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Home My WebLink AboutFarmers State Bank-Warranty Deed-6/21/20106.12 Preparer Information Christopher S. Wendland P.O. Box 596 Waterloo, IA 50704 Individual's Name Street Address City Address tax statement to Farmers State Bank, 1009 Peoples Square, Waterloo, Return deed to Eric W. Johnson, Beecher Law Firm, 620 Lafayette, Ste. WARRANTY DEED For the consideration of One Dollar ($1.00) and other valuable consideration, City of Waterloo, Iowa (319) 234-5701 Phone IA 50702 300, Waterloo, IA 50703 do(es) hereby Convey to Farmers State Bank , the following described real estate in Black Hawk County, Iowa: Lots 9 and 10 and the Southeasterly 20 feet of Lot 8, Block 9 in the Original Plat, on the West Side of the Cedar River, in the City of Waterloo, Black Hawk County, Iowa. Sale by municipality. Exempt from real estate transfer tax and declaration of value. Subject to restrictive covenants, ordinances, and limited access provisions of record if any, and to existing easements, if any. Grantors do hereby covenant with grantees, and successors in interest, that grantors hold the real estate by title in fee simple; that they have good and lawful authority to sell and convey the real estate; that the real estate is free and clear of all liens and encumbrances except as may be stated above; and grantors covenant to warrant and defend the real estate against the lawful claims of all persons except as may be stated above. 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. STATE OF IOWA ss: BLACK HAWK COUNTY ) Acknowledged before me on ) a)1/ .L , 2010, by Ernest G. Clark and Suzy Schares, Mayor and City Clerk, respective y, of the City of Waterloo, Dated: JURE- 09-4 , 2010 CITY OF + RLOO B est G. Clark, Mayor Suzy SchaJe , City Clerk REAL ESTATE TRANSFER - GROUNDWATER HAZARD STATEMENT TO BE COMPLETED BY TRANSFEROR TRANSFEROR: Name City of Waterloo, Iowa Address 715 Mulberry St. Waterloo IA 50703 Number and Street or RR City, Town or P.O. TRANSFEREE: Name Farmers State Bank State Zip Address 1009 Peoples Square Waterloo IA 50702 Number and Street or RR City, Town or N.U. State Zip Address of Property Transferred: Comer of r and Jefferson Waterloo IA 50701 Number and Street or RR City, town, or P.O. State Zip Legal Description of Property: (Attach if necessary) Lots 9 and 10 and the Southeasterly 20 feet of Lot 8, Block 9 in the Original Plat, on the West Side of the Cedar River in the City of Waterloo, Black Hawk County, Iowa. 1. Wells (check one) gl 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. Solid Waste Disposal (check one) X 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) 181 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) 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 (June 26, 2009) 5. Private Burial Site (check one) I. 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) X There are no known private sewage disposal systems on this property. O There is a private sewage disposal system on this property. 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. O There is a 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. When the inspection is completed, an amended Groundwater Hazard Statement shall be recorded with the certified inspection and shall include the document numbers of both the real estate transfer document and the original Groundwater Hazard Statement. ❑ There is a 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. ❑ This property is exempt from the private sewage disposal inspection requirements pursuant to the following exemption: ❑ 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: Signatt r I ransferor or Agent) I HEREBY DECLARE AND THAT TH VE REVIEWED THE INSTRUCTIONS FOR THIS FORM STATED ABOVE IS TRUE AND CORRECT. FILE WITH RECORDER Telephone No.: (.3( 9) Z 9/ f 3 2 (o DNR form 542-0960 (June 26, 2009)