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608-508-A (P2) REV. 13 (08.17) <br />PART Z: OTHER TRANSFER INFORMATION Check and complete as appticable. <br />A, Date of transfer, if other than reoordtng date: <br />B. Type of Transfer <br />Purchase p Foreclosure ❑ Oifl ❑ Trade or exchange ❑ Merger, stock, orparinershtp acquisition (Form BOE -100.6). <br />0 Contract of sale. Data of contract:. _ 0 Inheritance. Date of death: <br />❑ Sale/leaseback 0 Creation of a lease ❑ Assignment of lease ❑Termination of a lease: Date lease began <br />Original term In years (including modern options): Remaining tern In years (Including wrifferroptions): <br />❑ Other, Please explain _ <br />C. Only a partial Interest in the property was transferred. M YE9 AND If YE9, Indicate the percentage transferred; % <br />PART 3. PURCHASE PRICE AND TERMS OF SALE Check and complete as applicable. _ <br />A. Total purchase price. $ a <br />B. Cash dawn payment orvalue of trade or exchange excluding closing costs Amount $ <br />C. First deed of trust Cgs % Interest for years. Monthly payment $ Amount $ <br />0 PHA ( dEmurtParn(¢) ❑ Cai-Vet ❑ VA f __o =,,t Po no) ❑ Fixed rate ❑ Variable rate <br />❑ Sankfsavings & LoanlCrediF Unlan 0 Loan Carried by aeiter <br />0 Balloon payment $ Due. date: <br />D. Second deed of trust Q _% Interest for years, Monthly payment $ Amount..g. <br />0 Fixed rate ❑ Variable rate ❑ Bank/Savings & Lean/Credit Union 0 Loan canted by seller <br />❑ Balloon payment $ Due deter <br />E. Was an Improvement Bond or other public financing assumed by the buyer? ❑ Y1=$ 0 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 />O. The property was purchased: 0 Through real estate broker, Broker dame: „_,Phone number <br />❑ Direct from seller 1J From a. family member -Relationship _ <br />❑ Other: Please explain: <br />H. Please explain any special terms. Seller concessions, brokarlagent fees waived, financing, andany other information (e g., buyer assumed the <br />existing loan balance) that would assist the Assessor In the valuation of your property. <br />PART a. PROPERTY INFORMATION Check and complete as applicable. <br />A, Type of property transferred <br />❑ Single-family residence 0 CooplOwnyouPown ❑ Manufactured home <br />❑ Multiple -family residence, Number of units: ❑ Condominium Unimproved lot <br />0 Other. Description: (i.e., timber, mineral, water rights, etc.) ❑ Timeshare 0 Commercialllndushial <br />B, 0 YES P(NO Personallmodness property, or incentives, provided by Seller to buyer are Included In the purchase price. Examples of personal <br />properly are furniture; farm equipment, machinery, etc. Examples of incentives are club memberships, etc Attach dist if available. <br />It YES, enter the value of the personallbusimss property: $ Incentives $ <br />C. 0 YES Cl NO A manufactured home is Included In the purchase pries. <br />If YES, enter the value attributed to the manufactured home: $ <br />❑ YES ❑ NO The manufactured home is subject to local properly tax: If NO; enter decal number_ <br />q. ❑ YES 0 N The property produces rental or other income. <br />If YES, the Income is from: ❑ Leaselrent 0 Contract ❑ Mineral rights J Other: <br />E. The condition of the property at the time of sale was; ❑ Good )eAvemge © Fair 0 Poor <br />Please describe: <br />CERTIFICATION <br />1 certify (or declare) that the foregoing and all In(ornlallon hereon, including any accompanying statements or documents, is two and correct to the best <br />of my knowledge and belief <br />'�#FRFEiLEGAL pE RESENTATIV510 RPORATE OFaCim(PLEASE PRINT) TITLE aM LAppREa <br />�� 41�,�JGlS S n i - "vf, Yrta�tS ��1t,�,�CCvra Il7I,� <br />frit n A41.1-1 <br />m..ri..n nnnnrellww iF1 r:enunnrti", <br />SFRM0017 (051 Rev. 12/20117) <br />