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Confirmation of Real Property Sale <br /> DESPATIS,IAN K J IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Deed No.: 41350144 <br /> 14123 SAN GABRIEL CT RECEIVED Account No.: R49919 <br /> Sale Price: $165,000 <br /> JAN 22 2019 MIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Sale Date: 10/25/2018 <br /> RANCHO CUCAMONGA, CA 91739 Ratio: 93 <br /> 4ARION COUNTY <br /> Additional Properties: ASSESSOR Rural Seller <br /> Situs Address: 5695 BARCELONA SALEM, OR 97317 Appraiser: 11 <br /> 1.Total sales price: $ /c/)j 000 <br /> 2.Date sales price was agreed upon: _ /o/d //- <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(not just your share of the current year taxes)or special assessments in addition to the sale price,please <br /> state the amount: $ r� <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: A, <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 /> Ji yes ❑ 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 ❑ 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? 1 yes ❑ no <br /> 8.If farmland, is land rented? ❑ yes ❑ no Or- <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 ❑ excellent <br /> Please describe if"poor"or"fair": _ ,l/-A <br /> Your Name: <br /> T(_c\f <br /> Phone#: -�� (2 Email: ('iA1,(PC.$2. (/1,i�;'l C c . &R — <br /> A county appraiser may contact you for additional details or clarification.Thank you! <br />