The URL can be used to link to this page

Home My WebLink AboutJoel and Connie Cizek - 5/15/19\\lIlllIl1IlI\\1l\ i Doc ID: 009554370002 Type. Recorded: 05/29/2019 at 04:28:29 PM Fee Amt: $17.00 Page 1 of 2 Revenue Tax: $0.00 Black Hawk County Iowa SANDIE L. SMITH RECORDER Fi1e2019-00017867 • C�, I1 ., •repared by David R. Zellhoefer, City Attorney, 715 Mulberry, Waterloo, IA, 50703, telephone (319) 291-4327 TAX STATEMENT: Joel C. and Connie J. Cizek, 1316 Columbus Dr., Waterloo, Iowa 50702 SPACE ABOVE THIS LINE FOR RECORDER QUIT CLAIM DEED For the consideration of ($372.00) Three Hundred Seventy-two Dollar(s) and other good and valuable consideration, .. CITY OF WATERLOO, IOWA does hereby Quit Claim to Joel C. Cizek and Connie J. Cizek, husband and wife, as joint tenants with full rights of survivorship, and not as tenants in common, all our right, title, interest, estate, claim and demand in the following -described real estate in Black Hawk County, Iowa: See attached legal description. This transaction exempt from Documentary Stamp and Declaration of Value per Iowa Code §428A.2(6) (209). 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: May 15, 2019 CITY OF WATERLOO, IOWA 0AA3 i'L<- -.,1//c';--A Quentin Hart, Mayor ATTEST: // r elley Felch /City Clerk r STATE OF IOWA, COUNTY OF BLACK HAWK ) ss On this 15th day of May, 2019, 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 foregoing 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. 146141 of the City Council on the 6th day of June, 2016, and that Quentin Hart and Kelley Felchle, acknowledged the execution of the instrument to be their voluntary act and deed and the voluntary act ani.,,.,. deed of the cQgporation, by it voluntarily executed. : i(///,.. Ii Notary '' J in and for the State of Iowa a 61V61 t . ze (1h, e • C�, d 0 b 0CL $ 333 s 1otipnv 303 s,J0p1oo3g of Black Hawk County Records. papJooaJ putt 0 0 0 snit Jottpny 0. 0 Filed for record, indexed and delivered to County 0 b 01. 0 0 Entered upon transfer books and for taxation aaaa tvid'ij Lina Description — Alley conveyance to Joel C. Cizek and Connie J. Cizek: That portion of the platted 20 -foot public alley in Block 16, Hayes Addition, City of Waterloo, Black Hawk County, Iowa, lying southeasterly of a line drawn between the northerly most corner of Lot 6 of said Block 16 and the westerly most corner of Lot 5 of said Block 16 and lying northwesterly of a line drawn between the easterly most corner of Lot 7 of said Block 16 and the southerly most corner of Lot 4 of said Block 16, subject to the retention of an utility easement over, under and across the above described property. H II IIII 111 III 1111 I I IIIIIIIl Y Doc ID• 009554380003 Type GWH Kind: GROUND WATER HAZARD STATEMENT Recorded: 05/29/2019 at 04:29:46 PM Fee Amt: $0.00 Page 1 of 3 Black Hawk County Iowa SANDIE L. SMITH RECORDER Fi1e9998-00012234 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 Joel C. Cizek and Connie J. Cizek Address 1316 Columbus Drive, Waterloo, Iowa 50702 Number and Ireet or kk t,dy, 1 own or P.O. State Up Address of Property Transferred: Conveyance of alley in Hayes Addition, Waterloo, Iowa Number and Street or kk City, l own, or P.O. State zip Legal Description of Property: (Attach if necessary) See attached 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) a 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) There is no known hazardous waste on this property. 0 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) IN 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) X 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: 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 ) 291-4366 DNR form 542-0960 (July 18, 2012) Description — Alley conveyance to Joel C. Cizek and Connie J. Cizek: That portion of the platted 20 -foot public alley in Block 16, Hayes Addition, City of Waterloo, Black Hawk County, Iowa, lying southeasterly of a line drawn between the northerly most corner of Lot 6 of said Block 16 and the westerly most corner of Lot 5 of said Block 16 and Lying northwesterly of a line drawn between the easterly most corner of Lot 7 of said Block 16 and the southerly most corner of Lot 4 of said Block 16, subject to the retention of an utility easement over, under and across the above described property.