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Confirmation of Real Property Sale Rural Seller: 11111111111111111111 537091 BEVERLY J GIBSON RLT& $325,000.00 PO BOX 1047 1111111111111111111111111 7/2/2020 JEFFERSON, OR 97352 103W02BD00800 0706000 401 1.Total sales price: $ i25, PC.0, Bo 2.Date sales price was agreed upon: 14 - y .2.6, 2o2D c*'G O��tiO 3.Did this transaction involve any of the following?Please check all that apply. ‘\0j GOP IA buyer owns adjoining property 0 estate sale ❑ partial interest conveyed 0 trade or exchange ❑ auction P p� g5� ❑distress sale 0 buyer or seller a charitable organization ❑ buyer and seller related by business or family �P 1).- 4. 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 state the amount: $ re, 5.Were any of the following included in the sales price entered in question 1?Please check all that apply. ❑equipment/machinery ❑ livestock ❑ crops/timber ❑ mobile home ❑furniture ❑other: Total value,known or estimated,of all items checked: $ 6. Was the property listed on the open market(real estate broker,online,newspaper,etc.)at the time of purchase? ❑yes 2 no 0 don't know 7.Vacant land transaction only:Were any of the following on site at time of purchase?Please check all that apply. ❑electric service ❑water/well 0 sewer/septic ❑ mobile home pad ❑ pavement 0 curbs/gutters other improvements or structures N /;If not already on site at time of transaction,has approval for a septic tank been granted? ❑ yes ❑ no 8.If farmland,is land rented? ❑ yes gno If"yes",number of acres rented: Rent per acre per year: $ 9.Your opinion of condition of the structures at time of sale: r] poor ❑fair [iaverage 0 good 0 excellent Please describe if"poor"or"fair": / I ci Your Name: �I ' I, I Phone#: _ 71 / • 706 0 Email: A county appraiser may contact you for additional details or clarification.Thank you!