$ i 00
-
$ 1 00
27 Should this sale be used in an assessment /sales If no, give nonuseable sales code
ratio study?
E] Y L] NO
31 Total value (line 29 plus
line 30 . . ,
Nebraska Department of Revenue Form No. 2 146 - 6/ Rev. 10 - 8b Autnonzed by section ib - 214, ii - laze, it - 1 uzu rt. rc.a. 174u
Supersedes 2- 146 -67 Rev. 11 -79
COUNTY ASSESSOR — White and Canary Copies NEBRASKA DEPARTMENT OF REVENUE - Pink Copy GRANTEE — Goldenrod Copy