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'• APPLICATION FOR: Fie Application and waoatarFe gbh R•ol:+wao•aa. <br /> • TRANSFER OF PROPERTY TO SURVIVING JOINT TENANT, ': <br /> LIFE TENANT OR REMAINDERMAN(Sedlon 867.045,Wie.Statutes), I • <br /> and/or vOL 13840PAGE 21 a;` '° <br /> • SUMMARY CONFIRMATION OF INTEREST IN PROPERTY en 73.'0,0 . <br /> (SeWon867.046(2),Wis.Statutes) - SMzcic <br /> bV mmog <br /> DOES THE PROPERTY LISTED BELOW CONSTITUTE ALL OF THE PROPERTY IN 2184478 d x z o•WHICH THE DECEDENT OWNED ANY INTERESTAT THE DATE OF DEATH? '�Z z°m-1....,i.. <br /> El YES ® NO 0. 11 a <br /> rn; r+i <br /> Decedent Dale ofDepth Social Sew Mumbler ' <br /> • • <br /> y • • • • , • ' • r y • • • ; • • • • • <br /> Address of Decedent at Dab ofDeath <br /> 1 : • ■Ga(•)ft c • <br /> rt. Mods,bonds,savings and thedckap accounts,and vendors' Person Rsceiv 1 <br /> Full Dab of OsaM <br /> Inf•re•I*In landcontracts(if mono space is needed,attach schedule). hp property Serial or <br /> (i.esr a,b or c A000urd Property Transferred Under <br /> from in.3) Number •.867.045 ... or s.ItI704ti(2► <br /> $ _ <br /> l' <br /> TOTAL VALUES •: '...- <br /> r Transferred Under Person Raoelvinp To Be Completed by Register of Deeds <br /> 1 <br /> 2. Real 45 s one) Properly s 3 B a,b) Valuation •Equalized Valuation Recordnp Data '•t <br /> Esmb s.887.N5 a.867.018(2) from Lin.3 Blow) e;, <br /> x a 69 ,000.00 000.00 See attached — 772-438 y^' <br /> t <br /> tax bills <br /> i <br /> DECLARATION! <br /> 1(we)dedare that this application is,bib.best of myy(our){uno Meggs and beMsf,tills,oared andaomplab and is in calamity with the provisions and'' ` <br /> limitations of the Wisconsin Stabiles and don not r isaas any tax liabilities, s <br /> –3, Name and Address of Person Receiving Property Relabonehip b Daubed . Signature Dais v1 <br /> a. Bonnie L. Olson r <br /> 5502 Reeve Rd. spouse didi2/1/90 g Pv,,,, <br /> Mazomanie, WI 53560 <br /> b <br /> a ( l A d 1J + `i4-44rt"YYI L �V <br /> neLT'4. `- 4-4'-3 . <br /> ■ <br /> -a1N es-O Ili I S'3 °) 13 . <br /> Sworn to babe • - . ., . . • • 1 I=Sty Mat I haw niaNsdadalivared oopiao of thi appWoation as . 1, <br /> Sgnatur At et I I l► lir+/ ., provided in : /7,N5(3)ors.1167.0464).Wis Stab.on <br /> , .. s <br /> ' `'Print orType Thomas C. roen_ .g <br /> Stale of Wisconsin FEB • 8 1 <br /> County of Sauk — " <br /> micommissionImprox is permanent <br /> This application wesehfladby(prIntor type name below) <br /> At y Thnm�s a b:.• Groene�r4a�----- j <br /> t$ t to(R 1FIp Rosily of Deeds(aiaiabas) a t: <br /> t ',alp 1 ! � /����4� A. - l S t• n..• .:.`•'ANAX tl , ri <br /> �Vg.«.a*:i;i . 1 •. ''• 'J ,iA,...�C . l'.. i.�S• �.. : .'y.. .`. .ORIGINAL a�'. .., • 1 ,ti - ,, . .�',••.4),- ;,:.i' See; .. . <br />