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STATE BAR OF WISCONSIN FORM 5-2000 <br /> Document Number PERSONAL REPRESENTATIVE'S DEED / <br /> William L.Simms 360008 <br /> as Personal Representative of the estate of Robert Earl Simrns,Jr.a/k/a BURNETT COUNTY <br /> Robert E.Simms WISCONSIN <br /> RECEIVED AM RECORDED <br /> ("Decedent"),for valuable consideration conveys,without warranty,to Franklin D. AUS 1 9 M <br /> Pedersen and Katherine L.Pedersen, husband and wife,as survivorship <br /> marital property ki,n <br /> Grantee,the following described real estate in Burnett County, (�$ Eta <br /> State of Wisconsin(the"Property")(if more space is needed,please attach addendum): <br /> Recording Area <br /> Name and Return Address <br /> Century 21 Sandu61lrtK10Pbd?`'A49VV=C0.•N <br /> 24740 Hwy 35/70 North <br /> Siren, WT 54872 <br /> / 03 -$-111 <br /> / 012-9075.01500 and 012-9075-01600 <br /> v Parcel Identification Number(PM) <br /> Lots Four(4) and Five(5),Bonner Lake,according to the Plat thereof on file in the office of the Register of Deeds for <br /> Burnett Comely,Wisconsin and being located in Government Lot Seven(7),and In the Southeast Quarter of the Southwest <br /> Quarter(SE 1/4 SW 1/4),Section Thirteen(13),Township Forty(40)North,of Range Fifteen(15)West,Burnett County, <br /> Wisconsin. <br /> TRMSFER <br /> 645.00_ <br /> Personal Representative by this deed does convey to Grantee all of the estate and interest in the Property which the Decedent had <br /> immediately prior to Decedent's death,and all of the estate and interest in the Property which the Personal Representative has since acquired. <br /> Dated this 29th dayof August 12003 <br /> • a William L.Sunnis <br /> Personal Representative Personal Representative <br /> AUTHENTICATION ACKNOWLEDGMENT <br /> `��\N �l$OL <br /> Signature(s) QO//�' STATE OF WISCONSIN-41 ; <br /> �� <br /> ` i ss. <br /> v S Burnett County ) <br /> authenticated this day of Q s Personally came before me this 29th day of <br /> August 2003 the above named <br /> i A t/ William G Simms,Personal Representative of the estate of <br /> TITLE:MEMBER STATE BAR OF W ISCds• O ��� Robert Earl Simms,Jr.alW&Robert E.Shams,deceased <br /> (If not. f/ �fi tG� i umeow to be the �g n(t))who executed the foregoing <br /> authorized by 6 706.06,W is.Stats.) <br /> THIS INSTRUMENT WAS DRAFTED BY <br /> BENSON LAW OFFICE,P.0. Box 370,Siren,W1 54872 'David L. Boldon, Jr. <br /> Notary Public,Slate of WISCONSIN <br /> George W.Benson,Attorney at Law,State Dar No.1012918 My Commission is permanent.(If not,state expiration date: <br /> (Signatures may be authenticated a acknowledged.Both are not necessary.) June 20 2004 •) <br /> •Names of persons signing in any capacity nwst be typed or printed below their signature. <br /> STATE BAR OF WISCONSIN <br /> PERSONAL REPRESENTATIVE'S DEED FORM No.5.2000 INFO-PRO (800)855.2027 w .tnfoprofotma.00rr <br />