HomeMy WebLinkAbout909286 RECORDING REQUESTED BY
AND WHEN RECORDED MAIL THIS DEED AND, UNLESS
OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO:
ADDRESS ·
L j
Title Order No. Escrow No.
004,75
RECEIVED 6/11/2005 at 11:10 AM
RECEIVING # 909286
BOOK: 588 PAGE: 425
JEANNE WAGNER
L NCOLN COUNTY CLERK, KEMMERER, W Y
SPACE ABOVE THIS LINE FOR RECORDER'S USE
DOCUMENTARY TRANSFER TAX $
GRANT DEED [] computed on full value of property conveyed, or
[] computed on full value less liens and
encumbrances remaining at time of sale.
SIGNATURE OF ~)EC:LARAN~ OR AGENT DETERMINING TAX FIRM NAME
FOR VALUABLE CONSIDERAT'ON, receipt of which is acknowledged, I (We}, ,/1~1 ~'"') ~:~-~. I~ 1/2./~'~/~7~7/7~-~['~//
grant to
all that real property situated in the City
'
/~ssessor', parcel No.
.']
.... e 7 ' - " .... -- - . -
,/
(or in an unincorporated area of)
County, State of ~l/'/2~],¢'(,~ , described as follows (insert legal description):
STATE OF-~ ~m~
personally appeared
2~r~on~, k~cw~ :~ (or proved to me on the basis of satisfacto~ e~dence) to bathe 9erson~hose
name~ iS/~ubscribed to thewithin instrument and acknowledged to me that he/~e/t~y executed the
same in ~/~/t~ir authorized capacity(i~), and that by~is/h~/~ir signature(s} on t~e instrument the
person, dr th~ entity upon behalf of which the person) acted, executed the instrument.
WITNESS my hand and official seal.
MAIL TAX STATEMENT TO:
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GRANT DEED - (price class 3A)
e 1999 WOLCOTTS FORMS, INC. 7 9
RIGHT THUMBPRINT (Optional)
CAPACITY CLAIMED BY SIGNER(S)
li~-INDIVID UAL(S)
[] CORPORATE
OFFICERS
(TITLES)
[] PARTNER(S) [] LIMITED
E3 GENERAL
[] ATTORNEY IN FACT
[] TRUSTEE(S)
[] GUARDIAN/CONSERVATOR
[] OTHER
SIGNER IS REPRESENTING:
(NAME OF PERSON(S) OR ENTITY(lES)):