1988-07-19 RyanKEEP ME
This is our legal description for
Y g p your Real Estate, �
and you will always have it for future use
I
Lot 35 66 Heights Addn Blair
a
City of Blair I
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 0 Read instructions on reverse side
-THE DEED WILL NOT BE RECORDED UNLESS THIS STATEMENT IS SIGNED AND LINES 1 THROUGH 19 ARE PROPERLY COMPLETED
COUNTY ASSESSOR'S USE ONLY
County Name I County No. I Sales No. ILocation I.D.
Property Type
(1) Single Family (4) ❑Commercial (7) Agricultural (Total
No. of Acres )
(2) �; Multi Family (5) Industrial (8) Mineral Interests
(3) LJ Home Sites (6) ❑Recreational (9) ❑Other
(Cabins, etc.)
3 Grantor's Name, Address, and Telephone
Grantor's Name (Seller)
7,x..5.'@ 9 K: -. 5". 9T. ab, <... ..o<., � fi+.....em,,.,..•n +.< R:Tr,.�,,.�.•.'P "3 eF. 4?r.w+ivz
Street or Other Mailing Address
City State
f .l_air NO -)r1as
Telephone Number
Telephone Number
A')K —
State Zip Code
5 Federal Employer Identification or Social Security Number ti I ype of Deed
of Grantee(s) (if more than two, attach list) " 7 C 006 06 4 ; cai , ead
7 Type of Transfer r _E.. iT
Sale �� Gift 11 Exchange Foreclosure LJ Satisfaction of Contract E] Other (explain)
8 Ownership Transferred in Full (if no, explain) 9 Wale between relatives? (if yes, state relationship)
YES ❑ NO ❑ YES NO
10 If the real estate was transferred for nominal 11 Was mortgage assumed? (if yes, state amountand interest rate)
consideration, what is the current market value? $ YES NO $ qo
12 Does this convey 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? LJ YES 1�NO [:] YES � NO '9 YES ❑ NO
15 Address of Property City State Zip Code
Blair Nebradca
16 Legal Description na< f„g ea
6�,r� �s t 52, - G' ,E3�'1 2, Iry�I.sls�..�� .�.i.'rt`•�, �T ��;� 11 Fast C3.L �,�3t� #'ice$ P.M.
Wa
17 Total purchase price including any liabilities assumed ......... .............. 1,1. .. f. ,311r,17 $ 0
18 Was non real property included in purchase? ❑ Yes ❑ No (If yes, enter amount and attach itemized list) ....... 18 $ 1 00
19 A djusted purchase price paid for real estate (line 17 minus line 18).......... - • ....... - .... • • • • . 19 $ 100
Under penalties of perjury, 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.
sign Signature Tide Date -
I RFGI OF r)FFDI ;' 115F DNI / -- — -- —
20 Date Deed Recorded
21 Value of Stannp or Exempt Number
22 Deed Book 23 Deed Page
Month £ Day
$
COUNTY ASSES 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 �jOcc. Code
CC
Quality
No. of Stories
Story Heiyht
Floor Area
Basement
Finish
Garage Stall
Garage Type
Year Built
Modernization /Rehab
M iscellaneous RCN
-- - - --
-- -�- --
-- — -
- — $ 00
-- -- _ _
Miscellaneous Depreciatlon Study Reason No.
Does land adjoin current operating Irr.
Type
Total Acres /Lots
Ir�;
Y N
LJ
unit?
26 Platte Lot
❑ YES NO
Lonmg Irr'ey. Front Depth
29 Lan value .. ...
29
$ IOC)
_ --
Lot Size Street Improvement Site Improvement
-- -- - - - - -- ,
80 Em( �rov'emen S v alue .
30
I
$ I s }O
- - - -- __- - - -� -- -____ _ —_ __.— -- - - -- .
27 S r�rrld t r sale be. used in an assessment /sales no give nanuseeble zles cods
41 Total value (line 20 plus
_ --
ra c
YES NO.._....._._
Ilne .9(J� . .
.�1J,
1 Date of Sale 2 Date of Deed
Month — Day_ s ._ ..Y ea _ Month _Day Yea -.L:—
4 Gr ante e' s Na Address, and Telephone
Grantee's Name (Buyer) Of IT311air
Street or Other Mailing Address
Zip Code I City
Nebraska Department of Revenue e r No. 2- 146 -67 Rev._0 -u5 Authorized by Sec.ior7
Supersedes 2- 1 46-67 Rev. 31 -79
COJUNI Y ASSESSOR t.Nvite and Canary Copies NEBRASKA DEPAR C MENT OF RFVF_1FUE -- Fink Copy GRAN - FEE - Goldenrod Copy
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KEEP ME
This is your legal description for your Real Estate,
and you will always have it for future use
TL'52 Sec 2 -18 -11
City of Blair
CHARLOTTE L. PETERSEN
County Clerk & Register of Deeds
Blair, Nebraska 68008
3
TO BE FILED Real Estate T State FORM
WITH REGISTER This Statement is Confidential — for Tax Officials Only
OF DEEDS 0 Read instructions on reverse side
eTHE DEED WILL NOT 13�1 RECORDED UNLESS THIS STATEMENT IS SIGNED AND LINES 1 THROUGH 19 ARE PROPERLY COMPLETED
COUNTY ASSESSOR'S USE ONLY
County Name County No. I Sales No. Location I.D.
Property Type
(1) ❑ Single Family (4) ❑Commercial (7) ❑Agricultural (Total
�No. of Acres )
(2) E] Multi Family (5) [:]Industrial (8) [ 1Mineral Interests
(3) ❑ Home Sites (6) ❑Recreational (9) ❑Other
(Cabins, etc.)
3 Grantor's Name, Address, and Telephone
Grantor's Name (Seller)
1 Date of Sale aa�t�3 2 Date of Deed
Month Day S' Y ear - 2s:ir— M on t h _____7_ E3 Year 18
4 Grantee's N Add and Telep
Grantee's Name (Buyer)
Street or Other Mailing Address Street or Other Mailing Address
2116 Front 218 S �tth 16 tl x
City State Zip Code City State Zip Code
l Mic--braska 65003 Blair, 1;f* bras : 6.600 8 — — - --
Telephone Number Telephone Number
5 -3 � s .._L11 9
5 Federal Employer Identification or Social Security Number 6 Type of Deed
of Grantee(s) (if more than two, attach list) x,:47 6106106 �" -.��' '°8°` 'fig 7 acl
7 Type of Transfer
❑ Sale —] Gift ❑ Exchange aForeclosure ❑ Satisfaction of Contract ❑ Other (explain)
8 Ownership Transferred in Full (if no, explain) 9 Was sale between relatives? (if yes, state relationship)
YES ❑ NO ❑ YES EicNO
10 If the real estate was transferred for nominal
consideration, what is the current market value? $
12 Does this conveyance divide a current 13 Was sale thi ouc
parcel of land? F YES F_ NO n YES .�
11 Was mortgage assumed?( if yes, state amount and interest rate)
❑ YES NO $
14 Was real estate purchased for same use? (if no, explain)
YES ❑ NO
15 Address of Property y City State Zip Code
'y 0 IS
16 Legal Description a
Lot it �� �. t 6 h . s'Iclitlosl i n bi City of Rla i r,
Nbe b r I
17 Total purchase price including any liabilities assumed . . . ... . . . . . . . . . . . .. . . . . . . . . TAVL1 -of 10mclamira 00
18 VVas non real property included in purchase? ❑ Yes ❑ No (If yes, enter amount and attach itemized list) ..... 18 $ 1 00
19 Adjus p price paid for real estate (line 17 minus line 18) ............. . . . • • • • • . • . • . • . . . 19 $ 00
Under penalties of perjury, 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.
sign
T - -..
Signature Title - Date
REGISTER OF DEEDS` USE ONLY
20 Date Deed Recorded
29 Value of Stamp or Exempt Number
22 Deed Book
23 Deed Page
Month Day— Vear
$
d
COUNTY A SSESSOR'S U SE ONLY
1 ; 17
— — — --
Parcel Identification
26 Agricultural Land
—
Township
Section
Quar.
Subdivision
Block
Parcel Number
LVG
No. of Acres
LVG
No. of Acres J
--
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
IRCN
I
$ 00
_
fVl i s ce l l a n e o u s
Depreciation
Study Reason No.
Does land adjoin current eperatina hr. Type Total Acres
_
/Lets
[] V ❑ NO
unit?
--
2t�
— --
Platted Lots
— ——
❑ YES F] NO
Zoning Irreg. Front Depth
—
29 Land val .... 29 $
I
10
Lot Size
Street Irnprovernent
Site improvement
i
30, Improvement value .. 30 $
00
27 Shou d this sale be used it
an assessment /sales
If no, give nonuse able sales code
1 Total valtle (line 29 plus
ratio s,r�dy?
YE ❑ No
lin e 30).
Nebiaska department of Revenue Form No. 2- 146 -57 Rev. 10 -85 Authorized by Section /b- 4, /'I - 5321,
Supersedes 2- 546 -67 Rev. 11 -79
COUNTY ASSESSOFI -- White. and Canary Coizws NEBRASKA DEPARTMENT Or REV Ni,il= — Pink Copy GRANTEE - Goldenrod Copy
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