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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, ii iiiiiiiiii111111I01101111 iiiiiiiiiiiiiiiiii ii ii 11111 iiia 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.