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SUB201500093 DEED REF 2014-08-08
Page 1 of 6 Nish `oe Instrument Control Number 0 016 6 I Commonwealth of Virginia g� Land Record Instruments I!,'1111 1111 IIUq�l 11111 Doc ID: 032953070005 Type: DEE gN Cover Sheet-Form A Recorded: 08/08/2014 at 11:28:25 AM FQe Amt: $52.00 Pape 1 of 5 Albemarle County, VA [ILSVLRCoverSheetAgentt.0.66] File Ot4hlpp Cirult Clerk BK4522 P3471-475 7 C Date of Instrument: [8/8/2014 ] A O Instrument Type: [PM ] X R P E Number of Parcels [ 0] X Number of Pages [ 4] E (Box for Deed Stamp Only) M City❑County© [Albemarle County ] p First and Second Grantors T _ Last Name I First Name I Middle Name or Initial 1 Suffix [7]El [LEVIEN ][JENNIFER 11 1[ ] ][ it IF 1 First and Second Grantees Last Name First Name { Middle Name or Initial i Suffix ❑❑ [LEVIEN ][JENNIFER ][ ][ ] ❑❑ [ ][ It It ] Grantee Address (Name) [JENNIFER LEVIEN ] (Address 1) [3307 BURNTMILL ROAD ] (Address 2) [ ] (City,State,Zip) [CHARLOTTESVILLE ] [VA] [22911 ] Consideration[0.00 1 Existing Debt[0.00 ] Assumption Balance[0.00 j Prior Instr.Recorded at:City ❑ County❑ [ ] Percent in this Juris. [ ] Book [ ] Page [ ] Instr.No [ ] Parcel Identification No(PIN) [ ] Tax Map Num. (if different than PIN) [ ] Short Property Description [ ] [ 1 Current Property Address (Address 1) [ ] (Address 2) [ 1 (City,State,Zip) [ ][ ]I ] Instrument Prepared by [JENNIFER LEVIEN ] Recording Paid for by [JENNIFER LEVIEN ] Return Recording to (Name) [JENNIFER LEVIEN ] (Address 1) [3307 BURNTMILL ROAD ] (Address 2) [ ] (City,State,Zip) [CHARLOTTESVILLE ][VA][22911 ] Customer Case ID [ ]1 [ ][ 1 5 iji I} I?y/ Cover Sheet Page#1 of 1 Book: 4522 Page: 471 FileNumber: 2014-00007661 Seq: 1