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PHAM, VERONIQUE
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Last modified
9/24/2021 10:42:11 AM
Creation date
2/4/2021 4:41:25 PM
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Contracts
Company Name
PHAM, VERONIQUE
Contract #
A-2021-006
Agency
Public Works
Council Approval Date
1/19/2021
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90E-e02-A (P2) REV. 14 (05-18) <br />PART 2. OTHER TRANSFER INFORMATION Check and complete as applicable. <br />A. Date of transfer, if other than recording date: <br />B. Type of Transfer <br />6(Purchase ❑ Foreclosure ❑ Gift ❑ Trade or exchange ❑ Merger, stock, or partnership acquisition (Form BOE-100-B) <br />❑ Contract of sale. Date of contract: ❑ Inheritance, Date of death: <br />❑ Sale/leaseback ❑ Creation of a lease ❑ Assignment of a lease ❑ "ferminallon of a lease, Date lease began <br />Original term In years (including written optlona); Remaining term in years (Including written options): _ <br />❑ Other. Please explain <br />C. Only a partial interest in the property was transferred. ❑ YES ONO If YES, Indicate the percentage transferred: <br />PART 3. PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable. <br />A. Total purchase price. $ 690,000.00 <br />B. Cash down payment or value of trade or exchange excluding closing costs Amount $ <br />C, First deed of trust Q ^%interest for years. Monthly payment $ Amount $ <br />❑ FHA ( olswunl Pdx,p ❑ Cal -Vet ❑ VA( Discount Polak) ❑ Fixed rate ❑ Variable rate <br />❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller <br />❑ Balloon payment $ Due date: <br />D. Second deed of trust Q _%interest for years. Monthly payment $ Amount $ <br />❑ Fixed rate ❑ Variable rate ❑ Bank/Savings & Loan/Credit Union ❑ Loan carried by seller <br />❑ Balloon payment $ Due date: <br />E. Was an Improvement Bond or other public financing assumed by the buyer? ❑ YES ❑ NO Outstanding Balance $ <br />F. Amount, if any, of real estate commission fees paid by the buyer which are not included in the purchase price $ <br />G. The property was purchased: ❑ Through real estate broker. Broker name; Phone number ( ) <br />PI'Directfrom seller ❑ Frorn a family member -Relationship <br />❑ Other: Please explain: <br />H. Please explain any special terms, seller concessions, brokedagent fees waived, financing, and any other Information (e.g., buyer assumed the <br />existing loan balance) that would assist the Assessor In thevaluation of your property. <br />PART 4, PROPERTY INFORMATION Check and complete as applicable. <br />A. Type of pmperty transferred <br />❑ Single-family residence ❑ Co-op/Own-your-own ❑ Manufactured home <br />ty Multiple -family residence. Number of units: 2 ❑ Condominium ❑ Unimproved lot <br />❑ Other. Description: (W., timber, mineral, water rights, etc.) ❑ Timeshare ❑ Commerciai/lndustrial <br />B. <br />C. <br />D. <br />E. <br />❑ YES ®'NO Personallbusiness property, Or incentives, provided by seller to buyer are included in the purchase price, Examples of personal <br />property are furniture, farm equipment, machinery, etc. Examples of Incentives are club memberships, etc. Attach list It available. <br />It YES, enter the value of the personalibuslness property: $ , Incentives $ <br />❑ YES @(NO A manufactured home is Included in the purchase price. <br />If YES, enter the value attributed to the manufactured home: $ <br />❑ YES )�NO 1"he manufactured home is subject to local property tax. If NO, enter decal number _ <br />YES ❑ NO The property produces rental or other income. <br />If YES, the income is from: VI-easalrent ❑ Contract ❑ Mineral rights ❑ Other: <br />The condition of the property at the time of sale was: ❑ Good UlAverage ❑ Fair ❑ Poor <br />Please describe: <br />CERTIFICATION <br />I certify (or declare) that the foregoing and all information hereon, including any accompanying statements or documents, is true and correct to the best <br />of my knowledge and belief <br />2/1712021 <br />Jason Gabricf I Principal Civil Gngineer <br />The Assessor's office may contact you for additional information regarding this transaction. <br />SFRM0017 (DSI Rev. 08131120) <br />
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