HomeMy WebLinkAboutSUB201300031 Other 2013-03-05 Instrument Control Number
Commonwealth of Virginia
Land Record Instruments
Cover Sheet - Form A
[ILS VLR Cover Sheet Agent 1.0.66]
T C Date of Instrument: [10/15/2013 ] 6k. (/-.
A O Instrument Type: [PM I j oC
X R
P
E Number of Parcels [ 1]
X Number of Pages [ 3]
E ___...r,Only)
M City I I County x [Albemarle County
p First and Second Grantors
T _ Last Name First Name Middle Name or Initial Suffix
[County of Albemarle ] [ I[ ][
❑ ❑ [ ][ ] [ 1 [
First and Second Grantees
Last Name First Name Middle Name or Initial Suffix
❑ ❑ [County of Albemarle ][ I[ I [
❑ ❑ [ 1[ ][ ] [
Grantee Address (Name) [County of Albemarle
(Address 1) [401 McIntire Road
(Address 2) [
(City,State,Zip) [Charlottesville ] [VA] [22901
Consideration[0.00 1 Existing Debt[0.00 ] Assumption Balance [0.00
Prior Instr. Recorded at: City I I County❑ [ ] Percent.in this Juris. [ 100]
Book [ ] Page [ ] Instr. No [ ]
Parcel Identification No(PIN) [91 ]
Tax Map Num. (if different than PIN) [1, 2E & 11 ]
Short Property Description [Certificate of Plat; easements located on Mill Creek Drive and G ]
[Lane, Scottsville Magisterial District, Albemarle County ]
Current Property Address (Address 1) [ ]
(Address 2) [ ]
(City,State,Zip) [Scottsville ] [VA ] [ ]
Instrument Prepared by [County of Albemarle ]
Recording Paid for by [LeClairRyan ]
Return Recording to (Name) [Lori H. Schweller, Esq. ]
(Address 1) [123 East Main Street ]
(Address 2) [ 1
(City,State,Zip) [Charlottesville ][VA] [22902 ]
Customer Case ID [06156.0004 1 [ ] [ ]
�r ti 1III I 1 I
Cover Sheet Page#1 of 1
In Control Number
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J
Commonwealth of Virginia
Land Record Instruments
Cover Sheet - Form A
[ILS VLR Cover Sheet Agent 1.0.66]
T C Date of Instrument: [10/15/2013 1
A O Instrument Type: [DE ]
X R
P
E Number of Parcels [ 1]
X Number of Pages [ 7]
E (Box for Deed Stamp Only)
M City I I County I xi [Albemarle County l
P First and Second G rantors
T Last Name First Name Middle Name or Initial Suffix
[Albemarle Health Care ][ l[ ] [ l
❑ ❑ [Galaxie,LLC ][ l[ I[ l
First and Second Grantees
Last Name First Name Middle Name or Initial Suffix
I I Li [County of Albemarle ][ I[ I [ ]
❑ ❑ [ l[ ][ ] [ l
Grantee Address (Name) [County of Albemarle l
(Address 1) [401 McIntire Road ]
(Address 2) [ l
(City,State,Zip) [Charlotteville ] [VA] [22901 ]
Consideration[0.00 ]Existing Debt[0.00 ] Assumption Balance [0.00 ]
Prior Instr. Recorded at:City I I County I I [ ] Percent. in this Juris. [ 100]
Book [ ] Page [ ] Instr. No [ ]
Parcel Identification No(PIN) [91 ]
Tax Map Num. (if different than PIN) [1, 2E, 12, 12C l
Short Property Description [Drainage Easement from AHCC and Galaxie to County ]
[ l
Current Property Address (Address 1) [ ]
(Address 2) [ ]
(City,State,Zip) [Scottsville ][VA ][ ]
Instrument Prepared by [LeClairRyan l
Recording Paid for by [LeClairRyan ]
Return Recording to (Name) [Lou i H. Schweller, Esq. ]
(Address 1) [LeClairRyan ]
(Address 2) [123 East Main Street, 8th Floor l
(City,State,Zip) [Charlotteville ] [VA] [22902 ]
Customer Case ID [06156.0004 ] [ ][ ]
1111111
Cover Sheet Page#1 of 1
Instrument Control Number
Commonwealth of Virginia
Land Record Instruments
Cover Sheet - Form A
[ILS VLR Cover Sheet Agent 1.0.66]
T C Date of Instrument: [10/15/2013 ]
A O Instrument Type: [DE I
X R
P
E Number of Parcels [ 1]
X Number of Pages [ 5]
E (Box for Deed Stamp Only)
M City I I County x [Albemarle County ]
P First and Second Grantors
T _ Last Name First Name Middle Name or Initial Suffix
[The County of Albemarle][ I[ ][ ]
❑ C [ ][ I[ ][ ]
First and Second Grantees
Last Name First Name Middle Name or Initial Suffix
n ❑ [Albemarle Health Care ][ l[ I[ ]
❑ ❑ [ ][ ][ ] [ ]
Grantee Address (Name) [Albemarle Health Care Center, LLC ]
(Address 1) [c/o Medical Facilities of America, Inc. ]
(Address 2) [2917 Penn forest Blvd. ]
(City,State,Zip) [Roanoke I [VA] [24018 ]
Consideration[0.00 ]Existing Debt[0.00 ] Assumption Balance [0.00 ]
Prior Instr. Recorded at: City ❑ County n [ ] Percent.in this Juris. [ 100]
Book [ ] Page [ ] Instr. No [ ]
Parcel Identification No(PIN) [91 ]
Tax Map Num. (if different than PIN) [1, 2E & 11 ]
Short Property Description [Temporary construction easement for Future Public Road ]
[grading easement, located on Mill Creek Drive and Galaxie Farm ]
Current Property Address (Address 1) [ ]
(Address 2) [ ]
(City,State,Zip) [Scottsville ] [VA ][ ]
Instrument Prepared by [LeClairRyan ]
Recording Paid for by [LeClairRyan ]
Return Recording to (Name) [Lori H. Schweller, Esq. ]
(Address 1) [LeClairRyan ]
(Address 2) [123 East Main Street, 8th Floor ]
(City,State,Zip) [Charlottesville ][VA] [22902 ]
Customer Case ID [06156.0004 1 [ I[ ]
1
Cover Sheet Page#1 of 1 1.11113, `
•
•
Instrument Control Number
I I
Commonwealth of Virginia
Land Record Instruments
Cover Sheet - Form A
[ILS VLR Cover Sheet Agent 1.0.66]
T C Date of Instrument: [10/15/2013 ]
A O Instrument Type: [AG ]
X R
P
E Number of Parcels [ 1]
X Number of Pages [ 10]
E (Box for Deed Stamp Only)
M City 1 County x [Albemarle County ]
P First and Second Grantors
T _ Last Name First Name Middle Name or Initial Suffix
[The County of Albemarle][ ][ ][ ]
❑ ❑ [Galaxie, LLC ][ ][ ][ ]
First and Second Grantees
Last Name First Name [ Middle Name or Initial Suffix
n Li [The County of Albemarle][ ][ ] [ ]
❑ n [Galaxie, LLC l[ ] [ ][ ]
Grantee Address (Name) [The County of Albemarle ]
(Address 1) [401 McIntire Road ]
(Address 2) [ ]
(City,State,Zip) [Charlottesville ] [VA] [22901 ]
Consideration[0.00 ]Existing Debt[0.00 ] Assumption Balance [0.00 ]
Prior Instr. Recorded at: City I I County I [ ] Percent.in this Juris. [ 1001
Book [ ] Page [ ] Instr. No [ ]
Parcel Identification No(PIN) [91 ]
Tax Map Num. (if different than PIN) [2E, 11 & 12 & 12C ]
Short Property Description [Road Maintenance Agreement; located on Mill Creek Drive ]
Current Property Address (Address 1) [ ]
(Address 2) [ ]
(City,State,Zip) [Scottsville ][VA ][ ]
Instrument Prepared by [LeClairRyan ]
Recording Paid for by [LeClairRyan ]
Return Recording to (Name) [Lori H. Schweller, Esq. ]
(Address 1) [LeClairRyan ]
(Address 2) [123 East Main Street, 8th Floor ]
(city,State,Zip) [Charlottesville ] [VA] [22902 ]
Customer Case ID [06156.0004 ] [ ] [ ]
Cover Sheet Page#1 of 2 1111111:1111
Instrument Control Number
I I
Commonwealth of Virginia
Land Record Instruments
Cover Sheet - Form A
[ILS VLR Cover Sheet Agent 1.0.661
T C Date of Instrument: [10/15/2013 ]
A 0 Instrument Type: [DOD ]
X R
P
E Number of Parcels [ 11
X Number of Pages [ 6]
E (Box for Deed Stamp Only)
M City I I County x [Albemarle County ]
P First and Second Grantors
T Last Name First Name 1 Middle Name or Initial Suffix
❑ [County of Albemarle I[ I[ 11[ ]
n
[ ][ ][ ]
First and Second Grantees
Last Name First Name I Middle Name or Initial Suffix
Li ❑ [Albemarle Health Care ][ I[ I [ ]
[- n [ ][ ][ ] [ ]
Grantee Address (Name) [Albemarle Health Care Center, LLC ]
(Address 1) [c/o Medical Facilities of America, Inc. ]
(Address 2) [2917 Penn Forest Blvd. ]
(city,State,Zip) [Roanoke ] [VA] [24018 ]
Consideration[0.00 ] Existing Debt[0.00 ] Assumption Balance [0.00 ]
Prior Instr. Recorded at: City n County 1 1 [ ] Percent.in this Juris. [ 100]
Book [ ] Page [ ] Instr. No [ ]
Parcel Identification No(PIN) [91 ]
Tax Map Num. (if different than PIN) [2E ]
Short Property Description [Deed of Dedication by County; dedicate drainage easements and]
[improvements for public use ]
Current Property Address (Address 1) [ ]
(Address 2) [ ]
(City,State,Zip) [Scottsville ][VA ][ ]
Instrument Prepared by [LeClairRyan ]
Recording Paid for by [LeClairRyan ]
Return Recording to (Name) [Lori H. Schweller, Esq. ]
(Address 1) [LeClairRyan ]
(Address 2) [123 East Main Street, 8th Floor ]
(City,State,Zip) [Charlottesville ][VA][22902 ]
Customer Case ID [06156.0004 ] [ ] [ ]
Cover Sheet Page#1 of 1 1110.1111.111q„
'
Instrument Control Number
I •
Commonwealth of Virginia
Land Record Instruments
Cover Sheet - Form A
[ILS VLR Cover Sheet Agent 1.0.66]
T C Date of Instrument: [10/15/2013 ]
A O Instrument Type: [DE ]
X R
P
E Number of Parcels [ 1]
X Number of Pages [ 8]
E (Box for Deed Stamp Only)
M City I I County I x I [Albemarle County ]
p First and Second Grantors
T _ Last Name First Name I Middle Name or Initial Suffix
[Albemarle County Servi ][ ][ I [
❑ ❑ [ ][ ][ ] [
First and Second G rantees
Last Name First Name Middle Name or Initial Suffix
❑ ❑ [County of Albemarle ][ l [ ][
1 [Albemarle Health Care ][ l[ I[
Grantee Address (Name) [County of Albemarle
(Address 1) [401 McIntire Road
(Address 2) [
(City,State,Zip) [Charlottesville ] [VA] [22901
Consideration[0.00 ] Existing Debt[0.00 ] Assumption Balance [0.00
Prior Instr. Recorded at: City I I County[1 [ ] Percent.in this Juris. [ 100]
Book [ ] Page [ ] Instr. No [ ]
Parcel Identification No(PIN) [91 ]
Tax Map Num. (if different than PIN) [1 ]
Short Property Description [Drainage Easement and improvements from ACSA for ]
[public use ]
Current Property Address (Address 1) [ ]
(Address 2) [ ]
(City,State,Zip) [Scottsville ][VA ][ ]
Instrument Prepared by [LeClairRyan ]
Recording Paid for by [LeClairRyan ]
Return Recording to (Name) [Lori H. Schweller, Esq. ]
(Address 1) [LeClairRyan ]
(Address 2) [123 East Main Street, 8th Floor ]
(City,State,Zip) [Charlotteville ] [VA][22902 ]
Customer Case ID [06156.0004 ] [ ][ ]
�i�
i
i
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Cover Sheet Page#1 of 1 iiii .i , ' .
Instrument Control Number
I
Commonwealth of Virginia
Land Record Instruments
Cover Sheet - Form A
[ILS VLR Cover Sheet Agent 1.0.66]
T C Date of Instrument: [10/15/2013 ]
A O Instrument Type: [DE ]
X R
P
E Number of Parcels [ 11
X Number of Pages [ 5]
E (Box for Deed Stamp Only)
M City I I County x [Albemarle County ]
P First and Second Grantors
T _ Last Name First Name 1 Middle Name or Initial Suffix
[County of Albemarle ][ ] [ ][
❑ ❑ [ ][ ][ I [
First and Second Grantees
Last Name First Name I Middle Name or Initial Suffix
❑ ❑ [County of Albemarle ][ ][ ][
❑ ❑ [ ][ ][ ][ ]
Grantee Address (Name) [County of Albemarle
(Address 1) [401 McIntire Road
(Address 2) [
(City,State,Zip) [Charlottesville ] [VA] [22901
Consideration[0.00 ] Existing Debt[0.00 ] Assumption Balance [0.00
Prior Instr. Recorded at: City I I County 1 I [ ] Percent. in this Juris. [ 100]
Book [ I Page [ ] Instr. No [ ]
Parcel Identification No(PIN) [91 ]
Tax Map Num. (if different than PIN) [1 &2E ]
Short Property Description [Deed of Sight Distance Easement dedicated by County unto ]
[public use; Mill Creek Drive ]
Current Property Address (Address 1) [ ]
(Address 2) [ ]
(City,State,Zip) [Scottsville ][VA ] [ ]
Instrument Prepared by [County of Albemarle ]
Recording Paid for by [LeClairRyan ]
Return Recording to (Name) [Lori H. Schweller, Esq. ]
(Address 1) [LeClairRyan ]
(Address 2) [123 East Main Street ]
(City,State,Zip) [Charlottesville ][VA] [22902 ]
Customer Case ID [06156.0004 ] [ ][ ]
III
I 111 ii. , 'j'.
{
Cover Sheet Page#1 of 1 ,l +
Instrument Control Number
Commonwealth of Virginia
Land Record Instruments
Cover Sheet - Form A
[ILS VLR Cover Sheet Agent 1.0.66]
T C Date of Instrument: [10/15/2013 ]
A 0 Instrument Type: [DE ]
X R
P
E Number of Parcels [ 1]
X Number of Pages [ 9]
E (Box for Deed Stamp Only)
M City 1 1 County x [Albemarle County ]
p First and Second Grantors
T Last Name First Name I Middle Name or Initial Suffix
[Albemarle County Servi ] [ ][ ] [ ]
n n [Albemarle Health Care ][ ][ ] [ l
First and Second Grantees
Last Name First Name Middle Name or Initial 1 Suffix
❑ [County of Albemarle ][ ][ I[ ]
El ❑ [ ][ ][ ] [ ]
Grantee Address (Name) [County of Albemarle ]
(Address 1) [401 McIntire Road ]
(Address 2) [ ]
(City,State,Zip) [Charlottesville ] [VA] [22901 ]
Consideration[0.00 ] Existing Debt[0.00 ] Assumption Balance [0.00 ]
Prior Instr. Recorded at: City I I County❑ [ ] Percent. in this Juris. [ 100]
Book [ ] Page [ ] Instr. No [ ]
Parcel Identification No(PIN) [91 ]
Tax Map Num. (if different than PIN) [1 &2E ]
Short Property Description [Deed of Sight Distance Easement; Mill Creek Road ]
[ ]
Current Property Address (Address 1) [ ]
(Address 2) [ ]
(City,State,Zip) [ ][ ][ ]
Instrument Prepared by [County of Albemarle ]
Recording Paid for by [LeClairRyan ]
Return Recording to (Name) [Lori H. Schweller, Esq. ]
(Address 1) [LeClairRyan ]
(Address 2) [123 East Main Street, 8th Floor ]
(City,State,Zip) [Charlottesville ] [VA][22902 ]
Customer Case ID [06156.0004 ] [ ][ ]
II { 5 1 Cover Sheet Page#1 of 2
Instrument Control Number
Commonwealth of Virginia
Land Record Instruments
Cover Sheet - Form A
[ILS VLR Cover Sheet Agent 1.0.66]
T C Date of Instrument: [10/15/2013 ]
A O Instrument Type: [DE ]
X R
P
E Number of Parcels [ 1]
X Number of Pages [ 6]
E (Box for Deed Stamp Only)
M City County l x 1 [Albemarle County ]
p First and Second Grantors
T _ Last Name First Name Middle Name or Initial Suffix
[County of Albemarle ][ ] [ ][ ]
n n [ ] [ ][ ] [ ]
First and Second Grantees
Last Name First Name Middle Name or Initial Suffix
1 1 [Albemarle Health Care ] [ ] [ ] [ ]
U ^ [Albemarle County Servi ][ ][ ][ ]
Grantee Address (Name) [Albemarle Health Care Center, LLC ]
(Address 1) [do Medical Facilities of America, Inc. ]
(Address 2) [2917 Penn Forest Blvd ]
(City,State,Zip) [Roanoke ] [VA] [24018 ]
Consideration[0.00 ] Existing Debt[0.00 ] Assumption Balance [0.00 ]
Prior Instr. Recorded at: City 1 1 County [ ] Percent. in this Juris. [ 100]
Book [ ] Page [ ] Instr. No [ ]
Parcel Identification No(PIN) [91 ]
Tax Map Num. (if different than PIN) [2E & 11 ]
Short Property Description [Sanitary Sewer Easement ]
I ]
Current Property Address (Address 1) [ ]
(Address 2) [ ]
(City,State,Zip) [ ][ ][ ]
Instrument Prepared by [LeClairRyan ]
Recording Paid for by [LeClairRyan ]
Return Recording to (Name) [Lori H. Schweller, Esq. ]
(Address 1) [LeClairRyan ]
(Address 2) [123 East Main Street, 8th Floor ]
(City,State,Zip) [Charlottesville ] [VA] [22902 ]
Customer Case ID [06156.0004 ] [ ] [ ]
Cover Sheet Page#1 of 1 111 �' {1111M