HomeMy WebLinkAbout20251830.tiffSeller:
Lender.
American Land Title Association
PRELIMINARY ALTA Settlement Statement- Seller
Adopted 05-01-2015
File No./Escrow No.; 2652968
Officer/Escrow Officer: Cheri Kern
Stewart 7itte Company
'1275 58th Ave
Unit C
Gr9e7r, CO 80634
(97Q) 356-$573
Properly Address: 0 VACANT LAND
GREELEY, CO 80634 (WELD)
(R6776070)
Borrower. COUNTY pE WELD, A BODY CORPORATE AND POLITIC OF THE STATE OF COLORADO, SY AND
THROUGH I'fS ROARD pF COUNTY COMMISSIONERS
1150 0 St
Greeley, CO 80631
COULSON EXCAVATING COMPANY, INC_, A COLORADO CORPORATION
3609 N, County Road 13
Loveland, CO 80538
Settlement Dale: 6/25/2025
Disbursement Date: 6/25.025
'�`i..`a`''�-rai- ,ieM.autt5sMat i Hwa!_ftiMwx...i5`6'iM'vE•..v`;it si elergiu;ga,�`..2.'}' 3a. 's•'..e l`f'^" t a
MO
Descdplion Seller
Dep.., Cm... Debits
Sakti,. of Property
EASEMENTSIIMPROVEMENTS/CONSIDERATION
P.D.C,
Debit
Credit
Proration,
Coe, Taxa tit/202510 6/25/2025 @ S78,64.eer
Title Charges
Tile • Landers TAM Durance to Stewart TIM Campan/
SVblolarz
Duo Ta Seiler
Tote's
P.O.C.
50,00
50.00
537.70
Debit
537.70
5570652.30
5577.002.00
5133.888.00
54]3.111.00
Credit
5577,000.00
6577.000.00
Acknowledgement
Wert have carefully reviewed the ALTA Settlement Statement and llrxr it Io be a True and accurate statement of all receipts and disbursements made on my account or by mein this transacliort and further certify that I have receivefl a copy or the
ALTA Semeht Statement. Well authorize Stewart Title Company to pose lne funds to be disbursed to
accordance with this statement
SELLERISI
Coulson r ing Colac
i(enne Coulson, Presidem
S
TOR
Cn
Paget of 1
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min 62652968
Printed on 6/27/2025 at 11:12 AM
2025-1830
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lAmencan Land Title Association
PRELIMINARY ALTA Settlement Statement -
Adopted OS -01-2015
Fife NelEscrow No.: 2652968 Stewart 'Ma Company
Officer/Escrow Officer:Cheri Kem 1276 68th Ave
Unit C
Greetoy, CO 80634
(970)355-5573
Property Address: 0 VACANT LAND
GREELEY, CO 80634 (WELD,
(R6776070)
Borrower: COUNTY OF WELD, A BODY CORPORATE AND POLITIC OF THE STATE OF COLORADO, BY AND
THROUGH ITS BOARD OF COUNTY COMMISSIONERS
1150 O St
Greeley, CO 80631
Seller COULSON EXCAVATING COMPANY, INC., A COLORADO CORPORATION
3509 N. County Road 13
Loveland, CO 80538
Lender:
Settlement Date: 6/26/2025
Disbursement Date: 6/26/2025
Description Borrower
iteporpe. Crecles.DebRe
P.O.C.
Debit
Credit
Sako 14. of Prop, '
EASEMEHTSAAPROVEMENTS.NSIDFRiTION
5136,68&00
PeaMkns
CoolyTase5111f2025 to =2025 @ 57B.641Yoar
5436,11200
Tide Chug,
Title- Leaders T. knob= lo Sbnan TIN Compaty
53710
Tide -...writs Incunc. b steutal Tide CasinrylPOC;04T M VI
Tide- a Pomo Fre fe ye./gonowet1 b Pm, Moon. ReroNkp SeMo
5947.00
s (R)
rEth-Recnding SeMra Foo b Flaky maw. awadkq Services (R)
Toe Nebel, fox to Stewart Tide Company
;35.06
335.00
Tide -Tex Certificate Fee to Rocky Mountain Recordnig Sakes (R)
Tlee -Loner CPL to Steven. Company {SIG Ren bone for si.arrno Guaranty
5300.00
$4460
;25,001
Tide-SeteemeMacbsWoetiWSkwed76o Cpmpany(POC;300.f10oy CaunyarS446i,,epodycotporale''''eorme
SWa of Cobredo, W art Wau9n 5s OcaN of Cauny Cammissbners)
Government Recording and lrmder Cnagar
1300,00
525.00
An., feq:Oeed to CobnlyReno. $r30o
RECORD04G5 MAO. Raley Mornt.Reccere anxicee(R) ;15000
5231b
RECORD EASEMENT RlGliT OF WAY-urn.E THOMPSON b Rooky Man.Reubdv,p 5ervi,1111 528.00
RECORD DEED OF DEDICA¶ON m Rooky Mountain aecording 5cntrestRi 513.E
St50.00
528.00
RECORD GAS EASEMENT b R.. Mountain Recordng Sent. (II) 323,00
RECORD RIGHT OP WAY EASEMENT -1a Rocky Mamtevr R�omrAnoSoMcostR)
513.00
32300
42300
$nWAls(t
P,O.C.
32300
Celt
Credlt
Otte FromBarcmer
Tad.5577,657]0
5 ,21200
51247.00
;577,695W
5577,645.00
SAM
_5577,695.00
Page 1 of 2
Flle Y 2852960
Printed on 612372025 al 2:50 Pld
Acknowledgement
"'TWeft have earehr6y mAawxl the ALTA SMkmem Statement end and it to be a true and accurate statement of ml receipts
end= made on my acsant or ny me m IhN trensaabn and turtlter certify that I have recalved a dopy of the
ALTA Set6emam rset am.Well authorize Stewart Tale Company to cause the funds to ha rhsoursed in
acoordanea w6h Ihfs statement
BORROWER,'
WaatCuay, Canada. a Befgeatwe. tbakoteo Staa oleo.*
By:I hrr�l lA�kr !)uu-A
k-4ark01�r
SESTLEME l'CIROWATOR
te_
.. Kam `/ J. 1 51.7(
U
Page 2 of 2
Rea 2952868
Printed on a(23/2025 at UR PM
The Ddtdad ➢onions of this font, eacapt d.".. tiatod additions, have been approved by the Colorado Real Estate Commission.
(CLS•bl9) (Mandatory 7.f D)
THIS FORM HAS IMPORTANT LEGAL CONSEQUENCES AND THE PARTIES SHOULD CONSULT LEGAL AND TAX OR
OTHER COUNSEL BEFORESIGNING.
CLOSING INSTRUCTIONS
Address:
Pbone No.:
Fez No..
Email Address.
deposit Eama:st MoMy into a court of competent jurisdiction and recover court costs and reasonable attomey and legal fees, or (3)
provide notice to Bhrya and Seller that unless Closing Company receive[ a copy of a Summorq and Complaint or Claim (between
Buyer and Seller) eomein odg the case numbs of the Iavmrrt (Lawsuit) within one hundred tvremy days of Closing Company's notice
m the parties, Closing Company is authotizad to rcWm the Seines[ Money t° Baryar. In the event Closing Company does receive a
copy or the Lawsuit, end has not interZi the monies D the lime of arty Order, Cledmg:rit7a ty must disburse the Earnest Mane;
pursuant to the Order of. Court
15. SUBSEQUENT AMENDMENTS. Any amendments tom termination oL these Closing Instructions must be in writing and
signed by Buyer, Seller and Closing Company.
14. CHANCE IN OWNERSHIP OP WATER WELL Within sixty day. after posing, CI°s % Competry will submit any
required Change m Ownership form or ttgiatration of existing well [osm to the Division of Water Resources in the Departmw of Natumt Rosen: (Division), with es much informetion a4 is available. Closing Company is not liable for delaying Closing to ensure
Buyer completes any required form.
IS. FIRPTA AND COLORADO WITHHOLDING.
15.1. FIRPTA. Sella agrees to cooperate with Buyer and Closing Camper, to provide any reasonably requested
dos... to ...thin Seller's foreign person status. If w thholding is required, Seiler authorizes Closing Company to withhold any
required amount from Seller's proceeds and remit it to the Internal Revenue Service.
155. Colored° Withholding, Seger agrees to cooperate with Closing Company to provide any reasonable requested
documents to determine Seller's ebtos. If withholding is required under Colorado lacy, Seller authorises Closing Company to
withhold any required amount from Seller's proceeds oral remit it to the Colorado Department of Revemhe.
16. ADDITIONAL PROVISIONS. (The tbilowfng additional provisium have not been approved by the Colorado Real Estate
Commission)
17. COUNTERPARTS. This document may bo executed by each party. separately, end wilco each party has execned a copy, such cop. taken together are deemed to be a full and complete contract between the parties.
18. BROKER'S COPIES, Closing Company must provide, to each real mtele broker in this transection, copies of all signed
documents tat such real estate broken arc required to maintain pursuant to the rules of the Colorado Real Estate Commission.
Closing Comp, is authorized by both Buyer and Se. to deliver their respective Closing Statement to one or both real estate
brokers involved in the.meotion,
19. NOTICE, DELIVERY, AND CHOICE °FLAW.
19.1. Physical Delivery aed Nona. Any document, or notice to another party must be in writing, except as provided in
619.2 and is effective when physically received by such party.
193. Electronic Notice. As an alternative to physical dein,. any notice may be delivered in electronic form to another
party ct the electronic address of the recipient by facsimile, email or(
19.3. Electronic Delivery. Electronic Delivery of documents and nonce may be delivered by (1) email at the
email
address m the re r (3) f im n link a access le amberte or server, trended Gw recipient receives the tnfomethee necessary ro access
the documents or (3)lacsimile at du facsimile numbs (Fax No.) of the recipient
I9.4. Cho. of Law. These arcing Instructions and all disputes arising hereunder are governed by end construed m
accord:co with the laws of the State of Colorado that would be applicable to Colorado residents who sign n contact in Colorado for
real property lowed in Colorado.
Buyer(s)Signature
Weld County, Colorado, 9 Body Carporale and Politic of the
State of Colorado
By((.I'�r 4 met, CL.vn.
Peif�'trtel Chair
SeHer(s) Signature
Coulson Excavating Co
Br KennethPresident`
Date: July I8, 202S
Closing Cotope ty's Name: St Tide Oompany y
Atitho . 1 get(dks Tide Date
1275 5 Ave, Unit C, Greeley, CO 80634
(970) 3 6-5573
CLaSds. CLOSING INSt'RucnoNs
1,2 as
//tstewart
TITLE
Stewart Title Comparry
1275 58th Ave, Unit C
Greeley, CO 80834
1976) 356.5573 main
teamkern@stewartcom
REAL ESTATE TAX, WATER, SEWER, HOA, PROPANE & SEPTIC AGREEMENT
Date: June 2025 File No.: 2652968
Property: 0 Vacant Land, Greeley, CO 80634
L TAXES: The basis of the tax proration is as follows:
X The previous year's taxes in the amount of $78.64
❑ An estimate of taxes for the current year. $j
❑ Local Assessed Value: Si 1 ❑ School Assessed value: $L,1
❑ Local Mill Levy I l ❑ School Mill Levy f 1
❑ Total assessed value: $r
❑ MiU Levy j 1
❑ Total Estimated Taxes: $r
❑ Other 1
❑ Tax Exemption Applies
SUCH PRORATION SHALL BE CONSIDERED A FINAL SETTLEMENT UNLESS OTHERWISE AGREED IN WRITING
BY BUYER AND SELLER. IF THE PRORATION 1S NOT FINAL SETTLEMENT, THE BUYER(S) AND SELLER(S)
HEREBY AGREE THAT THEY ASSUME FULL RESPONSIBILITY FOR PURSUING AND EFFECTING THE
ADJUSTMENT, AND STEWART TITLE COMPANY SHALL HAVE NO RESPONSIBILITY IN REGARD THERETO.
The above figures were obtained by telephone from the County Treasurer's and/or Assessor's office. Stewart Title
Company is released from any and ail liability in the event the County misquoted the assessment and/or mill levy figures.
Any further adjustments shall be made solely between the Buyer(s) and Seller(s), if necessary, and will not make or be
responsible for this re -adjustment or any liability connection therewith.
Stewart Title Company assumes no responsibility for pursuing end effectuating any readjustments and is released from
any and all responsibility for said readjustments.
Stewart Title Company assumes no responsibility for the adjustment of special assessments, taxes, or for the exception of
said items in the conveyance, unless they are shown on the County Treasurer's Certificate of Taxes Due. Seller(s)
hereby warrants that special assessments affecting subject property, Including but not limited to Homeowner's Association
dues or assessments, are pald in full, except as reflected on the statement of settlement.
II. WATER / SEWER:
PER INFORMATION FROM: j
E1 No Proration
❑ Fiat Rate items for Sewer/WastewatedStorm Water in the amount of $L__J have been prorated between buyer and
seller for the billing period of.
❑ Escrow Agent has withheld $L_❑ from the seller's proceeds to pay the final billing for any water and/or sewer
charges. Funds withheld in excess of the amount due on the final statement shall be returned to the seller. In the event
the final bill exceeds the escrowed amount, any additional charges are the responsibility of the seller and/or buyer.
❑ Escrow Agent has withheld $L_1 from the seller's proceeds to pay the final billing for any water and/or sewer
charges to be sent directly to [] Water Company for escrow to be refunded directly from them.
Fife No.: 2652966
Pagel of 2
❑ Escrow Agent has not prorated for water and sewer. Any adjustments required will be made between buyer(s) and
seller(s) and are not a part of the closing.
❑ Water/Sewer included in HOA.
III. HOMEOWNER'S/CONDOMINIUM ASSOCIATION:
The property Is subject to ONE Homeowner/Condominium Association.
® Not Applicable
❑ The homeowner's or condominium association has provided verbal or written information to the Escrow Agent, and
has indicated that for the current assessable period, the assessment ❑ has ❑ has not been paid. The assessment ❑
has ❑ has not been prorated between the buyers) and seller(s). If applicable, any working capital /transfer fees /
statement fees have also been collected per the HOA statement and purchase contract.
"By signing below, seller certifies that there are no notices of special assessment or HOA violations from any of the HOA
companies associated with this property to date other than those listed, if any, on the status letter(s) received by the HOA
company(s).
Both parties agree that any special assessments OR violations not listed on the status letter(s) will be handled outside of
this closing transaction by the parties and both sellers and purchasers agree to indemnify Stewart Title Company of any
loss due to non -disclosure of same.
IV. PROPANE:
N/A
❑ Has been paid in the amount of $j_j. Prorated at $I j and gallons
V. SEPTIC
® N/A
❑ Seller and Buyer agree to hold harmless and indemnify Stewart Title Company of any fines, fees, damages, attorney
fees and/or court costs as a result of failure to comply with the "On -site Waste Water Treatment System Transfer of Title
Inspections".
Weld County, Colorado, a Body Corporate and Politic of the
Stafe of Colorado
ByGr„yi.
Peery L: Buck, Chair
Coulson Excavating Co Inc
Kenneth Coulson, President
File No.: 2652968
Page 2 of 2
SUBDIVISION REGULATION AFFIDAVIT
This
day of , 202S
Buyers and Sellers hereby acknowledge and agree that the property described in the attached Exhibit A,
being conveyed this date, is not presently a subdivided lot and may be subject to provisions of CRS 30-
28-101 (10) (b), CRS 30-28-110 and any and all accompanying statutes.
Any claim for loss or damages as a result of the applicability of these statutes is not the responsibility of
Stewart Title Guaranty Company.
County of Weld, a Body Corporate and Politic of the State of Colorado, by and through its Board of
County Commissioners
17,7i,. 4 ad. (JMdn
By: Perry L. Buck, Chair
SUBDIVISION REGULATION AFFIDAVIT
This day of --S—L.+a86' , 2025
Buyers and Sellers hereby acknowledge and agree that the property described in the attached Exhibit A,
being conveyed this date, is not presently a subdivided lot and may be subject to provisions of CRS 30-
28-101(10) (b), CRS 30-28-110 and any and all accompanying statutes.
Any claim for loss or damages as a result of the applicability of these statutes is not the responsibility of
Stewart Title Guaranty Company.
Coulson Excavating Company, Inc., a Colorado Corporation
By: Kenneth Coulson, President
FINAL LIEN AFFIDAVIT AND AGREEMENT
Date: June _ , 2025
Property: ° Real property and improvements located In the County of Weld, State of CO, and more partdcuiarty described
as follows:
PT SW419 5 67 BEG SW COR SEC NO030E 2583.88 TO PT 50S OF NW COR SW4 S89D56E 350
544025E 534,03 TO IXISTING FENCE W S27D23E 372.46 ST4DS8E 895.11 N77D12E 250,86 N02039W
40,1 N88D42E 828,85 573O35E 141.23 S58 247E 211.3 N88D47E 76,07 TO E LN SW4 SOD236 Itti 5
W2562.26 TO BEG EXC E40 W70
0 Vacant Land, Greeley, CO 80634
File No.: 2652968
PURCHASER'S AFFIDAVIT:
The underslgned, Purchasers) of the herein described property, to Induce Stewart Title Guaranty Company to issue Its
ALTA LOAN or ALTA OWNERS Policies of Title Inaurance, without inducting therein an exception as to mechanics' (lens
or otter statutory Ilens, In connection with the property described in said commitment, or any rights thereto, where no
notice of such hens or rights appear of record, do hereby make the toNowing representations to Stewart Title Guaranty
Company with ftltl knowledge and intent that said company shall rely thereon:
1. That Utz Improvements on the real estate tereln described have been fogy completed and have been accepted by the
undersigned as completed and as satlsfactdry.
2. The full purchase price has been paid by said purchase.) to said Owner/Seller.
3. The said premises (were) (wattle) occupied by said purchaser(s) on or about
4. That me umdersdgnod are not aware of any bills for services, labor or materials used In connection with the
consr ld:r of the hnpravements located on said property which have not been paid.
5. That the undersigned have not caused arty materials to be himbhed or work lobe done on the Improvements Ibeated
on saki property or saki properly Nself, which could gWe risn to any mechanics' or other statutory I"rens, rialtos =tit=
for such material or work, have not executed any sec 02, egreemenle or 8nendng statements for materials, appliances,
Oxluras ar fumishings, placed upon the property hereto described or installed In the Improvements located on saki
property.
e. In light of the foregoing facts, the undersigned, in connection of the Iseuanee by Stewart Tulle Guaranty Company of a
policy of Title Insurance covering said property In the manner described by the undersigned as set out above, hereby
promise, covenant and agree to hold harmless, protect and Indemnify Stewart Title Guaranty Company. the Mortgagee
and 6relr suaceasors In interest from and against those liabilities, losses, damage, expenses and charges, induding but
not for a to aUomey's foes and expenses of litigation 1: reason of a
rty mechanics' or older slatuAdry Nees daims and/or
Here for services, labor ar malerlals used trt cannectioa with the consWCOon of Improvements located on said property
insofar as they pertain to Paragraphs 1 to 5 above.
Weld County, Colorado, a Body Corporate end Politic of the
State of Colorado
By(rMa G 6w.1, lL.�.
P�'fFy`C:'Buck, Chair
Fpe No.:2951aea
FMaf Lien nraaeva and Apreamenl CO
Pagel 01
Stewart Title Company
Compliance Agreement
Purchaser. County of Weld, a body corporate, politic of the State of Colorado, by, and through its Board of
County Commissioners
Seller: Coulson Excavating Company, Inc., a Colorado corporation
File No.: 2852968
Property Address: 0 Vacant Land, Greeley, CO 80634
Legal: A tract or parcel of land No. RWE-05 of the Department of Transportation, State of Colorado,
Project Code 24989, Project Number STU C030-085, being a part of the Southwest One -Quarter
(SW1/4) of Section 19, Township 5 North, Range 67 West of the Sixth Principal Meridian (6th
P.M.), County of Weld, State of Colorado, being a portion of that deed of distribution filed in the
Weld County Clerk and Recorders office under Reception No. 209032, dated March 03, 1987
and being more particularly described as follows:
COMMENCING at the Southwest Corner of said Section 19, Thence North 26°15'03" East, a
distance of 161,08 feet, to a point on the Easterly Right -of -Way line o£ Weld County Road 13 and
descrlbed In Special Warranty Deed filed in the Weld County Clerk and Recorders office under
Reception No. 3585132, dated October 20, 2008 said point being the POINT OF BEGINNING.
1. Thence departing said Easterly Right -of -Way line, South 50°52'39" East, a distance of 78.33
feet;
2. Thence North 89°58'57" East, a distance of 903.09 feet;
3. Thence South 67°29'36" East, a distance of 65.26 feet;
4. Thence North 89°58'57' East, a distance of 1466.46 feet, to a point on the East line of the
Southwest One -Quarter of said Section 19;
5. Thence along said East line, South 00'25'16" East, a distance of 40.00 feet, to a point on the
Northerly Right -of -Way line of Weld County Road 54 and described In Quit Claim Deed filed in the
Weld County Clerk and Recorders office under Reception No. 56647, dated June 18, 1895;
6. Thence departing said East line and along said Northerly Right -of -Way line, South 89°58'57'
West, a distance of 2491.89 feet, to a point on the Easterly Right -of -Way line of said Weld County
Road 13;
7. Thence departing said Northerly Right -of --Way line and along said Easterly Right -of --Way line,
North 00°29.36" East, a distance of 114.45 feet to the POINT OF BEGINNING.
Basis of Bearings: The South line of the Southwest One -Quarter of Section 19, Township 5 North,
Range 67 West of the Sixth Principal Meridian; County of Weld, State of Colorado. From the
Southwest Comer of said Section 19, being monumented by A No. 6 rebar with a 2.5 -inch
aluminum cap stamped LS 17662, in a monument box at the West end, to the South One -Quarter
corner of said Section 19, being monumented by A No. 6 rebar with 2.5 -Inch aluminum cap
stamped LS 17662, in a monument box at the East End, as Bearing North 89°58'57" East, a
distance of 2562.37 feet, being a Grid Bearing of the Colorado State Plane Coordinate System,
North Zone, North American Datum 1983/2011, with all other bearings contained herein relative
thereto.
NOTE: The following disclosure is made pursuant to C.R.S. 3835-108.5:
Said description created by Daniel Robert Holmes, PLS 38213, dated June 2&, 2024, for and on
behalf of Weld County as Project Code: 24989; Project Number. STU C030-085; Parcel Number:
R1A/E-05.
File., 2652960
It is expressly agreed and understood between the undersigned parties that Stewart Title Company is acting as Closing
Agent in the above referenced transaction and shall in no way be liable as to the accuracy or completeness of any Payoff
Statement and/or Assumption Statement that has been provided to said Company for the purposes of closing this
transaction.
I/we understand that Stewart Title Company has no influence on the payoff amounts set forth, as these amounts are
communicated to Stewart Title Company by the creditor(s). I/we understand and acknowledge that Stewart Title Company
will receive a written payoff from the creditor(s) that may be greater than the payoff received by Stewart Title Company as
of the date of closing, I/we understand that if the updated written payoff is greater than the Initial payoff received by
Stewart Title Company as of the date of closing, my/our net proceeds received from this loan (if any) may decrease
depending on the updated written payoff. I/we understand and acknowledge that l/we may be required to provide
additional payment outside of closing and made payable to Stewart Title Company in the event that the net proceeds
received from this loan will not compensate for the increase in the amount due on the updated written payoff.
Uwe understand and acknowledge that I/we may be held liable for the failure to provide any additional payment to Stewart
Title Company in the event that the net proceeds received from this loan will not compensate for any increase in the
amount due on the updated written payoff. Given the information as set forth in this Compliance Agreement, I/we choose
to close this loan today and will not hold Stewart Title Company responsible for any changes in the payoff amounts or any
additional interest accrued prior to disbursements.
Borrower affirms that he/she/they have not applied or received any forbearance or any deferment of mortgage payments
due to any government program that was created in response to the current market conditions/climate. Borrower
understands that Stewart Title Company Is relying on this information and attestation in conjunction with any payoff
statement received by lender. Should the information prove to be inaccurate and a deferment/forbearance was given and
not accounted for, Borrower understands that it is solely his/her/her responsibility to reimburse or provide said deferred
funds to Stewart Title Company,
Stewart Title Company has acted in good faith in compiling the data and information as set forth on the applicable
Settlement Statement(s). The undersigned agree that any additional funds due and payable after closing will be
immediately paid by the responsible party (s).
The undersigned hereby authorizes (Escrow Branch Revenue) to release copies of closing documents (including but not
limited to the purchase and sale contract and amendments or addendums thereto, documents obtained in satisfaction of
title commitment requirements, real estate and loan closing documents) to tenders, mortgage brokers, real estate agents
and attorneys involved In the transaction. The Company Met authorized to release any documents that contain financial
information (e.g., credit report, loan application), or the Purchaser's taxpayer identification number to real estate agents.
The Company may retain copies of all closing documents signed by the Purchaser and all documents and/or information
collected from the Purchaser in connection with the transaction.
The undersigned further agree that in the event any of the documents required in this closing misstate or inaccurately
reflect the true and correct terms and provisions thereof, and said misstatement or inaccuracy is due to a unilaterat
mistake on the part of Stewart Title Company mutual mistake on the part of the undersigned and Stewart Title
Company or clerical error, then in such event the undersigned shall upon request by Stewart Title Company and in
order to correct such misstatement or inaccuracy, execute such new documents or initial such corrected original
documents as Stewart Title Company may deem necessary to remedy said inaccuracy or mistake. The undersigned
further agrees that, in addition to any other filed fees, for any checks re -issued 6 months after the original issue date or on
any amounts escheated to the State, the Title Company will assess a $25 check handling fee. This fee will be assessed at
the time of escheat or re -issue of the funds, as applicable.
IN WITNESS WHEREOF, the party (s) has/have executed this Agreement this 25th day of June, 2025.
Weld County, Colorado, a Hedy Corporate and Politic of the Coulson cavating Co inc
State of Colorado
BY:
`-
y Kenneth Coulson, President
Perry L. Buck, Chair
File No.: 2852968
INDEMNITY AND AFFIDAVIT
AS TO DEBTS, LIENS, AND POSSESSION
To be filled in perece dlly by Seller in Nemer own handwriting.
File No.: 2852968
Real Property and improvements located in the County of Weld, State of Colorado, and more particularly described as follows:
Re SW4 79 5 67 8E0 SW COR SEC N0030E 2583.88 TO PT SOS OF NW COR SW4 589058E 35a S4gO25E 534.03 TO
EXISTING FENCE LN 527023E 372.46 S74DS6E 895.77 N77D12E 250.36 NO2D39W 48.1 N88D42E 326.85 S79D35E 741,23
SSBD4JE 211.3 N86047E 78.07 TO E LN SW4 S0O23E 7648.35 W256226 TO BEG EXC E40 W70
0 Vacant Lend, Greeley. CO 80634
Before me, the undersigned autharky on This day persona8y appeared
Coulson ExfxvaUng Company, Inc.. a Cotorodo corporation
Se..? •
personally known ro ma to ba the person(s) whose name is subscribed hereto and upon hlspter oath deposes end says that no
"'mit In benkruplty Gr repivership have boars instituted try rX against htmlher and Hat ttra marital s.i of AWaM nos not
changed since the day of eequlai8on rN said property and represema to Ha purchaser mld/or Linder in this trameetlon Mat ttnrm are:
7, No unpaid debts for Itghting and plumbing factures, water heaters, goon NmeeL heaters, air I7bIlioners, ibiras n Fmece
screens, installed outdoor tooting equipment swimming goof equipment bwR-in deednp equiprmnt bWitdn kUdten equipment,
satellite dish, radio or leievafon antennae, garage door openers, carpeting, raga, lawn sprinkfmp systems, vanaUan b8ntls, cudains and
rode, window ahatles, draperies and rods, valancda, screens, snuaers, ewn'xrgs, mimoro, ee9lor fares, ettle fans, mail boxes, security
and flrc abnn detadion equipment water softeners electric app8ances, fences, street paving, a arty personal property or fncWrss Mat
are Iodated m He subject property dasWbed above, and Mat no such items have been purchased on tbne payment comrade, and
there are no security interests on such property secured by fxtancing statement, securi4,19
reement a otherwise except He fogowing:
Cred[tor Approx.. Amount
/UiJ'tti'F
(if NONE, write "NONE" on Wank line)
2. No loans, unpaid iudgmanls, ar gem rmdudinp Fe4erel or State Llem or Judgment Liens) and no unpaid poverrvnenmi ar
association taxes, charges a assessments of any Kind on such property except Iha foltavdnp:
Creditor Approximate Amount
(If NONE, wMe "NONE" on blank line)
3. AN labor and material used in the cansiruction of improvements on He above deserted property have been paid for and (here
era now no'uncit labor or material claims apalnst the Improvements or He properly upon which soma are altirated, end f hereby
dadare Hat a9 eums of money due for the construction of improvements have been fully paid and satisfied, except the b9owinp:
/(/c T —
(If NONE, wnte "NONE" on blank line)
4. No leases, contracts la sell the lend, or par8es�m pN o�ssion other than Atfient except as folows:
Indemnily: I are to pay on dame
Comperry) M Hia aensaction, Mar our
topeMer w8h all costa, loss end attain
gees, daims, or rights ellher amently
and are eroeled by ma, known by me,
1ne deed end deed or wet
s purehasors and/or lender and/or ti8a wmpanles grMudinp Stewart TIUa Guaranty
and assigns, all amounts sewred W any and ag Ilene, daims ar rights not show above,
c that said pelves may incur in connection wiH such unmeMtoned Ilene, ProvMed eaitl
such ProPeM, or a part Hereof, or are subsequently eatabgshed against said property
en inception or attachment dale prior m the dosing of Ws aansacrion arld rerordng of
I reallse chat He Purchaser and/or Lender and Title Companies in this transaction are relying on the representations contained herein h
purchasing same or lending money Hereon and Issukig title pWldes and waula nd purohase came"lend money or Issue a Une *"'
Hereon unless said repreaenlaltons wero made. N Seiler or Borrower is en entity, I have authority fo sego on ih behalf.
Coulson Excavating
ey.
Kenneth Coulson, President
State of Colorado
County of Weld
Sub r ands.
me on this i tlay of dune. 2025 by nefzf -h C p7 -th°Yi as
of Coulson Excavadng Company, Inc., a Colorado corpgratlon.
Expires:
Fite No: 2852968
TD -1000
Confidential Document
This form provides essential market information to the county assessor to ensure accurate, fair and
uniform assessments of all property. This document is not recorded, is kept confidential, and is not
available for public inspection.
This declaration must be completed and signed by either the grantor (seller) or grantee (buyer).
Questions 1, 2, 3, and 4 may be completed (prefilled) by a third party, such as a title company or closing
agent, familiar with details of the transaction. The signatory should confirm accuracy before signing.
This form is required when conveyance documents, subject to a documentary fee, are presented for
recording. If this fort is not completed and subr fitted, the county assessor may send notice. If the
completed and signed form is not retumed to the assessor within 30 days of notice, the assessor may
impose a penalty of $25.00 or 0.925% (0.00025) of the sale price, whichever is greater.
Additional information as to the purpose, requirements, and level of confidentiality regarding this form
are outlined in Colorado Revised Statutes, sections 39-14-102, 39-5-121.5, and 39-13-102.
1. Physical Address and/or legal description of the real property sold: Please do not use P.O, Box numbers.
PT SW4 19 5 67 BEG SW COR SEC NOD30E 2583.88 TO PT 50S OF NW COR SW4 S89D56E 350 S44D25E 534.03 TO
EXISTING FENCE LN S27D23E 372.46 S74D58E 695.11 N77D12E 250.36 NO2D39W 40.I N88042E 326.85 S73D35E
141.23 S58D47E 211.3 N88D47E 76.07 TO E LN SW4 SOD23E 1646.35 W2562.26 TO BEG EXC E40 W70
0 Vacant Land, Greeley, CO 80634
2. Type ofproperty purchased: ❑ Single Family Residential O Townhome ❑ Condominium ❑ Multi -Unit Residential
❑ Commercial ❑ Industrial ❑ Agricultural ❑ Mixed Use ❑ Vacant Land ❑ Other
3. 6/25/2025
Date of Closing: mm/dd/yyyy Date of contract mm/dd/yyyy
4. $138,888.00
Total Sale Price: include all real and personal property Contracted price (if different from final sale price)
5. List any personal property included in the transaction that materially impacts the total sales price,
Personal property may include, but is not limited to, machinery or equipment, vehicles, exceptional appliances, electronic
devices, furniture, or anything that would not typically transfer with the real property (attach additional pages if necessary).
pescriution
Approximate Value
.f
S
Personal Property Total: $
If no personal property is listed, the entire purchase price will be assumed to be for the real property.
6. Diddle total sale price include a trade or exchange of additional real or personal property?
If Yes, approximate value of the goods or services as of the date of closing: S
If Yes, does this transaction involve a trade under IRS Code Section 10317
7. Was 100% interest in the real property purchased?
Mark "No" if only a partial interest is being purchased. If No, interest purchased
8. Is this a transaction between related parties or acquaintances? This includes persons connected by blood or marriage, or
business affiliates, or those acquainted prior to the transaction. 0 No O Yes
0 No O Yes
ON ❑Yes
O No 0 Yes
9. Please mark type of sale: ❑ Builder (new construction) ❑ Public (MLS or Broker Representation)
❑ Private (For Sale by Owner) E1 Other (describe)
10. Mark any of the following that apply to the condition of the improvements at the time of purchase.
❑ New ❑ Excellent ❑ Good ❑ Average ❑ Fair ❑ Poor ❑ Salvage
11. Type of financing: (Mark all that apply)
® None (all cash or cash equivalent)
❑ New/Mortgage Lender (governmen,backed or conventional bank loan)
❑ New/Private Third Party (nonconventional lender, e.g., relative, friend, or acquaintance)
❑ Seller (buyer obtained a mortgage directly from the seller)
❑ Assumed (buyer assumed an existing mortgage)
❑ Combination or Other: Please explain
12 Total amount financed
13. Terms:
❑ Variable; Starting interest rate
Length of time years
Balloon payment? ❑ No ❑ Yes If yes, amount $ Due date
o�
❑ Fhted; Interest rate
14. Mark any that apply: ❑ Seller assisted down payments ❑ Seller concessions ❑ Special terms or financing
If marked, please specify terms: N/A
I5. Was an independent appraisal obtained in conjunction with this transaction? 0 No 0 Yes
For properties OTILER THAN Rtlieotlat (Residential is defined as: single family detached, townhomcs, apartments and
condominiums), please anmptete questions 16 — !g, if applicable.
16. Did the purchase price include a franchise or license fee? E) No ❑ Yes
If yes, franchise or license fee value $
17. Did the purchase price involve an installment land contract? 1l No ❑ Yes
If yes, date of contract
18. If this is vacant land, was an on -site inspection conducted by the buyer prior to the closing? ❑ No ❑ Yes
Please include any additional information concerning the transaction and price paid that you feel is important.
6/25/2025 County of Weld, a body corporate and politic
of the State of Colorado, by and through its
C Board of County Commissioners
Srgrrature of Grantee (Buyer) Date mro/dd/yyyy Printed name of Grantee
6/25/2025
Signature of Grantee (Buyer) Date mm/dd/yyyy Printed name of Grantee
Buyer Mailing Address: Future correspondence (tax bills, property valuations, etc.) regarding this property should be mailed to:
1150 O St Greeley, CO 80631
Address (mailing) City
Daytime Phone
State Zip Code
PItUCKQWELD.GOV
Email Address
Contact information is kept confidential, for County Assessor and Treasurer use only, to contact buyer with questions regarding
this form, property valuation, or property tax information
0 docusign.
Certificate Of Completion
Envelope Id:1A7D8901-2678-4CD5-B79F-D42943D83367
Subject Complete with Docusign: 2652968 buyer documents 20250624135754435.pdf
GEM
Source Envelope:
Document Pages: 13 Signatures: 7
Certificate Pages: 2 Initials: 0
AutoNav: Enabled
Envelopeld Stamping: Disabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
Record Tracking
Status: Original
6242025 4:35:53 PM
Status: Completed
Envelope Originator:
Gina Cruz
1360 Post Oak Blvd #100
Houston, TX 77056
Gina.Cruz@slewartcom
lP Address: 163.116.147,130
Hotder: Gina Cruz Location: DocuSign
Gina. Cruziastewart.com
Signer Events Signature
Perry L. Buck, Chairs
pbuck wald.gov
Weld County Commissioner Pro Tem
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted: 624!2025 4:47:15 PM
ID:6deb7aea-30da-430b-a7H-0fa746abeaba
Company Name: Escrow Operations Manager
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t,vvtl (,, butt;, (,Icaura
�rooecscctceaa
Signature Adoption: Pre -selected Style
Using IP Address: 204.133.39.9
Signature
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Electronic Record and Signature Disclosure
Timestamp
Sent: 6/242025 4:39:29 PM
Viewed: 624/20254:47:15 PM
Signed: 6/25202510:41:29 AM
Timestamp
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Timestamps
6/242025 4:39:29 PM
6124/2025 4:47:15 PM
6/25/202510:41:29 AM
6/25/2025 10:41:29 AM
Timestamps
Parties agreed to: Perry L, Buck, Chains
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prefer, you may receive information and sign Transaction documents by electronic means. To do this, Stewart requires
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can consent to receive these materials electronically using a -mails and Electronic Communications by signing below.
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You have the right to have any Transaction document and communication provided in paper form by contacting Stewart
You have the right to withdraw your consent by contacting Stewart. Further contact details are provided in the attached
consent form. However,,aty documents you signed electronically before you withdrew your consent will be considered
kgany valid and enforceable.
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