IP #762101
Analytical, Inc.
City of New Hope
Attn: Amy Baldwin
4401 Xylon Avenue North
New Hope, MN 55428 -4898
August 10, 2004
5001 Cedar Lake Road S.
St. Louis Park, MN 55416
Office: (952) 252 -0405
Fax: (952) 252 -0407
Re:- Property located at 5540 Winnetka Ave. N., New Hope, MN.
Further to our visit to the above referenced property on September 3, 2004 for the
purposes of conducting a demolition asbestos inspection, we are prepared to state that there
are class one non - friable asbestos containing building materials contained in or on the fabric
of the structure.
The non - friable asbestos containing materials are:
1. Approximately 400 -440 square feet of asbestos containing floor file and mastic in the
NE Bedroom, NW Bedroom, W Bedroom, SW Bedroom and the Hallway.
No samples other than from the fabric of the building that is planned for demolition were
taken or analyzed and this report relates only to the residential structure located at 5540
Winnetka Ave N. in New Hope, MN. 93 samples of suspect building materials were
collected and analyzed in our laboratory by Polarized Light Microscopy. Please see
attached notes.
During the course of this survey approximately 1 thermostat (possible mercury containing
switch), 3 fluorescent lights with associated ballasts, 6 smoke detectors, I dishwasher plus 1
furnace were noted.
Full Service Laboratory and on -site Industrial Hygiene Services for the Hazardous Material Abatement Industry
From the asbestos stand point the structure is ready to be demolished. If the
category 1 non - friable materials are allowed to be left in place for the demolition, the landfill
must be made aware that the demolition debris will contain (minimal amounts of) category 1
non - friable asbestos containing material, subject to the MPCA's rules and regulations
pertinent to the demolition effort (notifications, etc). Note this survey is not a scope of work
or a bidding document.
If you have any questions, please call me at the number above.
Thank you.
Sincerely,
Steve Wallinga
Angstrom Analytical, Inc.
Prepared by: Angstrom Analytical, Inc. ` }
5001 Cedar Lake Road • St. Louis Park, MN 55416 ngstrom ,A,nal"ctatl &
Office: (952) 252 -0405 FAX: (952) 252 -0407 w F Environmental Services
Building 5540 Winnetka Avenue North PSD = potential for significant damage EA = fitting ND = no asbestos was detected in the sample
Name: submitted for analysis
Survey Date: 9 -03 -04 PD = potential for damage TREM = Tremolite NS = material not sampled
N = little or no damage CHR = Chrysmile NAC = material not accessible
Project No. City of New Hope D = moderate damage AM = Amosite < = less than value specified
Attn: Amy Baldwin SD = significant damage CROC = Crocidolite * = These samples were not analyzed. These
results are inferred a consistent with the
analyzed samples in the homogeneous set.
4401 Xylon Avenue North LF = linear foot ACT = Actinolite
New HO e, MN 55428 SF = square foot ANTH = Anthophyllite
Location
Material Identification
Sample
Number
Types of
Asbestos
%
Quantity
Units
Cond.
Damage
Potential
Response
Rating
Basement
12" x 12" Floor the
1 to 3
ND
-
350 -400
SF
N
PD
0
Basement
12" x 12" Floor tile
4 to 6
ND
-
200 -225
SF
N
PD
0
Basement
12" x 12" Floor tile
7 to 9
ND
-
30 -35
SF
N
PD
0
Basement
Vibration damper
10 to 12
ND
-
2
EA
N
PD
0
Basement
Flue patch
13 to 15
ND
-
1
SF
N
PD
0
North east bedroom
9" x 9" Floor the
16 to 18
CH
5
130 -140
SF
N
PD
1
North east bedroom
Floor the mastic
19 to 21
CH
2 -3
130 -140
SF
N
PD
1
North east bedroom
Tar paper layer
22 to 24
ND
-
1.30 -140
SF
N
PD
0
North east bedroom
F x F Ceiling tile
25 to 27
ND
-
130 -140
SF
N
PD
0
North west bedroom
9" x 9" Floor tile
28 to 30
CH
4
130 -140
SF
N
PD
1
North west bedroom
Floor tile mastic
31 to 33
CH
2 -3
130 -140
SF
N
PD
1
North west bedroom
Tar paper layer
34 to 36
ND
-
130 -140
SF
N
PD
0
West bedroom
9" x 9" Floor the
37 to 39
CH
5
115 -120
SF
N
PD
1
West bedroom
Floor tile mastic
40 to 42
CH
2 -3
115 -120
SF
N
PD
I
West bedroom
Tar paper layer
43 to 45
ND
-
115 -120
SF
N
PD
0
West bedroom
V x F Ceiling tile
Ref. 25 -27
ND
-
115 -120
SF
N
PD
0
Full Service Laboratory and On -Site Industrial Hygiene Services for the Hazardous Material Abatement Industry Page 1
Prepared by: Angstrom Analytical, Inc.
5001 Cedar Lake Road • St. Louis Park, MN 55416
Office: (952) 252 -0405 • FAX: (952) 252 -0407
' n strum Analytical &
Environmental Services
Building 5540 Wmnetka Avenue North PSD = potential for significant damage EA = fitting ND = no asbestos was detected in the sample
Name: submitted for anal
Survey Date: 9 -03 -04 PD = potential for damage TREM = Tremolite NS = material not sampled
N = little or no damage CHR = Chrysotile NAC = material not accessible
Project No. City of New Hope D = moderate damage AM = Amosite < = less than value specified
Attn: Amy Baldwin SD = significant damage CROC = Crocidolite = These samples were not analyzed. These
results are inferred a consistent with the
analyzed samples in the homogeneous set.
4401 Xylon Avenue North LF = linear foot ACT = Actinolite
New Hope, MN 55428 SF = square foot ANTH = Anthophyllite
Location
Material Identification
Sample
Number
Types of
Asbestos
%
Quantity
Units
Cond.
Damage
Potential
Response
Rating
South west bedroom
9" x 9" Floor tile
46 to 48
CH
5
90 -100
SF
N
PD
1
South west bedroom
Floor tile mastic
49 to 51
CH
2 -3
90 -100
SF
N
PD
1
South west bedroom
Tar paper layer
52 to 54
ND
-
90 -100
SF
N
PD
0
North east bathroom
12" x 12" Floor the
55 to 57
ND
-
25 -30
SF
N
PD
0
North east bathroom
Ceiling texture
58 to 60
ND
-
30 -35
SF
N
PD
0
West bathroom
12" x 12" Floor tile
61 to 63
ND
-
45 -50
SF
N
PD
0
West bathroom
Floor the mastic
64 to 66
ND
-
45 -50
SF
N
PD
0
West bathroom
Tar paper layer
67 to 69
ND
-
45 -50
SF
N
PD
0
West bathroom
F x F Ceiling file
Ref. 25 -27
ND
-
45 -50
SF
N
PD
0
Hallway
V x F Ceiling tile
Ref. 25 -27
ND
-
75 -80
SF
N
PD
0
Hallway
9" x 9" Floor the
Ref. 16 -18
CH
5
75 -80
SF
N
PD
1
Hallway
Floor file mastic
Ref. 19 -21
CH
2 -3
75 -80
SF
N
PD
1
Hallway
Tar paper layer
Ref. 22 -24
ND
-
75 -80
SF
N
PD
0
Living room
Ceiling texture
70 to 72
ND
-
300 -325
SF
N
PD
0
Kitchen
Linoleum, top layer
73 to 75
ND
-
180 -200
SF
N
PD
0
Kitchen
Linoleum, bottom layer
76 to 78
ND
-
180 -200
SF
N
PD
0
Full Service Laboratory and On -Site Industrial Hygiene Services for the Hazardous Material Abatement Industry Page 2
Prepared by: Angstrom Analytical, Inc.
5001 Cedar Lake Road • St. Louis Park, MN 55416
Office: (952) 252 -0405 • FAX: (952) 252 -0407
11 Strom Analytical &
j - * Environmental Services
Building 5540 Winnetka Avenue North PSD = potential for significant damage EA = fitting ND = no asbestos was detected in the sample
Name: submitted for analysis
Survey Date: 9 -03 -04 PD = potential for damage TREM = Tremolite NS = material not sampled
N = little or no damage CHR = Chrysotile NAC = material not accessible
Project No. City of New Dope D = moderate damage AM = Amosite < = less than value specified
Attn: Amy Baldwin SD = significant damage CROC = Crocidolite = These samples were not analyzed. These
results are inferred a consistent with the
analyzed samples in the homogeneous set.
4401 Xylon Avenue North LF = linear foot ACT = Actinolite
New Ho MN 55428 SF = square foot ANTH = Anthophyllite
Location
Material Identification
Sample
Number
Types of
Asbestos
%
Quantity
Units
Cond.
Damage
Potential
Response
Rating
Kitchen
F x 1' Ceiling the
Ref. 25 -27
ND
-
180 -200
SF
N
PD
0
Kitchen
Sink undercoat
79 to 81
ND
-
1
EA
N
PD
0
Throughout
Sheetrock, tape, compound
82 to 84
ND
-
250 -300
SF
N
PD
0
Throughout
Window glaze
85 to 87
ND
-
12 -15
EA
N
PD
0
Exterior
Tar paper wrap
88 to 90
ND
-
2000 -2100
SF
N
PD
0
Roof
Shingles, tar paper
91 to 93
ND
-
2700 -3000
SF
N
PD
0
r-ull Service Laooratory and Un -Site Industrial Hygiene Services for the Hazardous Material Abatement Industry Page 3
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5540 Winnetka Ave N
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4401 Xyl n Ave N
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4401 Xylon Ave N
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5540 Winnetka Ave N
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4401 Xylon Ave N
New Hope, MN 55428
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Angstrom Analytical, Inc. • 5001 Cedar Lake Road • St. Louis Park, IVIN 55416 • AA/PLM/1
September 3, 2004
City of New Hope
Attn: Amy Baldwin
4401 Xylon Avenue North
New Hope, Minnesota 55428 -4898
Re: - Limited Scope Lead -Based Paint Testing Report
This report provides the results of a limited scope lead -based paint testing conducted on
September 3, 2004 at 5540 Winnetka Ave. N. in New Hope, Minnesota. Angstrom
Analytical, Inc. was authorized by you to conduct field screening of suspect lead -based
paint using a field portable x -ray fluorescence (XRF) analyzer, and to collect and analyze
paint chip samples, as necessary, to achieve conclusive results.
Results
Results of XRF and laboratory analysis are summarized in the following report which lists
all components exceeding Department of Housing and Urban Development (HUD)
thresholds (see remarks) for lead -based paint. Complete XRF field data showing all sample
results are attached.
Methodology
Testing was accomplished using a Niton XL -309 (300 Series). This instrument is a
portable, non - destructive, in -situ testing and measurement instrument that renders an average
precision of +/- 0.3 milligrams per square centimeter (mg /cm depending upon the length
of time the sample point is tested. Specific precision limits are established by the National
Institute of Standards and Technology (NIST). This instrument contains a radioactive
isotope, Cadmium -109, with a maximum activity of 10 m Ci. The manufacturer of the
sealed source is Niton Corporation, the source model is XFB3205. This instrument is
registered with the Minnesota Department of Health and is operated by licensed lead
inspectors.
Sampling protocols recommended in HUD's "Lead -Based Paint: Interim Guidelines for
Hazard Identification and Abatement in Public and Indian Housing." May 1991 revision,
were used to determine the presence or absence of lead -based paint. Where conclusive
results were not obtained by XRF testing, confirmatory paint chip samples were or can be
collected for laboratory analysis.
Full Service Laboratory and on -site Industrial Hygiene Services for the Hazardous Material Abatement Industry
Remarks
The Lead -Based Paint Poisoning Prevention Act (LBPPA) has established an action level
for public housing. Under the statute, lead -based paint hazards equal to or greater than 1.0
mg /cm or 0.5 percent by weight must be abated. Standards for private or commercial
housing vary by locality.
The following components tested positive for lead based paint and were in either
fair or poor condition:
House and Garaee Exterior
• White Trim and Soffit
• Red Siding
• White Window Components
• White Door Threshold
A total of 30 sample locations were taken throughout the house located at 5540 Winnetka
Ave. N. Representatives of Angstrom Analytical, Inc conducted all sampling.
If you have any questions or need further assistance, please call me at the number above.
Sincerely,
Steve Wallinga
Angstrom Analytical, Inc.
Serial #XL309- U3338NR5517 Site: Date: 9/3/2004
Paint Page 1
No
XLNo FIr Side
Room
Source
Sub
Feat
Cud
Clr
Note Result
Pbl ± Prec
2
2
Calibrate
POS
1.05 ± 0.22
3
3
Calibrate
POS
1.05 ± 0.22
4
4
Calibrate
NEG
0.84 ± 0.15
5
5
Calibrate
POS
1.16 ± 0.26
6
6
Outside
Ext Wall
Wood
Trim Lwr
White
POS
2.45 ± 0.72
7
7
Outside
Ext Wall
Wood
Trim Lwr
Poor
White
POS
1.88 ± 0.54
8
8
Outside
Ext Wall
Wood
Fair
White
NEG
0.35 ± 0.29
9
9
Outside
Ext Wall
Wood
Fair
Red
NEG
0.20 ± 0.15
10
10
Outside
Wood
Trim
Poor
White
POS
1.46 ± 0.34
11
11
Outside
Wood
Trim
Poor
White
NEG
0.34 ± 0.27
12
12
Outside
Door
Wood
Threshold
Poor
White
POS
0.01 ± 0.02
13
13
Outside
Ext Wall
Wood
Trim Lwr
Poor
White
NEG
0.00 ± 0.08
14
14
Outside
Door
Wood
Ovrhd Door
Fair
White
NEG
0.01± 0.13
15
15
Outside
Garage
Wood
Wall
Fair
Red
POS
1.99 ± 0.63
16
16
Outside
Ext Wall
Wood
Trim Lwr
Poor
Red
NEG
0.43 ± 0.10
17
17
Outside
Garage
Wood
Wall
Poor
Red
POS
2.14 ± 0.58
18
18
Outside
Ext Wall
Wood
Trim Lwr
Poor
White
POS
0.98 ± 0.11
19
19
Outside
House
Wood
Wall
Fair
Red
POS
1.69 ± 0.71
20
20
Outside
Window
Wood
Stool
Poor
White
POS
0.04 ± 0.02
21
21
Outside
Window
Wood
Stops
Poor
White
POS
0.59 ± 0.12
22
22
Window
Wood
Sash Ext
Poor
White
NEG
0.90 ± 0.14
23
23
Room 1
Wall
Drywall
Fair
White
NEG
0.00 ± 0.02
24
24
Room 4
Window
Wood
Sash
Poor
Brown
NEG
0.02 ± 0.12
25
25
Room 4
Window
Wood
Apron
Poor
Brown
NEG
0.00 ± 0.02
26
26
Window
Wood
Trough
Poor
White
NEG
0.11 ± 0.12
27
27
Window
Wood
Trough
Poor
White
POS
0.10 ± 0.05
28
28
Cellar
Window
Wood
Celwin Ssh
Fair
White
NEG
0.12 ± 0.1.4
29
29
Cellar
Window
Wood
Celwin Jmb
Fair
White
NEG
0.00 ± 0.08
30
30
Cellar
Door
Wood
Jamb
Poor
White
NEG
0.18 ± 0.11
Film
WARRANTY DEED
Individual(s) to Corporation, Partnership or Limited Liability Company
STATE DEED TAX DUE HEREON: $765.00
Date: August , 2004.
FOR VALUABLE CONSTDFRATION, Richard S. Suckv and Barbara Suckv, husband and wife,
Grantors, hereby convey and warrant to the Economic Development Authority in and for the City of New
Hope, a public body corporate and politic under the laws of the State of Minnesota, Grantee, real property
in Hennepin County, Minnesota, described as follows:
That part of the West 10 acres of the Southwest Quarter of the Southwest Quarter of Section 5,
Township 118, Range 21, Hennepin County, Minnesota, described as follows: Commencing at a
point on the West line of the said West 10 acres of the Southwest Quarter of the Southwest
Quarter, distant 1100 feet North from the Southwest comer thereof; thence North along said West
line, 90 feet; thence East parallel with the South line thereof 160 feet; thence South parallel with
the West line thereof 90 feet; thence West parallel with the South line thereof, 160 feet to the
point of beginning, now being a part of Lot 38, Auditor's Subdivision Number 226, Hennepin
County, Minnesota, except that part which lies Westerly of the following described line:
Beginning at a point 40.0 feet East of the West line of said Section and 19.44 feet South of the
South line of said tract, as measured along the West line thereof; thence run Northerly to a point
distant 13.0 feet East of the West line of said tract and 40.56 feet North of the South line of said
tract, as measured along the West line thereof; thence run North parallel with the West line of
said tract to the North line of said tract and there terminating;
subject to and together with easements, restrictions and covenants of record;
together with all hereditaments and appurtenances belonging thereto.
Check box if applicable:
9 The seller certifies that the seller does not know of any wells on the described real property.
A well disclosure certificate accompanies this document.
9 1 am familiar with the property described in this instrument and I certifv that the status and
number of wells on the described real property have not changed si e the last previously filed
well disclosure certificate.
Richard S. Sucky
arbara Sucky
STATE OF MINNESOTA
} COUNTY OF HENNEPIN ss.
r
The foregoing instrument was acknowledged before me this _ day of August, 2004, by Richard S.
Sucky and Barbara Sucky, husband and wife, Grantors.
(Notarial Stamp or Seal)
19 • e <� "��
S TEM A. SDNDRAII
M WtYPl=- fMNNESOTA
1*01 � 10 I Mn.31,2005 Notary Public
a
Check here if part or all of the land is Registered
(Torrens) 4
THIS INSTRUMENT DRAFTED BY:
Jensen & Sondrall,P.A.
8525 Edinbrook Crossing, Suite 201
Brooklyn Park, MN 55443
(763) 424 -8811
Tax Statements for the real property described in
this instrument should be sent to:
The Economic Development Authority
in and for the City of New Hope
4401 Xylon Avenue North
New Hope, Minnesota 55401
P.UA-- ,°JL®.I -Chm F.Id—a CNH\99- 11302+99.11302-004 -WDAd
STATE OF MINNESOTA
COUNTY OF HENNEPIN
ss. AFFIDAVIT REGARDING
SELLERS
Richard S. Sucky and Barbara Sucky, husband and wife, being first duly sworn, on oath say that:
1. They are the persons named as Grantors in the document dated August , 2004, and filed for
record . 2004, as Document No. in the office of the Countv
Recorder of Hennepin County, Minnesota.
2. Said persons are of legal age and under no legal disability and for the last ten (10) years have
resided at:
5540 Winnetka Avenue North, New Hope, Minnesota 55428.
3. The social security numbers of said persons are:
Richard S. Sucky
Barbara Sucky
4. There have been no:
6.
7.
8.
9.
10.
11.
a. Bankruptcy, divorce or dissolution proceedings involving said persons during the time
period in which said persons have had any interest in the premises described in the above
document ( "Premises ").
b. Unsatisfied judgments of record against said persons, nor any actions pending in any
courts which affect the Premises.
C. Tax liens filed against said persons.
Any bankruptcy, divorce or dissolution proceedings of record against parties with the same or
similar names, during the time period in which the above -named persons have had any interest in
the Premises, are not against the above -named persons.
Any judgments or tax liens of record against parties with the same or similar names are not
against the above -named persons.
There has been no labor or materials furnished to the Premises for which payment has not been
made.
There are no unrecorded contracts, leases, easements, or other agreements or interests relating to
the Premises of which Affiants have knowledge.
There are no persons in possession of any portion of the Premises other than pursuant to a
recorded document.
There are no encroachments or boundary line questions affecting the Premises of which Affiants
have knowledge.
The persons have not received medical assistance from the State of Minnesota or any county
medical assistance agency.
0
12. This Affidavit is made as respects the following described property:
That part of the West 10 acres of the Southwest Quarter of the Southwest Quarter of Section 5,
Township 118, Range 21, Hennepin County, Minnesota, described as follows: Commencing at a
point on the West line of the said West 10 acres of the Southwest Quarter of the Southwest
Quarter, distant 1100 feet North from the Southwest comer thereof; thence North along said West
line, 90 feet; thence East parallel with the South line thereof 160 feet; thence South parallel with
the West line thereof 90 feet; thence West parallel with the South line thereof, 160 feet to the
point of beginning, now being a part of Lot 38, Auditor's Subdivision Number 226, Hennepin
County, Minnesota, except that part which lies Westerly of the following described line:
Beginning at a point 40.0 feet East of the West line of said Section and 19.44 feet South of the
South line of said tract, as measured along the West line thereof-, thence run Northerly to a point
distant 13.0 feet East of the West line of said tract and 40.56 feet North of the South line of said
tract, as measured along the West line thereof; thence run North parallel with the West line of
said tract to the North line of said tract and there terminating.
Affiants know the matters herein stated are true and make this Affidavit for the purpose of
inducing the passing of title to the Premises.
Ri and S. Sucky w
arbara Sucky
Subscribed and sworn to before me this CO day ® olarial Stam o sear
of A ust, 20 87M A SDNDRALL
19 *00®LE I �.
MJ91.2005
Notary Public
Drafted By:
JENSEN & SONDRALL, P.A.
8525 Edinbrook Crossing, Suite 201
Brooklyn Park, MN 55443
(763) 424 -8811
P.'.Atto eyJL➢ \I- Client Folders:CW99- 11302`:99.11302-005 - Sellers Afffd —I(D2) doc
(99.11302)
DATE:
August 6, 2004
PROPERTY ADDRESS:.
5540 Winnetka Avenue North
New Hope, Minnesota 55428
`SELLERS: >
Richard S. Sucky
NEEMW
Barbara S. Sucky
PURCHASER:
Economic Development Authority in and for the City of New Hopf
TIN: 41- 6008870
TERMS:
Total Purchase Price:
Earnest Money:
$0.00
Cash at Closing:
$225,000.00
$225,000.00
SELLERS' COSTS:
*Real Estate Tax Adjustment:
$217.55
$217.55
PURCHASER'S COSTS: '
Conservation Fee:
$5.00
Recording Fee for Warranty Deed with
$20.50
Recording Fee for Well Disclosure Certificate:
State Deed Tax:
Real Estate Tax Adjustment:
CASH RECEIVED: Cash at Closing:
Purchaser's Costs:
Hennepin County Treasurer (State Deed Tax):
Hennepin County Recorder:
Richard S. Sucky and Barbara S. Suckv:
$30.00
$765.00
< $217.55 >
$225,000.00
$602.95
$225,
$765.00
$55.50
$224,782.45
$225,602.95
$225,000.00
$225,000.00
1
Real Estate Tax Ad 'ustment
Sellers' Obligation:
219/366` Base Tax for 2004:
$1,242.24
Assessments Certified to Taxes:
+ $26.70
$1,268.94
Paid by Seller:
G $1,051.39 >
$217.55
Due from Sellers:
Purchaser's Obligation:
147/366" Base Tax for 2004:
$833.84
SELLERS:
Richard S. Sucky
Barbara S. Sucky
E'i1Z� a
THE ECONOMIC DEVELOPMENT AUTHORITY
IN AND FOR =OF E
By:
Its:
P: \Attomey\1LB \1- C1ient Folders\CNH \99- 11302 \9911302 -007- Closing Stmt(W).doc
MINNESOTA DEPARTMENT OF HEALTH I MDH USE ONLY
Well Management Section, P.O. Box 64975, St. Paul, Minnesota 55164-0975
(651) 215-0819 or 1-800-383-9808
WELL DISCLOSURE CERTIFICATE
PLEASE TYPE OR PRINT ALL INFORMATION
Person filing deed must attach $30 fee Dayable to the rA)Ljntv rprnrripr
A. PROPERTY DESCRIPTION
Attach a legal description of the property.
COUNTY
LOT NUMBER
BLOCK NUMBER
ADDITION NAME
HENNEPIN
SEE ATTACHED DESCRIPTION
STREET ADDRESS
5540 Winnetka Avenue North
CITY
STATE
I ZIP CODE
P.I.N. (OPTIONAL
New Hope
IVIN
155428
05-118-21-33-0007
B. PROPERTY BUYER MAILING ADDRESS AFTER CLOSING
FIRST
I MIDDLE
I LAST
COMPANY NAME (IF APPLICABLE)
Economic Development Authority in and for the City of New Hope
ADDRESS
4401 Xylon Avenue North
ADDRESS
CITY
IMN
STATE
ZIP — F — TELEPHONE
New Hope
55428
(763) 531-5100
C. CERTIFICATION BY SELLER
I certify that the information provided on this certificate is accurate and complete to the best of my knowledge.
Name of Seller (Please Print) SignOure of Seller or Desi nate Re res tive of Seller Date
D. CERTIFICATION BY BUYER
The buyer or person authorized to act on behalf of the buyer, must sign a Well Disclosure Certificate for all deeds given in
fulfillment of a contract for deed if there is a well on the property.
In the absence of a seller's signature, the buyer, or person authorized to act on behalf of the buyer may sign this well
certificate.
No signature is required by the buyer if the seller has signed above.
Based on disclosure information provided to me by the seller or other available information, I certify that the information on
this certificate is accurate and complete to the best of my knowledge.
Signature of Buyer or Designated Re2resentative of Buyer Date
IMPORTANT NOTE: The Minnesota Department of Health (MDH) will follow-up with the property buyer regarding
any wells disclosed as not in use. If a well is not in use, the property owner must either return the well to use,
have the well sealed by a licensed well contractor, or obtain an annual maintenance permit from the MDH for
$125. A copy of this well disclosure certificate should be provided to the property buyer.
7/02
MINNESOTA DEPARTMENT OF HEALTH
WELL DISCLOSURE CERTIFICATE
PLEASE TYPE OR PRINT ALL INFORMATION
Fill out a separate well information page if more than three wells are located on the property.
WELL #1
COUNTY QUARTER (OR GOVERNMENT LOT) SECTION NUMBER TOWNSHIP NUMBER RANGE NUMBER
HENNEPIN Southwest Quarter of Southwest 15 1 118 121
Quarter
WELL STATUS (Check only one box) i YEAR WELL WAS SEALED OR
WELL IS: ❑ IN USE (1) ® NOT IN USE (2) ❑ SEALED BY LICENSED WELL CONTRACTOR (3) SEALING RECORD NUMBER (IF
(Call MDH to verify sealing record is on file.) KNOWN)
If the well has been sealed by someone other than a licensed well contractor or a licensed well sealing NAME OF LICENSED
contractor, check the well status as not in use. CONTRACTOR
WELL #2
COUNTY
QUARTER (OR GOVERNMENT LOT)
SECTION NUMBER
TOWNSHIP NUMBER
RANGE NUMBER
WELL STATUS (Check only one box)
WELL IS: ❑ IN USE (1) ❑ NOT IN USE (2) ❑ SEALED BY LICENSED WELL CONTRACTOR (3)
(Call MDH to verify sealing record is on file.)
YEAR WELL WAS SEALED OR
SEALING RECORD NUMBER (IF
KNOWN)
If the well has been sealed by someone other than a licensed well contractor or a licensed well sealing
contractor, check the well status as not in use.
NAME OF LICENSED WELL
CONTRACTOR
WELL #3
COUNTY QUARTER (OR GOVERNMENT LOT) SECTION NUMBER TOWNSHIP NUMBER I RANGE NUMBER
I
WELL STATUS (Check only one box) YEAR WELL WAS SEALED OR
WELL IS: ❑ IN USE (1) ❑ NOT IN USE (2) ❑ SEALED BY LICENSED WELL CONTRACTOR (3) SEALING RECORD NUMBER (IF
(Call MDH to verify sealing record is on file.) I KNOWN)
If the well has been sealed by someone other than a licensed well contractor or a licensed well sealing NAME OF LICENS
contractor, check the well status as not in use. CONTRACTOR
SKETCH MAP - Sketch the location of the well(s) and include estimated distances from roads, streets and
buildings. IF MORE THAN ONE WELL ON PROPERTY, USE THE WELL LOCATION NUMBER ABOVE TO
IDENTIFY EACH WELL. The location of the well(s) must be provided. If the location of a well is not known, have
the well located by a person qualified to locate wells, such as a licensed contractor.
L C ,,,, d-r-c
Information nroviriari nn this form is
l x
To request this document in another format call (651) 215-0811 or TDD (651) 215-0707 or greater Minnesota through
Minnesota Relay Service at 1- 800 - 627 -3529 and ask for (651) 215 -0811. Visit our web site at:
www. health.state.m n. us /div /well s /disclosures/
HE- 01387 -09 IC #140 -0385
7/02
INSTRUCTIONS FOR COMPLETING THE WELL DISCLOSURE CERTIFICATE
A $30 FEE MUST BE ATTACHED TO THIS FORM WHEN SUBMITTING THIS FORM TO THE COUNTY RECORDER'S
OFFICE. THE FEE IS TO BE PAID BY THE BUYER OR PERSON FILING THE DEED. PLEASE MAKE THE CHECK
PAYABLE TO THE COUNTY RECORDER.
BUYER, SELLER, AND PROPERTY INFORMATION
A. PROPERTY DESCRIPTION - provide the county, house number, street name, street type, street direction (if
applicable), city, and zip code; and, if applicable, the lot number, block number, and addition name (for example,
White Pine Addition, block 4, lot 12). Attach a complete legal description of the property.
B. PROPERTY BUYER MAILING ADDRESS AFTER CLOSING - Provide the buyer's full name (or company name,
if buyer is a company), full address, and phone number (including area code). Be sure to include a complete
mailing address. If the property is jointly owned, provide the name of a contact person.
C. /D. CERTIFICATION BY SELLER OR BUYER - Provide name of seller in space provided. Also, the seller (or
designated representative) should sign this certificate before it is submitted to the county recorder's office. If the
seller is unable to sign the document, the buyer (or designated representative) may sign the certificate before it is
submitted to the county recorder's office. There must be at least one signature on the certificate.
Where deeds are given in fulfillment of a CONTRACT FOR DEED the well disclosure certificate MUST be signed
by the BUYER or the person authorized to act on behalf of the buyer.
WELL INFORMATION
Provide the following information for EACH WELL BEING DISCLOSED.
WELL LOCATION
Provide the county name, quartile (one quarter section is required) or government lot, section number, township number,
and range number.
WELL STATUS INFORMATION
Indicate the status of each well. CHECK ONLY ONE BOX,
In Use - A well is "in use" if the well is operated on a daily, regular, or seasonal basis. A well in use includes a well that
operates for the purpose of irrigation, fire protection, or emergency pumping.
Not In Use - A well is "not in use" if the well does not meet the definition of "in use" above and has not been sealed by a
licensed well contractor.
Sealed - A well is "sealed" if a licensed contractor has completely filled a well by pumping grout material throughout the
entire bore hole after removal of any obstructions from the well. A Well and Boring Sealing Record must be on file with
the Minnesota Department of Health (MDH). Contact the MDH to verify if a sealing record is on file. A well is "capped" if it
has a metal or plastic cap or cover which is threaded, bolted, or welded into the top of the well to prevent entry into the
well. A "capped" well is not a "sealed" well.
If the well described has been sealed by a licensed well contractor, indicate the year when the well was sealed, if known.
If the well is "not in use" and has not been sealed by a licensed well contractor or a licensed well sealing contractor, check
the well status as "not in use ".
SKETCH MAP
Complete the sketch map as instructed on the Well Disclosure Certificate. The locations of each well must be indicated.
NOTE: If a well is not in use it must be SEALED by a licensed well contractor or a well owner must obtain a
MAINTENANCE PERMIT from the Minnesota Department of Health and pay an annual maintenance fee of $125.
Maintenance permits are not transferable. If a well is operable and properly maintained, a maintenance permit is
not required
If you have any questions, please contact the Minnesota Department of Health, Well Management Section at (651) 215-
0819 (metropolitan Minneapolis -St. Paul) or 1- 800 - 383 -9808 (greater Minnesota). Visit our web site at:
www. health.state.mn.us /div /eh /wells /disclosures/
7/02
SCHEDULE "A"
Legal Description
That part of the West 10 acres of the Southwest Quarter of the Southwest Quarter of Section 5, Township
118, Range 21, Hennepin County, Minnesota, described as follows: Commencing at a point on the West
line of the said West 10 acres of the Southwest Quarter of the Southwest Quarter, distant 1100 feet North
from the Southwest corner thereof; thence North along said West line, 90 feet; thence East parallel with
the South line thereof 160 feet; thence South parallel with the West line thereof 90 feet; thence West
parallel with the South line thereof, 160 feet to the point of beginning, now being a part of Lot 38, Auditor's
Subdivision Number 226, Hennepin County, Minnesota, except that part which lies Westerly of the
following described line: Beginning at a point 40.0 feet East of the West line of said Section and 19.44
feet South of the South line of said tract, as measured along the West line thereof; thence run Northerly to
a point distant 13.0 feet East of the West line of said tract and 40.56 feet North of the South line of said
tract, as measured along the West line thereof; thence run North parallel with the West line of said tract to
the North line of said tract and there terminating.
P:Wttorney\JLB\1- Client Folders \CNH \99 - 11302\99.11302 -006 -Well Disclosure Cert.doc
USE AND ACCESS AGREEMENT FOR
5540 Winnetka Avenue North
This Access Agreement (the "Agreement ") is dated effective the 6' day of August,
2004, and is entered into by and between Richard S. Sucky and Barbara. Sucky, husband
and wife ( "Sellers ") and the Economic Development Authority in and for the City of New
Hope, a Minnesota municipal corporation ( "EDA ") contemporaneously with the closing of the
sale of property located at 5540 Winnetka Avenue North, New Hope, Minnesota (the
"Property ") from Sellers to EDA on August 6, 2004 ( "Closing Date ").
WHEREAS, Sellers have not been able to vacate the Property or fully remove their
personal effects from the Property and have requested permission from the EDA to remain
living at the Property and to remove their personal effects from the Property after the Closing
Date; and
WHEREAS, as of the Closing Date, title to the Property transferred to the EDA,
which includes the right of possession; and
WHEREAS, EDA is willing to permit Sellers access to reside at the Property
following the Closing Date to allow Sellers to remove their personal property from the
Property according to the terms and conditions contained herein.
NOW, THEREFORE, as an accommodation to Sellers, EDA is willing to grant a
limited right of access to reside at and use the Property at 5540 Winnetka Avenue North as
specified herein:
1. EDA agrees to allow Sellers access to reside at the Property following the
Closing Date on August 6, 2004 for a period of twenty-five (25) days, terminating at 11:59
p.m. on August 31 2004, and to permit Sellers' removal of personal property from the
Property.
2. Sellers have retained a key to the Property and are authorized to utilize the key
for a period terminating at 11:59 p.m. on August 31, 2004. Sellers shall not conduct any
activity on the Property inconsistent with a residential use during the term of this Agreement.
Further, Sellers will not allow any other person to reside at the Property who was not already a
resident of the Property as of the effective date of this Agreement.
3. Any personal property remaining on the Property after 11:59 p.m. on August
31, 2004, will be considered abandoned by Sellers and may be disposed of by the EDA or the
City of New Hope. Sellers' agree to reimburse the EDA or City for any costs incurred by the
EDA or the City of New Hope to remove and dispose of the personal property abandoned by
Seller, ",_V"
}
.,3 i�a .vsr j �*i�t i I /fir - L'J °/ r 3 S �� ivZ�, n �j•� , �-S
4. This Agreement grants a limited contractual right of entry to Sellers and is not
to be deemed in any way to create a leasehold estate. Sellers' acknowledge and agree time is
c
of the essence concerning the EDA's possession of the property by 11:59 p.m. on August 31,
2004. Sellers agree they will vacate the Property as of 11:59 p.m. on August 31, 2004 and
Sellers further acknowledge and agree they have waived any and all vacate notice requirements
imposed on the EDA by any law necessary to enforce removal of Sellers by the vacate date. In
the event the Sellers have failed to vacate the Property on or before 11:59 p.m. on August 31,
2004 this agreement shall constitute an Order Compelling Delivery and Possession of the
Property PropeLty to the EDA per Minn. Stat. §117.043 and it shall also constitute a WRIT OF
RECOVERY OF PREMISES AND ORDER TO VACATE per Minn. Stat §504B.365.
Sellers agree they have waived their rights to any further notice or hearing as provided by
Minn. Stat. §117.043 and agree Petitioner is entitled to immediate possession of the Property
as of 11:59 p.m. on August 31, 2004 without any delay of enforcement. Sellers also
acknowledge and agree they will pay any costs, including reasonable attorney fees, incurred by
the EDA to enforce the removal of Sellers from the Property after 11:59 p.m. on August 31,
2004.
5. Sellers shall enter upon and use the Property with reasonable care and without
damage to the Property. Sellers will not use the Property in any manner inconsistent with the
residential nature of the Property or in violation of any City or State building, fire or zoning
code.
6. EDA waives all claims for trespass arising from Sellers' entry and use on the
Property for the purposes stated herein.
7. Any use of the Property by Sellers for any reason other than for the purposes
stated in this Agreement shall be deemed a violation of this Agreement. Sellers acknowledge
and agree they violate this Agreement by committing any of the following acts during the term
of this Agreement:
a) Permit another person to reside at the Property who is not a resident as of the
effective date of this Agreement,
b) Use the Property inconsistent with Sellers current residential use (including their
permitted home occupation) of the property, —
c) Use the Property in violation of any state or city building, fire or zoning code,
d) Fail to vacate the Property as of the time and date stated in Paragraph 1 of this
Agreement.
8. EDA or the City of New Hope will not be liable to Sellers, or Sellers' family,
agents, invitees, contractors, employees or servants, for any damages or losses to person or
property incurred during Sellers' use or entrance onto the Property under this Agreement,
unless caused by the willful misconduct of the EDA or the City of New Hope or any of its
employees, agents, representatives or other persons acting only under the direct control of the
EDA or the City of New Hope..
2
9. Sellers agree to waive and release the EDA and City of New Hope and its
employees, officials, agents and representatives from any and all right of recovery, claim,
action or causes of action, for any loss or damage that may occur to Sellers' personal property,
by reason of any and all risk and/or perils, regardless of cause or origin.
10. Sellers agree to indemnify, defend, and hold the EDA and City of New Hope
harmless from and against all claims, damages, losses and expenses, including but not limited
to reasonable attorney's fees for bodily injury or death or for injury to or destruction of
personal property arising out of and from any negligent act or omission of Sellers, or anyone
directly or indirectly employed by or gratuitously assisting Sellers in connection with Sellers'
use or entry on the Property during the term of this Agreement.
SELLERS, " "'
0.1rd f. Sucky
. b. /
ECONOMIC DEVELOPMENT AUTHORITY
IN AND FOR THE CITY OF NEW HOPE
By:
Kirk McDonald
Its: Community Development Director
STATE OF MINNESOTA
COUNTY OF HENNEPIN SS.
The foregoing instrument was acknowledged before me this ( ^ day of August,
2004, by Richard S. Sucky and Barbara S. Sucky, husband and wife.
(Notary Public Seal)
■ STE11811 A SONDRALL � — ���+�'`-~
0 NGLI FU UC MINNESOTA Notary Public
&V 0 I Ron Jan. 31, 2005
■ A M M 04 M vvvvvvvv~m
STATE OF MINNESOTA
}'
COUNTY OF HENNEPIN SS.
The foregoing instrument was acknowledged before me his day of August, 2004,
by Kirk McDonald, the Community Development Director of the Economic Development
Authority in and for the City of New Hope, a Minnesota municipal corporation, on behalf of
said municipal corporation.
Notary Public
Drafted By:
JENSEN & SONDRALL, P.A.
8525 Edinbrook Crossing, Suite 201
Brooklyn Park, MN 55443
(763) 424 -8811
P: %AttorneyliLnli,Cliciit Fulders \CNF{;99- 1 1 30214".:1302- 003 -Use & Access Agt.doc,_
IH
REQUEST FOR ACTION
Originating Department
Approved for Agenda
Agenda Section
Community Development
July 26, 2004
EDA
Item No.
i
'1
By: Kirk McDonald
By: \
5
RESOLUTION APPROVING PURCHASE AGREEMENT AND RELOCATION BENEFITS, 5540 WINNETKA AVENUE
NORTH (IMPROVEMENT PROJECT #762)
REQUESTED ACTION
Staff recommends EDA approval of a resolution prepared by the City Attorney approving the purchase of property located
at 5540 Winnetka Avenue North for $225,000, which the owner is willing to accept. In addition, the city will be paying a
differential payment of $54,000, because the owner has found an acceptable replacement property at a cost of
$279,000.00. The city is also required to pay business relocation costs of $20,000, as the property is zoned commercial
and there is a home occupation business on the property. Lastly, the city will pay the routine closing costs. All of these
items are outlined in the attached documents from the City Attorney,
The City Attorney is currently coordinating with the property owner and it is anticipated that the purchase agreement will
be executed in the near future. This is the final property acquisition in the currently approved Winnetka Green project
area, except for the 20/20 Eye Care property, which is in the commissioner's hearing process.
POLICY /PAST PRACTICE
City goal #2 is to emphasize the maintenance and redevelopment of commercial and residential properties within the city.
The City Council has been addressing the residential portion of this goal through the city's many housing activities,
including acquiring property in areas designated for redevelopment in the Comprehensive Plan.
BACKGROUND
At the November 3, 2003, Council Work Session, the Council directed staff to complete appraisals, relocation estimates
and to present offers to residents located in the east Winnetka redevelopment area. On January 26, 2004, the EDA
authorized condemnation of the remaining properties.
The city had an appraisal completed on this property and the value was determined to be $225,000.00. The appraisal
was based on a residential zoning use. The property owners found a replacement property for $279,000.00 and are
eligible for a $49,900.00 differential payment. In order to complete this transaction, staff is recommending a $4,100.00
increase in the differential payment to $54,000.00. Staff is recommending the compromise due to the fact that the
property is zoned commercial and the fact that the city would need to pay out an additional $1,500.00 to the property
owner if they had another appraisal completed.
Staff recommends approval of the resolution.
FUNDING
The subject property is located in an area where TIF funds can be expended. TIF funds would be used for property
acquisition, relocation and associated holding costs. During the 2003 State Legislative Special Session, the city's TIF
special legislation was passed. In December 2003, the district was approved by the City Council.
MOTION BY SECOND BY
Request for Action
Page 2
ATTACHMENTS
• Resolution
• Purchase agreement and exhibits
• City Attorney correspondence
• City appraisal excerpts (full appraisal available for review in Dept. of Comm. Dev.)
• Location map
I: RFA/CommDev /Q -5540W innetka.doc
CITY OF NEW HOPE
EDA RESOLUTION NO. 04 - 26
RESOLUTION APPROVING PURCHASE AGREEMENT
AND RELOCATION BENEFITS
5540 Winnetka Avenue North
BE IT RESOLVED, by the Economic Development Authority in and for the City of
New Hope as follows:
WHEREAS, New Hope City staff have been in contact with Richard S. Sucky and
Barbara S. Sticky, husband and wife ( "Owners "), Owners of certain real estate known as 5540
Winnetka Avenue North (the "Property"); and
WHEREAS, appraisers hired by the New Hope EDA valued the Property at $225,000.00
as of February 26, 2004; and
WHEREAS, the Owner is willing to sell the Property to the New Hope EDA for the sum
of $225,000.00 as set forth in the Purchase Agreement attached hereto as Exhibit A and
incorporated herein by reference; and
WHEREAS, City staff have employed the service of Evergreen Land Services Company
to provide the required relocation assistance; and
WHEREAS, Evergreen Land Services Company has prepared a relocation analysis
(attached as Exhibit B) for the Owner herein and has determined the estimated maximum
relocation benefits payable to Owner based on a $225,000.00 acquisition price of the subject
property is as follows:
1. differential payment - $54,000.00
2. moving expenses - $2,400.00,
3. closing costs - $2,500.00; and
WHEREAS, Evergreen Land Services Company has further determined Owners are
entitled to an additional Business Relocation Benefit resulting from Owners operation of a
"home occupation" car part supply business located at the property equal to the actual cost to
move and relocate the "home occupation" business to Owners replacement property or a
$20,000.00 "in Lieu" relocation payment if Owner so chooses and if Owners can qualify for the
"in Lieu" payment under federal and state law governing business relocation payments; and
WHEREAS, it is in the best interest of the New Hope EDA to purchase the Property from
the Owners for the sum of $225,000.00, with other terms and conditions as set forth in the
Purchase Agreement attached as Exhibit A and to pay the required relocation assistance benefits
as determined by Evergreen Land Services Company in the analysis attached as Exhibit B.
NOW, THEREFORE, BE IT RESOLVED by the Economic Development Authority in
and for the City of New Hope as follows:
1. That the above recitals are incorporated herein by reference;
2. That the purchase of the Property by the New Hope EDA from Richard S. Sucky
and Barbara S. Sucky, husband and wife, for the sum of $225,000.00, with other
terms and conditions as set forth in the Purchase Agreement attached hereto as
Exhibit A, is approved.
3. The residential relocation assistance benefits payable to the Owner as determined
by Evergreen Land Services Company and indicated on Exhibits B attached are
hereby approved and Evergreen is further authorized and directed to determine
and pay the appropriate business relocation benefits to relocate Owners "home
occupation" car part supply business. This benefit shall be the actual cost to
relocate the home occupation car part supply business or a $20,000.00 "in Lieu"
payment if Owners can qualify for said payment as determined by Evergreen
Land Services Company:
4. The President, Executive Director and New Hope City staff are authorized and
directed to sign all appropriate documents, and to take whatever additional actions
are necessary or desirable, to complete the purchase of the Property in accordance
with the Purchase Agreement attached hereto as Exhibit A.
Dated the 26 day of July, 2004
D n oilier, President
/ 7 j
Attest:
Daniel J. Donahue, utive Director
PAAttorney \Cnh Resolutions \99.11302- 001 - -Reso Approv PA -5540 Winnetka Avenue.doc
2
EXHIBIT A
MINNESOTA STANDARD RESIDENTIAL PURCHASE AGREEMENT
BEFORE YOU USE OR SIGN THIS CONTRACT, YOU SHOULD CONSULT WITH A LAWYER TO
DETERMINE THAT THIS CONTRACT ADEQUATELY PROTECTS YOUR LEGAL RIGHTS.
1. PARTIES. This Purchase Agreement is made on July . 2004, by and between Richard S. Sucky and
Barbara S. Sucky, husband and wife, of 5540 Winnetka Avenue North. New Hope. Minnesota 55425. SELLER,
and the Economic Development Authority in and for the City of New Hope, a public body corporate and politic
under the laws of the State of Minnesota, of 4401 Xylon Avenue North. New Hope, Minnesota 55428, BUYER.
2. OFFER/ACCEPTANCE. Buyer offers to purchase and Seller agrees to sell real property legally described
as:
That part of the West 10 acres of the Southwest Quarter of the Southwest Quarter of Section 5,
Township 118, Range 21, Hennepin County, Minnesota, described as follows: Commencing at a
point on the West line of the said West 10 acres of the Southwest Quarter of the Southwest Quarter,
distant 1100 feet North from the Southwest corner thereof; thence North along said West line, 90
feet; thence East parallel with the South line thereof 160 feet, thence South parallel with the West
line thereof 90 feet; thence West parallel with the South line thereof, 160 feet to the point of
beginning, now being a part of Lot 38, Auditor's Subdivision Number 226, Hennepin Count
Minnesota, except that part which lies Westerly of the following described line: Beginning at 'a
point 40.0 feet East of the West line of said Section and 19.44 feet South of the South line of said
tract, as measured along the West line thereof; thence run Northerly to a point distant 13.0 feet
East of the West line of said tract and 40.56 feet North of the South line of said tract, as measured
along the West line thereof; thence run North parallel with the West line of said tract to the North
line of said tract and there terminating.
Property Tax Identification Number or Tax Parcel Number 05- 118 -21 -33 -0007;
located at 5540 Winnetka Avenue North, City of New Hope, County of Hennepin, State of Minnesota, 55428.
3. ACCEPTANCE DEADLINE. The acceptance date of this Purchase Agreement is the date it is delivered by
the last party signing to the other party. .
4. PERSONAL PROPERTY AND FIXTURES INCLUDED IN SALE. The following items of personal
property and fixtures owned by Seller and currently located on the real property are included in this sale: garden
bulbs, plants, shrubs, trees, storm windows and inserts, storm doors, screens, awnings, window shades, blinds,
curtain - traverse - drapery rods, attached lighting fixtures with bulbs, plumbing fixtures, sump pumps, water
heaters, heating systems, heating stoves, fireplace inserts, fireplace doors and screens, built -in humidifiers, built -
in air conditioning units, built -in electronic air filters, automatic garage door openers with controls, television
antennas, water softeners, built -in dishwashers, garbage disposals, built -in trash compactors, built -in ovens and
cooking stoves, hood -fans, intercoms, installed carpeting, work benches, security systems, and also the following
property:
shall else deiive!��Varrwi;p. Bill _04 f+)r th - A s
5. PRICE AND TERMS. The price for the real and personal property included in this sale is Two Hundred
Seventy-Nine Thousand and 00 /100 Dollars ($279,000.00) which Buyer shall pay as follows:
Earnest money of $0.00 ,
9 Seller, to be deposited and held by Seller (and may be commingled with Seller's other funds) pending closing,
9 Seller's lawyer, to be deposited and held in the lawyer's trust account pending closing,
9 Seller's broker, to be deposited or held by broker according to the requirements of Minnesota Statutes,
9 Other
and $279,000.00 cash, on
Closing., 2004, the Date of
An the attached
6. DEED/MARKETABLE TITLE. Upon performance by Buyer, Seller shall execute and deliver a General
Warranty Deed, joined in by spouse, if any, conveying marketable title of record, subject to:
A. Building and zoning laws, ordinances, state and federal regulations;
B. Restrictions relating to use or improvement of the real property without effective forfeiture provisions:
C. Reservation of any mineral rights by the State of Minnesota:
D. Utility and drainage easements which do not interfere with existing improvements:
E. Exceptions to title which constitute encumbrances, restrictions, or easements which have been disclosed
to Buyer and accepted by Buyer in this Purchase Agreement: None.
7. REAL ESTATE TAXES AND SPECIAL ASSESSMENTS. Real estate taxes due and payable in and for
the year of closing shall be prorated between Seller and Buyer on a calendar year basis to the actual Date of
Closing, unless otherwise provided in this Purchase Agreement.
!lie Pate 4C-'Iasin�� the ameent fe be prer-ated shall be al'the prioF* Yea! skieii
_ ... _Hte! payable in
., - _ i
an- PART of
PART ol NON iionie_;iect
Buyer at &)Sine S as Sellef'4 shatv ei'sue «r
{sa+tl -BUYER AND SELLER SHALL PRORATE AS OF THE DATE OF CLOSING / sD z,�.Lbm
`"
SHAL u+ `" ON' DATE OF "' 091N9 all installments of special assessments certified for payment with the
real estate taxes due and payable in the year of closing.
LS...:L. oo ,.7 BU YER YEn 814 "" ' SS''`ir ` SELLER SHALL PAY ON DATE OF CLOSING aIi other special
assessments levied as of the date of this Purchase Agreement.
% " o ei l BUYER -SHAL "5`' :IF SELLER SHALL PROVIDE FOR PAYMENT OF special
assessments pending as of the date of this Purchase Agreement for improvements that have been ordered by the
City Council or other governmental assessing authorities. (Seller's provision for payment shall be by payment
into escrow of 1 -1/2 times the estimated amount of the assessments.) As of the date of this Purchase Agreement.
Seller represents that Seller has not received a Notice of Hearing of a new public improvement project from any
governmental assessing authority, the costs of which project may be assessed against the real property. If a
special assessment becomes pending after the date of this Purchase Agreement and before the Date of Closing,
Buyer may, at Buyer's option:
A. Assume payment of the pending special assessment without adjustment to the purchase price of the real
property; or
B. Require Seller to pay the pending special assessment (or escrow for payment of same as provided above)
and Buyer shall pay a commensurate increase in the purchase price of the real property, which increase
shall be the same as the estimated amount of the assessment; or
C. Declare this Purchase Agreement void by notice to Seller, and earnest money shall be refunded to Buyer.
SELLER SHALL PAY ON DATE OF CLOSING any deferred real
estate taxes (including "Green Acres" taxes under Minn. Stat. 273.111) or special assessments payment of which
is required as a result of the closing of this sale. Buyer shall pay real estate taxes due and payable in the year
following closing and thereafter and any unpaid special assessments payable therewith and thereafter, the
payment of which is not otherwise provided herein. Seller makes no representation concerning the amount of
future real estate taxes or of future special assessments.
8. DAMAGES TO REAL PROPERTY. If the real property is substantially damaged prior to closing, this
Purchase Agreement shall terminate and the earnest money shall be refunded to Buyer. If the real property is
damaged materially but less than substantially prior to closing, Buyer may rescind this Purchase Agreement by
notice to Seller within 21 days after Seller notifies Buyer of such damage, during which 21 -day period Buyer may
inspect the real property, and in the event of such rescission, the earnest money shall be refunded to Buyer.
9. SELLER'S BOUNDARY LINE, ACCESS, RESTRICTIONS AND LIEN WARRANTIES. Seller
warrants that buildings, if any, are entirely within the boundary lines of the real property. Seller warrants that
there is a right of access to the real property from a public right of way. Seller warrants that there has been no
labor or material furnished to the real property for which payment has not been made. Seller warrants that there
are no present violations of any restrictions relating to the use or improvement of the real property. These
warranties shall survive the delivery of the Deed or Contract for Deed.
10. CONDITION OF PROPERTY.
A. Seiler warrants that all appliances, fixtures, heating and air conditioning equipment. fireplaces (including
mechanisms, dampers, flues, and doors), wiring. and plumbing used and located on the real propem will
be in working order on the Date of Closing. Seller shall remove all debris, and all personal property not
included in this sale from the real property before possession date. Seller has no knowledge of any Dutch
elm disease, oak wilt, or other disease of any trees on the real propem.
B. Seller knows of no hazardous substances or petroleum products having been placed, stored, or released
from or on the real property by any person in violation of any law, nor of any underground storage tanks
having been located on the real property at any time, except as follows: None.
C. Seller's warranties and representations contained in this paragraph 10 shall survive the delivery of the
Deed . Any action based upon these warranties and representations must be
commenced within two years after the date on which the Buyer closed on the purchase of the real
property.
D. Buyer shall have the right to have inspections of the property conducted prior to closing. Unless required
by local ordinances or lending regulations, Seller does not plan to have the property inspected.
E. Statutory Disclosure. Pursuant to Minnesota Statutes sections 513.52 - 513.60 (effective January 1.
2003), Seller must provide a written disclosure fsee (1) below], or Buyer must have received an
inspection report [see (2) below], or Buyer and Seller may waive the written disclosure requirements [see
(3) below].
Minnesota Statutes Section 513.57, Subd. 2. LIABILITY. A seller who fails to make a disclosure as required by
sections 513.52 to 513.60 and was aware of the condition of the real property is Iiable to the prospective buyer. A
person injured by a violation of this section may bring a civil action and recover damages and receive other
equitable relief as determined by the court. An action under this subdivision must be commenced within two years
after the date on which the prospective buyer closed the purchase or transfer of the real property,
[Select only one of these three.
9 (1) Seller's Disclosure. Seller has provided a written disclosure to Buyer. A copy of Seller's disclosure
is attached. Seller shall correct in writing any inaccuracies in the disclosure as soon as reasonably
possible before closing.
Minnesota Statutes Section 513.55. GENERAL DISCLOSURE REQUIREMENTS.
Subdivision 1. CONTENTS.
(a) Before signing an agreement to sell or transfer residential real property, the seller shall make a written
disclosure to the prospective buyer. The disclosure must include all material facts pertaining to adverse
physical conditions in the property of which the seller is aware that could adversely and significantly affect:
(1) an ordinary buyer's use and enjoyment of the property; or,
(2) any intended use of the property of which the seller is aware.
(b) The disclosure must be made in good faith and based upon the best of the seller's knowledge at the time of the
disclosure.
Minnesota Statutes Section 513.58. AMENDMENT TO DISCLOSURE.
Subdivision 1. NOTICE. A seller must notify the prospective buyer in writing as soon as reasonably possible, but
in any event before closing, if the seller learns that the seller's disclosure required by section 513.55 was inaccurate.
Subdivision 2. FAILURE TO NOTIFY; LIABILITY. A seller who fails to notify the prospective buyer of any
amendments to the initial disclosure required under subdivision I is liable to the prospective buyer as provided in
section 513.57.
9 (2) Inspection Report. Buyer has received an inspection report by a qualified third -party. If a copy of
the inspection report is provided to Seller, Seller shall disclose to Buyer material facts known to Seller
that contradict any information in the inspection report.
Minnesota Statutes Section 5 13.5 6 Subd. 3. INSPECTIONS.
(a) Except as provided in paragraph (b), a seller is not required to disclose information relating to the physical
condition of the real property if a written report that discloses the information has been prepared by a qualified
third party and provided to the prospective buyer. For purposes of this paragraph, "qualified third party" means
a federal, state, or local governmental agency, or any person whom the seller, or prospective buyer, reasonably
believes has the expertise necessary to meet the industry standards of practice for the type of inspection or
investigation that has been conducted by the third party in order to prepare the written report.
(b) A seller shall disclose to the prospective buyer material facts known by the seller that contradict any
information included in a written report under paragraph (a) if a copy of the report is provided to the seller.
: (3) Waiver of Disclosure.
Minnesota Statutes Section 513.60. WAIVER. The written disclosure required under sections 511.52 to 511.60
may be waived if the seller and the prospective buyer agree to writing. Waiver of the disclosure required under
sections 513.52 to 513.60 does not waive, limit, or abridge any obligation for seller disclosure created by any other
law.
Seller and Buyer waive the written disclosure required under sections 513.52 to 513.60.
ECONOMIC DEVELOPMENT AUTHORITY IN AND
FOR THE CITY OF NEW HOPE
SELLER:
Richard S. Sucky
SELLER:
Barbara S. Sucky
BY:
Don Collier. President
BY:
Daniel J. Donahue, Executive Director
Other than the warranties and representations made in this paragraph 10, the property is being sold "AS IS" with
no express or implied representations or warranties by Seller as to physical conditions, quality of construction,
workmanship, or fitness for any particular purpose. (This paragraph is not intended to waive or limit anv
provisions of Minn. Stat., Chapter 327A.)
11. DISCLOSURE OF NOTICES. Seller has not received any notice from any governmental authority as to
violation of any law, ordinance or regulation affecting the real property, If the real properr is subject to
restrictive covenants, Seller has not received any notice from any person as to a breach of the covenants. Seller
has not received any notice from any governmental authority concerning any eminent domain, condemnation,
special taxing district, or rezoning proceedings.
12. TRUTH -IN- HOUSING. Buyer acknowledges receipt of the Truth -in- Housing Disclosure Report or other
inspection report if required by the municipality in which the real property is located.
13. POSSESSION. Seller shall deliver possession of the property not later than the Date of Closing but subjec
to anv access agreement entered into by the parties Seller agrees to pay all interest,
and all charges for city water, city sewer, electricity, and natural gas through and including 4ha444r -}std
. the Date of Closing or the date Seller, vacates the Property ncr the access a *reenient
whichever is later
*SEE ADDITIONAL TERMS
14. EXAMINATION OF TITLE.
LL_ oF. F11 BbNei
..9i Made
15. TITLE CORRECTIONS AND REMEDIES. Seller shall have 120 days from receipt of Buyer's written
title objections to make title marketable. Upon receipt of Buyer's title objections, Seller shall, within ten (10)
business days, notify Buyer of Seller's intention to make title marketable within the 120 day period. Liens or
encumbrances for liquidated amounts which can be released by payment or escrow from proceeds of closing shall
not delay the closing. Cure of the defects by Seller shall be reasonable, diligent, and prompt. Pending correction
of title, all payments required herein and the closing shall be postponed.
A. If notice is given and Seller makes title marketable, then upon presentation to Buyer and proposed lender
of documentation establishing that title has been made marketable, and if not objected to in the same time
and manner as the original title objections, the closing shall take place within ten (10) business days or on
the scheduled closing date, whichever is later.
B. If notice is given and Seller proceeds in good faith to make title marketable but the 120 day period expires
without title being made marketable, Buyer may declare this Purchase Agreement void by notice to
Seller, neither party shall be liable for damages hereunder to the other, and earnest money shall be
refunded to Buyer.
4
C. If Seller does not give notice of intention to make title marketable, or if notice is given but the 120 dad
period expires without title being made marketable due to Seller's failure to proceed in good faith. Buyer
may seek, as permitted by law, one or more of the following:
(1) Proceed to closing without waiver or merger in the Deed of the objections to title and without waiver
of any remedies, and may:
(a) Seek damages, costs, and reasonable lawyer's fees from Seller as permitted by law (damages
under this subparagraph (a) shall be limited to the cost of curing objections to title. and
consequential damages are excluded): or
(b) Undertake proceedings to correct the objections to title;
(2) Rescission of this Purchase Agreement by notice as provided herein, in which case the Purchase
Agreement shall be null and void and all earnest money paid shall be refunded to Buyer:
(3) Damages from Seller together with costs and reasonable lawyer's fees, as permitted by law:
(4) Specific performance within six months after such right of action arises.
D. If title is marketable, or is made marketable as provided herein, and Buyer defaults in any of' the
agreements herein, Seller may elect either of the following options, as permitted by law:
(1) Cancel this contract as provided by statute and retain all payments made hereunder as liquidated
damages. The parties acknowledge their intention that any note given pursuant to this contract is a
down payment note, and may be presented for payment notwithstanding cancellation:
(2) Seek specific performance within six months after such right of action arises, including costs and
reasonable lawyer's fees, as permitted by law.
E. If title is marketable, or is made marketable as provided herein, and Seller defaults in any of the
agreements herein. Buyer may, as permitted by law:
(1) Seek damages from Seller including costs and reasonable lawyer's fees:
(2) Seek specific performance within six months after such right of action arises.
16. NOTICES. All notices required herein shall be in writing and delivered personally or mailed to the address
as shown at paragraph 1 above and, if mailed, are effective as of the date of mailing.
17. .
shall pay a!! subr4iv o a ll tie
r
18. MINNESOTA LAW. This contract shall be governed by the laws of the State of Minnesota.
19. WELL DISCLOSURE. [Check one of the following)
9 Seller certifies that Seller does not know of any wells on the real property.
9 Wells on the real property are disclosed by Seller on the attached Well Disclosure Form.
20. SEWAGE TREATMENT SYSTEM DISCLOSURE. [Check either A or B]
A. : Seller certifies that sewage generated at the property goes to a facility permitted by the Minnesota
Pollution Control Agency (for example, a city or municipal sewer system).
B. 9 Seller certifies that sewage generated at the property does not go to a facility permitted by the
Minnesota Pollution Control Agency and Seller's Disclosure of individual Sewage Treatment System is
attached (attach form).
[Check either C or DJ
C. 9 Seller does not know if there is an abandoned individual sewage system on the property.
D. :Seller knows that there [strike one): fife{are no abandoned individual sewage treatment systems on the
property. If Seller discloses the existence of an abandoned individual sewage treatment system on the
property. then Minnesota law requires that the location of the system be disclosed to Buyer with a map.
[Attach Seller's Disclosure ofIndividual Sewage Treatment Ststem with map completed.]
21. LEAD PAINT DISCLOSURE. [Check one of the follotivingl
9 Seller represents that the dwelling was constructed on the real propem in 1978 or later.
: Seller represents that the dwelling was construed on the real propem before 1978. (If such housing is
located on the real property, attached and made a pan of this Purchase Agreement is "LEAD PAINT
ADDENDUM FOR HOUSING CONSTRUCTED BEFORE 1975 ".)
..
23. SELLER'S AFFIDAVIT. At closing, Seller shall supplement the warranties and representations in this
Purchase Agreement by executing and delivering a Minnesota Uniform Conveyancing Blank [Form 1 16 -N1, 117-
M, or 118 -M] Affidavit of Seller.
24. CLOSING. Closing shall be at the
°' e eabl e ' [State other location]: New Hope Cit Hall. 4401 Xvlon Avenue North, New Hope,
Minnesota 55428. At closing, Seller and Buyer shall disclose their Social Secunty Numbers or Federal Tax
Identification Numbers for the purposes of completing state and federal tax forms.
25. ADDITIONAL TERMS: *Buyer shall obtain, at Buyer's expense, a Commitment for an Owner's Poliev of
Title Insurance on a current ALTA form issued by an insurer licensed to write title insurance in Minnesota.
Buyer shall be responsible for payment of those costs necessary to prepare such Commitment, including but not
limited to abstracting fees, name search fees, service charges, etc. Buyer shall pay the premium for the Owner's
Policy of Title Insurance. Buyer shall have ten (10) business days after receipt of the Commitment for Title
Insurance to provide Seller with a copy of the Commitment and written objections. Buyer shall be deemed to
have waived any title objections not made within the ten (10) day period above, except that this shall not operate
as a waiver of Seller's covenant to deliver a statutory Warranty Deed, unless a Warranty Deed is not specified
above. If Buyer obtains title insurance, Buyer is not waiving the right to obtain a good and marketable title of
record from Seller.
26. ADDENDA. Attached are 4 addenda which are made a part of this Purchase Agreement.
27. TIME IS OF THE ESSENCE. Time is of the essence for all provisions of this Purchase Agreement.
28. MULTIPLE ORIGINALS. Seller and Buyer have signed 3 originals of this Purchase Agreement.
THIS IS A LEGALLY BINDING CONTRACT. BEFORE SIGNING CONSTULT A LAWYER.
Minnesota law permits licensed real estate brokers and sales agents to prepare purchase agreements. No
recommendation or representation may be made by any real estate broker or sales agent as to the legal sufficiency,
the legal effect, or the tax consequences of this contract. These are questions for vour lawver
SELLER:
I agree to sell the property for the price and terms
and conditions set forth above.
Date: July , 2004.
Richard S. Sticky
SSN:
Date: July , 2004.
Barbara S. Sucky
SSN:
BUYER:
I agree to purchase the property for the price and
terms and conditions set forth above.
ECONOMIC DEVELOPMENT AUTHORITY IN
AND FOR THE CITY OF NEW HOPE
Date: July , 2004.
By:
Don Collier, President
Date: July , 2004.
By:
Daniel J. Donahue, Executive Director
This Purchase Agreement was prep,
JENSEN & SONDRALL. P.A.
8525 Edinbrook Crossing, Suite 201
Brooklvn Park, MN 55443
(763) 424 -8811
Others who will assist Seller or Buver with this transaction:
Lawyer for Buyer
Steven A. Sondrall, #103391
8525 Edinbrook Crossing, Suite 201
Brooklyn Park, Minnesota 55428
(763) 424 -8811
Listing Agent and Broker for this transaction are
N/A
Selling Agent and Broker fnr this transaction are
N/A
Buyer's Title Insurer
Old Republic National Title Insurance Company
400 Second Avenue South
Minneapolis, Minnesota 55401
[1994; Rev. 1996: Rev. 1997; Rev. 2002]
P :WttomeyUBV- Clicnt Folden\CW99- 11302\99.11302- 001 - Residential PA.doc
ADDITIONAL TERMS RELATING TO
PURCHASE AGREEMENT FOR
5540 WINNETKA AVENUE NORTH
Buyer acknowledges that it shall be responsible for payment of the State Deed Tax due on the
sale of the above property, as well as the cost of securing a title commitment as set forth in the
Purchase Agreement. Buyer will also be responsible for all other closing costs, specifically
including all recording costs and all costs to seal the water well on the property.
Buyer acknowledges that relocation assistance benefits as determined by Evergreen Lard
Services Company will be paid to the Seller, as required by law, and the differential payment on
the purchase of a replacement property resulting from the sale of the subject property shall not
exceed the sum of $ Seller acknowledges and agrees the determination of
moving expenses and closing costs by Evergreen Land Services Company shall be binding on
both parties.
Dated: , 2004.
Richard S. Sucky
Dated: , 2004.
Barbara S. Sucky
THE ECONOMIC DEVELOPMENT
AUTHORITY IN AND FOR THE CITY
OF NEW HOPE
Dated: , 2004. By:
Dated: , 2004. By
Don Collier
Its: President
Daniel J. Donahue
Its: Executive Director
P:\Attomey\TLB \t- Client Folders \CNM99 -1 1302 \99.11302- 002 -Ex A to PA.doc
EXHIBIT B
PRICE DIFFERENTIAL PAYMENT / ANALYSIS OF COMPARABLE PROPERTIES
Relocation Consultant: Scott Means Date: 2 -12 -04 (undated 5 -5 -04)
Subject
Comparable
Property #1
Comparable
Property #2
Comparable
Property #3
Price (appraised)
$225,000.00
$274,900.00
$275,000.00
Address
5540 Winnetka 1600 Lilac Dr.N
Ave.
3835 Quaker Ln
City
New Hope Golden Valley
Plymouth
Date of inspection
Style
Rambler
One Story
One Story
Construction
N/A
N/A
N/A
Actual Age /Eff.Age
52 / NA
N/A
N/A
Condition EGF
Average
Good
Good
No. of Units
1
1
1
No. of Rooms
6
6
6
No. of Bedrooms
3
4
4
Bedrooms Required
4
4
4
No. of Baths
2
4
3
Total Area (Sq. Ft.)
1,400
1368
1445
Basement
Full
Full / Fin
Full / WO
Bsmt- Types of Fin.
Rms.
FA / Laun / BR
Heat/Cooling
Gas FA / Central Gas FA / Window
Gas FA / Central
Fireplaces
None
One
None
Other Finished
— Space
Garage
Two Aft
Two Aft
Two ATT
Lot Size
14,000Sgft /.32 A 299x80 / 23,920
S ft /.54A
Irr
Neighborhood E/B
Suburban
E
E
Schools
Y
Y
Y
Public
Transportation
y
y
Y
Church
Y
Y
Y
Place of
Em to ment
y
y
y
Water 1. Type 2.
Adequate
1. City 1.
2. Yes 2.
City
Yes
1. City 1.
2. Yes
Sewer 1. Type 2.
Adequate
1. City 1.
2. Yes 2.
City
Yes
1. City 1.
2. Yes
Other Comments:
These amounts
factored in to the
comparable price
Comparable Price
Project Price
Difference
Estimated Moving Expenses
Estimated Closing Costs
Total Benefit
$274,900.00
- $225,000.00
= $49,900.00
+ $2,100.00
+ - $2,500.00
= $54,500.00
Relocation Consultant: Scott Means Date: 2 -12 -04 (undated 5 -5 -04)
JENSEN & SONDRALL, P.A.
Attorneys At Law
DOUGLAS J. DEBNER
GORDON L. JENSEN'
GLEN A. NORTON
STEVEN A.SONDRALL
STACY A. WOODS
OF COUNSEL
LORENS Q. BRYNESTAD
'Real Property Law
Specialist Certified By
The Minnesota State
Bar Association
'Admitted in Iowa
8525 EDINBROOK CROSSING, STE. 201
BROOKLYN PARK, MINNESOTA 55443 -1968
TELEPHONE (763) 424 -8811 • TELEF.X (763) 493 -5193
e -mail law @j ensen- sondrall.com
July 20, 2004
VIA E -MAIL TO kmcdonald(aci.new- hope.mn.us
AND BY REGULAR U.S. MAIL
Kirk McDonald
Community Development Director
City of New Hope
4401 Xylon Avenue North
New Hope, MN 55428
Re: Resolution Approving Purchase Agreement
And Relocation BeneSts(5540 Winnetka Avenue North)
Our File No.: 99.11302
Dear Kirk:
Please find enclosed for consideration at the July 26 EDA meeting a proposed Resolution
Approving Purchase Agreement And Relocation Benefits(5540 Winnetka Avenue North) for
the referenced property. Also attached to the resolution as exhibits A and B are the purchase
agreement and the relocation benefit analysis respectively. The relocation benefit analysis was
prepared by Evergreen Land Services Company.
As we discussed, this is the final property acquisition in the project. The Suckys' have finally
found an acceptable replacement property at a cost of $279,000.00. As a result, staff has decided to
increase the "differential payment" by $4,100.00 from $49,900.00 to $54,000.00 to make the
transaction work. This is appropriate given the fact the property is zoned commercial, however, our
appraisal was based on a residential zoning use. In an effort to avoid paying an additional
$1,500.00 to the property owner to have their own appraisal prepared and possibly incurring
additional cost to reappraise the property, staff is recommending we pay the additional $4,100.00
differential amount to complete this transaction.
As we have also discussed, the Sucky's also operate a lawful home occupation from their property.
As a result, we will also be obligated to pay business relocation costs. If they can qualify, it is my
guess the will opt for the $20,000.00 "in Lieu" payment. I seriously doubt it would cost more than
$20,000.00 in actual costs to relocate the business.
Please call if you have any questions or comments about the enclosed resolution or purchase
agreement.
Very truly yours,
July 20, 2004
Page 2
Steven A. Sondrall, City Attorney,
City of New Hope
JENSEN & SONDRALL, P.A.
sasQjensen- sondrall.com
After Hours Extension #147
Enclosure(s)
P:\Attorney \SAS \forms\Kirk E -Mail Letterhead.doc
MINNESOTA• REVENUE
Names of buyers (last, first, MI) Address Daytime phone
Economic Development Authority 4401 Xylon Avenue North
in and for the City of New Hope New Hope, MN 55428 ( 763 ) 531-5100
Names of sellers (last, first, MI) New address Daytime phone
Sucky, Richard S.
Sucky, Barbara S. ( )
Street address or rural route of property purchased City or township County
1. Date of deed or contract Legal description of property purchased (lot, block and plat) or attach 3 copies of the legal description
()fR — *)Or)A I LIVL" nmmwnrrr,r. r., -,..---
Financial arrangements
L. Total purchase price
J. Down payment
$225,000.00
4. Points or prepaid interest paid by seller
Was personal property included in purchase price (e.g., furniture, rrventory, equipment)?
❑ Yes E� No If yes, list property and
current (not replacement) value at right, and enter
total in Box 5 below. Use back of form if needed.
5. Current value of personal property
N/A
6. Type of acquisition (check all that apply)
❑ Buyer and seller are relatives or related businesses ❑ Contract paid off or resold ❑Property received in trade
❑ Buyer or seller is religious or charitable organization ❑ Name added or removed from deed ❑ Purchase agreement signed over two years ago
® Buyer or seller is unit of government ❑ Property condemned or foreclosed upon
❑ Buyer purchased partial interest only ❑ Property received as gift or inheritance
7. Type of property transferred (check all that apply)
❑ Land only [j Land and buildings ❑ Construction of new building after Jan. 1 of year of sale
8. Planned use of property (check one)
Residential: single family ❑ Agricultural. Number of acres: (attach Schedule PE20A).
❑ Residential: duplex, triplex ❑ Apartment (residential, four or more units). Number of units: (attach Schedule PE20A).
❑ Cabin or recreational (noncommercial) ❑ Commercial- industrial. Type of business: (attach Schedule PE20A).
❑ Other. Describe: (attach Schedule PE20A).
8a. Will this property be the buyer's principal residence? ❑ Yes [j No
Method of financing (complete only if seller- financed, including contracts - for -deed and assumed mortgages)
Assumed Contract Mortgage or contract - for -deed Monthly payment Interest rate Number of
mortgage for deed amount at purchase (principal & interest) now in effect payments
9. ❑ ❑
10. ❑ ❑
Date of any lump
sum (balloon) payments
Sign here. I declare under penalty of law that the information n this form is true, correct and complete to the best of my knowledge and belief.
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