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Confirmation of Real Property Sale <br /> GOIN,FLOYD HH & IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Deed No.: 41510373 <br /> GOIN,SHIRLEY R RECEIVED Account No.: R36880 <br /> 34195 PARKWOODS DR NE Sale Price: $305,000 <br /> JAN 14 2019 IIII11111111111111111111119111111111111111111111111 Sale Date: 12/19/2018 <br /> ALBANY, OR 97322MARION COUNTY Ratio: 123 <br /> Additional Properties: R36883 ASSESSOR MTL: 102W07CD01800 <br /> Situs Address: 3839 JEFFERSON-SCIO DR SE JEFFERSON, OR 97352 Rural Seller Appraiser: 35 <br /> 1.Total sales price: $ 305 ) .op <br /> 2.Date sales price was agreed upon: 1 J l5 J2iS _ <br /> 3.Did this transaction involve any of the following?Please check all that apply. <br /> ❑ buyer owns adjoining property '21 estate sale ❑ partial interest conveyed ❑ trade or exchange ❑ auction <br /> ❑distress sale ❑ buyer or seller a charitable organization Et buyer and seller related by business or family <br /> 4. If the buyer paid any back taxes(not just your share of the current year taxes)or special assessments in addition to the sale price,please <br /> state the amount: $ 9 <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 ❑ crops/timber ❑ mobile home ❑ furniture <br /> ❑ other: <br /> Total value,known or estimated,of all items checked: $ _ <br /> 6. Was the property listed on the open market(real estate broker,online, newspaper,etc.)at the time of purchase? <br /> ❑ yes kno ❑ 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 lyj water/well sewer/septic ❑ mobile home pad ❑ pavement ❑ curbs/gutters <br /> other improvements or structures f3Q <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 10 average ❑ good ❑ excellent <br /> Please describe if"poor"or"fair": <br /> Your Name: urea A_.1Ne5`)'kyco paQrc6n}Gr},vo .j' fhyd 6, G04-, <br /> Phone#: 541 (> -`rkl Email: t"CLJ_eStD-(52, 5 e _MSn,Gor�__ <br /> A county appraiser may contact you for additional details or clarification.Thank you! <br />