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Confirmation of Real Property Sale <br /> DELANY FAMILY LLC 11111111111111111111111111111111111111 1111 Deed No.: 41300130 <br /> 21318 HAZELNUT RIDGE RD NE REcEpJE[, Account No.: R38163 <br /> Sale Price: $225,000 <br /> NO V Q j 2018 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Sale Date: 10/09/2018 <br /> SCOTTS MILLS, OR 97375 Ratio: 49 <br /> MARION COUNTY <br /> Additional Properties: ASSESSOR Rural Seller <br /> Situs Address: 21328 HAZELNUT RIDGE SCOTTS MILLS, OR 97375 Appraiser: 94 <br /> 1.Total sales price: $ 22-5} 40D <br /> 2.Date sales price was agreed upon: q—/ 71( <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 0 buyer and seller related by business or family <br /> 4. If the buyer paid any back taxes of just your share of the current year taxes)or special assessments in addition to the sale price,please <br /> state the amount: $ /2/9— <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: no <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 /> ❑ 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 /> 121 electric service CRt water/well wt sewer/septic ❑ mobile home pad ❑ pavement R curbs/gutters <br /> other improvements or structures VVIID bLQ ( oktk.e.., bPrirlA - cc✓2U'.Ac-i-(7 <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? Les 0 no <br /> If"yes",number of acres rented: -4 Rent per acre per year: $ 2/D <br /> 9.Your opinion of condition of the structures at time of sale: ❑ poor 0 fair fc average ❑ good ❑ excellent <br /> Please describe if"poor"or"fair": '\ <br /> Your Name: D/ uru the(,l-- - , a Li - ,CG 1 <br /> Phone#: 51)5—'5(0 q(0(p Email: --6,6A--c..31(. q a2oQ3 *iiiiilkiibgli <br /> A county appraiser may contact you for additional details or clarification.Thank you! <br />