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Confirmation of Real Property Sale <br /> Rural Seller: IIIIIIIIIIIII 111111IIIIIIIIIIIIIIIIIIIIIIIII Deed#: 43700377 <br /> COUNTRY WEDDING CHAPEL LLC 519005 Account: IIIIIIIIIRIIIIIIIII <br /> 8630 67TH AV NE Sale Price: $390,000 <br /> SALEM, OR 97305 1111111g111I111111Illlllli Sale Date: 8/12/2020 <br /> MTL: 062W24D0 00600 <br /> Situs Address: 9171 NUSOM RD NE SILVERTON OR 97381 MaSaNh/P. Class: 0306000 /451 <br /> 1.Total sales price: $ 3 /c Up <br /> 2.Date sales price was agreed upon: ‘``'G((> '1,°10 <br /> 3.Did this transaction involve any of the following?Please check all that apply. <br /> buyer owns adjoining property \4G 50 <br /> ❑ Y 1 9 P P Y ❑ estate sale ❑ partial interest conveyed ❑trade or exchange ❑auction QUO e <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, <br /> please 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 0 mobile home Erfurniture <br /> ❑other: <br /> Total value,known or estimated,of all items checked: $ 8" <br /> 6. Was the property listed on the open market(real estate broker,online,newspaper,etc.)at the time of purchase? <br /> ayes 0 no 0 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? 0 yes ❑ no <br /> 8.If farmland,is land rented? 0 yes 0 no <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 0 fair ❑average 0 good .a excellent <br /> Please describe if"poor"or"fair": <br /> Your Name: T4+ �Cn vie tt Email: j benne 3 cvriSn+ caw]I <br /> Phone#: 57333Q3-6.7_76_ <br /> A county appraiser may contact you for additional details or clarification.Thank you! <br />