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9. Check any of the followi,.u kiiat apply to the condition of ,ne improvements at the <br />time of purchase. <br />-New -Excellent od -Average -Fair ,Poor _Salvage. <br />If the property is financed. please complete the fallowing. <br />~,. <br />10. Total amount financed. 8 ~~ ~Zc>SZ'~ <br />11. Type of financing: f~heck all that apply) <br />New Assumed /Seller Third Party <br />=Combination: Exp'rin <br />12. Terms: <br />Variable: Starting interest rate % <br />-Fixed: Interest rate % <br />~ngth of time years <br />Balloon payment es o. <br />If yes, amount - Due date _ _ <br />13, Please explain any special terms, seller concessions, or financing and any other <br />N/A nformation that would help the assessor understand the terms of sale. <br />For properties other than residential (Residential is defined as: single family <br />detached, townhomes. apartments and condominiums) please complete questions 14-16 if <br />applicable. Otherwise skip to #17 to complete. <br />14. Did the purchase price include a franchise or license fee? Yes ~o <br />If yes, franchise or license fee value S <br />15. Did the purcha~.e price involve an installment land contract? Yes <br />If yes, date o1 contract - _ <br />16. If this was a vacant land sale, was an nn-site inspectyoo of the property <br />conducted by the buyer prior to the closing? -Yes ~~ <br />Remarks: Please include any additional information concerning the sale you may feel is <br />i~9~rtant. <br />17. Signed This 25tH day of October 2p o1 <br />Enter the day, man an year, have a eas onle ot~Tie parl;ies to the transaction <br />sign the document, and include an address and a daytime phone number. Please <br />de i ate buyer or seller. <br />igna ure o~an ee uyer ~ or Gran or'TSe er _ <br />emu. CS.e.. C.o..«J~ Lam. <br />S'5~...1. ( 1 )42.9 .SB50 <br />ress mai ing Day ime oni~F e <br />ti ty. S a an ip o e <br /> <br />