* Indicates required field
  Parcel # * Buyer Name
  Sale Price Seller
  Sale Date * Property Address City& Zip
Was the buyer or seller a realtor?      Yes       No
Was the buyer or seller a builder?       Yes       No     
Was the property rented at the time of purchase?   Yes       No
If yes, what was the monthly rent amount?
Was the property advertised for sale by:  Owner       Realtor       Newspaper       Yardsign       Internet
Other (Please Explain)
If the property was appraised, what was the appraised amount?
List the name of the appraiser (if known)
Did the sale price of the property include personal property? i.e. an automobile, motor home, commercial equipment etc. (Excluding appliances)  Yes       No
If yes, explain:
Was the home available for an interior inspection prior to purchase?  Yes       No
Was the property purchased at:  Sheriff Sale       Auction       Estate Sale
Did the transaction involve a:  Land Contract       Part Interest       Trade       Lease Hold
Were you related to the seller?  Yes       No
Did you have a business relationship with the seller?  Yes       No
What type of mortgage do you have?  FHA       VA       Conventional       Other
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