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Confirmation of Real Property Sale <br /> HARCHENKO,JERRAL D IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Deed No.: 42800019 <br /> C/O INDUSTRIAL AVIATION � R56101 Account No.: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIII <br /> PO BOX 20515 G� Sale Price: $781,280 <br /> RN 15 11111111111111E1111111111111111111111111111111111111111111 Sale Date: 12/19/2019 <br /> KEIZER,OR 97307 �,' GJ�P Ratio: 90 <br /> Additional Properties: R56098;R56100 �0� 5' MTL: 062W03B 01400 <br /> Q` 5 <br /> Situs Address: 0P P Rural Seller Appraiser: 06 <br /> 1.Total sales price: $ ,01 £9v <br /> 2.Date sales price was agreed upon: t_Z/i <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/c,.11 all that apply. <br /> quipment/machinery ❑ livestock ❑crops/timber ❑ mobile home rture <br /> ❑other: <br /> Total value,known or estimated,of all items checked: $ <br /> 6. Was the propep listed on the open market(real estate broker,online,newspaper,etc.)at the time of purchase? <br /> 0 yes 21c, ❑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 ❑ pavement 0 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? 0 yes 0 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: 0 poor ❑fairaverage ❑good ❑excellent <br /> Please describe if"poor"or"fair": <br /> Your Name: JAirk EIS JI 55P-44 .107?2.AL . tL" '-'4`? r✓.A� �� cam_ </ZA072 2SSc-;, <br /> � <br /> Phone#: - -- - Email: _Lc\ 8 v „ 1c <br /> A county appraiser may contact you for additional details or clarification.Thank you! <br />