HomeMy WebLinkAboutA009 - Real Estate Transfer Declaration of Value (Instrument No. 2012-00014222) U Its
09
I Instruaent:2012- 00014997
13- 1 c�i p od 3® rl Date:Nov 20P2012 01:15:07P
b Rec Fee: 10.00 E-Garr Fee:
G Aud Fee: 5"00 Trans Tax: i•0(
0 9 — R Rec Management Fee: 1.00 b58.>
Non-Standard Page Fee: .00
Filed for record in Stors Counts, Iowa
Susan L. Vande Kamp, Counts Recorder
REAL ESTATE TRANSFER-DECLARATION OF VALUE
Please read the instructions on the reverse side BEFORE completing and filing this form.
Part I-TO BE COMPLETED BY BUYER,SELLER OR AGENT
SELLER: Pyle Land L.L.C. SSN or FEIK
Seller Address: PO Box 763,Ames,IA 50010 e-mail/phone: 515-451-5951
BUYER: Deery, Deery and Deery,LLC SSN or FEIN A
Buyer Address-200 S Gear Ave.,West Burlington IA 52655 e-maiVphone:319 — :7 (202
Address of Property Conveyed: 1400-1698 SE 16th St.,Ames, IA 50014
Date of Instrument: 11/20/2012 A reed_1 Contract_2
Legal Description: Parcels"G"and"H"In the N W1/4 of Section 13,Township 83 North,Range 24 West,of the 5th P.M.Ames,Story County,Iowa,as shown on the"Corrected
Plat of Survey"filed in the office of the Recorder,Story County,Iowa on February 8,2011 as Inst.No.01-01457,Slide 90,Page 4,except the North 10 feet thereof.
Type of Sale(check all that apply): ❑Fulfillment of prior year(s)contract ❑ Sale to/by Exempt Organization ❑ Auction Sale
❑ Corporate merger or reorganization ❑ Purchase of adjoining land ❑ Transfer of partial interest ❑ Quit Claim Deed
❑ Sale between family members or related parties ❑ Foreclosure,forfeitures,or transfers arising from default;forced sale
Was this a sale of AG LAND to: ❑ Corporation ❑Trust ❑ Alien ❑ Non-Resident Alien ❑Limited Partnership
ti
DECLARATION OF VALUE STATEMENT
i 1.Total Amount Paid $$412,000.00
■ ti 2.Amount Paid for Personal Property(see instructions) $
. 3.Amount Paid for Real Property Only(1 minus 2) $$412,000.00 -
WR4M
Contract Sale Information: Down Payment$ In Rate % Monthly Payment$
Length of Contract years Balloon Payment Date(if applicable)
1 HEREBY DECLARE THAT THE INFORMATION CONTAIN#D IN PA T I OF THIS FORM IS TRUE AND CORRECT AS
T 1 T E ACK F THIS FORM . Printed Name- Cl, ,P Phone#-
Sig ure �uyer or f eller or "gent or 0ttomey
PART If-TO BE COMPLETED BY THE ASSESSOR
Classification of Property: ❑ Res 4_ ❑ Com_5_ ❑ Ind_2_ ❑ Ag 1_ ♦ Deeded Acres:
OCC A TLA/GBA ♦ Tax District
Primary Parcel Number A (attach list of additional parcels)
Full Assessed Value Land Building Dwelling Total
January 1 of Year of Sale
Good for study? ❑Yes ❑ No NUTC ♦If No,give reason:
Effective Date of Form 09/30/12 Iowa Department of Revenue 57006a(03/23/12)