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Confirmation of Real Property Sale <br /> Rural Seller: IUliN I11111IV11Ill Deed II: 43650177 <br /> DUCK INN GROUP LLC 515304 Account: MUM <br /> 799 COVEY LN NE Sale Price: $210,000 <br /> SALEM, OR 97317 IIIIIIIIIIIIIII101111 Sale Date: 7/30/2020 <br /> MTL: 052W3580 01300 <br /> Situs Address: 12008 DUCK INN RD NE GERVAIS OR 97026 MaSaNh/ P. Class: 0206000 /550 <br /> 1.Total sales price: $ I U)NO O w <br /> 2.Date sales price was agreed upon: 1 /3.012_03.p C)) .y0 +'� <br /> ti <br /> 3.Did this transaction involve any of the following?Please check all that apply. OCA tG60P <br /> O ci <br /> ❑buyer owns adjoining property ❑estate sale ❑ partial interest conveyed ❑trade or exchange ❑auction CPQ �i <br /> 0 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, <br /> please 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 /> LI equipment/machinery 9 livestock ❑crops/timber ❑ mobile home ❑ furniture <br /> El other: N/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 /> ayes 9 no 9 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 9 pavement 9 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? ayes ❑no <br /> 8.If farmland,is land rented? ❑yes 21 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": N/lk _. <br /> Your Name: _ark A riatiyhvy.._.__.. Email: am)! ctrLCc .JVuko,. Cam <br /> Phone#: 503- a,q l— + S <br /> A county appraiser may contact you for additional details or clarification,Thank you! <br />