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Confirmation of Real Property Sale <br /> BURGIN,DANIEL GLENN& RECEIVED IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIaIIII Deed No.: 41440481 <br /> BURGIN,ZENAS LYNN Account No.: R47909 <br /> 839 DELTA DR NE JAN 2 8 2019 Sale Price: $295,000 <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Sale Date: 11/28/2018 <br /> KEIZER, OR 97303 MARION COUNTY <br /> Ratio: 94 <br /> ASSESSOR <br /> Situs Address: 839 DELTA DR NE KEIZER, OR 97303 Property Type: 101 <br /> 1. Total sales price: $ dR5,000 <br /> 2. Was an appraisal completed? ❑ no pies, appraised value:$ OAFS(D00__ <br /> 3. Did this transaction involve any of the following?Please check all that apply. <br /> ❑ distress sale ❑ estate sale ❑ partial interest conveyed ❑ trade or exchange ❑ auction <br /> 0 buyer owns adjoining property ❑ buyer or seller a charitable organization ❑ buyer and seller related by business or family <br /> 4. Did the seller make any concessions such as paying for repairs,typical buyer-responsibility closing costs,etc.? <br /> Please describe: Ione_ <br /> 5. Financing: ❑ none 2onventional ❑ 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 <br /> the amount: $ / <br /> 7. Personal property(other than appliances)included in the transaction? <br /> Description: Estimated Value: $ <br /> 8. Was the property listed on the open market(real estate broker,online,newspaper,etc.)at the time of purchase? <br /> Byes ❑ no ❑ don't know <br /> 9. Your opinion of condition at time of purchase?Please check one only. <br /> 0 good or excellent:new,recently updated or remodeled,describe remodel: <br /> ❑ average: regularly maintained, no significant problems <br /> fair:deferred maintenance,some repairs needed,describe: <br /> ❑ poor:multiple significant maintenance/repair issues,describe: <br /> 10.Have any improvements been made to the property since time of purchase?Please describe: <br /> 11.Is this purchase any of the following? 0 duplex,or house with additional dwelling unit 0 triplex 0 fourplex <br /> If one of the above, projected monthly rent per average rental unit? $ <br /> Rent includes?Please check all that apply ❑ water ❑ sewer 0 garbage ❑ other: <br /> Your Name: 2•enas <br /> Daytime phone#: q(06-0c50-1783 - Email: iatrgt fl &\J Lf wr' <br /> A county appraiser may contact you for additional details or clarification.Thank you! <br />