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Confirmation of Real Property Sale <br /> LAFOLLETTE,BYRON H IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Deed No.: 41860414 <br /> 11382 WHEATLAND RD NE R19447 Account No.: IIIIIIIIIBIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> Sale Price: $650,000 <br /> IlllllllllllllllllliIiIllllIIIII IilHIllllt)III Sale Date: 04/16/2019 <br /> GERVAIS,OR 97026 Ratio: 72 <br /> Additional Properties: MTL: 063W02 00400 <br /> Situs Address: 11142 WHEATLAND RD NE GERVAIS,OR 97026 Rural Seller Appraiser: 11 <br /> 1.Total sales price: $ 6/5-611 C D <br /> 2.Date sales price was agreed upon: / /E- j 9' <br /> 3.Did this transaction involve any of the following?Please check all that apply. <br /> 'uyer 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 /> ❑ equipment/machinery ❑ livestock 0 crops/timber ❑ mobile home ❑ furniture <br /> 0 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 [ono ❑ 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 /> a1ectric service ©-mater/well 0-fewer/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? 0 yes 12-Ko <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: 0 poor ❑ fair ❑ average 'od ❑ excellent <br /> Please describe if"poor"or"fair": <br /> Your Name: Gv,4Lp /let <br /> Phone#: .. 93- 5t5/ Email: <br /> A county appraiser may contact you for additional details or clarification.Thank you! <br />