HomeMy WebLinkAboutWPO201500039 Other 2015-06-01 Instrument Control Number
005541
Virginia Land Record Cover Sheet
Cover Sheet Content - Form A
[ILS Cover Sheet Agent Online Version 2.3.1.27 111001111Mell
Date of Instrument [05/21/2015 ] Doc ID:
!s603/1.:1n2itsivingolvrti-17. DERecorded: 6:24AMInstrument Type [ DE ] Fee Amt: $ .00 PageofAlbemarle
Number of Parcels [ 1 ] Debra M. Shipp Ciruit Clerk
Number of Pages (6 1 File# 2015-0000554�7j R
Tax Exempt Virginia/Federal Law BK 4 6 2 6 PG6 7"
-675
®Grantee[Albemarle County Service Auth.]
❑Grantor[ ]
o City 0 County® [Albemarle County ] (Box for Deed Stamp Only)
R First and Second Grantors
P I Last Name I First Name I Middle Name I Suffix
�[ University of Virginia Foj n�4tion ] [ ] El [ ] ]
First and Second Grantees
Last Name I First Name I Middle Name I Suffix
®[Albemarle County Service Authority
[
:I[ ] [ l [ ] [ ]
Grantee Address (Name) [Albemarle County Service Authority ]
(Address 1) [ 168 Spotnap Road ]
(Address 2) [ ]
(City,State,Zip) [Charlottesville ] [VA ] [22911 ]
Consideration [ 1.00 ] Existing Debt [0.00 ] Assumption Balance [0.00 ]
Prior Instr.Recorded at:City 0 County® [Albemarle County percent.in this Juris.(%)[ 100 ]
Book[2712 ] Page[325 ] Instr.No[ ]
Parcel Identification No(PIN) [25 ]
Tax Map Num.(if different than PIN) [77 ]
Short Property Description [Scottsville Road l
[State Route 20 ]
Current Property Addr(Address 1) [Scottsville Road ]
(Address 2) [ ]
(City,State,Zip) [Scottsville ] [VA ] [
Instrument Prepared by [James M. Bowling, IV ]
Recording Paid for by [Albemarle County Service Auth. ]
Return Recording to(Name) [Albemarle County Service Auth. ]
(Address 1) [ 168 Spotnap Road ]
(Address 2) [ ]
(City,State,Zip) [Charlottesville ] [VA ] [22911 l
Customer Case ID [ ] [ ] [CS-1010881 ]
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