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<br />MINNESOTA Department of Revenue <br />Certificate of Real Estate Value <br /> <br /> <br />PE- 20 <br /> <br />Address <br />2600 County Road <br />White Bear Lake, <br />~address <br /> <br />2660 Civic Center Drive <br />Rosev111e MN 55113 <br /> <br />D <br />MN 55110 <br /> <br />Daytime phone <br />(612) <br /> <br />773-8780 <br /> <br />Buyers' last name(s), first, middle initial <br />Southwind of Rosevi11e, L.L.C. <br /> <br />Sellers' last name(s), first, middle initial <br /> <br />Daytime phone <br />(612) <br /> <br />490-2279 <br /> <br />City of Rosevi11e <br /> <br />Street address or rural route of property purchased <br /> <br />City or township <br /> <br />County <br /> <br />. Date of deed or contract <br /> <br />legal description of property purchased (lot, block and plat, or attach 3 copies of the legal description) <br />(attached) <br /> <br />Financial arrangements <br />. T ota!JlUrchase price <br />$10~,000.00 <br /> <br />Was p,ersonal property such as furniture, inventory or equipment included in the purchase price? If yes, <br />describe below and list current (not replacement) value. (Use the back of this page if needed.) <br /> <br />o yes Ono <br /> <br />$ <br /> <br />$ <br /> <br />. Down payment <br /> <br /> <br />. Points or prepaid interest paid by seller <br /> <br />$ <br /> <br />$ <br /> <br />Total personal property <br />current value: <br /> <br />$ <br /> <br />$ <br /> <br />.$ <br /> <br />. Type of acquisition (check all that apply) <br />O Transaction involved the trade of <br />property <br />o Buyer is a religious or charitable <br />organization <br /> <br />Buyer is a unit of government <br /> <br />o <br />o <br />o <br /> <br />Name added to or co-owner's name <br />removed from deed (not a sale) <br /> <br />Buyer purchased partial interest only <br /> <br />Purchase agreem<:nt signed over two <br />years ago. Year signed: <br /> <br />o <br />o <br /> <br />Buyer and seller are relatives or <br />related businesses <br /> <br />o <br />o <br />o <br /> <br />Condemnation or foreclosure <br />transaction <br /> <br />Property is a gift or inheritance <br /> <br />Payoff or resale of contract <br /> <br />. Type of property transferred (check all that apply) <br />~ land only 0 land and buildings <br /> <br />o <br /> <br />Construction of a new building <br />after January 1 of year of sale <br /> <br />. Planned use of property (check one) <br /> <br />o Residential single family If you check one of the four boxes below, you must complete schedule PE-20A and attach it to this certificate. <br /> <br />!XI d I d I I 0 Agricultural 0 Commercial-industrial <br />1:::::J Resi entia up ex, trip ex (number of acres:) (type of business:) <br />O Cabin or recreational 0 Apartment building 0 . <br />(non-<:ommercial) (number of units:) Other (describe:) <br /> <br />Will this property be the buyer's principal residence? 0 yes ~ no <br /> <br />Method of financing (complete only if seller-financed, including a contract for deed or assumed mortgage) <br /> <br />Check: <br />Assumed Contract <br />Mortgage lor Deed <br /> <br />Mor1gage or cantract for deed <br />amount at purchase <br /> <br />Monthly ~nt for <br />principal and interest <br /> <br />Interest rate <br />now in effect <br /> <br />Total number <br />of payments <br /> <br />Dote of any lump sum <br />(balloon) payments <br /> <br />.0 0 <br />.0 0 <br /> <br />Acres <br /> <br /> <br />I declare that the information on this <br />~~~lorN':) <br /> <br />Phone <br /> <br />Da1e <br /> <br />2) 223-4999 <br /> <br />Primary properly iden6Rcotion # <br /> <br />Tol <br /> <br />Secondary parcel iden61ication # <br /> <br />x <br /> <br />ST <br /> <br /> Dna If no, give reason/code <br />Adjc Adjs Use Tillable EMV <br /> MV 2 MV <br />PT Da1e T M 5 <br /> <br />b <br /> <br />Good lor study <br /> <br />HC <br /> <br />Apt <br /> <br />FM <br /> <br />GA <br /> <br />C <br /> <br />ID <br /> <br />d <br /> <br />Co CT <br /> <br />Are there more parcels' <br /> <br />yes 0 no 0 <br />227568 <br /> <br />Stock No. 6000400 <br />(rev. 7/95) <br /> <br />DEPARTMENT OF REVENUE copy <br />