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WIbUUNSIN IitALtJIAIC InnnarC.n nr,rvn.a '.. . V. PHYSICAL DESCRIPTION AND PRIMARY USE <br /> I. GRANTOR: .���f�}� <br /> 1. Name 1'1' it f*. ?i• A I l t1 a I:t CT t: 15. Kind of property 16. Primary use <br /> 2. Full Address-New address if property transferred was residence ❑ Land only a❑. Residential <br /> /,6C t <br /> Ell Land and buildings ❑ Single family/condominium <br /> .slke I't.l <br /> • <br /> ❑ Other(explain) ❑ Multi-family-1 units <br /> `;i..116 S ot-e W T El Time share unit <br /> 17. Estimated land area and type <br /> 3. Grantor is n Individual ❑ Partnership ❑ Corporation n Other a Lot size_./.___,_. x b.❑ Commercial use <br /> busness II. GRANTEE: b. Total acres c.❑ Manufacturing <br /> 4. Name Da) 1Htl''. A. & !kt1rI.c•n A . )Iftr-11.,oli c. MFL/FC/WTLacres d.❑ Agricultural <br /> 5. Full Address , <br /> d. Ft.of water frontage Adjoining land?❑ Yes ❑ No <br /> e.❑ Other(explain) <br /> VI.TRANSFER <br /> 18. Type of transfer: ® Sale ❑ Gift ❑ Exchange ❑ Other(explain) <br /> ❑ Yes 'I p:ttri r•r+t,r 1 act: <br /> 6. Is grantor related to grantee? v No <br /> If yes,explain how related 19.Ownership interest transferred:❑ Full ❑ Other explain) Inn's cc p 1 ` <br /> 7. Name and address to which tax bills should be sent if different than grantee's address 20. Does the grantor retain any of the following rights? I I Life estate ❑ Easement <br /> 21. ❑ Deed in satisfaction of original land contract? Dated? <br /> 22. Points(prepaid interest)paid by seller $ <br /> 23. Value of personal property transferred but excluded from(25) $ <br /> III.ENERGY 8. Is this property subject to the Ren WWeatherization Standards,ILHR67? 24. Value of property exempt from local property tax included on(25) $ <br /> I I Yes n No Exclusion code W°°! explain VII. COMPUTATION OF FEE OR STATEMENT OF EXEMPTION <br /> IV.PROPERTY TRANSFERRED 0 �)` <br /> 9. ❑ City I I Village I xi Town Wi rtri q or 25. Total value of REAL ESTATE transferred $ • <br /> County Dan t, 26. Transfer fee due(line 25 times.003) $ 0. <br /> 10.Street address , 603 Lake Road 27.TRANSFER EXEMPTION NUMBER,sec.77.25 0 01.•C• <br /> 1 <br /> 11.Tax parcel number 31 .30-680; 34-11-(81 <br /> 12. Lot no.(s) Blk.no.(s) _ _28. Grantee's financing obtained from a. ® Seller <br /> Plat name - If box a orb is checked,--'~ _..by lil Assumed existing financing <br /> l- <br /> 101 <br /> , complete Part VIII- . <br /> Financing Terms c. uncial institution/Other 3rd party <br /> 13. Section f1A Range <br /> Township <br /> 14. Legal Description metes and bounds: <br /> d. n No financirigiayolved <br /> (attach 4.• if necessary) /� <br /> , 3 115.5 ft of the E 2 .5 Ft: of the SE 1/4 of the ;E. 1/1, S 1� 3C, TN, P"`T'; <br /> 1w r h2.5 ft of he E 2:.2.5 ft. or the. NE 1/4 of tbn NE 1/4 of Sec 31, TQN, WAX <br /> :+,1J ,. . co b ca the E 33 ft t1i@rt ____-- <br /> SECOND INSTALLMENT NOTICE 1990 REAL ESTATE TAX <br /> HAMMON, DARLENE A & DORLEN A <br /> DISTRICT NAME PARCEL NUMBER BILL AMOUNT <br /> PARCEL ADDRESS NO. DUE <br /> TOWN OF WINDSOR 34-0910-304-9850-8 34-01956 833.9L <br /> 6603 LAKE RD <br /> TOWN OF WINDSOR 34-0910-311-8000-9 34-02053 194.5f <br /> 6603 LAKE RD <br /> 9 <br /> r/ <br /> TOTAL DUE 11028.5; <br /> KEEP THIS PORTION FOR YOUR RECORDS <br /> LEAVE Parcel number number <br /> THIS AREA Assmt.year 19 ield <br /> BLANK I <br /> County Tax dist. <br /> El Use <br /> Parcel classification - - - - - <br /> A B C D E F T Assmt.dist. - - ❑ Reject <br /> PE-500(R.5-88) <br /> PROPERTY OWNER'S COPY <br />