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Steies Holdings, LLC - Quit Claim Deed - 9/10/2018 RECORDED
. iii ii 11111 iii ilii ii i ilii 11111 11111 11111 11111 ilii 11111 11111 11111 ilii iii Doc ID: 009403140001 Type: GEN Recorded: 10/11/2018 at 02:48:24 PM Fee Amt: $12.00Page 1 of 1 Revenue Tax: $0.00 Black Hawk County Iowa SANDIE L. SMITH RECORDER File2019-00006024 Prepared by David R.Zellhoefer,City Attorney,715 Mulberry,Waterloo,IA,50703,telephone(319)291-4327 TAX STATEMENT: Steies Holdings,LLC,219 Beverly Blvd.,Hudson,Iowa 50643 SPACE ABOVE THIS LINE FOR RECORDER QUIT CLAIM DEED For the consideration of ($2,150.92) Two Thousand One Hundred Fifty and 92/100-- Dollar(s) and other good and valuable consideration, CITY OF WATERLOO, IOWA does hereby Quit Claim to STEIES HOLDINGS, LLC, all our right, title, interest, estate, claim and demand in the following-described real estate in Black Hawk County, Iowa: The alley bounded on the Southeast by Lots numbered forty-one (41) and forty-two (42), and on the Northwest by Lots numbered forty-three (43) and forty-four (44), all in Kenwood Park Addition, Waterloo, Black Hawk County, Iowa, subject to the retention of a utility easement over, under, and across the above-described area. This transaction exempt from Documentary Stamp and Declaration of Value per Iowa Code§428A.2(6)(2017). 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. Dated: September 10, 2018 CITY OF WATERLOO, IOWA Quentin Hart, Mayor ATTEST: fiff'&t 4,kL elley Felc 1 , , City Clerk STATE OF IOWA, COUNTY OF BLACK HAWK ) ss On this )-ffi _Lf day of September,2018, before me,the undersigned, a Notary Public in and for the State of Iowa, personally appeared Quentin Hart and Kelley Felchle, to me personally known, and who, being by me duly sworn, did say that they are the Mayor and City Clerk, respectively, of the City of Waterloo, Iowa; that the seal affixed to the fotegoing instrument is the corporate seal of the corporation, and that the instrument was signed and sealed on behalf of the corporation by authority of its City Council as contained in the Resolution adopted by the City Council, under Council Action No. 146490 of the City Council on the 10th day of September, 2018, and that Quentin aid iKeI'ley Felchle, acknowledged the execution of the instrument to be their voluntary act and t ` nd deed of the corporation,by it voluntarily executed. deed and tl� of Public ind for the State of Iowa hi_ L'q rtrll'!I ail"1•` G i 3333333 333333 ii 33333 33333 33333 i ii 33333 33333 33333 i ii ii 33333 33333 ii Doc ID: 009403150003 Type: GWH Kind: GROUND WATER HAZARD STATEMENT Recorded: 10/11/2018 at 02:48:40 PM Fee Amt: $0.00 Pape 1 of 3 Black Hawk County Iowa SANDIE L. SMITH RECORDER File 9998-00010546 REAL ESTATE TRANSFER -GROUNDWATER HAZARD STATEMENT TO BE COMPLETED BY TRANSFEROR TRANSFEROR: Name City of Waterloo, Iowa Address 715 Mulberry Street, Waterloo, Iowa 50703 Number and Street or RR City,Town or P.O. state Zip TRANSFEREE: Name Steies Holdings, LLC Address 207 Beverly Boulevard, Hudson, Iowa 50643 Number an ree or City.I own or P.O. State Lip Address of Property Transferred: Vacated alley nw of 2022 Jefferson Street Waterloo Iowa 50702 um er an Srreef or i , own,or ofal—T.ip Legal Description of Property: (Attach if necessary) See attached 1. Wells(check one) N 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) N 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) K 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) 21 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. Private Burial Site(check one) Ki 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 ane) All 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. ❑ 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 FWD T 'AT THE I RMATION STATED ABOVE IS TRUE AND CORRECT. Signature: I l Telephone No.: 3( 19 ) 291-4366 (Transferor or Agent) John Dornoff FILE WITH RECORDER DNR form 542-0960(July 18, 2012) Legal Description The alley bounded on the Southeast by Lots numbered forty-one (41) and forty-two (42), and on the Northwest by Lots numbered forty-three (43) and forty-four(44), all in Kenwood Park Addition, Waterloo, Black Hawk County, Iowa subject to the retention of a utility easement over, under, and across the above described area.