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(TD-1000) <br /> Confidential Document <br /> This form provides essential market information to the county assessor to ensure accurate,fair and uniform assessments for all property.This <br /> document is not recorded,is kept confidential,and is not available for public inspection. <br /> This declaration must be completed and signed by either the grantor(seller)or grantee(buyer). Questions 1,2,3,and 4 may be <br /> completed(prefilled)by a third party,such as a title company or closing agent,familiar with details of the transaction.The signatory should <br /> confirm accuracy before signing. <br /> This form is required when conveyance documents are presented for recording.If this form is not completed and submitted,the county <br /> assessor may send notice.if the completed and signed form is not returned to the assessor within 30 days of notice,the assessor may <br /> impose a penalty of$25.00 or 0.025%(0.00025)of the sale price,whichever is greater. <br /> Additional information as to the purpose,requirements,and level of confidentiality regarding this form are outlined in Colorado Revised <br /> Statutes,sections 39-14-102,39-5-121.5,and 39-13-102. <br /> 1. Address and/or legal description of the real property sold-Please do not use P.O.Box numbers <br /> MALONE RANCH,SILT,CO 81650 <br /> 2. Type of Property purchased Single Family Residential ❑T❑ownhome Q Condominium ❑Multi-Unit Res Q Commercial <br /> Industrial ❑Agricul ral Mixed Use 19 Vacant Land Other <br /> 3. Date of Closing: 11 1 <br /> Date of Contract if different than date of closing:•; dJ:12;202 -- Apr;1 tok ,161 9 <br /> 4. Total sale price:Including all real and personal property.$2,700,000.00 <br /> Contracted price(if different from final sale price) $2,700,000.00 <br /> 5. List any personal property included in the transaction that materially impacts the total sale price.Personal property may include,but is <br /> not limited to:machinery or equipment,vehicles,exceptional appliances,electronic devices,furniture,or anything that would not <br /> typically transfer with the real property(attach additional pages if necessary). <br /> Description Approximate Value <br /> Personal Property Total: $ <br /> It no personal property is listed,the entire purchase price will be assumed to be for the real property <br /> 6. Did the total sales price include a trade or exchange of additional real or personal property? Yes Q No <br /> If yes,give the approximate value of the goods or services as of the date of closing.$ <br /> If yes,does this transaction involve a trade under IRS Code Section 10319 Q Yes X No <br /> 7. Was 100%interest in the real property purchased?Mark"no"if only a partial interest is being purchased <br /> QX Yes R No If no,interest purchased: % <br /> 8. Is this a transaction between related parties or acquaintances?This includes persons connected by blood or marriage,or business <br /> affiliates,or those acquainted prior to the transaction. Yes❑X No <br /> 9 Please mark type of sale: Builder(new construction) Public(MLS or Broker Representation) <br /> Private(For Sale By Owner) Other(describe) <br /> 10. Check any of the following that a ly to the condition of the improvements at the time of purchase: <br /> New ❑Excellent Good Average Fair Poor Salvage <br /> Form 1068 closing/recordings/rpt_2019.htm1 63013676 (457197) 1111111111111111111111111111111111 <br />