HomeMy WebLinkAboutQuit Claim Deed - Westendorf 512 Reed Street-11/28/2016recon( (0chnsiti',,
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Prepared by David R. Zellhoefer, City Attorney, 715 Mulberry, Waterloo, IA, 50703, telephone (319) 291-4327
TAX STATEMENT: Larry L.Westendorf, 512 Reed Street, Waterloo, Iowa 50703 SPACE ABOVE THIS LINE FOR
RECORDER
QUIT CLAIM DEED
For the consideration of ($3,000.00) Three Thousand Dollars and other good and
valuable consideration,
CITY OF WATERLOO, IOWA
does hereby Quit Claim to
Larry L. Westendorf and Vickie L. Westendorf, husband and wife,
as joint tenants with full rights of survivorship, and not as tenants in common,
all our right, title, interest, estate, claim and demand in the following-described real estate in
Black Hawk County, Iowa:
Lot 2 in Block 5 in Litchfield Addition to Waterloo, Iowa.
This transaction exempt from Documentary Stamp and Declaration of Value per IowaCode §428A.2(6) .
Each of the under igned hereby relinquishes alt rights of dower, homestead and distributive share in and to the real estate.
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Wotdands phra4es herein, including acknowledgment hereof, shall be construed as in the singularor plural number, and as masculine or
femin,u emtl5 ,~arc ordmg to}Ife context.
t +r Yq3vrxjber�t$p:2016 CITY OF WATERLOO, IOWA
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I _ Quentin Hart, Mayor
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�el1ey ere' e, City Clerk
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STATE OFIdWA, COUNTY OF BLACK FIAWIC ) ss
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On this 28°i day of November, 2016, 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
,s4 n, did say that they are the Mayor and City Clerk, respectively, of the City of Waterloo, Iowa; that the seal
raffixedto the foregoing instrument is the corporate seal of the corporation, and that the instrument was signed and
i'9paled oer llrebalf of the corporation by authority of its City Council as contained in the Resolution adopted by the City
:C 7 Sed��l,,tilderr, . t] Action No. 146809 of the City Council on the 28th of November, 2016, and that
7 3i1�` tp cl<'28 f{e� Rr life acknowledged the execution of the instrument to be their voluntary act and deed and
me `if11 e of the corporation, by it voluntarily executed.
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REAL ESTATE TRANSFER - DECLARATION OF VALUE
Please read the instructions comprised in form 57-011 before completing and filing this form.
Parti - TO
E COMPLETED BY BUYER, SELLER OR AGENT
Date of Instrument (MMDDYYYY) 1 1 2 8 2 0 1 6
Enter the number matching your selection in the box at the end of the line: Deed (1) Contract (2)
Seller: CITY OF WATERLOO, IOWA Phone Number: 319-291-4366
City WATERLOO
Seller Address: 715 MULBERRY STREET
State: IOWA ZIP: 50703 email:
Buyer: LARRY L. & VICKIE L WESTENDORF, H&W
Buyer Address 512 REED STREET
State: IOWA ZIP: 50703 email:
Address of Property Conveyed:
Phone Number:
City: WATERLOO
Vacant Lot fka 506 Reed/Parcel No. 8913-14-428-014
City: WATERLOO_ State: IOWA _ ZIP: 50703
Legal Description: LOT 2 IN BLOCK 5 IN LITCHFIELD ADDITION TO WATERLOO, IOWA
1
1
11
Enter the number corresponding to your selection in the box at the end of the line, if applicable.
Type of Sale: Sale between related parties/family (1); Sale of partial interest (2); Trade (3); Quit Claim Deed (4); Auction (5) 3
Was this a sale of agricultural land to: Corporation (1); Trust (2); Alien (3); Non-resident Alien (4); Limited Partnership (5)
DECLARATION OF VALUE STATEMENT
1. Total Amount Paid
2. Amount Paid for Personal Property
3. Amount Paid for Real Property
I hereby declare that the information contained in Part I of this form is true and correct.
Printed Name: CHRIS WESTERN FOR CITY OF WATERLOO Phone Number: 319-291-4366
Signature:
Effective On or Before 07/01/16
3 , 0 0 0
3 , 0 0 0
Buyer or Seller or Agent I I or Attorney
Page 1
57-006a (03/15/16)
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REAL ESTATE TRANSFER -GROUNDWATER HAZARD STATEMENT
TO BE COMPLETED BY TRANSFEROR
TRANSFEROR:
Name City of Waterloo
Address
715 Mulberry Street, Waterloo, Iowa 50703
Number antl Street or RR Cily, Tmvn or P.O.
State Zip
TRANSFEREE:
Name Larry L. and Vickie L. Westendorf, H&W, as joint tenants
Address 512RReedaSteeeeiatt, Waterloo, Iowa ly507033. town or e
State Grp
Address of Property Transferred:
Empty lot (formerly known as 506 Reed) `�Parcelwn, oroNo. 8913-14-428-011.Number anti Street or Rk
6p
Legal Description of Property: (Attach if necessary)
Lot 2 in Block 5 in Litchfield Addition
to Waterloo, Iowa.
1. Wells (check one)
DI 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)
IR 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)
N 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)
LK 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)