HomeMy WebLinkAboutSUB202100091 Correspondence 2021-05-10 (3)201700013569.001
VIRGINIA LAND RECORD COVER SHEET
FORM A - COVER SHEET CONTENT
Instrument Date: 11/9/2017
Instrument Type:.. . . . AF
Number of Parcels: 0 Number of Pages:. -
[ ] City M County
._ALBEMARLE_.
TAX EXEMPT? VIRGINIA/FEDERAL LAW
[ ] Grantor: .... ..... -
[ ]Grantee; -
Consideration:
Existing Debt: ....__,_...... . ..........$0:00
..........
Actual Value/Assumed:... _-------- ..--__ $D,OD
PRIOR INSTRUMENT UNDER § 58.1.803(D):
Original Principal: .... ____ ------------------$0AO----....._.
Fair Market Value Increase: $0.00
- -
.-----------" --- ---------
.......
Original Book Number: -...._.. Original Page Number: -
Prior Recording At: [ ] City [ ] County
RECORDED IN
ALBEMARLE COUNTY, VA
JON R. ZUG
CLERK OF CIR
))T nt to
FILED Nov 21. 2017
AT
01:52 pm
BOOK
04986
START PAGE
0276
END PAGE
0277
INST # 201700013569
TOTAL NUM PAGES
0002
EW
(Area Above Reserved For Deed Stamp Only)
I
Original Instrument Number: _.....
.... .......... _-...-.................. . _ _ ..... ... Percentage In This Jurisdiction: _ _ _ _ _ _ _ _................I
BUSINESS / NAME
[ ] Grantor: SHIFFLETT, BARBARA E. - ------ I ------- ------------
[ ] Grantor: --...----..- ------------------- ................... .........
[ ] Grantee: LUNDGREN, BAR BAR A S.
Grantee: -.
GRANTEEADDRESS
Name: BARBARA S. LUNDGREN
_.. ..... .. _------------- ------------- -- --------------------------------------'--'---'-'-""-----------------............----..........
Address:
------
City: ._..... --------..
y __ ..... '- --' State: __VA. Zip Code:
Book Number : ............ Page Number: ........ Instrument Number: ............................
Parcel Identification Number (PIN):.------.- _..... Tax Map Number: .......... .
--_....__... . ..........................
Short Property Description: . _.. _ ._ .-.._ ...._ ...__.._.._....__..............................'-•.............. ........... ...........
----. _. - .. ...... .... . ... .....................
Current Property Address: ......__.. _.... _......
City: - _ ---- --. ...... -------- State: ---------
Instrument Prepared By: JOHN A. DEZIO, ATTORNEY Recording Paid By:
Recording Returned To: OFFICE OF JOHN A. DEZIO, ATTORNEY
Zip Code:
-----------------------------------------...........................................
Address: 2350 COMMONWEALTH DRIVE SUITE C
City; CHARLOTTESVILLE State:..VA--. Zip Code: 22901
FORM CC-1570 Rev: 7/15 Page 1 of 1
Cover Sheet A
§§ 17.1-223, 17.1-227.1,17.1-249 t
Copyright ® 2014 Office of the Executive Secretary, Supreme Court of Virginia. All rights reserved.
201700013569.002
E4
Prepared by:
John A. Dezio, Attorney
VSB# 07678
2350 Commonwealth Drive, Suite C
Charlottesville, VA 22901
AFFIDAVIT
Re: Change of Name
TM P: 10400-00-00-01400
I, Barbara S. Lundgren, having been duly sworn state as follows:
0 1. Barbara E. Shifflett is the owner of Albemarle County, Virginia, Tax Map Parcel
m 10400-00-00-01400, being a parcel of land situated north of State Route 620 and west
of Buck Island Creek in the Scottsville Magisterial District, containing 29.456 acre,
L m more or less, as shown on a plat of R. O. Snow and Associates, C.L.S., dated January
O Z 3 m Z ° D Z 29, 1976, of record in the Clerk's Office of the Circuit Court of said County in Deed
N c Book 591, page 396, by virtue of a deed of record in said Clerk's Office in Deed
0 in Book 1949, page 118;
M D z 2. Barbara E. Shifflett subsequently changed her name by marriage to Barbara S.
N Lundgren, and I am now known as Barbara S. Lundgren;
xo co
N o g 3. Said parcel of land is now owned by Barbara S. Lundgren, being the same person as
3 3 w Barbara E. Shifflett; and
0 g 4. This Affidavit should be indexed in the name of Barbara E. Shifflett and in the name;
x of Barbara S. Lundgren.
Given under my hand and seal this qSay of November, 2017.
0
m
(SEAL)
Barbara S. Lundgren,
Formerly known as Barbara E. Shifflett
COMMONWEALTH OF VIRGINIA
COUNTY OF ALBEMARLE, to -wit:
Signed, sworn to, and acknowledged before me this � day of November, 2017, by
Barbara S. Lundgren, formerly known as Barbara E. Shifflett.
My commission expires: 1
My Notary ID# is
CrWserAJcnn Henderson010"VAD Fe,ESXL11-W¢rm Berber. 17-260U W.1it,doc
JENNIFER HENDERSON
Notary Public
Commonwealth of Virginia
_ 7500562
My Cc
Jun 30, 2019