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• NNCONSIN REAL ESTATE TRANSFER RETURN-CONFIDENTIAL Submit all Parts to Register of Deeds with document(i)rote recorded. ' I. GRANTOR:• V. PHYSICAL DESCRIPTION AND PRIMARY USE 1.Name County of Dane 15.Kindofpmperty 16.Primary use 2.Address New address if property transferred was residence ®Land only a.El Residential Room 425, City-County Building ❑Land and buildings 0 Single family/condominium 210 Martin Luther King, Jr. Blvd. ❑Other(explain) ❑Multi-family-I units Madison, ,WI 537 17.Estimated land area and type E rime share unit 3. Grantor is Individual 53749 17. [n Corporation 0 Other a. Lot size 200 x 217.8 b.El Commercial IL GRANTEE: b. Total acres 1 c.0 Manufacturing Al hies" 4. Name Mark Dupre d/b/a Need Lettuce Farms c. MFL/FC/WTL acres d.® Agricultural 5.Property Address d. Ft of water frontage Adjoining land? ®Yes El No ' t 9.0 Ce...,.. ) *V, _ I.❑ Other(explain) C a e 6�Jam, "It S 3S 1�- VI.TRANSFER 18.Type of transfer. ® Sale 0 Gift 0 Exchange 0 Other(explain) 6.Grantor/grantee relationship: E Financial 0 Family El Other Q None ❑Corp/Shareholder/Subsidiary E Partnership 19'Ownership interest transferred: F.]Full E Partial(explain) 7.Sued tax bill dr Name and address 20.Does the grantor retain any of the following rights?Q Lice estate 0 Easement 21.0 Deed in satisfaction of original land contract? Dated? Gvo.-.. �4.- G1z... 1 AA.&L-exf 22.Points(prepaid interest)paid by seller $ 23.Value of personal property transferred but excluded from(25) S III.ENERGY 8. Is this property subject to the Rental Weatherization Standards,ILHR67? 24.Value of property exempt from local property tax included on(25) i Yes M No Exclusion code W-71f W-11,explain VII.COMPUTATION OF FEE OR STATEMENT OF EXEMPTION IV.PROPERTY TRANSFERRED 9. ❑City 0 Village ®Town Cottage Grove 25.Total value of REAL ESTATE transferred $ 2.500.00 County Dane 26.Transfer fee due(line 25 times.003) $ Exempt 10.Street address 27.TRANSFER EXEMPTION NUMBER,sec.77.25 (2) or Orig.LC.El 11.Tax parcel number 12.Lot no.(s) Blk no.(s) 28. Grantee's financing obtained from a.0 Seller Plat name If box a orb is checked, b.E Assumed existing financing complete Part VIII- c.❑ 13.Section Township Range Financing Terms Financial institrtion/Other 3rd party 14.Legal Description metes and bounds:(attach 4 copies if necessary) d.❑ No financing involved Part of the Southwest 1/4 of the Southeast 1/4 of Section 33, Township 7 North, Range 11 East, Town of Cottage Grove, Dane County, Wisconsin more fully described as follows: Beginning at the Northeast corner of Lot 2, Certified Survey Map No. 8280 recorded in Volume 44 of Certified Survey Maps of Dane County, Wisconsin, page 301, as Document Number 2780271; thence East 200.0 feet; thence South 217.8 feet; thence West 200.0 feet; thence North 217.8 feet to the point of beginning. ' VIII. FINANCING TERMS(FOR SELLER/ASSUMED FINANCED TRANSACTIONS ONLY) 29.Total down payment $ (Line 29=Line 25 minus Lines 30a,b and c excluding payments for personal property) 30. Amount of mortgage/land 31.Interest 32.Principal and interest 33.Frequency 34.Length of 35.Date of any lump sum 36.Amount of lump contract at purchase rate(stated) paid per payment of pymis contract (balloon)payments sum a. $ % $ / / $ b. $ % i / / $ c. $ % $ / / f 37.If the dollar amount paid per payment(32)is scheduled to change(not as a result of a change in the interest rate),fill in the line letter from above Enter the date of change / / and the amount it will change to S . IX. CERTIFICAT • We dada •a. ;;ii;law,that this return has been examined by us and to the best of our knowledge and belief it is true,correct and complete. Granto •r age .H, - r 'r b t 1'� ( ) Print n e n • ddress f gr's agent Agent's telephone number Gaylordrer . Pluer, Roan 425, City-County Bldg Madison, WI 53709 (608 ) 266-4172 ocument number VoMm. !Page/Jac. rDate recorded Date and kind of conveyance [Cony.code 1 I 1 2 3 4 LEAVE Parcel number r Assmr year 19 ! Field i Sales number THIS i L ; County _ _ 77 AREA Parcel classification y(disc _ BLANK RES COM MFG AGR S,W FOR: I - - - 1 2 3 4 5 5 T - A.,--r. ^t;t. _ _ ' e. 1