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THE IOWA STATE BAR ASSOCIATION <br />ISBA#� 03760 r71 <br />= D <br />FOR THE LEGAL EFFECT OF THE USE OF <br />Official Form No. 106 <br />T <br />m N <br />THIS FORM, CONSULT YOUR LAWYER <br />= D p c:; <br />rn to N ►-� o -+ <br />_ <br />r <br />s z <br />NEBRASKA DOt;tJM6NTARY c <br />EBR rn m <br />c <br />c-� <br />STAMP TAX - <br />Cn� -T'7 7 - 2,00 i � °h b� I—' � -T, <br />c <br />- <br />rn D c7J <br />m r— <br />e <br />` 17- )D- )D- <br />200108986 - <br />; <br />James R. Monroe,. Esq. (P.O. Box 41355, Des Moines, IA 50311/(515)244 -0652) <br />i <br />Address Tax Statement: Carroll G. Anderson, 4200 Beaver Hills Drive ,SPACE QABOVE THIS LINE <br />� <br />STA 2., Des Moines, IA 50315ECORDER <br />s I <br />O� <br />» QUIT CLAIM DEED <br />yss�c [ *S,O= <br />For the consideration of one ($1.00) <br />I <br />Dollar(s) and other valuable consideration, <br />CARROLL G ANDERSON and EILEEN M. ANDERSON, as husband and wife, <br />do hereby Quit Claim to CARROLL G. ANGERSON, as Trustee of <br />Gd <br />the CARROLL G. ANDERSON FAMILY TRUST, to be held by the Trustee and administered <br />according to the terms of the Carroll G. Anderson Revocable Trust Agreement <br />dated November 26, 1999, as it may be amended <br />all our right, title, interest, estate, claim and demand in the following described real estate in <br />Hall County,]l;lSM: Nebraska: <br />I� <br />A tract of land comprising all of Lot Twenty Eight (28) and the southerly Twenty <br />(20.0) feet of Lot' Twenty Nine (29), which is more particularly described as <br />follows: (Beginning at the Southwest corner of said Lot Twenty nine (29); thence <br />running northeasterly along the westerly line of said Lot Twenty Nine (29), a <br />distance of Twenty Two and Thirty Seven Hundredths (22.37) feet; thence running <br />northeasterly parallel to and Twenty (20.0) feet north of the southerly line of <br />said Lot Twenty Nine (29), a distance of Two Hundred Forty Eight and Seven Tenths <br />(248.70) feet, to a point on'the easterly line of said Lot Twenty Nine (29), <br />thence running southeasterly along-the easterly line of said Lot Twenty Nine <br />I: <br />(29), a chord distance of Twenty (20.0) feet, to the southeast corner of said <br />Lot Twenty nine (29); thence running southwesterly along the southerly line <br />of said Lot Twenty Nine (29), a distance of Two Hundred Fifty Nine and Thirty <br />Seven Hundredths (259.37) feet, to the point of beginning) all in Bosselman <br />Second Subdivision in the City of Grand Island, Nebraska. <br />it <br />Consideration less than $500.00; exempt transaction <br />I <br />ii <br />I <br />Each of the undersigned hereby relinquishes all rights of dower, homestead and distributive share in <br />and to the real estate. <br />Words and phrases herein, including acknowledgment hereof, shall be construed as in the singular or <br />plural number, and as masculine or feminine gender, accordin to the context. <br />Dated: July 24 2001 1-h- a4� <br />CARROLL G. ANDERSON (Grantor) <br />STATE OF IOWA ss: <br />POLK COUNTY, ^� <br />On this 24th day of July EILEEN M. ANDERSON (Grantor) <br />20 01 before me, the undersigned, a Notary <br />Public in and for said State, personally appeared <br />CARROLL G. ANDERSON and EILEEN M. (Grantor) <br />ANDERSON, as husband and wife <br />to me known to be the identical persons named in (Grantor) <br />and who executed the foregoing instrument and <br />acknowledged that they executed the same as their <br />voluntary a t and deed. (Grantor) <br />6 4 ) (Grantor) <br />Notary Public <br />(This form of acknowledgment for individual grantor(s) only) <br />(Grantor) <br />LL <br />=ANDREA A. JORS <br />