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Confirmation of Real Property Sale <br /> HERB,DANIEL JOSEPH& ® IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Deed No.: 43360453 <br /> HERB,KELLY ANNE �� R60403 Account No.: lIII III IIOIIIlllhIIIIIIIIIIIIIIIll <br /> 9622 BELLA VISTA WAY sSale Price:`y I1111111111001011101110101011010101101111 Sale Date: 05/22/2020 <br /> 00 <br /> � <br /> SALEM,OR 97306 GP-d` Ratio: 113 <br /> Additional Properties: QQSS, MTL: 084W12D 03400 <br /> Situs Address: 4195 SUNSET RIDGE RD SSALEM,OR 97302 Rural Seller Appraiser: 35 <br /> 1.Total sales price: $ —1(b5 ^ <br /> 2.Date sales price was agreed upon: 5j92 1 <br /> ao <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: $ <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: $ 2-00C) <br /> 6. Was the property listed on the open market(real estate broker,online,newspaper,etc.)at the time of purchase? <br /> 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 0 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? ❑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 ❑excellent <br /> Please describe if"poor"or"fair": <br /> Your Name: 'e\�__ � <br /> Email: `k �C:J f�1/1Y1 ) �yV1 <br /> Phone#. �� I�J L— �- <br /> A county appraiser may contact you for additional details or clarification.Thank you! <br />