HomeMy WebLinkAboutHOLM, ERIC (2) C
When Recorded Return to
Bremerton City Clerk
345 6th Street, Suite 600
Bremerton, Washington 98337 -1873
BREMERTON CITY OF 201105030077 \
Termination Of Agreement Rec Fee $ 64 00
05/03/2011 08 57 AM Page 1 of 3
Walter Washington, Kitsap Co Auditor
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AUDITOR/RECORDER'S INDEXING FORM
Document Title(s) 1 Termination of Reimbursement Agreement for Extended Water Mains
Reference Number(s) of Documents assigned or 201011150119
released
Grantor(s) 1 City of Bremerton
Additional names on page 2 & 3 of document
Grantee(s) 1 Eric Holm
7 Additional names on page 2 of document
Legal Description Ptn S/E' /<ofthe SW 1 /4, S2 T24N RIE, W M, Kitsap County, Washington
(abbreviated)
Additional legal is on page 1 of document
Assessor's Property Tax 022401 -3 -153 -2004, 022401 -3 -154 -2003, 002401 -3 -172 -2001, 022401-3 -
Parcel /Account Number 173 -2000, 022401 -3- 174 -2009, 022401 -3- 175 -2008, 022401 -3- 176 -2007,
022401 -3- 177 -2006, 022401 -3 -178 -2005, 022401 -3 -179 -2004, 022401 -3-
180 -2001, 022401 -3- 093 -2007, 022401 -3- 018 -2009, 5567- 000 - 016 -0006,
5567- 000 - 008 - 0006,5567- 000 - 007 - 0007,5567- 000 - 009 - 0005,5567 -000-
010- 0002,5567- 000 - 012- 0000,5567- 000 - 011- 0001,5567- 000 - 006 -0008,
5567- 000 - 001 - 0003,5567- 000 - 005- 0009,5567- 000 - 002 - 0002,5567 -000-
004- 0000,5567- 000 - 003 - 0001,5567- 000 - 014 - 0008,5567- 000 - 015 -0007,
022401 -3- 181 -2000
TERMINATION OF REIMBURSEMENT AGREEMENT
FOR EXTENDED WATER MAINS
The City of Bremerton and Eric Holm entered in to a Reimbursement Agreement for Extended
Water Mains Said Reimbursement Agreement was recorded on November 15, 2010, under Recording
No 201011150119 in the office of the Kitsap County Auditor, State of Washington and affects Tax
Parcel Nos 022401 -3 -153 - 2004,022401 -3- 154 -2003, 002401-3- 172 - 2001,022401 -3- 173 - 2000,022401- 3 -174-
2009, 022401 -3 -175 -2008, 022401 -3- 176 -2007, 022401 -3- 177 -2006, 022401 -3- 178 -2005, 022401 -3- 179 -2004,
022401 -3- 180 -2001, 022401 -3- 093 -2007, 022401 -3- 018 -2009, 5567- 000 - 016 -0006, 5567- 000 - 008 -0006, 5567-
000- 007 - 0007,5567- 000 - 009 - 0005,5567- 000 - 010 - 0002,5567- 000 - 012 - 0000,5567- 000 - 011 - 0001,5567 -000-
006- 0008 ,5567- 000 - 001 - 0003,5567- 000 - 005- 0009,5567- 000 - 002 - 0002,5567- 000 - 004 - 0000,5567- 000 -003-
0001, 5567- 000 - 014 -0008, 5567- 000 - 015 -0007, 022401 -3 -181 -2000 The parties desire to terminate the
TERMINATION OF REIMBURSEMENT AGREEMENT
Page 1 of 3
Reunbursement Agreement Accordingly, the Reimbursement Agreement is hereby terminated and of no
further force or effect Any and all obligations and requirements of the parties to the Reimbursement
Agreement are hereby satisfied and released
DATED this / day of A O)&L , 2011
CITY OF BREMERTON
BY�
PATTY LE"ayor
p�
STATE OF WASHINGTON )
ss
COUNTY OF KITSAP )
On this day, before me appeared Patty Lent, Mayor of the City of Bremerton, the municipal
corporation that executed the foregoing instrument, and acknowledged the said instrument to be the free
and voluntary act and deed of said municipal corporation, for the uses and purposes therein mentioned,
and on oath stated that she was authorized to execute the said instrument on behalf of said municipal
corporation
GIVENrih official seal this �h day of ' 2011
:z
OZ
` PuBoG °; of blic in and for the State, of
t . 0 Z5.�� °�1 Washington, residing
Fp�r Wf�` f My appointment expires
DATED this day of , 2011
ERIC HOLM
STATE OF WASHINGTON )
) ss
COUNTY OF KITSAP )
On this day, before me a Notary Public in and for the State of Washington, personally appeared
Eric Holm to me known to be the individual that executed the foregoing instrument, and acknowledged it
to be his free and voluntary act for the uses and purposes mentioned in this instrument, and on oath stated
that he was authorized to execute said instrument
GIVEN under my hand and official seal this 1$t" day of , 2011
TERMINATION OF REIMBURSEMENT AGREEMENT
Page 2 of 3
d `a
p�111t�1111111//g
.`�� N °P•
�,MISS/p
A %' l "�uc
y�. Notary Public In and fort t of
Washington, residing at
My appointment expires Al IN
APPROVED AS TO FORM
ROMER A LUBOVICH, City Attorney
TERMINATION OF REIMBURSEMENT AGREEMENT
Page 3 of 3