1989-01-30 KibbonLn ID
r �' bp
�¢ E `� I
M
wi
m
L
z
0
a In
Q) I
I F" w £
v
Ln ID
r �' bp
�¢ E `� I
M
I o
L
• Q
Q) I
I F" w £
0 45
4-I I
a >
I o
LL r
rI I
I m
Ln ID
r �' bp
�¢ E `� I
S O
ro I
I o
• Q
Q) I
I F" w £
4-I I
I o
LL r
rI I
I m
3 >
>~
rc
O I
I rI ra
ro H
H I
I o
4-) I
I ro
E I
I ro
Ea
9 0
04 I
I ro
U)
m I
a�
� I
I
o
� s
s~ •
•a r
ro O 'ro o
� •
•r-I �
� o
o �-1 ro °� bn
rd
h
�ro
a 1
I~ o
14 r
� U
.� ro
o r ai
b z
z
!� m
m °
Q) •
•r{ Q
° o"
ri I
I~ •
•r•I
r I O
O r
r I Q
Q) y b
S~ A
A W
W '
bA
O " a
o 4 O
O r
ro �
W
�
N
N x
r w
rl r
rd La
U z r
ro H
H O
O x
rd
Q D
DO
� W
W 4) '
z 0 ) 'cl
} 1 b H
N
U
O
s~
M
0
a
4-1
O
Q)
Q)
4-I
0
-
W
Q)
Ic
H
w
m A
d
,� O r-•I O
O E q ro •rI ° 2 E �'
w 'd 24
P d
.n ® o J ff ° 0 3`I o
+,
+�' ro w
o A° W C!? A U] U N
+ H w
m
TO BE FILED
R ea l E s t a t e T rans f er St a t emen t
22 Deed Book
FORM
WITH RL31STER
This Statement is Confidential — for Tax Officials Only
9 Was sale between relatives? (if yes, state relationship)
Township
OF DEEDS
I e Read instructions on reverse side
Subdivision: :
❑ YES tip NO
o THE DEED WILL NOT BE RECORDED UNLESS THIS STATEMENT IS SIGNED A LINES , THROUGH 19 ARE PROPERL COMPL ETED
COUNTY ASSESSOR'S USE ONLY
No. of Acres
LVG
11 Was mortgage assumed? (if yes, state amount and interest rate)
County Name County No. Sales No. Location I.D.
Property Type
(1) ❑ Single Family (4) ❑ Commercial (7) ❑ Agricultural (Total
;
❑ YES 0 NO $
Arch Type
No. of Acres )
13 Was sale through a real estate agent?
Quality
14 Was real estate purchased for same use? (if no, explain)
(2) Multi Family (5) f Industrial (8) Mineral Interests
❑ t
1 Date of Sale _
�f '�
2 Date of Deed
NO
(3) Home Sites (6) ❑ Recreational (9) Othe '�U `) i "'�
❑ cabins, tEL
Month _ Day Year
Month
f
Day Year �i__
3 Grantor's Name, Address, and Telephone
4 Grantee's Name, Address, and Telep
Granto t -s Name (Seller) '? * ` L
Grantee's Name (Buyer-). i
?
Garage Type
16 Legal Description - - / I J )
-r�
m
f i
8
Street or Other Mailing Address
Street or Other Mailing Ad'dre,%
r ,
RCN
$ 00
City
State Zip Code
City State
; i
r
Z�l Code
t
26 Platted Lots
Zoning
Irreg.
Front
"
Telephone Number 4
Telephone N t;nber
$ 00
Lot Size
v
>
i ..n
i
30
5 Federal Employer Identification or Social Security Number
6 Type of Deed';
[h
of Grantee(s) (if more than two, attach list)
l , i
k tt y}
7 Type of Transfer
❑ Sale ❑ Gift 11 Exch ange �O Foreclosure
1)
❑Satisfaction of Contract El Other (explain)
22 Deed Book
8 Ownership Transferred in Full (if no, explain)
COUNTY ASSESSOR'S USE ONLY
24 Parcel Identification
9 Was sale between relatives? (if yes, state relationship)
Township
1 I YES ❑ NO
Quar,'
Subdivision: :
❑ YES tip NO
Parcel Number,
10 If the real estate was transferred for nominal
No. of Acres
LVG
11 Was mortgage assumed? (if yes, state amount and interest rate)
consideration, what is the current market value? $
;
❑ YES 0 NO $
Arch Type
12 Does this conveyance divide
13 Was sale through a real estate agent?
Quality
14 Was real estate purchased for same use? (if no, explain)
Story Height
��acurrent
parcel of land? ❑ YES t O
❑ YES
NO
4. W
Basement
15 Address of Property F
f
City State
ip
- Zip Code
? s ! s
?
Garage Type
16 Legal Description - - / I J )
-r�
m
f i
8
1
Miscellaneous
RCN
$ 00
j {[
P t } t + I t )-
E
,, Jam..
r
/ C �
17 Total purchase price including any liabilities assumed .................... > .. J. ..? <.'.. 17 $ — f 1 00
18 Was non real property included in purchase? ❑ Yes ❑ No (If yes, enter amount and attach itemized list) ............ 18 $ i 00
19 Adjusted p urchase price paid for real estate (line 17 minus line 18) t°
true and
sign
here Signatu
t
ar Onalties of perjury, I declare that I have examined this statement and that it is, to the best of my knowledge and belief,
irrgdt, and that I am duly authorized to sign his /statement.
f
i Title , Date
REGISTER OF DEEDS' USE ONLY
20 Date Deed_feAorded i / g
Month L ° Day Y(
21 Value of Stamp -or Exempt Number
$
22 Deed Book
23 Deed Page
COUNTY ASSESSOR'S USE ONLY
24 Parcel Identification
28 Agricultural Land
Township
Section
Quar,'
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.
1:1 YES El NO
Does land adjoin current operating
unit?
❑ YES ❑ NO
Irr. Type
Total Acres /Lots
26 Platted Lots
Zoning
Irreg.
Front
Depth
29 Land Value . . . . . . . . . .
29
$ 00
Lot Size
Street Improvement
Site Improvement
30 Improvement value
30
$ 00
27Should this sale be used in an assessment /sales If no, give nonuseable sales code
ratio study? ❑ YES ❑ NO
31 Total value (line 29 plus
line 30)
31
$ 00
Nebraska Department of Revenue Form No. 2- 146 -67- Rev. 10 -85 Authorized by Section 76 -214, 77 -1327, 77 -1328 H.H.S. 1943 I
Supersedes 2- 146 -67 Rev. 11 -79 I
COUNTY ASSESSOR — White and Canary Copies NEBRASKA DEPARTMENT OF REVENUE — Pink Copy GRANTEE — Goldenrod Copy
KEEP, ME
This .is your' legal descrip
tion for your Real Estate,
and you will always have it for future use
East. 50 ft Lot 3 Blk 2 Smiths 1st Addn
Blair City of Blair
C}{pRLOTTE L. PETERSEiV
County Clerk &Register of Deeds
Blair, Nebraska 68008
11