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Property Acquisition - Accepting Deed for 1980 Rockdale Road_Willis Copyright 2014 City of Dubuque Consent Items # 10. ITEM TITLE: Property Acquisition - 1980 Rockdale Road SUMMARY: City Manager recommending acceptance of the deed to property located at 1980 Rockdale Road owned by Ruth A Willis. RESOLUTION Accepting the Deed to certain real estate in the City of Dubuque, Iowa, from Ruth A. Willis SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Adopt Resolution(s) ATTACHMENTS: Description Type Purchase of Property from Ruth Willis- 1980 Rockdale Road-MVM F-1 City Manager Memo Memo ❑ Staff Memo Staff Memo ❑ Resolution Accepting Deed Resolutions ❑ Warranty Deed Supporting Documentation THE CITY OF Dubuque UBE I erica .i Masterpiece on the Mississippi 2007-2012-2013 TO: The Honorable Mayor and City Council Members FROM: Michael C. Van Milligen, City Manager SUBJECT: Purchase of Property from Ruth A. Willis - 1980 Rockdale Road DATE: January 8, 2015 On January 5, 2015, the City entered into an agreement with Ruth A. Willis to purchase the property located at 1980 Rockdale Road. The City has now acquired the property and City Attorney Barry Lindahl recommends City Council approval of a resolution accepting the deed to the property. I concur with the recommendation and respectfully request Mayor and City Council approval. Micliael C. Van Milligen MCVM:jh Attachment cc: Barry Lindahl, City Attorney Cindy Steinhauser, Assistant City Manager Teri Goodmann, Assistant City Manager Gus Psihoyos, City Engineer THE CITY OF DUB-�6 E MEMORANDUM Masterpiece on the Mississippi BARRY LINDAHL CITY ATTORNEY To: Michael C. Van Milligen City Manager DATE: January 6, 2015 RE: Purchase of Property from Ruth A. Willis — 1980 Rockdale Road On January 5, 2015, the City entered into an agreement with Ruth A. Willis to purchase the property located at 1980 Rockdale Road. The City has now acquired the property. Attached is a resolution accepting the deed to the property. I recommend that the resolution be submitted to the City Council for consideration and approval. BAL:tls Attachment cc: Gus Psihoyos, City Engineer F:\USERS\tsteckle\Lindahl\1980 Rockdale Road-Willis Ruth\MVM_ResolutionAcceptingDeed_010615.doc OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 TELEPHONE (563)583-4113/FAX (563)583-1040/EMAIL balesq@cityofdubuque.org Prepared by Barry A. Lindahl 300 Main Street Suite 330 Dubuque IA 52001 Return to: Kevin S. Firnstahl 50 West 13th St Dubuque, IA. 52001 563 583-4113 563-589-4100 RESOLUTION NO. 13-15 ACCEPTING THE DEED TO CERTAIN REAL ESTATE IN THE CITY OF DUBUQUE, IOWA FROM RUTH A. WILLIS Whereas, the City of Dubuque entered into an Agreement on January 5, 2015, with Ruth A. Willis for the purchase of the following described real property in Dubuque County, Iowa: TRACT I. Lot 2 of Lot 1 of Lot 7 of Mineral Lot 501 in the City of Dubuque, Iowa, according to the recorded plat thereof. TRACT II. Lot 2 of Lot 1 of Lot 1 of Lot 1 of Lot 1 of Lot 2 of Lot 7 of Mineral Lot 501 in the City of Dubuque, Iowa, according to the recorded Plat thereof Locally known as 1980 Rockdale Road. And Whereas, the terms of the Agreement have now been met. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF DUBUQUE, IOWA, AS FOLLOWS: Section 1. The City of Dubuque hereby accepts the Warranty Deed from Ruth A. Willis attached hereto. Section 2. The City Clerk is hereby authorized and directed to record this Resolution and the Warranty Deed with the Dubuque County Recorder. Passed, approved and adopted this 20th day of January, 2015. Attest: Kevin/S. Firnstahf City Clerk F:\USERS\tsteckle\Lindahl\1980 Rockdale Road - Willis Ruth\Closing Docs\ResolutionAcceptingDeed_010615.doc til Karla A. Braig6layor Pro Tern OFFER TO BUY REAL ESTATE AND ACCEPTANCE TO: Ruth A. Willis, Seller SECTION 1. REAL ESTATE DESCRIPTION. The City of Dubuque, Iowa (Buyer) offers to buy all of Seller's right, title, and interest in and to the real estate in Dubuque County, Iowa, described as follows: Lot 2 of Lot 1 of Lot 7 of Mineral Lot 501 in the City of Dubuque, Iowa, according to the recorded Plat thereof; and Lot 2 of Lot 1 of Lot 1 of Lot 1 of Lot 1 of Lot 2 of Lot 7 in the City of Dubuque, Iowa, according to the recorded Plat thereof as shown on the exhibit attached hereto (the Real Estate) together with any easements and appurtenant servient estates, but subject to the following: a. any zoning and other ordinances; b. any covenants of record; c. any easements of record for public utilities, roads, and highways designated the Real Estate. SECTION 2. PURCHASE PRICE. The Purchase Price shall be as follows: $125,000.00, cash at closing. Subject to all of the terms and conditions herein. SECTION 3. REAL ESTATE TAXES. Taxes for the fiscal year in which the closing takes place shall be paid by Seller prorated to the date of possession. Seller shall also pay any unpaid real estate taxes for prior fiscal years. SECTION 4. POSSESSION. If Seller timely performs all obligations, and all contingencies are met or waived, possession of the Real Estate shall be delivered to Buyer on January 6, 2015 (the Closing Date), or such other date as the parties may agree in writing with any adjustments of taxes, rent, insurance, and interest to be made as of the date of transfer of possession. SECTION 5. ABSTRACT AND TITLE. Seller, at Seller's expense, shall promptly obtain a lien search or an abstract of title to the Real Estate continued through the date of acceptance of this offer, and deliver it to Buyer for examination. It shall show merchantable title in Seller in conformity with this agreement, Iowa law and Title Standards of the Iowa State Bar Association. The abstract shall become the property of the Buyer when the purchase price is paid in full. Seller shall pay the costs of any additional necessary abstracting and title work due to any act or omission of Seller, including transfers by or the death of Seller or its assignees. 121914ba1 SECTION 6. DEED. Upon payment of the purchase price, Seller shall convey the Real Estate to Buyer by Warranty Deed, free and clear of all liens, restrictions, and encumbrances. SECTION 7. JOINT TENANCY IN PROCEEDS AND IN REAL ESTATE. If Seller, immediately preceding acceptance of this offer, holds title to the Real Estate in joint tenancy with full right of survivorship, and the joint tenancy is not later destroyed by operation of law or by acts of the Seller, then the proceeds of this sale, and any continuing or recaptured rights of Seller in the Real Estate, shall belong to Seller as joint tenant with full rights of survivorship and not as tenant in common; and Buyer, in the event of the death of Seller, agrees to pay any balance of the price due Seller under this contract to the surviving Seller and to accept a deed from the surviving Seller consistent with Section 11. SECTION 8. JOINDER BY SELLER'S SPOUSE. Seller's spouse, if not a titleholder immediately preceding acceptance of this offer, executes this contract only for the purpose of relinquishing all rights of dower, homestead, and distributive shares or in compliance with Section 561.13 of the Iowa Code and agrees to execute the deed or real estate contract for this purpose. SECTION 9. TIME IS OF THE ESSENCE. Time is of the essence in this contract. SECTION 10. REMEDIES OF THE PARTIES. 10.1 If Buyer fails to timely perform this contract, Seller may forfeit it as provided in the Iowa Code, and all payments made shall be forfeited or, at Seller's option, upon thirty days written notice of intention to accelerate the payment of the entire balance because of such failure (during which thirty days such failure is not corrected) Seller may declare the entire balance immediately due and payable. Thereafter this contract may be foreclosed in equity and the Court may appoint a receiver. 10.2 If Seller fails to timely perform this contract, Buyer has the right to have all payments made returned to it. 10.3 Buyer and Seller also are entitled to utilize any and all other remedies or actions at law or in equity available to them and shall be entitled to obtain judgment for costs and attorney fees as permitted by law. SECTION 11. APPROVAL OF COURT. If the sale of the Real Estate is subject to Court approval, the fiduciary shall promptly submit this contract for such approval. If this contract is not so approved, it shall be void. SECTION 12. CONTRACT BINDING ON SUCCESSORS IN INTEREST. This contract shall apply to and bind the successors in interest of the parties. SECTION 13. CONSTRUCTION. Words and phrases shall be construed as in the singular or plural number, and as masculine, feminine or neuter gender, according to the context. SECTION 14. TIME FOR ACCEPTANCE. If this offer is not accepted by Seller on or before December 1, 2014, it shall become void and all payments shall be repaid to the Buyer. SECTION 15. OTHER PROVISIONS. 15.1 The Offer is subject to final approval of the City Council of the City of Dubuque, Iowa in its sole discretion. 15.2 Buyer, its counsel, accountants, agents and other representatives, shall have full and continuing access to the Real Estate and all parts thereof, upon reasonable notice to Seller for the purpose of inspecting, surveying, engineering, test boring, performance of environmental tests and such other work as Buyer shall consider appropriate, provided that Buyer shall hold Seller harmless and fully indemnify Seller against any damage, claim, liability or cause of action arising from or caused by the actions of Buyer, its agents, or representatives upon the Real Estate (except for any damage, claim, liability or cause of action arising from conditions existing prior to any such entry upon the Real Estate), and shall have the further right to make such inquiries of governmental agencies and utility companies, etc. and to make such feasibility studies and analyses as Buyer considers appropriate. 15.3 Seller warrants that the rights of all tenants shall be terminated by Seller prior to closing and that there will be no tenants whose rights in the Real Estate survive the closing. This covenant shall survive the closing. 15.4 Environmental Provision. (1) Seller warrants to the best of its knowledge and belief that there are no abandoned wells, solid waste disposal sites, hazardous wastes or substances, underground storage tanks, burial sites or private wastewater disposal systems located on the Real Estate, the Real Estate does not contain radon gas, asbestos or asbestos containing building materials, or urea -formaldehyde foam insulation, and Seller has done nothing to cause or allow contamination of the Real Estate with hazardous wastes, substances, or pollutants. Seller warrants to the best of its knowledge and belief that the Real Estate is not subject to any local, state, or federal judicial or administrative action, investigation or order regarding any environmental matter. Seller shall provide Buyer with a properly executed Groundwater Hazard Statement showing no wells, solid waste disposal sites, hazardous wastes, underground storage tanks, private burial sites or private wastewater disposal systems on the Real Estate which shall be considered a warranty and representation by Seller to Buyer. (2) Following closing, should the Buyer learn that the environmental condition of the Real Estate requires assessment and/or corrective action pursuant to local, state or federal law, for matters first arising during the time period the Real Estate was controlled by Seller, Seller shall take all action as may be required by law to fully address the environmental condition and Seller shall indemnify and hold harmless the Buyer from any claims and costs, including attorneys' fees and consultants' fees, arising therefrom. (3) These environmental provisions shall survive closing. 15.5 Until ten (10) days prior to closing, Buyer shall have the right to terminate this agreement if environmental issues exist on the Real Estate that Buyer determines in its sole discretion do not permit Buyer to use the Real Estate for its intended use. Prior to terminating this Agreement pursuant to this section, Buyer shall offer Seller the opportunity to remediate the Real Estate to the satisfaction of Buyer in its sole discretion and at Seller's sole cost. CITY OF DUBUQUE, IOWA Dated: B THIS OFFER IS ACCEPTED Dated: B ‘)/3,ezee,;) Michael C. Van Milligen ''uth A. Willis City Manager IIUI imp ii 1111101 11 Doc ID 008175140003 Type GEN Kind: DEED WITH RESOLUTION Recorded: 01/23/2015 at 01:43:33 PM Fee Amt: $221.20 Page 1 of 3 Revenue Tax: $199.20 Dubuque County Iowa John Murphy Recorder File2015-00000896 D. Flint Drake Return Document To: City of Dubuque, Gus Psihoyos, City Hall, 50 West 13th Street, Dubuque, IA 52001 Preparer Information: D. Flint Drake, 300 Main Street, Suite 323, Dubuque, IA 52001, (563) 582-2000 Address Tax Statement: City of Dubuque, City Hall, 50 West 13th Street, Dubuque, IA 52001 WARRANTY DEED For the consideration of Ten and No/100 ($10.00) Dollars and other valuable consideration, RUTH A. WILLIS, a widow and not remarried, does hereby Convey to CITY OF DUBUQUE, the following described real estate in Dubuque County, Iowa: TRACT I. Lot 2 of Lot 1 of Lot 7 of Mineral Lot 501 in the City of Dubuque, Iowa, according to the recorded plat thereof. TRACT II. Lot 2 of Lot 1 of Lot 1 of Lot 1 of Lot 1 of Lot 2 of Lot 7 of Mineral Lot 501 in the City of Dubuque, Iowa, according to the recorded Plat thereof. Grantors do Hereby Covenant with grantees, and successors in interest, that grantors hold the real estate by title in fee simple; that they have good and lawful authority to sell and Convey the real estate; that the real estate is free and clear of all liens and encumbrances except as may be above stated; and grantors Covenant to Warrant and Defend the real estate against the lawful claims of all persons except as may be above stated. 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: /— L. - /y- , 2015 e& RUTH A. WILLIS (Grantor) STATE OF IOWA, COUNTY OF DUBUQUE This record was acknowledged before me this �, day of �%�� 2015, by RUTH A. WILLIS, a widow and not remarried. D. FLIiNT DRAKE Nntary ,,;.ii e of Iowa Signature of Notary Public Vii)° �/\(i Oscr AL., Prepared by Barry A. Lindahl 300 Main Street Suite 330 Dubuque IA 52001 Return to: Kevin S. Firnstahl 50 West 13th St Dubuque, IA. 52001 563 583-4113 563-589-4100 RESOLUTION NO. 13-15 ACCEPTING THE DEED TO CERTAIN REAL ESTATE IN THE CITY OF DUBUQUE, IOWA FROM RUTH A. WILLIS Whereas, the City of Dubuque entered into an Agreement on January 5, 2015, with Ruth A. Willis for the purchase of the following described real property in Dubuque County, Iowa: TRACT I. Lot 2 of Lot 1 of Lot 7 of Mineral Lot 501 in the City of Dubuque, Iowa, according to the recorded plat thereof. TRACT II. Lot 2 of Lot 1 of Lot 1 of Lot 1 of Lot 1 of Lot 2 of Lot 7 of Mineral Lot 501 in the City of Dubuque, Iowa, according to the recorded Plat thereof Locally known as 1980 Rockdale Road. And Whereas, the terms of the Agreement have now been met. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF DUBUQUE, IOWA, AS FOLLOWS: Section 1. The City of Dubuque hereby accepts the Warranty Deed from Ruth A. Willis attached hereto. Section 2. The City Clerk is hereby authorized and directed to record this Resolution and the Warranty Deed with the Dubuque County Recorder. Passed, approved and adopted this 20th day of January, 2015. 1/ Karla A. Braigayor Pro Tem Attest: Kevin1S. Firnstah( City Clerk F_\USERS\tsteckle\Lindahl\1980 Rockdale Road - Willis Ruth\Closing Docs\ResolutionAcceotinaDeed 010615.doc STATE OF IOWA CERTIFICATE of the CITY CLERK ) SS: COUNTY OF DUBUQUE ) I, Kevin S. Firnstahl, do hereby certify that I am the duly appointed, qualified, City Clerk of the City of Dubuque, Iowa, in the County aforesaid, and as such City Clerk, I have in my possession or have access to the records of the proceedings of the City Council. I do further state that the hereto attached Resolution No. 13-15 is a true and correct copy of the original. In Testimony Whereof, I hereunto set my hand and official seal of the City of Dubuque, Iowa. Dated at Dubuque, Iowa, on this 21st day of January, 2015. Kevi S. Firnstahl; CM ; City Clerk V 11 oI 1111 N 11111 111101 Doc ID 008175150002 Type GWH Kind: GROUNDWATER HAZARD Recorded: 01/23/2015 at 01:43:52 PM Fee Amt: $0.00 Page 1 of 2 Dubuque County Iowa John Murphy Recorder File2015-00000095 REAL ESTATE TRANSFER - GROUNDWATER HAZARD STATEMENT TO BE COMPLETED BY TRANSFEROR TRANSFEROR: Name RUTH A. WILLIS Address 1080 ROCKDALE ROAD, DUBUQUE, IA 52003 Number and Street or RR City, Town or P.O. State Zip TRANSFEREE: Name CITY OF DUBUQUE, IOWA Address 50 WEST 13TH STREET, DUBUQUE, IA 52001 Number and Street or RR City, Town or P.O. State Zip Address of Property Transferred: 1980 ROCKDALE ROAD, DUBUQUE, IA 52003 Number and Street or RR City, Town or P.O. State Zip Legal Description of Property: (Attach if necessary) TRACT I. Lot 2 of Lot 1 of Lot 7 of Mineral Lot 501 in the City of Dubuque, Iowa, according to the recorded plat thereof. TRACT II. Lot 2 of Lot 1 of Lot 1 of Lot 1 of Lot 1 of Lot 2 of Lot 7 of Mineral Lot 501 in the City of Dubuque, Iowa, according to the recorded Plat thereof. 1. Wells (check one) "K. 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) L 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. _ 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) )(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) 2ot5g lQ 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) 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: I HEREBY DECLARE THAT I HAVE REVIEWED THE INSTRUCTIONS FOR THIS FORM AND THAT THE INFORMATION STATED ABOVE IS TRUE AND CORRECT. Signature: 1� ° �.P.a> Telephone No.: (563) 581-2791 (T feror or Agent) FILE WITH RECORDER DNR form 542-0960 (July 18, 2012) tiTA7 or } a 1111 11 111111 ii IIIIi 11 i11iii Doc ID: 008175130002 Type: GEN Kind: AFFIDAVIT OF SURVIVING SPOUSE Recorded: 01/23/2015 at 01:42:59 PM Fee Amt: $17.00 Page 1 of 2 Dubuque County Iowa John Murphy Recorder File2015-00000895 AFFIDAVIT OF SURVIVING SPOUSE FOR CHANGE OF TITLE TO REAL ESTATE THE IOWA STATE BAR ASSOCIATION Official Form #177 Recorder's Cover Sheet Preparer Information: (Name, address and phone number) D. Flint Drake, 300 Main Street, Suite 323, Dubuque, IA 52001, Phone: (563) 582-2000 Taxpayer Information: (Name and complete address) CITY OF DUBUQUE, CITY HALL, 50 West 13th Street, Dubuque, IA 52001 Return Document To: (Name and complete address) D. Flint Drake, 300 Main Street, Suite 323, Dubuque, IA 52001, Phone: (563) 582-2000 Grantors: Grantees: ROBERT A. WILLIS RUTH A. WILLIS Legal description: See Page 2 Document or instrument number of previously recorded documents: © The Iowa State Bar Association 2013 10WADOCS® 4)(tj() THE IOWA STATE BAR ASSOCIATION Official Form No. 177 D. Flint Drat 1 FOR THE LEGAL EFFECT OF THE USE OF THIS FORM, CONSULT YOUR LAWYER AFFIDAVIT ••FOR CHANGE STATE OF IOWA, COUNTY I, RUTH A. OF SURVIVING SPOUSE OF TITLE TO REAL ESTATE OF DUBUQUE , ss: oath, depose and state of ROBERT A. WILLIS WILLIS , being first duly sworn on the surviving spouse . as follows: 1. I am [ is] who died on January 17, 2013 ROBERT A. WILLIS 2. The following described real estate was owned only by tenants with full rights of according to the recorded plat 501 in the City of Dubuque, instrument filed on . and this Affiant [ or ], as joint survivorship at the time TRACT I. Lot 2 of Lot 1 of Lot 7 of Mineral thereof. TRACT II. Lot 2 of Lot 1 of Lot 1 of Lot Iowa, according to the recorded 3. Title was conveyed to the April 4, 1986/July 30, 1973 , of ROBERT A. WILLIS 's death: Lot 501 in the City 1 of Lot 1 of Lot 2 of Plat thereof. surviving spouse with reference number auditor enter this information Code. Estate Tax return, of Dubuque, Iowa, Lot 7 of Mineral Lot and the decedent by of 59-456/6057-73 4. I hereby request that the Section 558.66 of the Iowa 5. Form706, United States death of the Decedent.* 6. An Iowa inheritance tax 450.22 subsection 3. Signed and sworn to (or by RUTH A. WILLIS on the transfer NOT required to books pursuant to be filed as a result of the to Iowa Code Section &4---(./ a-t.-}/‹..e4a;, return is not required affirmed) before me to be filed pursuant Xs' RUTH A. WILLIS, Affiant this day of J c'"7 ® P v..9,y, p 6 r.N(-Mary . %r'wt" T D. FLINT DRAKE (-Mary Pi `t ate ofIowa P r c. 1611(3 I ;cion Expires July 22, 2015 Signature of Notary Public Tax may constitute a lien on the above described property. * The correct option must be selected to determine whether the Iowa Estate © The Iowa State Bar Association 2013 177 AFFIDAVIT OF SURVIVING SPOUSE FOR CHANGE OF TITLE TO REAL ESTATE IOwADOCS® Revised August 2013 Addendum 1. TRACT I. Lot 2 of Lot 1 of Lot 7 of Mineral Lot 501 in the City of Dubuque, Iowa, according to the recorded plat thereof. TRACT II. Lot 2 of Lot 1 of Lot 1 of Lot 1 of Lot 1 of Lot 2 of Lot 7 of Mineral Lot 501 in the City of Dubuque, Iowa, according to the recorded Plat thereof. i i 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 Date of Instrument' 12/19/2014 A Deed 1 ❑ Contract 2 0 SELLER: RUTH A. WILLIS Phone (563) 581-2791 Seller Address: 1080 ROCKDALE ROAD DUBUQUE, IA 52003 e-mail: BUYER: CITY OF DUBUQUE, IOWA Phone: (563) 583-4113 Buyer Address: 50 WEST 13TH STREET, DUBUQUE, IA 52001 e-mail: Address of Property Conveyed: 1980 ROCKDALE ROAD DUBUQUE, IA 52003 Legal Description: See 1 in Addendum Type of Sale: 0 Sale between related parties/family 0 Sale of partial interest 0 Trade 0 Quit Claim Deed 0 Auction Was this a sale of AG LAND to: 0 Corporation 0 Trust 0 Alien 0 Non -Resident Alien 0 Limited Partnership DECLARATION OF VALUE STATEMENT 1. Total Amount Paid $ 125,000.00 2, Amount Paid for Personal Property (see instructions) $ 0.00 3. Amount Paid for Real Property Only (1 minus 2) $ 125,000.00 I HEREBY DECLARE THAT THE INFORMATION CONTAINED IN PART I OF THIS FORM IS TRUE AND CORRECT AS DETAILED ON THE BACK OF THIS FORM . Printed Name: RUSH A. WILLIS Signature Phone #: (563) 581-2791 0 Buyer or ® Seller or ❑ Agent or 0 Attorney PART II - TO BE COMPLETED BY THE ASSESSOR Primary Classification: 0 Res _4_ 0 Corn _5_ 0 Ind _2_ 0 Ag _ 1_ 0 MultiRes _7_ City/Township Primary Parcel Number A YearBlt Occ NUTC Classification Land Building Dwelling Total Residential Commercial Industrial Agricultural Multi Residential Comments: Effective On or Before 09/01/14 Iowa Department of Revenue ISBA 57006a (07/23/14) City of Dubuque CHECK NO 417955 AMOUNT 199.20 VENDOR 1688 DUBUQUE COUNTY RECORDER CHECK DATE 01/02/2015 Activity/Project Account Purchase Order Invoice No Amount Description 7202133 73111 00145582 1980 ROCKDA 199.20 TRANSFER TAX ZZZZ City Hall 50 West 13th Street Dubuque, Iowa 52001 TOTAL 199.20 DUBUQU;E.BANK & TRUST Check No 417955, DUBUQUE, IOWA Date .01 /02/2015 PAY ONE HUNDRED NINETY-NINE DOLLARS AND 20 CENTS** TO THE DUBUQUE COUNTY RECORDER ORDER 720 CENTRAL AVE OF DUBUQUE IA 52001 **************************** ' L7955111 I:07390053Si: 00 OL3 2111 Authorized Sig, ature