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Confirmation of Real Property Sale <br /> CROWTHER,ADAM JAMES II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Deed No.: 41670279 <br /> 107 SW JOHNSON ST Account No.: R34384 <br /> Sale Price: $170,000 <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Sale Date: 02/15/2019 <br /> SUBLIMITY,OR 97385 Ratio: 131 <br /> Situs Address: 617 W IDA ST STAYTON,OR 97383 Property Type: 101 <br /> 1. Total sales price: $ 1 Q 0 V CCS <br /> 2. Was an appraisal completed? Ono ❑ yes,appraised value:$ <br /> 3. Did this transaction involve any of the following?Please check all that apply. <br /> 0 distress sale 0 estate sale ❑ partial interest conveyed ❑ trade or exchange ❑ auction <br /> ❑ buyer owns adjoining property ❑ buyer or seller a charitable organization ❑ buyer and seller related by business or family <br /> 4. Did the seller make any concessions such as paying for repairs,typical buyer-responsibility closing costs,etc.? <br /> Please describe: <br /> 5. Financing: one 0 conventional ❑ FHA 0 Oregon VA ❑ contract ❑ other: _ <br /> 6. If you paid any back taxes(not just your share of the current year taxes)or special assessments in addition to the sale price,please state <br /> the amount: $ <br /> 7. Personal property(other than appliances)included in the transaction? <br /> Description: JOD Estimated Value:$ <br /> 8. Was the prop y listed on the open market(real estate broker,online, newspaper,etc.)at the time of purchase? <br /> ❑ yes no ❑ 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 /> 0 fair:deferred maintenance,some repairs needed,describe: <br /> 'oor:multiple significant maintenance/repair issues,describe: _ <br /> 10.Have any improvements been made to the property since time of purchase?Please describe: <br /> 11.Is this purchase any of the following? ❑ duplex,or house with additional dwelling unit ❑ triplex ❑ fourplex <br /> If one of the above, projected monthly rent per average rental unit? $ <br /> Rent includes?Please check all that apply ❑ water 0 sewer 0 garbage 0 other: <br /> Your Name: L[>�'y-1 l iceo w'1"1/ ./NI - <br /> Daytime phone#: 571_,37c35 Email: _ acy-0 grvNq��,c.Uri-k <br /> A county appraiser may contact you for additional details or clarification.Thank you! J RECEIVED <br /> MAR 13 2019 <br /> MARION COUNTY <br /> ASSESSOR <br />