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tS� tlaev.ve,)Certffieate of.Real Estate Value L
<br />Buyers "StName.rrst M ddle Imtrdl .. f, _ Present Address, k«=s -.:-cc i PhonQ Number
<br />Sellsr's Las: Name, First, Middle In tial z Address _ ^ z Qayt me Phone'Number
<br />J�k E.' Car`lfiaid, Amy- ii. Canfield, Et�eers .�'. tdei�r _ <
<br />EI izath Ann �fe:fser, Jssst i=. iiaaq, itayraond G. Haag
<br />Street Address or Rural Route of Property+ Purchased City or Township 1 � County
<br />r .c 4,.�.snY. �(
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<br />a Legal bescription of Property Purchased (Fill in lot number, block number and plat name, or attach 3 copies of the legal description)
<br />The t� A of .the SW1/4, Section 27, Tiownship 31,'Range 22, lknoka County, Minnesota, Excel
<br />r Parcel fro. `51, as shown on Anoka County Right -of -May Plat No. II,%Anoka Counter, >lllnnasot:
<br />7' a of Acquisition check all boxes which. a I� �t��x. 4 ;
<br />yP q i _ pp y) «�
<br />'S :.tJ` +' 'tit }iAwraxi fjcll•it'fa.k3(f atiff�1 a>s i<is�T37;{j��(t�Git.251SiC'�':r E rt� ,rb
<br />You and seller are relatives r �. Buyaris a reygious or v. �- t a 9r`.Q Your name added to or co owners
<br />sFs'<�r:v�attCrt _ #2ir 41'rS�;c.
<br />orrelated businesses _ charitable organisation x _ { name removed from deed (not a sale) a�
<br />r x Y� Property ,s a gift or inheritance tr ❑ Buyer is a umt of government x r^S : ��' You purchased partial interest only
<br />4 A yw ...f� `,A f:' -Y -till.•-Y eh-;+� -S ^ s `. i
<br />,.rc„i"' ` L r t [i J ()YfY",'§-_ _ i :'y"ru _
<br />❑You iecewed propery to a trade ti = You condemn ed or torecfa ed Oats purchased agreement s fined is
<br />co
<br />on xhe property , _ Over two Years ago (Fill to yeer r'
<br />�' y IiW
<br />If you checked any b"ox above -skr`p the rest of this form, sign rfand lrltouschedule B
<br />7.
<br />Type of Property Transferred (check ail boxes which apply) ; ��-
<br />�£sar�` fir ��kid`-�l•� .: �4,z. � ?fr,,'"? .,st � ' t ,
<br />yy��.�- Land OnIY �� �"� t � n �a '� � Land and 6uiidmgs -" -"'i � Conafrucfidn of a new building completed �-- �.
<br />'-�--�Pianned tJse of Pro e■.{a��� deck one boxftJ �-�`�� � ��:� � ., r � � s- yy�F��� �,�`� '
<br />�' ��. ,{ � - p>:4,� �.�1;. A."- :_ .-s,.. "�..�w}�?�?3« .. _ �•��i r._'Lk_;�s''ii= a_,_ _ _ ..-...+� '�.:?_•(: E. .... 5. ... N _., , � ��3:..
<br />.a''s z'eL,x. !w..-a-e,r.•�,j. Z'-�, x,r4, rrR �. ,j"y, ,r,+ 3e�iL.7�.'�'-- '� ,rf�a, '. +w^w.._ zt•..- n. r., -rTy„
<br />Agricultural , * Commercial industrTai , ❑ Other Use (descnbe beiow)
<br />S ^ra` s ^'f"`"i �+ y..� y r?yi `•tf _ ,� % r � (TYpe of bus nss_ j ,r ,: *. p 3 `-'"i .�s+.,,cs....,.,,;,,�,.,..•c�- ,:
<br />9nancial Arrangements` instructions are on backfaf yellow copy)
<br />.# t.-.r"a .-.Total Purchase- Pnce- �' rx-'t.- ,.4s- r'r- 2. Total Amount of MFsonai Property la tar Signed Purchase Agn'iement
<br />(frosched m ule A on back.of this sheet),y�y
<br />-. ' .Down,r+.
<br />Peyment ray 't" xr: r•r S?omtsorPrepaid .Interest PardbySeller �6Points orPreid-In terest'Aid by8uyer
<br />l[-"-in [. WK tft *,64 ':.4L):x-tjO-4..c.. it
<br />�, Describe each mortgage and contract for deed used to purchase this property
<br />.. IS this e
<br />..1 r-ontract or
<br />Assumed Mortgage or Contract for Deed v Monthly Payment for -fnterest Aate ;_ _ otal Nurrilxr ' '' ,fir; QBte of Any Lump Sumgq
<br />c- J
<br />cM Mortgage? { �,t.Amount at Purchase Pnnapal and Interest .._ (In Effect Now) '; of Payments Q3aifoonl Payments
<br />{ Yes . No --,nn..�:°;-' •-"w,;+-,ci9�A' er T�''�' A,t?'t ""-'=r; q�a:..� }
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<br />H r--�` ❑ _ .. _ Y .wS..TS
<br />- - to if a mortgage or contract for deed is not a variaoie market rate CO ;trt• terms o' psyrreW are scheduled to change on a fixed date, fill in its tine number from above. the -
<br />month and year of the change, and what it will cftange to (cr atlach 3 copies of payment schedule):
<br />Fill out schedule 8 on the back of this sheet to determine the amount of your deed tax
<br />I declare thattlhe I ,f_orma ior. tiled in Gn ihrs in ^t i., Iron. G^rrecj and camplate to the bent of ray knpwiedga and 6*011,
<br />Print or type na me of person ,his form signature _ ._Phone Number Date -
<br />Douglas J. Dehn g�� 422-5424 1-9-9t)
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