HomeMy WebLinkAboutQuit Claim/11037402 � �
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`� State Bar of Wisconsin Form 3-2003 � � � ! 2F 2 .�
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QUIT CLAIM DEED Z�84p�q
REGTSTER'S OFFICE
DocumentNumber pocumentName WINNEBAGO COUNTY, WI
RECORDED ON
THIS DEED, made between WINNEBAGO COLJNTY, a State of Wisconsin �3/31 j2{315 Z:41 PM
Municipal Corporation aULIE PAGE!
("Grantor,"whether one or more), �EGISTER OF DEEDS
and CITY OF OSHKOSH, a State of Wisconsin Municipal Corporation
RECORDING FEE 30.Q0
("Grantee,"whether one or more). PAGESe 1
Grantor quit claims to Grantee the following described real estate,together with the Recording Area
rents, profits, fixtures and other appurtenant interests, in Winnebago
County, State of Wisconsin ("Property") (if more space is needed, please attach Name and Return Address
addendum): CITY OF OSHKOSH
LOT THREE(3)OF CERTIFIED SURVEY MAP NO. 6103 RECORDED IN 215 CHURCx AvE
OSHKOSH WI 54901
VOLUME l OF CERTIFIED SURVEY MAPS ON PAGE 6103 AS DOCUMENT
1439759;BEING A PART OF BLOCK 2 IN CARL HENNIG'S ADDITION, IN
THE ELEVENTH WARD, CITY OF OSHKOSH, WINNEBAGO COUNTY,
WISCONSiN.
911-0374-02
Parcel Identification Number(PIN)
Exempt#2 This is not homestead property.
(is)(is not)
Dated March�?j,2015
(SEAL) ,���/���7���""" (SEAL)
* * Mark L.Harris,County Executive
(SEAL) � (SEAL)
* Susan'�.Ertmer, County Clerk
AUTHENTICATION ACKNOWLEUGMENT
Signature(s)
STATE OF WISCONSIN )
authenticated on )ss.
Winnebago COIJNTY )
* Personally came before me on Marcha�j,2015 ,
TITLE: MEMBER STATE$AR�F WISCONSIN the above-named Mark L. Harris and Susan T.Ertmer
(If not,
authorized by Wis. Stat. § 706.06) to me known to be the person(s) who executed the foregoing
instrument and ack owledged the same.
THIS INSTRUMENT DRAFTED BY:
Mary Anne Mueller,Assistant Corporation Counsel for * Ma . Kru er
Winnebago County Notary Public, State of Wisconsin
My Commission(is permanent)(expires:April 24,2018 �
(Signatures may be authenticated or acknowledged. Both are not necessary.)
NOTE:THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
QUIT CLAIM DEED �2003 STATE BAR OF WISCONSIN FORM NO.3-2003
*Type name below signatures.
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