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1111 11 1111 h <br /> 8641201 <br /> State Bar of Wisconsin Form 3-2003 Tx:8507788 <br /> QUIT CLAIM DEED KRISTI CHLEBOWSKI <br /> Document Number Document Name DANE COUNTY <br /> REGISTER OF DEEDS <br /> THIS DEED,made between Koltes Brothers Partnership DOCUMENT # <br /> 5046410 <br /> 01/02/2014 1:36 PM <br /> ("Grantor,"whether one or more),and Gerald O.Koites Trans. Fee: <br /> Exempt#: 15M <br /> Rec. Fee:30.00 <br /> Pages: 2 <br /> ("Grantee,"whether one or more). <br /> Grantor quit claims to Grantee the following described real estate,together with the <br /> rents,profits,fixtures and other appurtenant interests,in Dane Recording Area <br /> County,State of Wisconsin("Property")(if more space is needed,please attach addendum): Name and Return Address <br /> See attached Addendum. Attorney Francis J.Eustice <br /> P.O.Box 590 <br /> Sun Prairie,WI 53590-0590 <br /> See Attached Addendum <br /> Parcel Identification Number(PIN) <br /> This is not homestead property. <br /> (is)(is not) <br /> Koltes Brothers Partnership <br /> Dated December 2 7,2013 /� J <br /> (SEAL) j7/L ('Lf !e0 ( (SEAL) <br /> * *Gerald O.Koites,Partner <br /> (SEAL) (SEAL) <br /> * <br /> AUTHENTICATION ACKNOWLEDGMENT <br /> Signature(s) ∎\\���1�tllilfi)��1ii��i STATE OF WISCONSIN <br /> �G\s J. l;✓ , )ss. <br /> authenticated on qQ '' ••, 'n DANE COUNTY) <br /> ,0T A .; <br /> _= Personally came before me on December ,2013 <br /> * 3 I• p(� tG r' z the above-named Gerald O.Koltes, <br /> TITLE:MEMBER STATE BAR 11515W IN.. <br /> (If not, �i� F O .\����� to me known to be the person(s) who executed the foregoing <br /> authorized by Wis.Stat. 706.E OF W t ���� instrument and acknowl-• <br /> y § )��ir�nnnitt���� <br /> THIS INSTRUMENT DRAFTED BY: * c S u <br /> Attorney Francis J.Eustice-100 Wilburn Road Suite 202 Notary Pub ic,State of Wisconsin <br /> P.O.Box 590-Sun Prairie,WI 53590-0590 My commission(is permanent)(expires: <br /> (Signatures may be authenticated or acknowledged. Both are not necessary.) <br /> NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. <br /> QUIT CLAIM DEED 02003 STATE BAR OF WISCONSIN FORM NO.3-2003 16, <br /> 'Type name below signatures. INFO-PRO.'Legal Forms•(600)655-2021•irloprolomis.com J <br /> 2 <br />