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Confirmation of Real Property Sale <br /> ELLINGSWORTH,MICHAEL S& <br /> 1111111111111111111111111111111111111111H111111 Deed No.: 40200270 <br /> Account No.: R96073 <br /> ELLINGSWORTH,CARRIE L <br /> 420 LORI AV SE Sale Price: $285,000 <br /> IIIIIIIIIIIIII611IIIIIII111111IIIIIIIIIIIIIIIIIIIIIIII Sale Date: 11/30/2017 <br /> SALEM,OR 97302 Ratio: 91 <br /> Situs Address: 420 LORI SALEM,OR 97302 Property Type: 101 <br /> 1. Total sales price: $ ) C 000 " !' <br /> no yes, appraised value:$ --__ vGv1,(611 ' <br /> 2. Was an appraisal completed? ❑ � -- � Q J�Ct <br /> 3. Did this transaction involve any of the following?Please check all that apply. p <br /> andc) <br /> seller relatedpersonally or professionally 0 partial interest conveyed ❑ trade or exchange ❑ auction q°5t�5� <br /> ❑ buyer �P P5 <br /> ❑distress sale ❑ estate sale ❑ buyer owns adjoining property ❑ buyer or seller a charitable organization <br /> 4. Did the seller make any concessions such as paying for repairs,typical buyer-responsibility closing costs,etc.? <br /> Please describe: <br /> 5. Financing: ❑ none It conventional 0 FHA ❑ Oregon VA ❑ contract 0 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: —. — — -- <br /> Estimated Value:$ <br /> 8. Was the property listed on the open market(real estate broker,online,newspaper,etc.)at the time of purchase? <br /> ® yes 0 no 0 don't know <br /> 9. Your opinion of condition at time of purchase?Please check one only. <br /> ❑good or excellent: new,recently updated or remodeled,describe remodel: <br /> 63 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 ❑triplex 0 fourplex <br /> If one of the above,projected monthly rent per average rental unit? $ - -----Rent includes?Please check all that apply 0 water ❑ sewer 0 garbage 0 other: ----- <br /> Your Name: (NA',Oka 0 ( - 40- <br /> Daytime phone#: 5O ))c3 /G 2g'/— - Email: ----- <br /> A county appraiser may contact you for additional details or clarification.Thank you! <br />