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Home My WebLink AboutConvenience Store Investments-3/26/2012 (2)301131111111111111111111111 Doc ID: 004988120001 Type: GEN Kind: QUIT CLAIM DEED Recorded: 12/03/2012 at 01:59:59 PM Fee Amt: $12.00 Page 1 of 1 Revenue xCounty0y Iowa JUDITH AMCCAARTHY RECORDER File 2013-00011297 aktaplfalitteir Preparer Information Emily C. Bartekoske P.O. Box 596 Waterloo, IA 50704 Individual's Name Street Address City Address tax statement to Kwik Trip, Inc., 1626 Oak Street, La Cross, WI 54602 Return deed to preparer QUIT CLAIM DEED For the consideration of One Dollar ($1.00) and other valuable consideration, Citv of Waterloo, Iowa to (319) 234-5701 Phone do(es) hereby Quit Claim Convenience Store Investments all of our right, title, interest, estate, claim and demand in the following described real estate in Black Hawk County, Iowa: The 20 foot wide alley as platted in Block 7 of Does Addition in the City of Waterloo, Iowa Tying Northwesterly of a line drawn from the Easterly most corner of Lot 10 said Block to the Southerly most corner of Lot 1 said Block, and Tying Southeasterly of a line drawn from the Northerly most corner of Lot 6 said Block to the Westerly most corner of Lot 5 said Block, excluding the Southeasterly 3.63 feet thereof; subject to city's retention of a permanent utility easement over, under and upon all. Deed in which Iowa political subdivision is grantor. Exempt from real estate transfer tax and declaration of value. Each of the undersigned hereby relinquishes all rights of dower, homestead, and distributive share in and to the real estate. Words and phrases herein, including acknowledgment hereof, shall be construed as in the singular or plural number, and as masculine or feminine gender, according to the context. , s ' Dated: �� , 2012 STATE OF IOWA ss: BLACK HAWK COUNTY ) Acknowledged before me on -A' 2012, by Ernest G. Clark and Suzy Schares, as Mayor and City Clerk, respectively, of the City of aterlo Iowa. CITY OF WATERLOO, IOWA By: l'�",i4, irceiisy\ �-?Ui I 1;�_d %v -11 Z �k .t 1'1 By. Nq ry Public Suzy chares,�""�� erk i IIIOJ iiiiii iii IIM IIIII IIIII IIIII IIIII IIIII IIIII IMI iiiii IJIII IIIII 1111 �i Doc ID 004988130003 Type GWH Kind GROUND WATER HAZARD STATEMENT Recorded: 12/03/2012 at 02:00:13 PM Fee Amt: $0.00 Page 1 of 3 Black Hawk County Iowa JUDITH A MCCARTHY RECORDER F11e2012-00001226 REAL ESTATE TRANSFER - GROUNDWATER HAZARD STATEMENT TO BE COMPLETED BY TRANSFEROR TRANSFEROR: Name City of Waterloo, Iowa Address 715 Mulberry St. Number and Street or RR TRANSFEREE: Name Kwik Trip, Inc. Waterloo City, Town or P.O. IA 50703 State Zip Address 1626 Oak St. La Cross WI 54602 Number and Street or RR City, Town or P.O. State Zip Address of Property Transferred: N/A Number and Street or FIR City, Town, or P.O. State Zip Legal Description of Property: (Attach if necessary) See Exhibit A attached. 1. Wells (check one) O There are no known wells situated on this property. ❑ There is a well or wells situated on this property. The type(s), location(s) and legal status are stated below or set forth on an attached separate sheet, as necessary. 2. S lid Waste Disposal (check one) Ll There is no known solid waste disposal site on this property. ❑ There is a solid waste disposal site on this property and information related thereto is provided in Attachment #1, attached to this document. 3. Hazardous Wastes (check one) ID/There is no known hazardous waste on this property. ❑ There is hazardous waste on this property and information related thereto is provided in Attachment #1, attached to this document. 4. Underground Storage Tanks (check one) Er There are no known underground storage tanks on this property. (Note exclusions such as small farm and residential motor fuel tanks, most heating oil tanks, cisterns and septic tanks, in instructions.) ❑ There is an underground storage tank on this property. The type(s), size(s) and any known substance(s) contained are listed below or on an attached separate sheet, as necessary. FILE WITH RECORDER DNR form 542-0960 (July 18, 2012) 5. 'vate Burial Site (check one) PrP There are no known private burial sites on this property. ❑ There is a private burial site on this property. The location(s) of the site(s) and known identifying information of the decedent(s) is stated below or on an attached separate sheet, as necessary. 6. Private Sewage Disposal System (check one) ❑ ^ II buildings on this property are served by a public or semi-public sewage disposal system. This transaction does not involve the transfer of any building which has or is required by law to have a sewage disposal system. ❑ There is a building served by private sewage disposal system on this property or a building without any lawful sewage disposal system. A certified inspector's report is attached which documents the condition of the private sewage disposal system and whether any modifications are required to conform to standards adopted by the Department of Natural Resources. A certified inspection report must be accompanied by this form when recording. ❑ There is a building served by private sewage disposal system on this property. Weather or other temporary physical conditions prevent the certified inspection of the private sewage disposal system from being conducted. The buyer has executed a binding acknowledgment with the county board of health to conduct a certified inspection of the private sewage disposal system at the earliest practicable time and to be responsible for any required modifications to the private sewage disposal system as identified by the certified inspection. A copy of the binding acknowledgment is attached to this form. 0 There is a building served by private sewage disposal system on this property. The buyer has executed a binding acknowledgment with the county board of health to install a new private sewage disposal system on this property within an agreed upon time period. A copy of the binding acknowledgment is provided with this form. ❑ There is a building served by private sewage disposal system on this property. The building to which the sewage disposal system is connected will be demolished without being occupied. The buyer has executed a binding acknowledgment with the county board of health to demolish the building within an agreed upon time period. A copy of the binding acknowledgment is provided with this form. [Exemption #9] ❑ This property is exempt from the private sewage disposal inspection requirements pursuant to the following exemption [Note: for exemption #9 use prior check box]: ❑ The private sewage disposal system has been installed within the past two years pursuant to permit number Information required by statements checked above should be provided here or on separate sheets attached hereto: I HEREBY DECLARE THAT I HAVE REVIEWED THE INSTRUCTIONS FOR THIS FORM AND - T 1I1FORMATION STATED ABOVE IS TRUE AND CORRECT. //e Signatu• ��// �r '(Transfer. Agent) FILE WITH RECORDER DNR form 542-0960 (July 18, 2012) EXHIBIT "A" The 20 foot wide alley as platted in Block 7 of Does Addition in the City of Waterloo, Iowa lying Northwesterly of a line drawn from the Easterly most corner of Lot 10 said Block to the Southernly most corner of Lot 1 said Block, and lying Southeasterly of a line drawn from the Northerly most corner of Lot 6 said Block to the Westerly most corner of Lot 5 said Block, excluding the Southeasterly 3.63 feet thereof; subject to city's retention of a permanent utility easement over, under and upon all.