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Confirmation of Real Property Sale <br /> Rural Buyer: 1110111111111111111IMIIN Deed#: 43730406 <br /> CLARE,SHAWN D 560568 Account: 11111111111111 <br /> 10550 LAKE DR SE Sale Price: $500,000 <br /> SALEM, OR 97306 1111I1111111II111111 Sale Date: 8/19/2020 <br /> MTL: 093W1060 03000 <br /> Situs Address: 10550 LAKE DR SE SALEM OR 97306 MaSa Nh/P.Class: 0706000 /401 <br /> 1. Total sales price: $ 500 0001 <br /> 2. Date sales price was agreed upon: _ -JO Zc z.h `49 <br /> 3. Was an appraisal completed? `�no ❑ yes,appraised value:$ _ !1!�'j`\ O� <br /> 4. Did this transaction involve any of the following?Please check all that apply. ['v .�C1t'� <br /> Elbuyer owns adjoining property ❑estate sale ❑partial interest conveyed ❑trade or exchange ❑ auction, c' C bC� <br /> 0 distress sale ❑ buyer or seller a charitable organization ❑ buyer and seller related by business or family tss <br /> 5. Financing: ❑none ig conventional ❑ FHA ❑ 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 the <br /> amount: $ __kr"_kr" <br /> 7. 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: $ _ '_ <br /> 8. -Wasthe properly listed on the open market(real estate broker,online,newspaper,etc.)at the time of purchase? <br /> Oyes ❑no ❑don't know <br /> 9. Vacant land transaction only:Were any of the following on site at time of purchase?Please check all that apply. <br /> a electric service Na water/well 10 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 /> 10. If farmland,is land rented? ❑yes--j-ne— ❑pie,but plan to rent it <br /> if'yes",number of acres rented: Rent per acre per year: $ <br /> 11. What do you consider to be the principal element(s)of value in determining what you were willing to pay for this property?Please check <br /> all that apply. <br /> ❑dwelling N location ❑ topography %subdivision ❑ view ❑ speculation El farm or timber land <br /> ❑standing bmber l)other: Sr_A c.1ia_ <br /> 12.Your opinion of condition of the structures at time of sale: ❑ poor tZt fair ❑average ❑ good ❑excellent <br /> Please describe if'poor or"fair :: (\1e As_ curl d_. .acid-iily Yk_iitucykdtld <br /> a .. <br /> 13.Have any improvements been made to the property since time of purchase?Please scribe: _() <br /> NO ,\ nTT <br /> Your Name: A <br /> Y1Nw t' 1-A9 ___— _ _ Email: C\ 1IL2 ,+wv qoNp <br /> i• CQ _._____--_ ..... <br /> Phone d: 514 I— 2:23_-31 - <br /> A county appraiser may contact you for additional details or clarification.Thank youl <br />