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<br /> <br />MINNESOTA Department of Revenue <br /> <br />Certificate of Real Estate value <br />8~.t;;;~mel~:-fitll, rfi~inmti'--- Addr~-------_._--~Oavnme pnc;~_.- ~~~-----'--'~ . <br />Southwind of RosfJvill<? !:'.1".C. 2600 County Hn"d D (61ci 773-i\7Bj) <br />~_________-_~~J&k!.1,,-,~L~~JJ,Q-,,,_.-----,-----~--- <br />S.II."'Iast.......e(ol, Am, m;ddle ._ ~ add.... o..,om. phone <br />(612) 490-2279 <br /> <br />PE.20 <br /> <br />Street oddl9SS 01 n.KOI route of propetty - pt.II'chcned <br /> <br />~~~../riI.~c~~g!n3DriV" <br />CiIy"'...,;;lhIp---- _."-c;;..;;y <br /> <br />City of Rosevil18 <br /> <br />lIo;;i. 01_ ",co,",'''', <br /> <br />legoI_"...,oI_.._IIot, loIod<oodplot,..oIIa<h3 """,,,0I~;1egoId-''''--.;;j------ <br /> <br />~~~:""':'''I'(=~1tl~~'':::::''~'i'"''''' 0'" [J.. <br /> <br />----_.__.--~._--- <br /> <br />---~ <br />Fi!KuIcIaI.... .<11........ <br />. TotaIP'If!=no..pnc. <br />$102,0011.00 <br />.-.;;.;;;;p.;;,;;;;,----- <br /> <br />~______ .l..___ _________ L_ <br /> <br />. _ ",,...,....t ,.;;;;I paid b,." <br /> <br />L_ <br /> <br />___----'- L- <br /> <br />TaIOI~_ <br />currentYOlue: <br /> <br />!......- <br /> <br />$ .$---,---- <br /> <br />. Type of fXqIIisition (deeck oIIlhat apply) <br />[J~G!:s::':re re1oIi.... or 0 ~ Irwofwd lhetrodaof <br /> <br />l"J Property i. 0 gift or il1heriro~ 0 ::~i~~j9IouS or choritable <br /> <br />o all)'8i i. u volt of SOV<<"nmtllf <br />D;;~lOtianrlfo~r. <br />o Payafforreaoleofcontrod <br /> <br />o ~~~~j"" <br />o Buye< pu<<hooed partioI in_ on~ <br />o =~-;T-'" <br /> <br />I] Type of propeI1y InIntf.rred (cMck aU Ihat apply) <br />liD 1m><! ""'" 0 1m><! ond build;,", <br /> <br />o ;~;-~~':l~~ <br /> <br />. Planned use af propeI1y (check OM! <br />o ._......1omiIy lf~chock_oI........_.......,.,...-.......-..-_...._.....--' <br />tJ Resldentioldupktx, rripI.- 0 ~~:I 0 =b:1i:rlal <br />o ~ 0 ~:~;i'" = 0 """"I<I-obel ====----=~===--=--== <br /> <br />Willthisproperfybefh.buyer'lprif\dpOll1M~Dv- [!Jno <br /> <br />MeIhod of fillClftCing (complete only if seIJer.financed. including a c:onII'ad for deed at assumecIl'IICII1gage) <br /> <br />Ched" "",-.. CO_!.._ <br />==- ~o::J omount Of pucchote <br />. [J 0 <br /> <br />.00- <br /> <br />=I:r!""..:.!:. <br /> <br />tnNrest rote Toto! number DatIl of any II#I\P sum <br />now In eRect of poymenn (boIIoon) payments <br /> <br />------------ -------.--- ~--~~--_...._~-~- <br /> <br />1...............~....._Io_ <br /> <br /> <br />~:;~1 <br />~ - r <br /> <br /> <br /> <br />w.~P-~ M ~ rJ---' <br />"" c I <IN 2 __ 1 <br /> <br />CO 1- I 1~........""",.. ,.. 0 ~ lJ <br /> <br /> <br />-.-.------- --~---_._----- <br /> <br />------_._--_.__.-~._- <br /> <br />""" <br /> <br />..--.---------- <br /> <br />. ..,...' 5adaI Soariy......1or _.......... LD. ~ <br />1 41-1871046 <br /> <br />. 5oIIen' 5adaI SocuriIy......1or _ ..."""""t.D. ~ <br />1 41-6007849 <br /> <br />~---,--_._-_.._--_..._--~-_._--- <br /> <br />2 <br /> <br />-------~-~._--"_..~- _ _ --....--.-..-----.- <br /> <br />2 <br /> <br />3 <br /> <br />3 <br />