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REAL ESTATE CLOSING STATEMENT
SELLER BUYER
._ CREDIT CHARGE
CREDIT CHARGE
~ Purchase Price $31,270,00 $31,270.00
Down Payment
Warranty Deed
Y: Note&Trust Deed
.Recording Fees
$12.00
Warranty Deed
Other
'r Property Taxes $39.37
f � 'pro-Ration
s.�
Other Charges
Closing Fee
rsS, IRS Reporting Fee
Title Insurance or Abstract $235.00
Real Estate Commission
' Mortgage Payoff
Totals $31,270.00 $274.37 Totals $0.00 $31,282.00
Amount Payable to Seller $30,395.63 Due at Closing $31,x. .
Tax pro-Ration Calculation Buyer's Reconciliation
Purchase Price $31,270.00
.., Closing Date
.: Down Payment $0.00
$n, Days Seller in Possesion
Buyer's Costs $12.00
Property Taxes Other Credits
4 '
Amount Due from Seiler Due at Closing $31,282.00
Seller's Reconciliation Closing Costs-Summary
E Purchase Price
$31,270.00 Buyer's Costs $12.00
Seller's Costs $274.37 Sellers Costs $274.37
Commission Total $286.37
Relocation
E Total Received $30,995.63 Commission
APPROVED:
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SELLER
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BUYER
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3113193
SCOTTCLS.XLS
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J� {
Louise Gardner
MAYOR
J e
320 E. McCarty St. 314-634-6300
Jefferson City, Missouri 65101
December 14 , 1992
Mr. Gerald Shipman
Assistant Administrator of Aviation
Missouri Highway and Transportation
P.O. Box 270
Jefferson City, MO 65101
Dear Mr. Shipman:
In reference to my letter of Just Compensation to Mr. Bob
Scott for Land Acquisition near the airport dated December 11,
1992, the following is for your information.
Mr. Scott met with me on the afternoon of December 11, 1992 ,
and I informed him that a letter of just Compensation had been
t him review my f ile copy of the
mailed to him that day. I le
letter and he stated that he was agreeable to the Just Of f er Of
$31,270. 00 for the two parcels of land comprising approximately
2. 198 acres.
I inf ormed him that a sale agreement would have to be drafted
by the City Counselor and the of f er was contingent upon approval by
With
-agencies
mentiorled in the letter of just compensation.
the
their approval, we could possibly close on the property by the end.
of ,january, 1993 .
If you have any questions, you can contact me at (314) 634
-6466.
6469 or 634
Sincerely,
DEPARTMENT OF TRANSPORTATION
R. Drainer
Airport Supervisor
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�a :t,. '�yi �fi�v,*v � i t} sF tar ;.� (:k;� t a } ,.t s r ?+ ,t c 3 e r� r`��'�•,� I
y 4 aq♦�$5;`�' q+' �'ry7��t'13 }�,�,� q tad,,!fyy„t�5�ta�,t 4cE .yt \.o t� �y ry Aj ry'�:. S r ..+'. y It t)•.ty >},����Ipr .
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C�
m✓' A e
Louise Gardner
MAYOR f;.
ff - 314-634-630CI
320 E. McCarty St. .
Jefferson City, Missouri 65101 {.
.r
December 11, 1992
r Mr. Bob Scott
P.O. Box 103
Holts Summit, MO 65043
Re: Land Acquisition '~
. Y
Dear Mr. Scott: '`
�4
;{ The City of Jefferson is interested in purchasing described z
of land comprising approximately 2. y
Attachment No. 1. The acquisition is for encroachment protection
? to the Runway 12 Clear zone required for instrument and visual
approaches to the runway. County records indicate you are the
owner of the property.
The Federal Aviation Administration (FAA) requires the City to
1 protect the runway clear zone areas from obstructions by land
acquisition or by avigation easements. The State of Missouri
k. Highway and Transportation Department, Aviation Section, will
partially finance the acquisition and the City will follow, the
requirements of the Uniform Relocation Assistance and Real
Properties Acquisition Policies Act of 1970.
a: In accordance with the law, the City must furnish the owner of
the property a written statement of the basis for the amount
established for just compensation for the acquisition. An
r appraisal and review of your property has been made in accordance
;.
•x with the Missouri Highway and Tranportation Department Right-of-Way
Manual and the City ' s Rules and, Regulations. Competent
professional appraisers were used in the appraisal and determining
just compensation for the land acquisition.
The City concurs with the Just Compensation as set by the
appraiser in the amount of $31, 270. 00 for the land acquisition.
There has been no increase or decrease in the fair market value
because of a possible airport project. The appraisal did not
reflect any consideration or allowance for any relocation
assistance or payments that the owner may be entitled to receive
under Title 2 of the Uniform Act.
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K LEGAL DESCRIPTION
Tract #1
Part of the Northeast Quarter of the Northeast Quarter of Section
16, Township 44 North, Range 11 West, Cellae County, Missouri,
more particularly described as follows: From the northeast of
said Section 16; thence SO4049 '55"W, along the Section Line,
346.50 feet to the point of beginning for this description;
thence continuing SO4049'55"W, along the Section Line, 293.30
feet; thence N62001102"W, 479.27 feet to the easterly right-of-
way of OLD U.S. ROUTE 54; thence N20059 ' 56"E, along the easterly
right-of-way line of OLD U.S. ROUTE 54, 114 .20 feet; thence,
S85023122"E, 392. 11 feet to the point of beginning. Containing
in a11, 84,852 square feet (1.948 acres) .
Tract #2
Part of the Northeast Quarter of the Northeast Quarter of Section
.K
16, Township 44 North, Range 11 West, Cellae County, Missouri,
more particularly described as follows: From the northeast
p corner of said Section 16; thence SO4049155"W, along the Section
Line, 780.50 feet to the point of beginning for this description;
thence continuing SO4049 '55"W, along the Section Line, 220.00
feet; thence N85023122 11W, 100.00 feet; thence N29014117"E, 242.01
feet to the point of beginning. Containing in all, 11,000 square
feet, 0.25 of an acre.
The legal description was obtained from survey prepared by
Central Missouri Professional. Services dated March 31, 1992.
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Independent Appraisal Co.
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Sirect, 2nd Floor
600 Monroe.v ollid 0(11411. 0,,�A-('
Jcfferson City, Missouri 65101 iii
314 - 634-7755
MEMBER: Yr
American Association of
Real Estate Appraisers&Consuhants Certified Appraisers
April 30, 1992
Mr. Martin Broser P.E.
Director of Dept. of Transportation
C
John G. Christy Municipal Building
320 East McCarty Street
Jefferson City, Missouri 65101
,`-
RE: Appraisal of 2 vacant trac ts of land owned by Bob and Maxine
Scott located on Hybernia Road and West of Jefferso n City
Memorial Airport.
Dear Mr. Broser
Upon your request I have inspected and appraised the real
property described 4bove for the purpose of reporting to you my
opinion of its market value. The property rights are assumed to
be in fee simple `ownership.
Based upon the information and analysis in this report, it is my
opinion that the fair market value of the above described
property as of April 30, 1992 is: Tract #1 $28,850. Tract
#2 - $2,420 . Total of Tract 1 and Tract 2 $31,270
V�e
Respectfully submitted,� ��,� .
���� � dui Daniel J. G erdon, CA-S Darrel C. Gordon, CA-R
Missouri Certified
Real Estate Appraiser License No. 001696
Review Appraiser
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TABLE OF CONTENTS
tSummary of Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Photographs of Subject Property. . . . . . . . . . . 2
;;. Legal Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
r. s.
Purpose of the Appraisal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
t�
CityData. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Neighborhood Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
r t;.
The Appraisal Process. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 r.
r�r:
Real Estate Taxes and Assessments. . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
� .' Sales Within The Last 5 Years. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Description of Sites. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 '�•
Comparable Sales. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
N
1';Yi Summary of Adjusted Values of Comparable Sales (Tract 1) . . . . . . 12
,r.
'{ Comments and Conclusions of Tract 1. . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Summary of Adjusted Values of Comparable Sales (Tract 2) . . . . . . 13
Comments and Conclusions of Tract 2. . . . . . . . . . . . . . . . . . . . . . . . . . . 13
*4 Certification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
c,.
Assumptions and Limiting Conditions. . . . . . . . . . . . . . . . . . . . . ; . . . . . 15
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LEGAL DESCRIPTION
r•`1
Tract #1 �
Part of the Northeast Quarter of the Northeast Quarter of Section
16, Township 44 North, Range 11 West, Cellae County, Missouri,
more particularly described as follows: From the northeast of ;1
(a said Section 16; thence S04049 ' 55"19, along the Section Line, ;
.' 346.50 feet to the point of be
p beginning for this description;thence continuing 04049 ' 55"W along gthe Section Line? 293. 30
feet; thence N62o01 ' 02"W, 479.27 fet to the easterly 9ri ht-of- :r
wa of OLD U.S. ROUTE 54 • thence N20059 '56"E, along the easterly
right-of-way line of OLD U.S. ROUTE 54, 114 .20 feet; thence
S85023122"E, 392. 11 feet to the point of beginning. Containing
in all, 84,852 square feet ( 1.948 acres) . ;
Tract #2
Part of the Northeast
Quarter of the Northeast Quarter of Section '
16, Township 44 North, Range 11 West, Cellae County, Missouri,
more particularly described as follows: From the northeast
corner of said Section 16; thence S04049 '55"W, along the Section
Line, 780 .50 feet to the point of beginning for this description;
thence continuing S04049 ' 55"W, along the Section Line, 220.00
7� feet; thence N85023 '22"W, 100.00 feet; thence N29014117"E, 242. 01
feet to the point of beginning. Containing in all, 11, 000 square
feet, 0.25 of an acre.
The legal description was obtained from survey prepared by
f ' Central Missouri Professional Services dated March 31, 1992 .
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PURPOSE OF THE APPRAISAL <<
,
fns
The purpose of this appraisal is to estimate the fair market `Y'" `
� value of two tracts of land for purchase by the City of ��:;,,�,r��•,
Jefferson. The tracts are identified in this report as Tract 1 ��`�' G'
and Tract 2 and are described more fully in the legal
descriptions.
DEFINITION OF .FAIR MARKET VALUE ;
3- Market Value for the purpose of this appraisal, is defined as . .
. P P PP �
the most probable price in terms of money which a property should
bring in a competitive and open market under all conditionsA 'k' k °
requisite to a fair sale, the buyer and seller, each acting
prudently, knowledgeably and assuming that the price is not
affected by undue stimulus.
`'x�sW l7k
1 . Buyer and seller are typically motivated. W 'z
t 2 . Both parties are will informed or well advised and each R `
acting in what they consider their own best interest.
3. A reasonable time is allowed for exposure in the open
market.
}" 4. Payment is made in terms of cash in U.S . dollars or
{}.. ' in terms of financial arrangements comparable thereto..
S. The price represents a normal consideration for the
property sold unaffected by special financing amounts
and/or terms services fees cost or credits
, , , , granted
by anyone associated with the sale.
Yi
PROPERTY RIGHTS APPRAISED
� w
The property rights appraised in this report are fee simple. Fee
simple ownership is absolute ownership unencumbered by any other
interest or estate; subject only to the limitations of eminent
,r ,r
domain police, escheat, p power, and taxation.
HIGHEST AND BEST USE
X Highest and best use is defined in The Appraisal of Real Estate,
9th edition, published in 1987 by the American Institute of Real
Y
r Estate Appraisers as:
The reasonably probable and legal use of vacant land or an
improved property, which is physically possible,
rfir appropriately supported, financially feasible, and that
results in the highest value.
In developing a highest and best use analysis, it is necessary to
evaluate the property' s highest and best use as though vacant,
and as improved.
N
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The highest and best use of land or a site as though vacant �kUw,v,
assumes that the land parcel is vacant or can be made vacant by
demolishing the existing improvements. An appraiser coi°�sidersu>
�. what use should be made of the land, what type of improvement
should be constructed, and when. The purpose of determining the "
highest and best use of land as though vacant is to identify a
site' s potential use, which governs its value.
Highest and best use of a property as improved pertains to the
use that should be made of an improved property in light of its
improvements. The purpose of determining the highest and bestF ;4z
use of property as improved is to identify the use that is �5-`
expected to produce the greatest overall return on the capital :<:4 .:
invested, and to help the appraiser select comparable properties.
The highest and best use of both land as though vacant and ' .;,`•
' .' property as improved must meet four criteria. The highest and
best use must be 1) physically possible, 2 ) legally permissible,
3) financially feasible, and 4 ) maximally productive. These aar76t,>''
criteria are usually considered in order. ; ±4�
Under Item 2, Legal Restrictions , Jefferson City restricts the
site to those uses permitted under C-2 General Commercial `'.
District . This zoning classification allows the following
permissive uses: a) Any permissive use of the C-1 and C-3
districts. b) Automobile or trailer display and salesroom. c)
,. .,,
Display and salesroom. d) Drive-in restaurant. e) Farm `
implements, sale and repair. f) Farm store or feed store,
including accessory storage of liquid or solid fertilizer.
g) ,
Veterinarian animal hospital or
Milk distributing station. h) ,
kennel. i) Used car, trailer or boat sales or storage lot. j ) 4T.
v
Mobile home or trailer court in accordance with the provisions of m
printing, painting,
Section 9.C. k) Dyeing, cleaning, laundry, p g, P g�
plumbing, tinsmithing, tire sales and service, upholstering and
other general service 'or repair establishment of similar
character. Not more than 10% of the lot or tract occupied by
._:
such establishment shall be used for the open and unenclosed
}<: storage of materials or equipment. 1) Roller skating or ice
skating rink. C-2 zoning classification also allows the
following conditional uses: a) Private school. b) Drive-in
theater. c) Lumberyard. d) Commercial recreational uses such
,1„jkVN, as water slides and miniature golf courses. e) Bakery.
Bottling works . g) Wholesale establishment or warehouse in a
completely enclosed building. h) Truck or bus terminal. i)
sX.f^,Y`'N• Nursing, rest, convalescent or group home for the handicapped.
Apartment, rooming house and boarding house.
f.., The site may be developed with only a 25 foot front yard
->rr7 requirement, a 20 foot rear yard requirement, and a 0 foot side
yard requirement. The City restricts construction of improvements
to the land unless the improvements are protected from flooding.
The sites are irregular in shape.
r
Under Item 1, Physical Limitations, Tract 1 , is of sufficient
size for development as a site for a commercial building or any '
of the many uses of the C-2 zoning. The terrain is level . Access
off of old Highway 54 is available .The site is adequate in all
respects for many uses which would be permitted within the C-2 `
7
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i
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4
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arr:y
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P .'
zoning classification. Surrounding land uses are also com atible
with the zoning classification. Supply and demand of sites `� � �•
.: ,.
similar to the subject property seem to be in balance.
`- ' of the site was analyzed. There are few ;`r_r3# =,;'
The most profitable use X s •
possible uses eliminated by zoning or site limitation
Considering the surrounding properties , it is reasonable to
assume that use as a site for a commercial development.
.,: Tract 2 is triangular in shape and has limited access due to the
l l ..Py4
necessity of having to cross private property to access the sate. { d�
The size and shape of the property makes it undesirable for most
types size
commercial development. The best use of the tract would
be the value added to an adjoining tract by the addition of this
property. The site is too small for most commercial uses .
CITY
DATA
Missouri,
cated in Jefferson City,
The subject property is lo the <t
state capitol of Missouri. Jefferson City is located in the
Of uis
Y west St. Lo ,
Y` center of the state, approximate) 125 miles
i Missouri and approximately 150 miles east of Kansas City,
and is
Missouri. Jefferson City is located in Cole Count y
bordered on the North by the Missouri River. Jefferson City isr {;r1
North of the Lake of the Ozarks approximately 40 miles.
S Highways 54 , 63 and 50. Rail service r 'f
The city is served by i1. }# '�
; � the Missouri Pacific Railroad. The city is served
is prov..d by
by a municipal airport located just north of the river and by a
located a proximatel-Y 20 miles north on Highway '} „b
regional airport P .
65 North. The regional airport provides daily service to a�
; . ..
metropolitan airports such as St. Louis and Kansas City.
a
The population of Jefferson City as included in the 1990 census
was 35,408 persons. The population of the 1480 census was
-< 33 619 persons.
The increase in population during the 1980 ° s was
..•.k>>+ The population of Cole County as reported in
approximately 5.3�.
the 1980 census was 56, 663. The population in the 1990 census
for Cole County was 63,427 . That represented an increase of
was 92% for
11.9%. The Cost of Livin g In
for Jefferson City
1991. The unemployment rate for Jefferson City as of January
1992 was 4 .7% as compared to the state average of average
the rate !�
_L�;1•,
ttj5`fl',ss
of 4.7% is just slightly ahead of the past years avera
unemployment rate of 4 . 3$. Unemployment rates for Jefferson City
are typically below state and national levels .
'< 4`a The largest employer in Jefferson City is the State of Missouri.
' the state employs several thousand workers. There are also
Typical employers are
several other major employers in the city. TYP
. �... ,
Westinghouse, Chesebox�ough-Pond, Modine ManufactuFootweary age
z ' Hoover International, United Telephone, Interco,
.r� The plants and
Distributing, as well, as several others .
.� „ businesses employ from 100 to 1000 employees. Jefferson City has
l 3fs�
a charter form of government . The city has a sales tax of
`Mr "r4
6.225%.
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GOVERNMENT
Jefferson City is governed by Mayor and Council . As capitol of
Missouri, a majority of the State ' s offices, includin g the 4
� w,•.
Capitol, State Supreme Court, State Library, Department of
Revenue, etc. , are in the city.
",
ECONOMY
r f'+
The economy of the area is based mainly on agriculture, industrt,'s
retailing and government employment. Principal products of local
Liar+ : manufacturers are shoes, pumps, cosmetics and books. City,':.
county, state and federal government employ approximately 13, 100 "•:
workers. There is currently an existing oversupply of office '
space, due to the influence of the State goverment relocating
offices to new building that comply with the American
few
Disabilities Act. The State of Missouri also within the last f
;!.
years built the Truman State Office Building which relocated a
.' iL niTM�M ,
number of State tenants from private rental office space to a
State owned building.
FINANCE
•`•• jJYkd JPPtw
Financial services are offered by the Central Bank, Exchange
.;} National Bank, Jefferson Bank of Missouri United Missouri Bank
and Capital, City National, Home Savings and Mutual Savings Bank.
fir �1
MEDICAL FACILITIES
r
Medical services are available at Memorial Community Hospital,
St. Mary' s Hospital, Charles E. Still Hospital, as well as
several clinics and rest homes.
EDUCATION
The Jefferson City public school system includes classes for students from Kindergarten through the 12th grade, special
facilities for speech-impaired children, and an adult educational
program.
Parochial schools are operated by the Catholic and Lutheran
Churches. Higher education is available at Lincoln University.
Y s a Lincoln University i 4 year liberal arts college with
{Y, approximately 4,000 students, it is a state land grant college..
" The University of Missouri is about 30 miles north in Columbia.
SHOPPING
t..
The principal shopping area is the downtown business section on East and West High Street at its intersection with Washington and
t:a Jefferson Streets. Neighborhood stores are conveniently located
R` throughout the community. There are five shopping centers;
`rrs Jefferson Plaza, Southwest Plaza, Wal-Mart, K-Mart, and Capital
Mall.
In summary the Jefferson City Area is an area of stable
consistent growth, free from typical recessionary pressures A
good economic environment for investment. It is a ood la
} esf•ablish and operate a business. g place to
F sot s ':.pnrz. 7
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•f' «Lr .t4-. _'.1{ AY�+4.yinaa wril7.ae1®Y' I
p 'd+rw+�.._,:di . ...:..'�s�+"''.�.ruww�taedMel WWrrVlrt4:it�i:>�SSGW.vun+J,'llnirr`,,�ieieba z,u-..r.,a+,w95.-.;,ta1M.r4:.yYat4!!�hira$r`.',•,'t�^ifc:.. .��,'P �'�:rp5 !}e ��. �9,1:5m.'NA ..�.3��1'of:v�!S£fr.�aP.}i�'k,S+ �.Yl. .
NEIGHBORHOOD DATAwt>,
The subject neighborhood is located just west of the Jefferson
City airport in the northern section of Jefferson City. Thev `'
neighborhood is a mixed use of residential homes, commercial
buildings and vacant land. The neighborhood is a part of the old ' �.
town of Cedar City which was annexed by Jefferson City. The
neighborhood is a mixed use neighborhood of older, masonry and '` ' `"`"
frame single-family residences that have been in a state of
j. decline for a number of years. Periodic flooding of the
p: properties has contributed to the decline. The neighborhood is 4
3"r Highway 54 to the West and Highway 94 to the North. Old Highway .n. <SX+;
94 forms the southern boundary and the Jefferson City airport the
eastern boundary. The homes in the neighborhood are smaller,
h{g „
older homes that are situated on small lots . The implementation
of zoning with the Jefferson City annexation and the enforcement
IZ' .
of building codes is improving the area. The subject property } � � ;,;} .
adjoins the Jefferson City Memorial Airport . The Jefferson City
Memorial Airport is a low traffic airport of light private and
some commercial aircraft.
The airport does not have regular
i' yrxv.
scheduled commercial service available.
THE APPRAISAL PROCESS
There are three generally accepted recognized methods of valuing
real property. , They are: �� ' �Y=
The Sales Comparison Approach - That approach in appraisal .
analysis which is based on the proposition that an informed �F
purchaser would pay no more for a property that the cost to him
of acquiring an existing property with the same utility. This
approach is applicable when an active market provides sufficient
quantities of reliable data which can be verified from
authoritative sources . The Market Data Approach is relatively
unreliable in an inactive market or in estimating the value of
properties for which no real comparable sal+as data are available.
This data becomes most reliable when it is confirmed with either
a:
the principals involved in the transaction (i.e. , the seller or
.buyer) , or the selling broker. In many instances, the data is
acceptable if it has been confirmed by a reliable real estate
appraiser. .%
The Income Approach - That procedure in appraisal analysis which
converts anticipated benefits (dollar income for amenities ) to be
<' derived from the ownership of the property into a value estimate.
The Income Approach is widely applied in appraising income-
producing properties. Anticipated future income and/or
' reversions are discounted to a present worth figure through the
capitalization process.
The lost Approach - That approach in appraisal analysis which is
based on the proposition that the informed purchaser would pay
no more than the cost of producing a substitute property with the
same utility as the subject property. It is particularly
applicable when the property being appraised involves relatively
new improvements which represent the highest and best use of the
land or when relatively unique or specialized improvements are rt
8
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-v K t o y++ i ✓` t tt , t i t t:. p ti s 'Y
ti���tt ll: txl%�," �<y.f' e
( .r trY {tt dZ+-(F sy ;r {t tr t.t Q'" sXJ i i ..`}fir .�t , ! s t r" r r ` 1 t..n�#S�r " +iBf'
1�'nr} ''r YYbt1 Rr lY rt� rtr t F 5' t # E!
y ,t.
Y. ttc �,y
s IJ r t r R� ', � rt I ,. T ,.�� r�,t,'�,. ,.�N ;•,}. `.zit.
q C". a`41 �,:,�.} S �.
{ � t y,
located on the site and for which there exist no comparable a
properties in the market . The Cost Approach can also be
applicable for more "ordinary" properties providing deferredJ .
maintenance has been kept to a minimum and the observed � k ,'
depreciation by the appraiser indicated that the improvements
should have a substantial remaining economic life. a
All three approaches to value have been considered in the k'{;,F`< j;:{
subject' s valuation. However, -the Income Approach and Cost
. . ..
Approach were found not to be a relevant for valuing this
. ` property. Only the Sales Comparison Approach was used. ,.
'r 0A .
REAL ESTATE TAXES AND ASSESSMENTS
Both tracts are a part of larger tracts and have not been
allocated. The taxes for 1991 for the property owned was: 4 . 24
acres, Assessed Value $380, County and City taxes of $18 . 92 and
1 <
3 .9 acres, Assessed Value $350, County and City taxes of $17 .46. ,•;�
t '
The property is assessed as an agricultural use . "
SALES WITHIN THE LAST 5 YEARS
The property was purchased by Bob and Maxine Scott from William
Tranbarger, etal. and recorded January 29 , 1990 . The purchase
prise was reported to be $5, 000 per acre according to the
Tranbargers. p�
DESCRIPTION OF THE SITES
r. _ Q,
Tract #1 1.948 acres (293. 30 ft. x 479.27 ft. x 114 .20 ft.
x 392 .11 ft) }
UTILITIES: Union Electric, Jefferson City Water, United
A Telephone and City Sewer. It appears that
utilities are readily available to the site
REMARKS: The land fronts on old Highway 54 on the west and was
for the most part a level tract of land at about the same
:: y.. elevation as old Highway 54 . The owner is in the process of
A adding fill to land that adjoins -the subject site.
The property has become more in demand with the recent comp a lon
of the new Missouri River bridge which eliminated traffic
congestion north of the river. The site periodically floods as
-c' witnessed by the appraiser. There is no flood plain map
available for the area.
EASEMENTS: The property is restricted by an Aviation Easement
. •: } which prohibits building on the property above certain height
restrictions. The approach slope from West to East is 34 . 1 . The
maximum elevations permitted is 574 . 43 feet at the Sout hwest
corner, 574 . 13 feet at the Northwest corner 564 . 48 feet on the
fi•' x`
fix,•.
Northeast corner and 560 . 14 feet at the Southeast corner. These
elevations are above sea level . The current en o runway
elevation is 546. 57 feet. The easement restricts airspace above
i•-.r. ` .
t:•i;: the elevations described in the easement from any obstruction.
The easement further restricts the use of the land in such a
.TFr manner as to create electrical interference with radio
M 9 t.
...,-.• 1 ..5 S{. ft�'f �`t '+r•,•
t �tf qj rr��'.'j
±< �?
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�F�.;'..Y i'e 't'.�,}Tt'�,.3 X'4 .�7'•t i�iYd.t �''hF{.Iii. .� .r:Y t � ' 3..r:f xis .r. t, '. J ( • ;I` Y:I{jt+ `c4f':,` J l�t7',z3� S. ��� 4
� J
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1'' 4y { trty �"� „'' .r✓ .I. i F ',F 4 :, 7 ) w { f t�S�S ��� r t 4:,
.. T: u�.>r y!rrt! i; i •,. :"1 rYy r 7 1 r- tt r = '. _ `4 ..r.;. •v.x. 1 1 s�.t rt ( ( 'y;y
p. r t L�i _ !I i j .. t yT A�. 1v 4�tirat�di. h •l,v.J
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+,a u.ta:T.._�a..,.i.1, �R�n.++�ur7?kz#am�xdreal..,w..:.t,c:NVrnr«.a«,...:... _.._..,.._..,.,+,...r.rt+zn:.tc;-a .il,+ r..:.:!..,i�424, =i:S1..., .. '^'r''.i. .. :.:�t�,'h:3a'."t'>•ir�p,ty,1.3Y"'aVn"`.t{s1t�4.'t'.l�tA 'GSRGk�f+.M. z'
communications between the installation upon the Jefferson City
"
P Y
Memorial Airport and aircraf t or as to make it dif f icult fork ' ,
flyers to distinguish between airport lights and other lights, or a ;Y
as to result in glare in the eyes of flyers using the saidr7.'
airport, or as otherwise to endanger the landing, taking-off or
maneuvering of aircraft . yary ;
Zoning ordinance No. 11075 Sec. 31-31 also restricts the subject
property further in the following manner: The following special
regulations shall apply to any land airport other than a
helicopter landing facility, owned and operated by a publicK;.
agency.
t�.
,
I. Within the air space above the approach zone to each end of `:.,
the runway designed to be used for instrument landings, no
building or structure shall be erected or altered to project
above a plane with a slope of 1 (vertical) to 60 (horizontal ) '`w:g :
projected from a point 200 feet beyond the end of the runway for
a distance of 10, 000 feet, said plane to be in the shape of a
symmetrical trapezoid 1,000 feet in width at its lowest point and
4,000 feet in width at its highest point combined with a second t°
lane with a slope of 1 '"'�`` �`
p p ( vertical ) o 40 horizontal extending
a from the upper edge ) ( ) g
pp g of the first plane for an additional distance
'1 of 40,000 feet, said plane to be in the shape of a symmetrical `
trapezoid 4, 000 feet in width at its lowest point and 16, 000 feet �kz=?`''
in width at its highest point. z ".;,
Y' �t f�rrd'.:
2. Within the air space above the approach zone to each end ofr '
the runway not designed to be used for instrument landings, no �
' building or structure shall be erected or altered to project
above a plane with a slope of 1 (vertical) to 40 (horizontal)
projected from a point 200 feet beyond the end of the runway for
a distance of 10, 000 feet, said plane to be a symmetrical
trapezoid ( *) feet wide at its lowest point and (*) feet wide at
its highest point.
3. Within the established transition zones adjacent to each
instrument and non-instrument runway and approach zone, no
building or structure shall be erected or altered to project
above a plane with a slope of 1 (vertical) to 7 (horizontal) . =y
Transition zones extend outward and upward from a line ( *) feet
on either side of the centerline of non-instrument runways for
the length of such runway plus 200 feet on each end; and 500 feet
on either side of the centerline of instrument runways for the
length of such runway plus 200 feet on each end; to a height 150
above the elevation of the airport reference point. In addition,
transition zones are establishment adjacent to both instrument
and non-instrument approach zones which flare outward and upward
symmetrically along the entire length of each approach zone to
where they intersect the surfaces of the horizontal and conical
zones .
4 . Within ( ** ) feet from the established airport reference
point, no building or structure shall be erected or altered to s
project above a horizontal plane 150 feet above the established
airport elevation . This horizontal zone does not include the
approach or transition zone.
r
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.� , { x .€•�.,,, r;�%dT'�,}r'v a 4`.�Ar, f'"�P�-t' t +t Z i!f 'ti J ,Y ', a }t. �i '��G,''t��
i r r .e r l., j ' } >y�3 rl�•">� e J .
{i .� t `tt �1;�!re d!k�f�Fl rsc.•t '.y :i, .., , ffp�,�Y,'-'��i .
'�: iX� ���€� .�•€��f YYt44 r4��� �r , t , s t. i t t + y 1 'r .r n.`{�, y rY',lri yf,2i
�1 if r
NOW 101111
{t t, 4 idr
II ��
f 1AoNR�^'"i ♦5 n z � r ` Y^ --r."+r^.�a.s..-�..,.e--..v�r—"..-- w ---�-� ....�......°'•—.o..^...n+----^'•'O"-r-- � �f4 � +--� •.. ,y
n
5 . Within the concial zone, which commences at the periphery of
the horizontal zone and extends outward therefrom a distance of <;,
(**) feet, no building or structure shall be erected or altered
to project above a plane with a slope of 1 (vertical) to 20
(horizontal)
Pinµ.•" �"tr:;i
6 . Nothing in this sub-paragraph shall be construed as
prohibiting the growth, construction or maintenance of any tree
,y f, or structure to a height up to twenty (201 ) feet above the
Q A
surface of the land.
( * ) The applicable distance in feet shall be based on runway
length as set forth in Section 77.27 of Part 77 of the Federal
Aviation Regulations. is
The applicable distance in feet- shall be based on f , �
runway length as set forth in Section 77 .25 of Part 77 of the `° '
r Federal Aviation Regulations.
The maximum permissible elevations are: The Southwest corner
562 .35 feet, the Northwest corner 562 . 19 feet the Northeast
corner 556 .72 feet and the Southeast corner 554 .26 feet.
`3 Tract #2 - 0. 25 acres (220.00 x 242 .01 x 1
UTILITIES. Union Electric, Jefferson City Water United
• r..
Telephone and cit sewer. It appears that
P Y PP
utilities are readily available to the site.
REMARKS: The land fronts on a private toad owned by the City
.r.
y '} ` of Jefferson. The terrain is level. The tract is at about the
same elevation as old airport road and is subject to flooding.The yc
property has become more in demand with the recent completion of
the new Missouri River bridge which eliminated traffic congestion
North of the river.
Zoning ordinance No. 11075 Sec. 31-31 restricts tract 2 to the
following elevations: the Southwest corner 604 .85 feet, the North
corner 569 .71 feet, and the Southeast corner 604 .85 feet.
3
Comparable Sales
Sale No 1
Location Old Highway 94 and Intersection of Old Highway
54, Callaway County
Seller: Robert and Pearl Upschulte
Buyer: Dam Steel Company
' Verified by: Seller-Upschulte
Date: 3-15-91 .
Price: 16, 000
Size: 1 .09 acres
Unit price: $ . 34 per square foot
Zoned: Commercial
Remarks : Subject property is superior in location.
pus; Similar in other characteristics to Subject.
Located approximately 1/8 mile South of
Subject property.
1 V�'
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—
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.f b t✓t '�7 ,� p = ,, r'" " .rt 1 qtr t ' t g i = s $,y '§st,t�( s t _
hs yy,,..°t4 ��' ai q ti ! � t "mil 5 1 1. �`An:�s• r �. x• � .
}} .5 RY�� d s✓i r .'h �d `7.1\'4 1 1� a "( .,{d: 5�:s�'{,rsds�t. i +�. :�zc �' ¢'} a �A
r.s ',�E'�1 ;".Li�F ty'�r i1�' � '.lit "si" �f � ' v � , :,t{} P ti .,� 3f�j����3t Y i,�f�'k x� t 41 S " • �
5 iL5}`.:MS
-,:t:.%'i V _ .. -.._.w_. _._ ._ _ .ra _ •!' �-.. _1 - 5.7•,.,._ .. _ ,�t-!lii.`v.n!�? ��•�..,:!«.�2.a4�f.! �r y+Y�
..,,c y :��. 1�, .�Y� }7'S� jr t4t° ,i` .,iµ7: a . ,r`..: i s .. r. -,f f. tr .. J yaY .Y✓.r Fr 9k+?. �`I�� 14�,WS�r ��i
iG-' r,.. ,°e', �jty,,rat.r,','i• .T j f C,t�r r f ,2 t ; tit r ; i a ..,; ��� � ,, ...•�� .y}�r,; � ) i iS �r.
gt a a, ay rru'r"weix{ � s'
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Sale No 2
Location: Off Route W, Part of the West 1/2 of Northwest
:R;�
?z 1/4 ; Sec . 16, Twp 44 , Range 11, Callaway
"' to
'? County
Seller: Ed Story
•';
Buyer: Robert and Leo Scrivner
Date. 1-1-86
x'•sb','LS,,i
Price: 15,000
Size: .71 acres F�
Unit price: $.48 per square foota
F Zoned: Not Zoned
q+S'li.
Remarks: Subject has superior location and access. This
site is and inside tract that is landlocked
;4 with exception of access easement. This site
F ' is subject to flooding. y1
Sale No 3
Old Route B Cole Count
Location: , Y ,
Seller: Mertens Estate ,
, Verified by: Broker t;
Date: 3-10-92 F
Price: 22 000
''� •^ �
°t Size: 1.5 acres
ik ? Unit price: $.34 per square foot
Zoned: Not Zoned
�',A� ,•
Remarks: i
Subject has superior location. Subject s
commercially zoned. Subject is susceptible to
flooding.
Tract 1
Summary of Adjusted Values of Comparable Sales
SALE #3
;. SUBJECT SALE #1 SALE #2
SALE DATE ;Present , 3-15-91 ; 1-01-86 ; 3-10-92 ;
SALE PRICE, 16, 000 i 15, 000 ; 22,000
ACRES , 1.948 , 1.09 ; .71 ; 1.5 a
` LOT AREA ; 84,855 , 47,480 ; 30,927 , 65, 340
f`; 3 SP/SF , , 0. 34 , 0.48 , 0.34 ,
Adjustments:
r 4me 5� 1Ow. 0%
i
r Adjusted Value 0. 35 0.53 0.34
Location/Visab +10% 0% 10%
Terrain/Util/Flooding 0% +10% -20%
�;} Size -10% -20% 0%
. Avigation Easements -5% -5% -5%
�> Net Adjustment -5% -15% -15%
Adjusted Value: $. 33 $ .45 $.29
x• Comments and Conclusions.
k A thorough search was made for available comparable sales. The
availability of sales in the immediate area was very limited.
Sale No. 1, is a very good comparable sale in that it is close
to the subject property and is subject to periodic flooding.
Comparable No. 2 is smaller than the subject and occurred
sometiine aco. Comparable No. 2 is also subject to flooding but
12
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� j •v I
A `�
a.�,—r..r tya y�� :t .. }r ti ', "{ .. ' sK i�A �}fh�,tta '�iY F�� C ""1',.• .
tyj,�f f�a': t} .sic.,{k, rx at7�15 y<: '�ltu4 c L t�! et rrc } F j- .•, :f ..'l, ",,..`�+..! 4 � gip,e� '{`� rfsic�. y'J,
`:...�.rwrosttakasti42�'k''`�14rSit2�"?44���i�:?"tl�'�'����`',�A_t�v��.�p�c�.'
.. ,
;s
4
F'
had a restricted access to the property by easement. Sale #2
also occurred prior to the relocation of Highway 63 . Age and the
{ relocation of Highway 63 could affect the reliability of
` Comparable #2 as a reliable indicator. Comparable No. 3 is
similar in size to the subject property but is not subject to
flooding. z
Comparable No. 1 was given the most Weight in this appraisal
report in that it is most similar to the subject property and
just over 1 year old. Comparable No. 1 also required the least.
net adjustmeMt as compared to the subject property. A value of :#e
$.34 per sq. ft. was estimated as being a reasonable value
estimate for the property. Mi
All of the comparable sales were adjusted to reflect a loss of
utility due to the Avigation and zoning easements which restricts
: •k
Tract 1. There were no comparable sales discovered with an ,.• , • L
avigation and zoning easements. A loss of value due to thefih
• impression of the easement was estimated to be 5%. N r '
d;5
Value of Tract 1
;.. $. 34 per square foot x 84, 855 square feet = $28,850 (fj
Tract 2 '.?_,:
Summary of Adjusted Values of Comparable Sales
SUBJECT SALE #1 SALE #2 SALE #3
?` SALE DATE ;Present ; 3-15-91 ; 1-01-86 1 3-10-92 1
SALE PRICE , ; 16,000 i 15,000 1 22,000 1
°,• ACRES 11 .25 11 1.09 1 .71 1 1.5 1
LOT AREA 1 11,000 ; 47,480 ; 30,927 1 65,340 1
Sp/SF 1 i 0.34 1 0,48 1 0.34 1
Adjustments:
Time
5% 10% 0%
:. Adjusted Values 0.35 0.53 0.34
' Location/Visab 0% 0% 0%
Terrain/Util/Floodin g
10$ -10% -20%
Size -30% -30% -30%
Zoning Easements -5% -5% -5%
Net Adjustment -45% -45% -55%
'^ Adjusted Value: $ . 19 $ .29 $. 15
IY
"t Coimnents and Conclusions :
A 'thorough search was made for available comparable sales.
Tract 2 is a small triangular site with limited value due to size
and configuration. The tract is too small for almost any
commercial venture. This site is restricted by the zoning
ordinance easement recited above. The site is within the flood
plain of the Missouri River. Most weight was given to the
adjurted value as determined from Comparable Sale #1 . A value
was estimated of $ .22 per square foot for Tract 2 .
Value of Tract 2
f $.22 per square foot x 11 ,000 square feat = $2 , 420
Summary Tract 1 = $ 28, 850
Tract 2 = $ 2 , 420 .
Total = $ 31 , 270
13
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t�` ° 'L$ �y,"*"*�(�'� �t`�+`4 a t'+.� � x r• . f � ..s - t '� y , ;` sr) .� fx�i�s
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MI
CERTIFICATION
I certify that, to the best of my knowledge and belief , . .
i,r
1. The statement of fact contained in this report are true and
�,.. correct.
2. The reported analyses, opinions and conclusions are limited
only by the reported assumptions and limiting conditions, and are
`a
my, personal, unbiased professional analyses, opinions and
conclusions.
ors e
3. I have no present or prospective interest in the properly
that is the subject of this report, and I have no personal
•�` "`` interest or bias with respect to the parties involved.
g'•
k- My compensation is not contingent on an action or event
x• rc resulting from the analyses, opinions or conclusions in, or the
use of this report.
tit.. �,•
My analyses, opinions and conclusions were developed, and
this report has been prepared, in conformity with the
requirements of the Code of Professional Ethics and the Standards
of Professional Practice of the American Institute of Real Estate
Appraisers.
6. The use of this report is subject to the requirements of the
American Institute' of Real Estate Appraisers relating to review
by its duly authorized representatives.
7 . I have made a personal inspection -of the property that is
=y the subject of this report.
8 . No one provided significant professional assistance to the
person signing this report.
k
•
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.�� � � # �s +. t. ...F t 5 ,F'� :tl ��� J k,: £` 'rt�ftY.M r.y1ft1 Y �. t. t+. •t;, ,
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r.
ASSUMPTIONS AND LIMITING CONDITIONS
This appraisal report is subject to the following assumptions and
limiting conditions as applicable: {'
,
1. Title to the property is assumed to be good and marketable
and the legal description correct. :a
F�{s
T= 2. No responsibility for legal matters, especially those YY�
Y` affecting the title to the property is assumed. All existing
liens, mortgages, or other encumbrances have been disregarded and
t”. the property is appraised as though free and clear, under
i
responsible ownership and competent management.
3. The improvements are within the lot lines and in accordance
with local zoning and building codes.
4 . Possession of this report does not imply the right of
z:
'i publication or use for any purpose by any other than the
�-, addressee without prior written consent of the appraiser.
r P PP
5 . The appraiser is not required to give testimony or .tro
attendance in court by reason of this appraisal, unless prior
agreements have been made in writing.
6 . The distribution of total valuation of the property between {'
land and improvements applies only under the utilization and
conditions stated in the report and is invalidated under other
:k4 ;';; conditions or programs of utilization.
,:
�4
7 . Subsurface rights, such as minerals and oils, were not
considered in making this appraisal.
r' - 8. The value estimated herein is premised upon the property not
' containing hazardous waste materials, including, but not limited
to, asbestos. We suggest the consultation of an engineer or
other equally qualified expert in the field of hazardous waste
Y
"! materials could substantially affect the value estimated herein,
`., although we do not attest to the effect, if any, on value.
•x ;
9. All sketches in this report are intended to be visual aids
and should not be construed as surveys or engineering reports.
1
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MULL PAGE-D�.
`3
WARRANTY DEED
THIS DEED, Made and entered into this o2 day of f; , 1993, by and
MU 65043, the
�* between Bob Scott, a single person, P. U, Box 103, Holts ummit, ;
N •
w: party of the First part, and City of Jefferson, a municipal corporation, 320 East
McCarty, Jefferson City, MO 65101, party of the Second part:
WITNESSETH, That the said party of the First part, for and in consideration
of the sum of ten dollars and other valuable considerations paid by the said party of
T. the Second part, the receipt of which is hereby acknowledged, does by these presents
Grant, Bargain and Sell, Convey and Confirm, unto the said party of the Second Part,
the following described real estate situated in the County of Callaway, in the State
r, of Missouri to-wit: i
TRACT #1:
Part of the Northeast Quarter of the Northeast Quarter of Section 16,
Township 44 North, Range 11 West, Callaway County, Missouri, more
particularly described as follows: From the northeast corner of said 4
Section 16• thence SO4°49'55"W, along the Section Line, 346.50 feet to
the point of beginning for this description; thence continuing
SO4°49'55"W, along the Section Line, 293.30 feet; thence N62°01'02"W, '
479.27 feet to the easterly right-of-way of OLD U.S. ROUTE 54; thence
N20°59'56"E, along the easterly right-of--way line of OLD U.S. ROUTE
..
54, 114.20 feet; thence S85°23'22"E, 392.11 feet to the point of
beginning. Containing in all, 54,852 s q uare feet (1.948 acres).
.. TRACT #2:
Part of the Northeast Quarter of the Northeast Quarter of Section 16,
}y,.x Township 44 North, Range 11 West, Callaway County, Missouri, more
�..:
.,;
particularly described as follows: From the northeast corner of said
y Section 16; thence SO4°49'55"W, along the Section Line, 780.50 feet to
Cr
r the point of beginning for this description; thence continuing
SO4 04955"W, along the Section Line, 220.00 feet; thence N85°23'22"W, ,
100.00 feet; thence N29°14'17"E, 242.01 feet to the point of beginning.
�4 Containing in all, 11,000 square feet, 0.25 of an acre.
_ TO HAVE AND TO HOLD the same together with all the rights, immunities,
t privileges and appurtenances to the same belonging unto the said party of the Second
part, and to its heirs and assigns, forever; the said party of the First part hereby
covenanting that said premises are free and clear of any encumbrances and that said
party and the heirs, executors, and administrators of such party shall and will
warrant and defend the title to the premises, unto the said party of the Second part,
and to their heirs and assigns of such party forever, against the lawful claims of all •
persons whomsoever.
contract realest\scon.wd
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QaQLL& PAGE-f
AFFIDAVIT
IN RE: THE FOLLOWING DESCRIBED PROPERTY:
TRACT #1:
ri
Part of the Northeast Quarter of the Northeast Quarter of Section 16, Township 44
North, Range 11 West, Callaway County, Missouri, more particularly described as
follows: From the northeast corner of said Section 16; thence SO4°4955"W, along the
Section Line, 346.50 feet to the point of beginning for this description; thence '
continuing SO4°49'55"W, along the Section Line, 293.30 feet; thence N62°01'02"W,
479.27 feet to the.easterly right-of-way of OLD U.S. ROUTE 54; thence N20°59'56"E, .y
along the easterly right-of-way line of OLD U.S. ROUTE 54, 114.20 feet; thence ;
S85°23'22"E, 392.11 feet to the point of beginning. Containing in all, 84,852 square
�5
feet(1.948 acres). ,.
P TRACT #2:
Part of the Northeast Quarter of the Northeast Quarter of Section 16, Township 44
North, Range 11 West, Callaway County, Missouri, more particularly described as
follows: From the northeast corner of said Section 16; thence SO4°49'55"W, along the
Section Line, 780.50 feet to the point of beginning for this description; thence
continuing 804°49'55"W, along the Section Line, 220.00 feet; thence N85°23'22"W,
100.00 feet; thence N29°14'17"E, 242.01 feet to the point of beginning. Containing in `}
all, 11,000 square feet, 0 25 of an acre. ,
n — r
The undersigned •�1 rte, being _ years old, and
after being first duly sworn on hi er oath, states as follows:
That heA&is a resident of � �-+-�� County,Missouri, d of his a own
knows that Maxine ied'on an�at at
personal knowledge ows ax a Scutt �, ,
the time of her death, she was living at Missouri, and that she
lived with and as the wife of Bob Scott from and after V C-t" ID 1Y , 19J through
the time of her death without divorce or separation.
Further afflant states not.
Affiant
Kay S. Trema�e
State of Missouri )
Gs.
County of OMA"10/ -
Subscribed and sworn to before me, a lJotary Public, at my office in 6M) ,
Missouri, this 3 Lsf- day of -,—1 191-3
r
ublic
- ylvia"J. Burks
1Viy:Coiirf ilision expires:
fueai\ro�Mtit\au�LL.srd
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o'
' r r2.. .i �,* qqr � t .:`r,r�'7t .�i� ' t ��iY',(�Tr K"' dt'11 F•tJrt�� �-�. $
�• lll i ,,�� s.�, ,.i:h� xx .e,ry .X, ..may :t r � � a r u3 i it" }j . t. .t r � r.
STATE OF MISSOURI,
County of Callaway
IN THE RECORDER'S OFFICE
I, Helen Harrow, Recorder of said County, do hereby certify that the within instrument of writing, was, at,ZJ2
o'clock and ® � minutes,, M., on the day of, �, A.D. 19&duly filed for the record
in my office, and is.duly recorded an the records of this office, in Record Book .�� at page .�
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my.
official seat at my office in Fulton, Mo.
helen r
Bp Recorder
5 By Deputy
e��-. . � y M�sp�
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• l ,. .' t.,a;r€i. Y :.; ??,wy77un#kltsn»waw.x,. .w + +- �::..u»+r.....wu4.i.
. k, �. ,4�. �,. w .._•�.h. .�_����� > ,' PAGES , ., a �i ,T<
STATE OFlN>=VADA-- DEPARTMENT OF HUMAN RESOURO®� � '�... -�/
DIVISION OF HEALTH•--SECTION OF VITAL STATISTICS
CERTIFICATE OF DEATH
LOCAL FILE NUMBER STATE FILE NUMDER
TYPE --DECEASED-NAME' First Middle Last DATE OF DEATH(Month,Day,Year) COUNTY OF DEATH
on PRINT
IN,,,,�����+•�.....pppppHRMANEHT ,. Haxine SCOTT 2, January Clark 2, 1992 3s• Clark
(
LACK INK CITY,TOWN,OR LOCATION OF DEATH f1O8P11'AL OR OTHER INSTITUTION-Name(If not either,plus street and number) 11 .In ti Ins(.Indicate DOA,OP/Emer. SEX
�f Rm.Inpatient(Specify)
3b,Lao Ve fis �� Dr�scsrt Springs Hoapital Inc. Inpatient 4 Female
RACE-((e.pp. While.Black American Was Decedent of Hispanic Origin?Specify 0 yet lhno It yes, AGE-Lnst DATE OF EIR111(Mo.,Day,Yr.)
Indlen,etc)(Specl)y) specify Mexican,Cuban,Puerto Rlcon,etc. n Birthday(Yeas) MOS DAYS HOURS • MINS
6• White B, 7a. 63 7b. 7e. o• October 29t 192
IF�( STATE OF BIRTH CITRENOFWHATCOUNTRY Decedonl'n Educetlan. Specify highest k5f""Y)ARRIED NEVER MARRIED, SURVMNG SPOUSE(IIw1M,ghroll+Ndatntnne)
OCADE4TH l (11 not U.S.A.,name country) grade completed. WIDOWED,DIVORCED
m 9a, Keness gb.U.S.A. ,o. 10 Harried 112. Robert •Scott WSW SOCIAL SECURITY NUMBER USUAL OCCUPATION!,Olva Kind of Work Done During Most of KIND OF BUSINESS OR INDUSTRY
r .
�L6'LkMM Working Life,Even If It
l�Sll)EH(EBEYS 13•
512-22-0831 14b, Omn Home
RESIDENCE COUNTY CITY,TOWN,OR LOCATION BTREET AND NUMBER INSIDE CITY LIMITS ...,;.,. .
(Spac/fy Yes a No)
t6a. �i�g,�gri 16b, Callama the. Holtn Sums�it 16d.2129 Halifax Road 160. Hp :;
FATHER-MME First Middle Last MOTHER-MAIDEN NAME First Middle Las!
,a. Oven T. i3sile Helen Marie Mulcahy,
INFORMANT-NAME(type or Print) MAILING ADDRESS (Streotor R.F.D.No.,City or Town,Stale,zip)
t r?
18e. 13b.
Robert Scott -Husband 2129 Halifax Road Holte summit Hisaouri 65043
BURIAL,CREMATION,REMOVAL,OTHER(Spocify) CEMETERY OR CREMATORY-NAME LOCATION City or Town State ,'M '"y`''�•=„
19e. 19b. IBC.
�fny'.,:'''t•.
DIRECTOR Sl NA RE FUNERAL DIRECTOR NAME AND ADDRESS OF FACILITY
,. (Or Pe ActInpesSuc /f LICENSE NUMBER Palm Valley View Mortuary
zos.A O�iTUJ�� 20h. .7-7 2oc• 7600 South Eastern Avenue, Las Vegas, Nevada 89123
a. To the al of my knowledge,death occurred at It time,date e it d 22a.at the Beale of eand place and Ito thegeu a In my opinion manner death occurred
a duet ho cause(e)elated. at the lime,dale and place end duo to the cause(s)and manner stated.
V (Signature end TNIe) $ (S/gneturo end Alle) ]�
DATE SIGNED(Afo.,Day, r.) •HOUH OF ATH DATE SIGNED(Mo.,Day,Yr.) HOUR OF DEATH
H '
21b. �+ 220.
21c. 12 22 ,A.N. 22U.
NAME OF ATTENDING PHYSICIAN IF OTHER THAN CERTIFIER(Typo or Print) 6 PRONOUNCED DEAD(Mo.,Day,Yr.) PRONOUNCED DEAD(Hour)
21d. 22d.ON 22e.AT
NAME AND ADDRESS OF CERTIFIER(PHYSICIAN,ATTENDING PHYSICIAN,MEDICAL EXAMINER,OR CORONER).(Type or Print) LICENSE NUMBER
23a, Marina Plon M.D. 2225 East Flamingo Road Las Vegas. Nevada 89119 23b. 5191
S4ia
DITIONS REGISTRAR TE RECEIVED BY REGISTRAR(Mo.,nDEATH DUE TO COMMUNICABLE DISEASE IFANY /56 JAN 71992 24c. YES❑ NOG '?
WHICH GAVE 24a.(Slpnaturo) C t
RISE TO A • interval between onset end death
IMMEDIATE 25.IMMEDIATE CAUS (ENTER ONLY ONE CAUSE PER NE FO ),(b),AND c).J
CAUSE •
STATING THE
? UNDERLYING PART e
CAUSE LAST I DUE OR AS A CONSEQUENCE OF: Interval between easel end death
,mac pit
b
DUE TO,OR AS A CONSEQUENCE OF: • Interval between onset and death )
(c)
OTHER SIGNIFICANT CONDITIONS-Conditions contributing to death but not resulting In the underlying cause given in Part 1. AUTOPSY (S,oacily WAS CASE REFERRED TO
e PART Yee or No) CORONER(Specify Yes or No)
26. 27. �A
r ACC.,SUICIDE,HOM.,UNDET.•, DATE OF INJURY I1143,Day,Yr) HOUR OF INJURY DESCRIBE HOW INJURY OCCURRED
OR PENDING INVEST.
sV tSpeclfy) 28b. 28c. M 28d. rk
3 e.
INJURY AT WORK PLACE OF INJURY-Al hone,farm,cbeet,fadery,d6co LOCATION. STREET OR R.F.D.No. CITY OR TOWN STATE
(SPeclty Yes or No) buildng,etc.(,'Goa j)
'�•'.} 28e. 281. 28g• J
N®. 03414�.
STATE REGISTRAR
"CE'RTIFIED TOBEA TRUEAND COR.RECTCOPY OF THE DOCUMENT 0,FILE WITH THE REGISTRAR OF
;;..: VITAL STATISTICS, STATE OF NEVADA." This copy was issued by the Clarlc County Health District from State
:.,,:•
") certified docurnents as authorized b the State Board of Heat ut s l
an
h
t ,
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ar i v (Fuxi r °IF r
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STATE 0 VADA—DEPARTMENT OF HUMAN RESOUROES
DIVISION OF HEALTH —SECTION OF VITAL STATISTICS
--I CERTIFICATE OF DEATH
LOCAL FILE NUMBER STATE FILE NUMBER
TYPE DECEASED-/JAME First Middle Last DATE OF DEATH(Month,Day,Year) r COUNTY OF DEATH
OR PRINT
HRMANENr E4mxine SCOTT 2, Jmnuar 2, 1992 3e Clark
LACK INK CITY,TOWN,OR LOCATION OF DEATH HOSPITAL OR OTHER INSTITUTION-Name(11 not either,glv*street and number) 111tosp.or Inst.Irxllcets DOA,OP/Emer. SEX
M.Inpatient(Specify)
sb,L,As V�� nc• Denert S rinRo Ho® ital oa In mtiont + Female
HACE-(e.p. While,Binck American Wes 0ecodenl of Hhpanlo Orlgin7 Specify U yes o It yes, AGE-Lnal DATE OF BIRTH(Ado.,Day,Yr.)
Indian,etc)(Speclryy) epeclfy Mexican,Cuban,Puerto Rican,etc. Birthday(Yoers) MOS DAYD HOURS MINS
6 Utaite 6. 7a. 63 7b. 7c. a. October 29 192
II UN STATE OF BIRTH CITIZEN OF WHAT COUNTRY Decedent's Education• Specify highest MARRIED,NEVER MARRIED, SURVIVING SPOUSE(If wife,give maiden nerve)
(i1 not eU�,B.A.,name country) grade completed. WIDOWED,DIVORCED
IN K go, Koneas Bb.1Js S-A- ,o. 10 ;;P°`'ryJ Married 12, iRobart •Saoltt / �.
AEIi(IO?XI SOCIAL SECURITY NUMBER USUAL OCCUPATION(Give Kind of Work Done During Most of KIND OF BUSINESS OR INDUSTRY
Working Life,Even It Retlro l)
512-22-0831 Homemaker Own Hove
(SE$IDDILEIiT11S 13. 14s• 14b.
RESIDENCE-u^IATIE COUNTY CITY,TOWN,OR LOCATION STREET AND NUMBER INSIDE CITY LIMITS
(Specify Yes or No) st
'sa 16d ' `Hiseouri 16b• Callaway Halts Summit Halifax Road Ho 3! "
Vi•is;,m,
FATHER-NAME FIrst Middle Lott MOTHER-MA/DEN NAME Fired Middle Last
Ia.
a•-.`
Open T Dailey Helen ?Imrie 1RulaLab
I+I INFORMANT—NAME(Type or Print) MAILING ADDRESS (Street or R.F.D.No.,City or Town,State,Ap) X1tk;yq,tt,,
,oa. Robert Scott -Husband 10b.2129 Halifax Road Holto Summit Hisiaouri 6SO43
t ;
u,r�a,�ti• ,
BURIAL,CREMATION,REMOVAL,OTHER(Speclry) CEMETERY OR CREMATORY-NAME LOCATION City or Town Stele
ton. 1Bb. IOC. .;
s •s s
DIRECTOR-•SI NA RE FUNERAL DIRECTOR NAME AND ADDRESS OF FACILITY a, tr,•(
(2r Perm Acting asSuc LICENSE NUMBER Palm Valley View Mortuary
2as.> Lob, y 20c. 7600 South Eastern Avenue, Las Vegas, Nevada 89123
` e. To the We of my knowledge,death occurred sl t l!me,dote a I d 22a.On the basin of examination and/or Investigation,In my opinion death occunod •r'�3!'`•'
due I he causa(s)elated. at the time,date and place and duo to the cause(s)and manner elated.
(Signature and Plle) > $P� (Signature and 771 1e) >
DATE SIGNED(MO.,Day,(Yr.) HOUR OF TH �� DATE SIGNED(Mo.,Day,Yr.) HOUR OF DEATH
21b. 210, 22b. 22c.
.-?:•;;
E NAME OF ATTENDING PHYSICIAN IF OTHER THAN CERTIFIER(Type or Print) PRONOUNCED DEAD(Mo.,Dry,Yr.) PRONOUNCED DEAD(Hour) a r$
22d.ON 220.AT
NAME AND ADDRESS OF CERTIFIER(PHYSICIAN,ATTENDING PHYSICIAN,MEDICAL EXAMINER,OR CORONER).(Type or Print.) LICENSE NUMBER °ppur-
234• Marina Pion M.D. 2225 East Flamingo Road Las Vegas, Nevada 89119 123b. 5191x '
REGISTRAR TE RECEIVED BY REGISTRAR(Mo.,Day,Yr.) DEATH DUE TO COMMUNICABLE DISEASE IF ANY JAN 71992 WH CH DAVE 24a,(Signature) 41at 24c. YES❑ NO
RISE TO 26.IMMEDIATE CADS (ENTER ONLY ONE CAUSE PER NE FO ),(b),ANO c).) Interval between easel and death F
IMMEDIATE
CAUSE
STATING THE •`
UNDERLYING P ART a
CAUSE LAST DUE OR AS A CONSEQUENCE OF: Interval between onset and death
e b
DUE TO,OR AS A CONSEQUENCE OF: • Interval between onset and death
c
OTHER SIGNIFICANT CONDITIONS-Condiltons contributing to death but not resulting In the underlying cause given In Pert I. AUTOPSY (Specify WAS CASE REFERRED TO
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y PART Yes or No) CORONER(Speclry Yes or No)
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ACC.,SUICIDE,HOM.,UNDET., DATE OF INJURY(At,Ihy,Yrj HOUR OF INJURY DESCRIBE HOW INJURY OCCURRED
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OR oPENDING INVEST.
28b. 20c. M 28d.
INJURY AT WORK PLACE OF INJURY—AI(tome,term,sbeot factory,office LOCATION. STREET OR R.F.D.No. CITY OR TOWN STATE '
t (Spacly You or No) buildng,etc.(SpedJy� }
20e. 281. 28g. F
STATE REGISTRAR
No. 034141
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VI�RL STATISTICS, STATE OF NEVADA." This copy was issued by the Clark County health District from State
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