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2. Name of Individual Completing Form
4. First Name*
5. Last Name*
7. Parcel Identification #(If known)
8. ECRV #
10. Email Address
12. Address1
14. Address2
16. City
17. State
18. Zip
20. Sale Price
21. Sale Date
    Sale Date
23. Was the property listed on the market? Or how did you become aware of the offering?
25. Was there an appraisal done in conjunction with the sale of the property?*

    1. YES
    2. NO
27. If YES, What was the appraised value?
28. If NO, How was the sale price determined?
30. Was the seller a friend or relative or related business partner that would have caused the seller to sell or buyer to pay less that market value?

    1. Yes
    2. No
32. If Yes, What is the relationship?
34. Will this be your primary residence?*

    1. Yes
    2. No
36. Does the buyer own any adjoining properties?
38. Were there unusual circumstances or conditions to the sale?
40. Was this sale financed?

    1. Yes
    2. No
42. Was there any personal property included in the sales price?

    (furniture, equipment, machinery, inventory, automobiles, etc)

44. Did this purchase involve any of the following entities or criteria? Please check all that apply

    1. Life Estate
    2. Government or Exempt Organizations
    3. Timeshare or Coop
    4. Public Utility or Railroad
    5. Exchange, Trade, Gift (Including 1031)
    6. Court-Ordered Sale
    7. Cemetery Lot
    8. Fulfillment or Prior Year Contract

    1. Assignment or assumption of contract or deed
    2. Auction/Bank Sale
    3. Relocation Sale
    4. Transfer intended to secure a debt or other financial obligation
    5. Vacant lot
    6. Vacant building
    7. NONE OF THE ABOVE
46. Was this transfer made for the purpose of name change, reorganization, or corporate merger?*

    1. Yes
    2. No
48. Was this sale a part of a forced sale, foreclosure, deed in lieu of foreclosure, forfeiture, sheriff's or tax sale, or other transfer arising from default?*

    1. Yes
    2. No
50. If Yes, Please explain.
52. Was this sale a purchase of a percentage of the total property? (partial interest sale)*

    1. Yes
    2. No
54. Did the Seller perform any remodeling or renovations on this property after January 1st of the current year but before the time of the sale?*

    1. Yes
    2. No
56. If Yes, Please explain in detail.
58. Has the buyer changed the property in any way since the date of purchase? (renovations or removals)*

    1. Yes
    2. No
60. If Yes, Please explain in detail.
62. Are there any additional reasons why this sale price might not represent the actual market value of this property?
64. Please describe the intended use of the property.
66. Is this an agricultural property?*

    1. Yes
    2. No
68. Land Detail (Tillable, Easement, Type of Program)
70. Was this sale a part of an IRS 1031 exchange?

    1. No

    1. Yes
71. If YES, Did this have an impact on the sales price paid?
73. Will you be farming this agricultural property?*

    1. Yes
    2. No
75. If NO, Who will be farming? Is this a relative?
77. Do you operate a Family Farm operation?*

    1. Yes
    2. No
78. If Yes, Are you registered with the Minnesota Dept of Ag?*

    1. Yes
    2. No
Leave This Blank:


80. 1. Receive an email copy of this form.
81. Email address

    This field is not part of the form submission.

82. Submit

* indicates a required field