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Document Number <br />State Bar of Wisconsin Form 3-2003 <br />QUIT CLAIM DEED <br />Document Name <br />THIS DEED, made between Alan C. Eidsness and Lovilla E. Eidsness <br />("Grantor," whether one or more), <br />and Alan C. Eidsness and Lovilla E. Eidsness as trustees of the Lovilla E. Eidsness <br />Trust Agreement u/a dated March 29, 2009, as amended <br />("Grantee," whether one or more). <br />Grantor quit claims to Grantee the following described real estate, together with the <br />rents, profits, fixtures and other appurtenant interests, in Burnett <br />County, State of Wisconsin ("Property") (if more space is needed, please attach <br />addendum): <br />Parcel One: <br />Lot Five (5) of Certified Survey Map, Volume Four (4), pages Two Hundred Twenty <br />One (22 1) and Two Hundred Twenty Two (222), as recorded in the office of the <br />Register of Deeds for Burnett County, Wisconsin. Said Certified Survey Map being <br />located in Government Lot Four (4), of Section Nineteen (19), Township Forty (40) <br />North, of Range Fourteen (14) West, Burnett County, Wisconsin. <br />Cprti,fied Survey Map No. 918 <br />arce wo: <br />f.ot 4 of Certified Survey Map, Volume 4, pages 214 - 216, as recorded in the office <br />of the Register of Deeds.for Burnett County, Wisconsin. Said Certified. Survey Map <br />being located in Government Lot 4, of Section 19, Township 40 North of Range 14 <br />West, Burnett County, Wisconsin Certified Survey Map No. 914 <br />Dated <br />Signature(s) <br />authenticated on <br />424691 <br />BURNETT COUNTY <br />WISCONSIN <br />Received and Recorded <br />March 27, 2013 at 1 O:OO AM <br />Jeanine Chell <br />Register of reeds <br />Recording Fee $25.00 <br />Fee Exeml,t 77.25(16} <br />Number of Pages 1 <br />Recording Area <br />Name and Return Address <br />Amy E. Papenha 1sen <br />Henson & Efron, P.A <br />220 S 6th street Suite 1800 <br />Minneapolis, MN 55402 <br />07-028-2-40-14-19-5-05-004-14000 <br />ANTI <br />07-028-2-40-14-19-5-05-004-015000 <br />Parcel Identification Number (PIN) <br />This is not homestead property. <br />(is) (is not) <br />(SEAL) <br />Alan C. Eidsness ��jj <br />(SEAL) "�u..,� J S4 _ iI j"-- (SEAL) <br />Lovilla E. Eidsness <br />AUTHENTICATION ACKNOWLEDGMENT <br />TITLE: MEMBER STATE BAR OF WISCONSIN <br />STATE OF MINNESOTA ) <br />ss. <br />COUNTY Aelu EPI N ) <br />Personally came before me on & , O\_J <br />the above-named Alan C. Eidsness and Lovilla E. Eidsness <br />(If not, <br />authorized by Wis: Stat. § 706.06) to me known to b . the per on(s) who executed the foregoing <br />in.strumentand ac n d the same. <br />THIS INSTRUMENT DRAFTED BY: <br />Henson & Efron, P.A., 220 S 6th Street Suite 1800 <br />Minneapolis, MN 55402 Notary Public, State of Minnesota <br />My Commission (is permanent) (expires: <br />(Signatures may be authenticated or aclmoc�� <br />NOTE: THIS IS A STANDARD FORM. ANY MODIFICATI0 O vlq(UI 1M IDENTIFIED. <br />QUIT CLAIM DEED (D 2003 STATE BAR 15 i� FORM NO. 3-2003 <br />* Type name below signatures. �^;' n NOTARY PUB MINNESOTA <br />?4 �LnlnTss on Expaes Jan. 3:, 2015 <br />