HomeMy WebLinkAboutAMA Real Estate, LLC - 4/24/2019IIIIIIIIIIIIRIIIIIIIIYIIIIII1111flI111Vllll
Doc ID. 009529470001 Type GEN
Recorded: 04/24/2019 at 11:14:44 AM
Fee Amt: $92.80 Page 1 of 1
Revenue Tax: $80.80
Black Hawk County Iowa
SANDIE L. SMITH RECORDER
Fi1e2019-00015768
Vialerlc:xw
Preparer
Information Christopher S. Wendland P.O. Box 596, Waterloo, IA 50704 Waterloo, IA 50704
Individual's Name Street Address City
Address tax statement to: City of Waterloo, 715 Mulberry St., Waterloo, IA 50703.
Return deed to preparer.
WARRANTY DEED
(319) 234-5701
Phone
For the consideration of One Dollar ($1.00) and other valuable consideration, AMA Real Estate, L.
hereby convey to City of Waterloo, Iowa the following described real estate in Black Hawk County,
Parcel "H" of Plat of Survey Doc. #2019-12691 of part of the Southeast Quarter of Section 5,
North, Range 13 West of the 5'h P.M., Black Hawk County, Iowa.
L.C., do(es)
Iowa:
Township 89
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:
Dated: Apri124, 2019
BLACK HAWK COUNTY ) AMA REAL ESTATE, L.L.C.
Acknowledged before me on April 2y/ , 2019 by
Adam Delagardelle, as Ma o 'resi. - t of AMA
4Real Estate, L.L.C.
Notary Public
TIM ANDERA
COMMISSION NO. 772518
MY COMMISSION EXPIRES
APRIL 11, 2021
0g)
By: . J I�M1i�
dam Delagardel e, anager/President
6\,01,
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D ID: 009529480003 Type GWH
K1 d GROUND WATER HAZARD STATEMENT
Recorded: 04/24/2019 at 11:15:08 AM
Fe Amt: $0.00 Page 1 of 3
Black Hawk County Iowa
SANDIE L. SMITH RECORDER
F11e9998-00011899
REAL ESTATE TRANSFER - GROUNDWATER HAZARD STATEMENT
TO BE COMPLETED BY TRANSFEROR
TRANSFEROR:
Name AMA Real Estate, L.L.C.
Address 3070 W. Airline Highway
Number and Street or RR
TRANSFEREE:
Name City of Waterloo, Iowa
Waterloo
IA 50703
City. Town or P.O.
State Zip
Address 715 Mulberry St.
Number and Street or RR
Waterloo IA 50703
City, I own or P.O. State Lip
Address of Property Transferred:
N/A - Parcel Waterloo IA 50703
Number and Street or RR City, I own, or P.O. State Ltp
Legal Description of Property: (Attach if necessary)
Parcel "H" of Plat of Survey Doc. #2019-12691 of part of the Southeast Quarter of Section 5,
Township 89 North, Range 13 West of the 5th P.M., Black Hawk County, Iowa.
1. Wells (check one)
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)
0 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)
ysi 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)
jg 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)
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)
❑ All buildings on this property are served by a public or semi-public sewage disposal system.
cg 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:
Signature:
I HEREBY DECLARE THAT I HAVE REVIEWED THE INSTRUCTIONS FOR THIS
FORM
AND THAT THE INFORMATION STATED ABOVE IS TRUE AND CORRECT.
FILE WITH RECORDER
Telephone No.: ( 319) 291-6963
DNR form 542-0960 (July 18, 2012)
Exhibit "A"
Parcel "H" of Plat of Survey Doc. #2019-12691 of part of the Southeast Quarter
of Section 5, Township 89 North, Range 13 West of the 5th P.M., Black Hawk County,
Iowa.