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Confirmation of Real Property Sale <br /> JOHNSON,RANDY PAUL& IIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIIIIIII Deed No.: 41220028 <br /> JOHNSON,KATHERIN Account No.: R19324 <br /> 5524 HAZELGREEN RD NE Sale Price: $220,000 <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Sale Date: 09/18/2018 <br /> SALEM,OR 97305 Ratio: 115 <br /> Additional Properties: Rural Seller <br /> Situs Address: 5524 HAZELGREEN SALEM, OR 97305 Appraiser: 11 <br /> 1.Total sales price: $ 22.0, 000 <br /> 2.Date sales price was agreed upon: dLAt ( 401 4 <br /> 3.Did this transaction involve any of the following?Please check all that apply. <br /> sf 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: $ 7 C <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: <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 A 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 /> ❑ electric service ❑ water/well ❑ sewer/septic ❑ mobile home pad ❑ pavement ❑ 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? ❑ yesno <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: poor ❑ fair ❑ average ❑ good ❑ exce lent <br /> Please describe if"poor"or"fair: _Ne. s i of' V t L' ' d file/'12 oda _ 6 t C i <br /> iocki i- , c,411 , •JIB fki 6 6, <br /> 1 Gabe,n�4-, co(Ariters, barb 0 _ 5 <br /> ©rd 4 6 IS <br /> Your Name: 7'1P1 f Q cli 05C fl <br /> f OPhone#: 563 ' 82 o Cs� Email: �IvoIGrC,S ? jrfl1iI1c41, <br /> EC1 <br /> RE.0A county appraiser may contact you for additional details or clarification.Thank you! <br /> OCA 29 2018 <br /> MARION GOON <br /> p,SSESSOR <br />