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Confirmation of Real Property Sale Rural Seller: IIIIIIIIIIIIIIIIIIINIIIIIImIIIIIIMIIIIIIIIIR Deed n: 43900376 SHULTZ,JODI L 531633 Account: IIIYINIIIIIIIIRIIIIDII@I 3223 INLAND DR SSale Price: $890,000 SALEM,OR 97302 911@I@IYIIINIIIIII@I@INI'#@@MIN Sale Date: 9/29/2020 MTL: 083 W 07A0 02900 Situs Address: 3223 INLAND DR S SALEM OR 97302 MaSaNh/ P. Class: 0606000 /401 1.Total sales price: $ J'xl°N ft'/"' Q9 D, 2.Date sales price was agreed upon: ') _/ 2-4' 207-0 3.Did this transaction involve any of the following?Please check all that apply. ❑buyer owns adjoining property ❑estate sale ❑partial interest conveyed ❑trade or exchange ❑auction ❑distress sale ❑buyer or seller a charitable organization ❑buyer and seller related by business or family 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 state the amount: $ - 5.Were any of the following included in the sales price entered in question 1?Please check all that apply. Vo ❑equipment/machinery 5 livestock 5 crops/timber ❑mobile home Furniture l,�V ❑other: j ate 43 Total value,known or estimated,of all items checked: $ 3y 000 . ("C> J\ \4VOQ 55 F. Wasgttprnperty listed on the open market(real estate broker,online,newspaper,etc.)at the time of purchase? Ty`PPO04i yes 0 n ❑don't know 7.Vacant land transaction only:Were any of the following on site at time of purchase?Please check all that apply. ❑electric service 5 water/well 5 sewer/septic 5 mobile home pad 5 pavement ❑curbs/gutters other improvements or structures: If not already on site at time of transaction,has approval for a septic tank been granted? ❑ yes 5 no B.If farmland,is land rented? ❑yes 5 no If"yes",number of acres rented: _ Rent per acre per year: $ 9.Your opinion of condition of the structures at time of sale: 0 poor 5 fair ❑average [poaod 0 excellent Please describe if"poor"or"fair: _ - - h P5Injfz c� rvyr\(et C4 Your Name: _�Jpc�> � u.(.Y� Email: Da— c,� Phone#: , o3., Sd° —x7374 A county appraiser may contact you for additional details or clarification.Thank you!