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20
<br />+,',S't,a
<br />Certificate_ of
<br />Beal Estate Value _- -
<br />,.PE
<br />-
<br />B4y8Y 5 ± B>; Name, First, Middle Initial;... j
<br />Present Address Daytime Phone Number
<br />r rth Aurbaa ' Development, ' Inc 8741 NE Central Ave BL-dne -"-'Mn
<br />,
<br />2le(-s.-Lest
<br />, 45434
<br />Name, F' t, M ddle Initial en
<br />Address Daytime Phone Number -.
<br />llforehouse Arlo J Lucille
<br />5 -
<br />660 79th St., Circle Pines, Mn., W014
<br />_and
<br />Street Address or Rural Route of Property Purchased . ; ; -
<br />City or Township County
<br />860 7.rSt . Circle Pines, Mn. S5(3I4
<br />.y - Anoka
<br />1y Leg�all bescriptiion,off Purchased (Fill in lot number, block number and plat name or attach 3 ooptes of the legal description)
<br />Prop"
<br />attached
<br />y 4.�kJ'.
<br />d"p - '�Js1r.
<br />�: ,.,eu-:f�ia•:�s" �:-A�:kyN:+i�acr,lai;_i.:a:.�.aaYNid�`4_*.�.aw miTrAZ,, �..s�..:..-��, sx ,_S -: '. ..
<br />Type of Acquisition (check all boxes which apply)
<br />'#t.❑ YOU and sell@rare retatwes `s rr :z�''-, ❑ Buyer is a religious or gT
<br />or related businesses " charitable organization
<br />2.
<br />T -
<br />❑T?roperty is a gift or inheritance T. ❑ Buyer Is a unit of government
<br />t ❑ You received property I, a trade ❑ You condemned or foreclosed
<br />on the property -
<br />--ry- rt.t"''"• sx _x -3`
<br />you checked any box above, skip the rest of'thi.
<br />Type of Property Transferred (check all boxes which apply)
<br />;❑ Land Only 4� .s ,y CICL.;d and 6u11dmgs
<br />sal@) 3�
<br />completed'
<br />Planned use of
<br />w�F Y.R �,y ' �.;Pi-s fF*�r <;°. "" f.{� -._'�+ >. - �¢�i ct4`r �F�,-.lit �.( s�i't�.; A£�'�t", l�' °.-��,.'':'3� � i�€,� } • 'f� ����'� � c �' t r-t 5�� a%�i r y„ t �
<br />*5 $_ CResidentiai (singie duplex, triplex} .;F + � ` ti .❑ Apartment (Number of unite -) ❑ Cabin or Recreational
<br />x
<br />"4`^ ❑ A rieuliurat y 4_❑ t ommarcial-Industrial ❑ Other Uae (describe below) i
<br />8 C =A
<br />aka ' Y n (Type of business
<br />'(- .'<., Y , WV
<br />. �'"t$�+F 4i�y'p%..t�
<br />�Pinancfarrangemenis (Instructlans are or ack of yellow copy
<br />r t Total. Purchase Price k 2 Total Amount of Personal Property - ax y x 3 . Date Seller Signed Purchase Agreement
<br />,,, • (from schedule A on bsO of this sheet) y x t 3,312,000.00 Jr'�` 3 f` tz31!:s.-..yam Y2e - .r4 ,; 2. ._. ",' '<,p.s /'i /�
<br />. .:: . iJilJ 1Pu F f +(
<br />` x
<br />4 DowrrPsyment. y 5 Points or Prepaid Interest Paid by Seller 8 Pants or Prepaid Interest Paid by 8uyar
<br />t r t
<br />r �k, None `None -
<br />Describe each mortgage and contract. Aor deed used to purchase this property {'
<br />.. Is this a
<br />contract or
<br />i Assumed Mortgage or Contract for Deed Monthly Payment for Interest Rate -i r ={: Total Number Date of Any Lump Sum
<br />- Mortgage? - - Amount at Purchase Principal and Interest ,-, , [tn Effect Now) - `of Payments (Balloon) Payments
<br />Purebase Money Mtge ` Annual
<br />Yes No r- r
<br />T ❑ I62,QW.00 $30,000
<br />❑ ❑
<br />to it a mortgage or contract for deed is not a variable market rate but the terms of payment are scheduled to change on a fixed data, fill in its fine number from above, the
<br />month and year of the change, and what It will change to (or attach 3 copies of payment schedule): - I . -
<br />Fitt out schedule B on the back of this sheet to determine the amount of your deed tax
<br />I declare that the information lilled ; n this form is true, c and complete _ h? best f my knowledge and belief,
<br />Print ortype name of person signing this form Si t r %f %PhoneNumber Date
<br />115
<br />l n a A - t , . , r--. !�\ - - f/ ..r L.11i.7 ^CeNU .� 1 S - 1Q
<br />'!, t ler, Bldg Tot ^fir
<br />ip CEF Use Y' 9 n „ geed j vr.-'Y / i.aybJ .`� 3 !d,2 33.i�' 1 Tot /� SeC
<br />Departmen-rof Revenue Use Only
<br />5 T I FC c Aa is --T— -- - J ----- ------- p
<br />�A D --+-- M�1--
<br />T LL L),s Ala: eat
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<br />Plat-Parcei
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<br />0o U'
<br />yr 1
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