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4.4 SR 07-20-2020
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4.4 SR 07-20-2020
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7/28/2021 12:27:57 PM
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Page 2 of 2 <br />Minnesota Uniform Conveyancing Blanks Form 10.3.4 <br />Check applicable box: <br />❑ The Seller certifies that the Seller does not know of any wells on <br />the described real property. <br />❑ A well disclosure certificate accompanies this document or has <br />been electronically filed. (If electronically filed, insert WDC <br />number: ) <br />❑ I am familiar with the property described in this instrument and <br />I certify that the status and number of wells on the described <br />real property have not changed since the last previously filed <br />well disclosure certificate. <br />Grantor <br />City of Elk River <br />(name of Grantor) <br />By: <br />(signature) <br />Its: <br />(type of authority) <br />By: <br />(signature) <br />Its: <br />(type of authority) <br />State of Minnesota, County of <br />This instrument was acknowledged before me on by <br />(month/day/year) (name ofauthorized signer) <br />as <br />(type of authority) <br />and by <br />(name ofauthorized signer) <br />as of City of Elk River <br />(type of authority) (name of Grantor) <br />(Stamp) <br />(signature of notarial officer) <br />Title (and Rank): <br />My commission expires: <br />(month/day/year) <br />THIS INSTRUMENT WAS DRAFTED BY: TAX STATEMENTS FOR THE REAL PROPERTY DESCRIBED IN THIS <br />(insert name and address) INSTRUMENT SHOULD BE SENT TO: <br />(insert legal name and residential or business address of Grantee) <br />Guaranty Commercial Title, Inc. William and Geraldine Graham <br />465 Nicollet Mall, Suite 230 17451 Twin Lakes Road <br />Minneapolis, MN 55401 Elk River, MN 55330 <br />File 65453 <br />
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