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Confirmation of Real Property Sale <br /> DEBLOCK,JOHNNY& IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Deed No.: 41260149 <br /> DEBLOCK,CHRISTINE Account No.: R328462 <br /> 2402 CONCOMLY RD S Sale Price: $780,000 <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIBIIIIIIIIIIIIIIIIIIIIIIII Sale Date: 09/27/2018 <br /> SALEM, OR 97306 Ratio: 104 <br /> Additional Properties: Rural Seller <br /> Situs Address: 2402 CONCOMLY SALEM, OR 97306 Appraiser: 35 <br /> 1.Total sales price: $ <br /> 2.Date sales price was agreed upon: <br /> 3.Did this transaction involve any of the following?Please check all that apply. <br /> ❑ buyer owns adjoining property ❑ estate sale ❑ partial interest conveyed ❑ trade or exchange ❑ auction <br /> ❑ distress sale ❑ buyer or seller a charitable organization ❑ buyer and seller related by business or family <br /> 4. If the buyer paid any back taxes(no ' st your share of the current year taxes)or special assessments in addition to the sale price,please <br /> state the amount: $ <br /> 5.Were any of the following included in the sales price entered in question 1?Please check all that apply. <br /> ❑ equipment/machinery ❑ livestock ❑ cro s/timber ❑ mobile home Elfurniture <br /> other: cv C Ch a`c;' <br /> Total value,known or estimated,of all items checked: $ <br /> n dCr-3 <br /> 6. Was the property listed on the open market(real estate broker,online,newspaper,etc.)at the time of purchase? <br /> es ❑ no ❑ don't know <br /> 7.Vacant land transaction only:Were any of the following on site at time of purchase?Please check all that apply. <br /> ❑electric service ❑ water/well ❑ sewer/septic E mobile home pad ❑ pavement ❑ curbs/gutters <br /> other improvements or structures <br /> If not already on site at time of transaction, has approval for a septic tank been granted? ❑ yes ❑ no <br /> 8. If farmland, is land rented? ❑ yes ❑ no <br /> If"yes",number of acres rented: Rent per acre per year: $ <br /> 9.Your opinion of condition of the structures at time of sale: ❑ poor ❑ fair ❑ average ❑ good El excellent <br /> Please describe if"poor"or"fair": <br /> Your Name: r>�= <br /> Phone#: Email: REc b i t Li <br /> A county appraiser may contact you for additional details or clarification.Thank you! NOV 0 8 2V`; <br /> MARION COUNTY <br /> ASSESSOR <br />