Laserfiche WebLink
Page 2 of 2 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 />State of Minnesota, County of Anoka <br />This instrument was acknowledged before me on October <br />and by Brian Hagen <br />as City Administrator <br />(type of authority) <br />(Stamp) <br />THIS INSTRUMENT WAS DRAFTED BY: <br />(insert name and address) <br />Frederic W. Knaak <br />(Mn. Attorney Lic. # 0056777) <br />North Star Law Group PLLC <br />1295 Bandana Blvd. N., Suite 335 <br />St. Paul, MN 55108 <br />Grantor <br />City of Ramsey, Minnesota <br />(name of Grantor) <br />(month/day/year) <br />By: <br />(signature) <br />By: <br />Its: <br />Ryan Heineman, Mayor <br />(type of authority) <br />(signature)Brian Hagen, City Administrator <br />Rs: <br />(type of authority) City Administrator <br />by Ryan Heineman <br />as Mayor <br />(name of authorized signer) <br />of Ramsey, Minnesota <br />(name of Grantor) <br />(signature of notarial officer) <br />Title (and Rank): <br />My commission expires: <br />(name of authorized signer) <br />(type of authority) <br />(month/day/year) <br />TAX STATEMENTS FOR THE REAL PROPERTY DESCRIBED IN THIS <br />INSTRUMENT SHOULD BE SENT TO: <br />(insert legal name and residential or business address of Grantee) <br />Kaylee and Justin Allen <br />15010 Xkimo Street N.W. <br />Ramsey, Minnesota 55303 <br />