Intent to Dispose of 2300 Jackson Street_Paisley_Hearing Copyright 2014
City of Dubuque Public Hearings # 1.
ITEM TITLE: Intent to Dispose of 2300 Jackson Street
SUMMARY: Proof of publication on notice of public hearing to consider
disposing of City-owned real estate at 2300 Jackson Street
to Tami M. Paisley and the City Manager recommending
approval.
RESOLUTION Disposing of City interest in real property
located at 2300 Jackson Street in the City of Dubuque,
Iowa
SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Adopt
Resolution(s)
ATTACHMENTS:
Description Type
Sale of 2300 Jackson-MVM Memo City Manager Memo
Memo Staff Memo
Resolution Resolutions
Offer and Acceptance Supporting Documentation
Special 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: Sale of Property at 2300 Jackson Street
DATE: January 12, 2016
The City of Dubuque purchased property at 2300 Jackson Street and utilized
Neighborhood Stabilization Program funds and Downtown TIF funds to renovate the
property and prepare it for re-sale. The amount of funds to purchase and rehab this
property total $150,742. This amount included lead paint abatement and an unforeseen
water break that occurred right after the purchase of the property.
Housing & Community Development Department Director Alvin Nash recommends the
City Council approve the sale of City-owned real estate at 2300 Jackson Street to
Tami M. Paisley for the appraised value of $110,000. As a requirement of the
Neighborhood Stabilization Program, the purchase price can only be the appraised
value after rehabilitation or actual rehabilitation costs, whichever is lesser of the two.
Another requirement of the Neighborhood Stabilization Program is the household
purchasing the property has to be below 50% median income. It is for this reason that
the buyer is unable to obtain a larger 1st mortgage and also why the buyer is eligible to
receive a larger incentive package using Neighborhood Stabilization Program funds. A
$45,000, 15-year forgivable loan will be made to the buyer to assist with downpayment,
closing costs, other related costs or simply by bringing down the 1 st mortgage.
Financing to Tami Paisley will be provided through a first mortgage from Dupaco
Community Credit Union in the amount of approximately $65,000.
1 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
Alvin Nash, Housing and Community Development Department
2
THE CITY OF Dubuque
AII-Ame1 rica City
DUBgkE r
Masterpiece on the Mississippi 2007.2012.2013
TO: Michael Van Milligen, City Manager
FROM: Alvin Nash, Housing and Community Development Department
SUBJECT: Sale of property at 2300 Jackson Street
DATE: January 5, 2016
Introduction
The purpose of this memorandum is to request approval of the attached resolution
authorizing sale of a home at 2300 Jackson Street.
Discussion
At its January 4, 2016 the City Council, by passage of Resolution No. 7-16 declared its
intent to dispose of City-owned property at 2300 Jackson Street. This home was
acquired by the Housing Department in April 2015. NSP (Neighborhood Stabilization
Program) in the amount of $118,535 was utilized to renovate the property and prepare it
for re-sale. Other funds utilized was the Downtown TIF funds in the amount of$32,207,
which will be paid back at the time of sale. The total amount of funds to purchase and
rehab this property total $150,742. This amount included lead paint abatement and an
unforeseen water break that occurred right after the purchase of the property.
An offer has been made by Tami M. Paisley, to purchase the property at 2300 Jackson
for $110,000, in accordance with the value established by an independent appraiser.
As a requirement of the NSP Program, the purchase price can only be the appraised
value after rehab or actual rehab costs, whichever is lesser of the two. Another
requirement of the NSP Program is the household purchasing the property has to be
below 50% median income. It is for this reason that the buyer is unable to obtain a
larger 1 St mortgage and also why they are eligible to receive a larger incentive package
using NSP funds. A $45,000, 15-year forgivable loan will be made to the buyer to assist
with downpayment, closing costs, other related costs or simply by bringing down the 1St
mortgage.
An additional requirement of the NSP Program, is that the buyers attended HUD
certified financial counseling classes and the HOME Workshop, both of which have
been completed.
Financing to the Tami Paisley will be provided through a first mortgage from Dupaco
Community Credit Union in the amount of approximately $65,000.
The attached resolution approves sale of the property to Tami M. Paisley.
Action Step
The action requested of the City Council is to approve the attached resolution approving
the sale of the home at 2300 Jackson Street.
2
Prepared by: Kris Neyen, 350 W. 6th Street, Dubuque IA 52001 563 589-4239
Return to: Kris Neyen, 350 W. 6th Street, Dubuque IA 52001 563 589-4239
RESOLUTION NO. 22-16
DISPOSING OF CITY INTEREST IN REAL PROPERTY LOCATED AT 2300
JACKSON STREET, IN THE CITY OF DUBUQUE, IOWA
Whereas, the City Council, by Resolution No. 7-16, dated January 4, 2016,
declared its intent to dispose of City interest in real property located at 2300 Jackson
Street, legally described as:
Lot 2 of Lot 63 in L.H. Langworthy's Addition in the City of Dubuque, Iowa,
according to the recorded plat thereof
(the Property); and
Whereas, pursuant to published notice, a public hearing was held on the
proposed disposition on January 19, 2016 at 6:30 p.m. in the Historic Federal Building,
350 W. 6th Street, Dubuque, Iowa; and
Whereas, it is the determination of the City Council that approval of the purchase
agreement for the sale to Tami Paisley according to the terms and conditions set out in
the purchase agreement is in the public interest of the City of Dubuque.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF DUBUQUE, IOWA;
Section 1. The purchase agreement by and between the City of Dubuque and
Tami Paisley for the sale of the Property, a copy attached hereto, is hereby approved.
Section 2. The Mayor and City Clerk are hereby authorized and directed to
execute a Special Warranty Deed, conveying the City's interest in the Property to Tami
Paisley.
Section 3. That the City Clerk is hereby authorized and directed to cause said
Special Warranty Deed to be delivered to the City Attorney's Office, together with a
certified copy of the Resolution.
Attest:
Passed, approved, and adopted this 19th day of Ja
Kevin S. Firnstahl, Cl y Clerk
Jon 's'fyor Pro -Tem
Prepared by: Crenna Brumwell, 300 Main Street, Suite 330, Dubuque IA 52001 563 589-4381
Return to: Crenna Brumwell, 300 Main Street, Suite 330, Dubuque IA 52001 563 589-4381
SPECIAL WARRANTY DEED
KNOW ALL MEN BY THESE PRESENTS: that the City of Dubuque, Iowa, a
municipal corporation of the State of Iowa (Grantor), in consideration of the Grantee
named below, and other good and valuable consideration, and pursuant to the authority
of Chapter 403, Code of Iowa, does hereby GRANT, SELL, AND CONVEY unto Tami
Paisley, a single person, the following legally described real estate situated in the
County of Dubuque, State of Iowa, to wit (the Property):
Lot 2 of Lot 63 in L.H. Langworthy's Addition in the City of Dubuque, Iowa,
according to the recorded plat thereof — 2300 Jackson Street.
This Deed is exempt from transfer tax pursuant to Iowa Code. Section 428A.2(6).
This Deed is given pursuant to the authority of Resolution No. 22-16 of the City
Council of the City of Dubuque adopted the 19th day of January, 2016, the terms and
conditions thereof, if any, having been fulfilled.
Grantor hereby covenants to warrant and defend the said premises against the
lawful claims of all persons whomsoever claiming by, through and under it.
Attest:
By:
Dated this 19th day of January, 2016 at Dubuque, Iowa.
CITY OF QUE IOWA
By:
K- - in S. Firnstaha; City Clerk
Ric W. Jon s, Mayor Pro -Tem
STATE OF IOWA
SS
COUNTY OF DUBUQUE
On this j l day of *\� c; c , 2016, before me a Notary Public in and
for said County, personally appeared Fiic W. Jones and Kevin S. Firnstahl to me
personally known, who being duly sworn, did say that they are the Mayor Pro -Tem and
City Clerk, respectively of the City of Dubuque, Iowa, a Municipal Corporation, created
and existing under the laws of the State of Iowa, and that the seal affixed to the
foregoing instrument is the seal of said Municipal Corporation, and that said instrument
was signed and sealed on behalf of said Municipal Corporation by authority and
resolution of its City Council and said Mayor Pro -Tem and City Clerk acknowledged said
instrument to be the free act and deed of said Municipal Corporation by it voluntarily
executed.
i RISH L LEATM
Ny
Commission Number 719986
My Commission Expires
iS• 13.14
Notary Public in and for Dubuque County, Iowa
OFFER TO BUY REAL ESTATE AND ACCEPTANCE
TO: City of Dubuque (Seller)
SECTION 1. REAL ESTATE DESCRIPTION. The undersigned BUYER hereby offers to
buy and the undersigned SELLER by its acceptance agrees to sell the real estate situated in
Dubuque, Iowa, locally known as 2300 Jackson Street, Dubuque, IA 52001 and legally described
as:
Lot 2 of Lot 63 in L.H. Langworthy's Addition
(Real Estate); legal description to be confirmed per continued abstract per Section 10, together
with any easements and appurtenant servient estates,but subject to the following:
A. Any easements of record for public utilities or roads;
B. Any zoning restrictions and other ordinances; and
C. Any covenants of record.
SECTION 2. PURCHASE PRICE. The purchase price shall be $110,000.00, payable in
cash at the closing.
SECTION 3. REAL ESTATE TAXES. Seller shall pay any unpaid real estate taxes payable
for fiscal year 2014-2015 and prior years. Seller shall also pay real estate taxes for fiscal year
2015-2016 prorated through the date of closing. Buyer shall pay all subsequent real estate taxes
due and payable after the date of closing.
SECTION 4. SPECIAL ASSESSMENTS. Seller shall pay all special assessments which are
a lien on the Real Estate as of the date of acceptance of this Offer. All other special assessments
shall be paid by Buyer.
SECTION 5. RISK OF LOSS AND INSURANCE. Seller shall bear the risk of loss or
damage to the Real Estate prior to closing or possession, whichever first occurs. Seller agrees to
maintain any existing insurance, if any, and Buyer may purchase additional insurance. In the
event of substantial damage or destruction prior to closing, this Offer shall be null and void;
provided, however, Buyer shall have the option to complete the closing and receive insurance
proceeds, if any, regardless of the extent of damages. The property shall be deemed substantially
damaged or destroyed if it cannot be restored to its present condition on or before the closing
date.
SECTION 6. CARE AND MAINTENANCE. The Real Estate shall be preserved in its
present condition and delivered intact at the time of possession is delivered to Buyer.
SECTION 7. POSSESSION AND CLOSING.
7.1 If Buyer timely performs all obligations, possession of the Real Estate shall be delivered
to Buyer on or before February 1, 2015, or such earlier date as the parties may agree in writing,
1
13.2 The Seller has no knowledge to the existence of any wells, solid waste disposal sites,
hazardous wastes or substances, underground storage tanks, or burial sites located on the Real
Estate and shall provide Buyer with a properly executed Groundwater Hazard Statement at the
time of closing. The Seller has no knowledge of and has done nothing to contaminate or allow
the contamination of the Real Estate. The Seller has no knowledge as to any local, state, or
federal judicial or administrative action, investigation, or order regarding its environmental
condition or environmental compliance.
13.3 The Real Estate is not served by a private sewage disposal system, and there are no
known private sewage disposal systems on the property.
SECTION 14. ENCUMBRANCES. Seller warrants that the Real Estate will as of the date of
closing be free and clear of all liens, security interests, and encumbrances.
SECTION 15. TENANTS. The Real Estate is free and clear of any occupants, and no party
has a lease to or other occupancy or contract right in the Real Estate which shall in anyway be
binding upon the Real Estate. Seller shall hold harmless and indemnify the Buyer for and
against any claims, which may arise or be based upon any alleged leasehold interest, tenancy, or
other right of occupancy or use for any portion for the Real Estate. This covenant shall survive
the Closing.
SECTION 16. NO REAL, ESTATE AGENT OR BROKER. Neither party has used the
service of a real estate agent or broker in connection with this transaction.
SECTION 17. CERTIFICATION. Buyer and Seller each certify that they are not acting,
directly or indirectly, for or on behalf of any person, group, entity, or nation named by any
Executive Order or the United States Treasury Department as a terrorist, "Specially Designated
National and Blocked Person", or any other banned or blocked person, entity, nation, or
transaction pursuant to any law, order, rule, or regulation that is enforced or administered by the
Office of Foreign Assets Control; and are not engaged in this transaction, directly or indirectly
on behalf of, any such person, group, entity, or nation. Each party hereby agrees to defend,
indemnify, and hold harmless the other party from and against any and all claims, damages,
losses, risks, liabilities, and expenses (including attorney's fees and costs) arising from or related
to breach of the foregoing certification.
SECTION 18. REMEDIES OF THE PARTIES.
18.1 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(30) days' written
notice of intention to accelerate the payment of the entire balance because of such failure (during
which thirty (30) 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.
18.2 If Seller fails to timely perfonn this contract, Buyer has the right to have all payments made
3
SECTION 25. OTHER PROVISIONS.
25.1 Seller will provide Buyer with a signed Acknowledgment of Voluntary Negotiation and
Purchase of Property at the time of closing.
25.2 This Offer is subject to the final approval of the City Council of the City of Dubuque,
Iowa in its sole discretion. If the City Council of the City of Dubuque, Iowa does not approve
this Offer, it shall become automatically void and neither party shall be bound by the terms and
conditions set forth herein.
25.3 Buyer acknowledges that the real estate is being purchased used, "AS IS", "WHERE IS"
"WITH ALL FAULTS" and"WITHOUT WARRANTY".
Accepted : �� , 2015 Dated: � 2015
SELLER BUYER
CITY OF DUBUQUE TAMI M. PAISLEY
EIN: 42-6004596 SS #
hy.Alvin Nash, Housing & Community By: Tan-ii M. Paisley
Development Director
5
STATE OF IOWA {SS:
DUBUQUE COUNTY
CERTIFICATION OF PUBLICATION
T, Suzanne Pike, a Billing Clerk for Woodward Communications, Inc., an Iowa corporation, publisher
of the Telegraph Herald,a newspaper of general circulation published in the City of Dubuque, County
of Dubuque and State of Iowa; hereby certify that the attached notice was published in said newspaper
on the following dates: January 08, 2016, and for which the charge is $45.35.
Subscribed to before me a Notary Public in and for Dubuque County, Iowa,
this fro, day of , 20 /a
Notary Public in and for Dubuque County, Iowa.
PLACE 'FOR ` HEARING
• AND PROVIDING FOR
CITY OF DUBUQUE,, THE PUBLICATION';O F_1
IOWA, NOTICE THEREOF.
OFFICIAL NOTICE WHEREAS, the City.'of
PUBLIC NOTICE is • Dubuque' has obtained
hereby given that the certain real property in
City Council of the City connection with the 1
of Dubuque "Iowa; will Washington Neighbor
hold" a; public hearing hood Revitalize Pro -
on the , 19th ; day of ject; and for purpose of
January, 2016 at 6:30 its acquisition, retia -
p.m. 'in; the Historic ; bilitation and re -sale
Federal Building, .350 for owner -occupied
West 6th Street, housing; and '
second floor, Dubuque, WHEREAS, the City
Iowa, at which meeting received an offer to
the City Council pro- , purchase this property
poses to dispose of an from Tami M. Paisley;.,
interest in the fol- and WHEREAS, such
lowing described real
property by saleto purpose supports the
Tauri M. Paisley. Neighborhood Stabil-
Lot 2 of Lot 63 in L.H. ization Program and
Langworthy's Addition Washington Neigh -
in the City of Dubuque, borhood Revitalization
Iowa, according to the strategy as approved
recorded plat thereof by the City Council;
(2300 Jackson Street) and
At the meeting, the WHEREAS, by ac -
City Council will re- cepting the selected
ceive oral and written offer " the City's
comments from any objective's ofproviding
resident or property homeownership to an
owner of said City to income -qualified buyer
the ';above ',action. and rehabilitation of a
Written " comments vacated home can be .;
regarding the above ,realized.;,_c
public hearing may be IT RESOLVED EFOREBY TBE
Clerk'sOffice,City
submitted to theCity ;'CITY COUNCIL OF THE
`
Hall, 50 W. 13th Street, CITY OF DUBUQUE,
on or before said,time IOWA:
of public hearing. Section, 1: That the
Copies of supporting. City of Dubuque, Iowa,
documents for " the (', intends to dispose of
public hearings are on / its " interest in the
file in the City Clerk's 'following legally -des -
Office, and may be cribed property:
viewed during normal Lot 2 of Lot 63 in L.H.
working hours. Langworthy's Addition
Any visual or hearing in the City of Dubuque,
impaired persons need- Iowa, according to the
ing special assistance; recorded plat thereof
or persons with special 12300 Jackson Street.
accessibility needs Section 2. That the
should contact the. City City of Dubuque, Iowa,
Clerk's Office `at (563)> proposes to dispose of
589-4100 or `TTY `563rits interest in the
690-6678 at least 48 `above described real
hours prior to the !estate to Tauri M.
meeting. I Paisley for the sum of
Dated this 8th day of ';'$110,000;
January2016. Section 3. That': the
Kevin S. Firnstahl, [City Clerk is hereby
CMC, City Clerk authorized and direct
RESOLUTION NO. 7-16 ed to r cause this
INTENT TO: DISPOSE ' Resolution and a notice
OF AN INTEREST IN to be published as
CITY OF ".DUBUQUE prescribed by Iowa
REAL ESTATE, SET- Code Section 364.7of a
TING` A TIME AND ; public hearing on the
City's intent to dispose
of the foregoing
described Property, to
be held, on the 19th day
of January, 2016, at
6:30 o'clock p.m. at the
Historic Federal Build-
ing, 350 West , 6th
Street, Dubuque, Iowa.
Passed, approved and
adopted this 4th day of,
January, 2016.
Roy D Buol, Mayor
Attest: Kevin Firnstahl,
CMC, City Clerk
it 1/8
THE CITY OF
DUB 7E MEMORANDUM
111
Masterpiece on the Mississippi
CRENNA M. BRUMWELL, ESQ.
ASSISTANT CITY ATTORNEY
of\c,\\0'),S
To: Jean Nachtman
Finance Director
DATE: February 4, 2016
RE: 2300 Jackson Street
We have closed on the above -referenced property.
Attached please find:
1. A copy of the closing statement.
2. A copy of the special warranty deed, groundwater hazard statement, and
declaration of value. These documents will be filed by Tami Paisley.
3. A copy of the check payable to the City of Dubuque in the amount of $65,000.
If you need further information, please let me know. Thank you.
cc: Kevin Firnstahl, City Clerk
Alvin Nash, Housing & Community Development Director
COPY
Closing Statement
2300 Jackson Street
Closing Date: January 29, 2016
Seller: Buyer:
City of Dubuque Tami Paisley
50 West 13th Street 591 Clarke Drive
Dubuque, IA 52001 Dubuque, IA 52001
Purchase Price $110,000.00
Less items deducted from purchase price
15 -Year Forgivable Loan $45,000.00
Total amount due to the City of Dubuque, Iowa $65,000.00
I have reviewed the Closing Statement and agree to the above disbursements.
SELLER: CITY OF DUBUQUE, IOWA
Br -Kris NeyeDate
Housing & Co unity Development
BUYER: TAMI PAISLEY
By: Tami Paisley Date
Prepared by: Crenna Brumwell, 300 Main Street, Suite 330, Dubuque IA 52001 563 589-4381
Return to: Crenna Brumwell, 300 Main Street, Suite 330, Dubuque IA 52001 563 589-4381
SPECIAL WARRANTY DEED
KNOW ALL MEN BY THESE PRESENTS: that the City of Dubuque, Iowa, a
municipal corporation of the State of Iowa (Grantor), in consideration of the Grantee
named below, and other good and valuable consideration, and pursuant to the authority
of Chapter 403, Code of Iowa, does hereby GRANT, SELL, AND CONVEY unto Tami
Paisley, a single person, the following legally described real estate situated in the
County of Dubuque, State of Iowa, to wit (the Property):
Lot 2 of Lot 63 in L.H. Langworthy's Addition in the City of Dubuque, Iowa,
according to the recorded plat thereof — 2300 Jackson Street.
This Deed is exempt from transfer tax pursuant to Iowa Code Section 428A.2(6).
This Deed is given pursuant to the authority of Resolution No. 22-16 of the City
Council of the City of Dubuque adopted the 19th day of January, 2016, the terms and
conditions thereof, if any, having been fulfilled.
Grantor hereby covenants to warrant and defend the said premises against the
lawful claims of all persons whomsoever claiming by, through and under it.
Attest:
By.
Dated this 19th day of January, 2016 at Dubuque, Iowa.
-Ae
K -vin S. Firnstahl; E�ity Clerk
CITY OF D
By:
QUE IOWA
Ric W. Jon -s, Mayor Pro -Tem
STATE OF IOWA
SS
COUNTY OF DUBUQUE
On this I�'' day of , 2016, before me a Notary Public in and
for said County, personally appeared F is W. Jones and Kevin S. Firnstahl to me
personally known, who being duly sworn, did say that they are the Mayor Pro -Tem and
City Clerk, respectively of the City of Dubuque, Iowa, a Municipal Corporation, created
and existing under the laws of the State of Iowa, and that the seal affixed to the
foregoing instrument is the seal of said Municipal Corporation, and that said instrument
was signed and sealed on behalf of said Municipal Corporation by authority and
resolution of its City Council and said Mayor Pro -Tem and City Clerk acknowledged said
instrument to be the free act and deed of said Municipal Corporation by it voluntarily
executed.
Nota
TRISH L, GLIMON
Commission Number 719986
My Commission Expires
la•13.i
Public in and for Dubuque County, Iowa
Prepared by: Kris Neyen, 350 W. 6'h Street, Dubuque IA 52001 563 589-4239
Return to: Kris Neyen, 350 W. 6th Street, Dubuque IA 52001 563 589-4239
RESOLUTION NO. 22-16
DISPOSING OF CITY INTEREST IN REAL PROPERTY LOCATED AT 2300
JACKSON STREET, IN THE CITY OF DUBUQUE, IOWA
Whereas, the City Council, by Resolution No. 7-16, dated January 4, 2016,
declared its intent to dispose of City interest in real property located at 2300 Jackson
Street, legally described as:
Lot 2 of Lot 63 in L.H. Langworthy's Addition in the City of Dubuque, Iowa,
according to the recorded plat thereof
(the Property); and
Whereas, pursuant to published notice, a public hearing was held on the
proposed disposition on January 19, 2016 at 6:30 p.m. in the Historic Federal Building,
350 W. 6th Street, Dubuque, Iowa; and
Whereas, it is the determination of the City Council that approval of the purchase
agreement for the sale to Tami Paisley according to the terms and conditions set out in
the purchase agreement is in the public interest of the City of Dubuque.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF DUBUQUE, IOWA;
Section 1. The purchase agreement by and between the City of Dubuque and
Tami Paisley for the sale of the Property, a copy attached hereto, is hereby approved.
Section 2. The Mayor and City Clerk are hereby authorized and directed to
execute a Special Warranty Deed, conveying the City's interest in the Property to Tami
Paisley.
Section 3. That the City Clerk is hereby authorized and directed to cause said
Special Warranty Deed to be delivered to the City Attorney's Office, together with a
certified copy of the Resolution.
Attest:
Passed, approved, and adopted this 19th day of Ja
Kevin S. Firnstahl, C1 WClerk
R
. Jon
yor Pro -Tem
CERTIFICATE of the CITY CLERK
STATE OF IOWA )
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.
do further state that the hereto attached Resolution No. 22-16 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 20th day of January, 2016.
Kevin Firnstahl,G�`MC, City Clerk
(SEAL)
REAL ESTATE TRANSFER - GROUNDWATER HAZARD STATEMENT
TO BE COMPLETED BY TRANSFEROR
TRANSFEROR:
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
TRANSFEREE:
Name Tami M. Paisley
Address 591 Clark Drive, Dubuque, IA 52001
Number and Street or RR City, Town or P.O. State Zip
Address of Property Transferred:
2300 Jackson Street, Dubuque, IA 52001
Number and Street or RR City, Town or P.O.State zip
Legal Description of Property: (Attach if necessary) Lot 2 of Lot 63 in L.H. Langworthy's Addition to
the City of Dubuque, Iowa, according to the recorded plat thereof.
1. Wells (check one)
X 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)
X 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)
X 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)
X 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)
5. Private Burial Site (check one)
X 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)
X 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:
r�
0 Transferor or Age t)
Telephone No.: (563) 589-4239
FILE WITH RECORDER
DNR form 542-0960 (July 18, 2012)
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1
11
1
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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- 01/29/2016 ♦ Deed _1 ® Contract _ 2 0
SELLER: City of Dubuque. Iowa Phone. (563) 589-4239
Seller Address: 50 West 13th Street. Dubuque, IA 52001 e-mail.
BUYER: Tami M. Paisley Phone. .2 (073 " 6-. 5 / 3
A
Buyer Address: 591 Clarke Drive. Dubuque. IA 52001 e-mail•
Address of Property Conveyed: 2300 Jackson Street. Dubuque. IA 52001
Legal Description: Lot 2 of Lot 63 in L.H. Langworthv's Addition to the City of Dubuque. Iowa, according_ to the recorded plat thereof.
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 ❑ Alien 0 Non -Resident Alien 0 Limited Partnership A.
DECLARATION OF VALUE STATEMENT
1. Total Amount Paid $ $110,000
2. Amount Paid for Personal Property (see instructions) $
3. Amount Paid for Real Property Only (1 minus 2) $ $110,000 -
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 .
Primed Name: Kris Neven. Housing & Community Development Phone #: (563) 589-4239
Signatire
0 Buyer or ® Seller or D Agent or 0 Attorney
PART II - TO BE COMPLETED BY THE ASSESSOR
Primary Classification: 0 Res _4_ 0 Com 5 ❑ Ind _2_ ❑ Ag _ 1_ 0 MultiRes _7_ City/Township
Primary Parcel Number ♦ 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)
r^ �7
Dupaco
Reference: Proceeds from 2300 Jackson St
Amount:
Pay to the order of: City of Dubuque
Pay: Sixty -Five Thousand Dollars And Zero Cents
City of Dubuque
45-7458/2739
www.dupaco.cam
Check No: 5046798
01/29/2016
$65,000.00
V O I Air
AFTER 9 0 DAYS
THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE BACK; ABSENCE OF THIS FEATURE WILL INDICATE A COPY.
11'504679611' 2739 74 58 1I: L 200000 2111'