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CONFIRMATION OF MANUFACTURED STRUCTURE SALE <br /> GUNDERSON,RON E 11111113111111111111111111111111111111111 Account No.: M126242 <br /> 9874 GOLF CLUB RD SE#48 Deed No.: BCD <br /> STAYTON, OR 97383 Sale Price: $7,500 <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Sale Date: 09/27/2018 <br /> Ratio: 189 <br /> 9874 GOLF CLUB RD SE,#48 STAYTON, OR 97383 <br /> Situs Address: <br /> 1. Total sales price: $ <br /> 2. Was an appraisal completed? no ❑ yes, appraised value: $ <br /> 3. Did you also purchase the land? 'no ❑ yes,separate price was:$ <br /> 4. Did this transaction involve any of the following?Please check all that apply. <br /> distress sale ❑ auction ❑ trade or exchange ❑ partial interest conveyed ❑ buyer and seller related by business or family <br /> ❑ estate sale ❑ buyer owns adjoining property ❑ buyer or seller a charitable organization <br /> 5. Financing: none ❑ conventional ❑ FHA ❑ Oregon VA ❑ contract ❑ other: <br /> 6. If you paid any back taxQs(not just your share of the current year taxes)or special assessments in addition to the sale price, please state <br /> the amount: $ i <br /> 7. Personal property(other than appliances)included in the transaction? <br /> Description: Estimated Value:$ <br /> 8. Was the property listed on the open market(real estate broker,online, newspaper,etc.)at the time of purchase? <br /> ❑ yesno ❑ don't know <br /> 9. Your opinion of condition at time of purchase?Please check one only. <br /> ❑ good or excellent: new, recently updated or remodeled,describe remodel: <br /> ❑ average: regularly maintained, no significant problems <br /> ❑fair:deferred maintenance,some repairs needed,describe: <br /> poor:multiple significant maintenance/repair issues,describe: 1 <br /> 10. Inter' r features: please check any that apply. <br /> drywall walls ❑ solid wood cabinets ❑ kitchen recent remodel ❑ bath recent remodel ❑ air conditioning and/or heatpump <br /> 11. Have any improvements been made to the property since the time of purchase?Please describe: <br /> Your Name: Vesfyt) 4,4 3.6 t'P.f&.(1 <br /> Daytime phone#:97(_33Jok Email: <br /> A county appraiser may contact you for additional details or clarification.Thank you! RECEIVED <br /> NOV 02 2018 <br /> MARION COUNTY <br /> ASSESSOR <br />