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<br /> } SMONOldISNCOUNTYTNEASUNER � �'LEti ..:L OUT COIdPLETEIY �, A
<br /> � EVERETT.WASNINGiON 90]06 ��
<br /> 1 % REAL E >TA f E E>:LiS � TAX ��'
<br /> , Hort,...s� .,. G.i^ffer •_, � c %%/ , . ; ���—.
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<br /> ----------- --------------•�----•--- -----•------------- -- --- ... -� --�� =--- --_..- --- -------------------•-----------------------•---
<br /> Name of Selltr and comple(e address
<br /> Soe.r.cer F. Suain 11301 iJs Ibb�recn Drive �v,.re.t ';n. 9�'• 4 s
<br /> ------------------•----•----------------------------••------------ -�---....-------• -------�----'----�--...--•�-- ---'---=--•.......-���--------...-------------...--
<br /> .�ne a ua aser antl comp ete atldress , �
<br /> LEGAL.qES�RIPTION OF REAL PROPERTY S�TUATED IN SNOHOMISH COUNTY: , ,
<br /> Tiiat portion of Lat 22 , Ibberson Par't., aeco_dii,�; c.. �?:� nlat thereof :.
<br /> recorded in Votu�:,:: 3 of .rZst� , pa�e n7 > 3cc%:-,5� ,- �nohcmish
<br /> -= County,w'ashington; l�:�ing �au�l��r1y oc �i-.:: �,:�.: ; ,.�d,(S11ver Leke
<br /> � 2cad) "
<br /> . ,
<br /> ' ACCOUNT NUMBER:
<br /> DESCRIPTION OF PERSONAL PROPERTY IF INQUDED W SALF:
<br /> � _
<br /> PERSONAL PROPERTY (�educ0. ,�,o,���o.o� '":`� S.. ---��'�� ` _------------- 1So Exc:sc Tax ... ............. S-��'� ��='�--`-•------ -...
<br /> ' GROSS SALES PRICE........ .. �^��^�^
<br /> 5....--.... -- � ------------ . PenaltY j1�� per monfh
<br /> •' TAXABLE SALES PRICE ........................... 5.----._!.:.`.-=--'---------._. after 30 days) ............... 5...--------�------ �------ --
<br /> Total ........................... 5.-�-=�-�-------�'�---....... .
<br /> DATE OF R�STRUh1ENT-(On dafe o( tleliuery o( instrument i( that is closing ppFl�Avt7 .,•
<br /> date provided in contract; othervrise upon execution of contract.).4.:;`:._:.....:L '
<br /> The undersigned being first swom, on oath says lhat ihe(ore- �
<br /> TYPE OF INSTRUMENT.._..quiC C lrsim D�cd going information is a true and correct statement of lhe facts `
<br /> ' Ge�taining to ihc lransier of fhe above described real estafe.
<br /> � �/ � s— f � ., �
<br /> Ii tax exem lion is claimed explain (ully the nature of the transicr..r'.�............. _!`�=:��.,::.;,f:__..�....�`:?.�G�t:,,�r,�C� ,
<br /> r.,onec�_ry cor,sid�r:;tion-„iva:� to cl�+:r �"^^��-� ' /��
<br /> :f�_EIe:::on1�y_______________._..___._ __.____.___.____..._______.______ ..:::_:___:::::_ Any person wii(ully gi�ing false informatiomin,fhis affidzeit �
<br /> shall be subject to the PERJURY LAWS ot lhe$htC o(,Wasnmg- '
<br /> I( sale covers property traded in under Section Gl, Chapter 149, 1967 Ex. ton. '. ' ;t " �"� '�..
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<br /> Session, give date of prior sale.-------......................-.....------------�----�-�- •. n. 2�•.�. .. c
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<br /> Prior A((idavit No_---� ---�------�--------�------ -�� ----�--- �, 7
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<br /> Subscribed and s«orn lfl be(oie��t�his>....':_;�.'.'_�.....
<br /> dayot...._,:_::�::.': � -. > :`;x •�UtI..Q",19:�
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<br /> Nolo� �Pvblic in and'lor�ihe� �PI ol �^ashin fon �
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<br /> Land .............. 5. School District..... ' '"r-`�� •.��•O
<br /> -----�------•-•--�- ---- -------�--- ..... «:�a��9 a�...::.:'� .
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<br /> ---------- ---�-------��--�------....-----.
<br /> � Impiovements ..... 5. Year Last Appr..... P�cce.s�o :,v nFuo�v�* a� =���r �:p
<br /> . ------•------------- .....--- -�----
<br /> _ fr�t� �to�5 ��.�7� �
<br /> Tolal.............. 5-�-------�--........_ Property Class..... .....-� � - � �----� r� n� •�r..c�
<br /> . ._:y�..s:. , __� �
<br /> , THfi BEC051ES YOUR RECEIPT WHEN STAMPFD PAID BY THE COUNTY TREAS� -"`-'- " �-' ':-:.;"""""""� ' � ] � i914
<br /> Ur�cR. r^AYb!ENT IdUST BE PdADE BY CASH OR CERTIFIED CHECK. THIS RE-
<br /> � TUriti iS SUBIECT TO AUDIT AND VERIFICATION BY THE STATE DEPARTP,IENT ,,-� < < ���. � �
<br /> OF Rc;iNCf. �ND ;d� INCOIdPLETE AFfIDAVIT WILL BE RETURNED. �t.i:� �I�, a� Sr.o..onish 1a�:1�� ir.�.'��rY
<br /> All CnP,?:CTIONS '.tUST BE INITIALED �Y AFFIANT. t�y
<br /> Deputy
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<br /> v;,3?}:i IICct:T 0'v/16/71+ P�;3u .............:...u�; TA;:PAYER'S COPY
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