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Confirmation of Real Property Sale <br /> BUSHWAU GROUP LLC IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Deed No.: 41410234 <br /> 5433 SUNNYVIEW RD NE Account No.: R23537 <br /> Sale Price: $132,000 <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIII Sale Date: 11/15/2018 <br /> SALEM,OR 97305 Ratio: 78 <br /> Additional Properties: MTL: 072W16D 01200 <br /> Situs Address: Rural Seller Appraiser: 11 <br /> 1.Total sales price: $ ' 2-1 too Q <br /> 2. Date sales price was agreed upon: J • 2_Z- � ( 0 <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 check all that apply. <br /> 0 equipment/machinery ❑ livestock 0 crops/timber ❑ mobile home ❑ furniture <br /> ❑ ki0other: <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 Ei 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 /> 0 electric service ❑ water/well ❑ sewer/septic ❑—� omobile home pad ❑ pavement ❑ curbs/gutters <br /> other improvements or structures tJ Q(. , J i 1.t'i LarND <br /> If not already on site at time of transaction,has approval for a septic tank been granted? ❑ yes El4o <br /> 8.If farmland,is land rented? yes no f Gl V Wl i WQ <br /> ❑ ❑ � �Gf-vl d �I frill �. K� le,Vl Qll 00-Pd cC,G <br /> If"yes", number of acres rented: _ Rent per acre per year: $ 4(f 3 Q, 61 <br /> 9.Your opinion of condition of the structures at time of sale: ❑ poor 0 fair ❑ average ❑ good ❑ excellent two ) <br /> Please describe if"poor"or"fair': /1 b 64-14, ( 1,0e 5 _ <br /> Your Name: .0( Pitt 34(�f e45 I <br /> Phone#: 03 503 24!v7 Email: 1741,5)MA toned,51• <br /> RECEIVED <br /> — <br /> A county appraiser may contact you for additional details or clarification.Thank you! <br /> DEC 19 2018 <br /> MARION COUNTY <br /> ASSESSOR <br />