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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 <br /> uniform assessments of all property.This document is not recorded,is kept confidential,and is not <br /> available for public inspection. <br /> This declaration must he completed and signed by either the grantor(seller)or grantee(buyerl. <br /> Questions 1, 2, 3,and 4 may be completed(prefilled)by a third party, such as a title company or closing <br /> agent,familiar with details of the transaction.The signatory should confirm accuracy before signing. <br /> This form is required when conveyance documents are presented for recording. if this form is not <br /> completed and submitted,the county assessor may send notice. If the completed and signed form is not <br /> returned to the assessor within 30 days of notice,the assessor may impose a penalty of$25.00 or 0.025% <br /> (0.00025)of the sale price, whichever is greater. <br /> Additional information as to the purpose,requirements, and level of confidentiality regarding this form <br /> are outlined in Colorado Revised Statutes,sections 39-14-102, 39-5-121.5, and 39-13-102. <br /> 1. Physical Address and/or legal description of the real property sold: Please do not use P.O.Box numbers. <br /> 5127 North 346 County Road,Rifle CO 81650 <br /> 2. Type of property purchased: ❑Single Family Residential ❑Townhome ❑Condominium ❑Multi-Unit Residential <br /> ❑Commercial ❑ Industrial ❑Agricultural ❑Mixed Use ❑Vacant Land ❑Other <br /> 3. July 3 2024 Febru 29,2024 <br /> Date of Closing: mm/dd/yyyy Date of contract mm/dd/yyyy <br /> 4. $3 300,000.00 <br /> Total Sale Price: include all real and personal property Contracted price(if different from final sale price) <br /> 5. List any personal property included in the transaction that materially impacts the total sales price. <br /> Personal property may include,but is not limited to,machinery or equipment,vehicles,exceptional appliances,electronic <br /> devices,furniture,or anything that would not typically transfer with the real property(attach additional pages if necessary). <br /> Description Approximate Value <br /> Personal Property'Total $ <br /> If no personal property is listed,the entire purchase price will be assumed to be for the real property. <br /> 6. Did the total sale price include a trade or exchange of additional real or personal property? C9'No ❑Yes <br /> If Yes,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 1031? ❑No ❑Yes <br /> 7. Was 100%interest in the real property purchased? ❑No D-Ye's <br /> Mark"No"if only a partial interest is being purchased. If No,interest purchased % <br /> 8. Is this a transaction between related parties or acquaintances?This includes persons connected by blood or marriage,or <br /> business affiliates,or those acquainted prior to the transaction. E l o ❑ Yes <br /> 9. Please mark type of sale: ❑ Builder(new construction) 04blic(MLS or Broker Representation) <br /> ❑ Private(For Sale by Owner) ❑ Other(describe) <br /> File No.:23000310313 <br /> CO Real Property Transfer Declaration TD 1000 BP Page 1 of 2 <br />