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TRANSCRIPT
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0MAINE REVENUESERVICES
REAI ESTÆETRANSFERTÆ(DECLARAtrION
TmE36, M.&SÀ SECïONS 5546414641N
Ucþ,-&
55611 - 192.
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SEttER
B00llPA6Ê-R EGlsr¡f y uSEol,ttY
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6al Purchase Prlce 0f úe tnnrfer ls a glft, enter'fl6b) FðltMarkêtVðlue(ertera v¡lueonlyifyan entered'0'h 6a) orlfdal was olnornlnal valuel
cblm- €hecft the box lfefher
propc{lykdå3iHedfront r ¡rb5Ènt¡¡¡ñnrulalpaneltycoÍd be trlggered
re, rrrprspropcf ¡lqilGruaodanullÞêrth¡t brrrdGrqlùa5ù! lropüttùrhgrotù tseâfßtnrðlo¡r¡t-r r_-*l
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lncomÊhxbe(nureteller hüquðllfQd à¡ ¡ lrlahe n¡Hen¡Awllver has Èeen recel.ved f¡omthe Statelã*A¡¡e¡¡or6n¡ldeaþn brthe po¡erry ls lcrtlran $So,mo
ouf
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l¡lerik: 00{l 611 396605 TriÉ¡€l tüeÈ7t!Ê 9 1 # I 45 807-19-2016 € O8:31a
8o txMAINEREVENUËSTRVICESNGALESTATEÎRANSFERMX
DECLARATION36M.Rs.594641.464rN
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RETTD
PUfCilASEß
5ËrrúR
RETTD
MÂtf,¡s, REVÉNU E SERVTCËs
RñA t ESTAIË TRANSTÈR TAXDECIAFATION
3ó M.R.S.954641.4641N
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g. t<)ototâcÊ-Rf GlSfnY usE oNLv
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6blFålrMådaBvrlus leñter¿\rålueorrly lf you entered'o'tn 6alôrlf 6a) w¡r of oomhet valuel
cl¡l¡n.
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lflerits: 0011611 396608 Tiips: 3162440670008
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RETTD
MAINE REVENUE SERVICES
REAL ESTâTE TRANSFER TAXDECLARATION
TTIE 36, M.R.S.A SECnONç 5$4641 4641N if üå$r--år,'kiåäïii.;i"
2-
3.GRÂ!¡T(É/PURCHASCR
SELLER
55É5 t'3SOOI(PAGÈREG FTRY U SE O NLY
4.
I
FED. &
Addrers
^ 4o)St¡rs 4h)ZrpCodcqlGir-lÏBOU
f'pROpERtry 5å) ráåp
ó,TRANSFEßTA,\
7.
9. SPÉClAt CIRCITmSfANCES-t¡tlere thøe any rpeclal drcr¡mÍanc€rfn rhe üansfervrhich sugge¡t thrt lhe price pafdwas eithe¡ moreor lessthan is fatr ma¡ket value? check the
Elock lol Sub{¡t
3L
5c) Phy¡tcal Loc|tloû
6a) Purcha¡e P¡lce (lf the tnnsfer ls a glft, ente¡'O')
ób)hir Marketvalue (enlera value only if you entered'0"ln 6a) orlf 6a) wa¡ of ncimioal value)
cl¿im- Chæk¡heboxrf íj
s,WARNINGTO
Checkanythat appþNotaxmaprorkt SdtAccrge
Multlpte parceb
Port'ron of parcel
6a
6b
tramler ¡ax and
ls claslfied as Farmland Open Space,Trce Gron¡th, orWorklog Water-
tr 10. INCoMETAt(WIIHHEI.D- tuye(sl not æquled to M¿ineíñqÌEÞxbe<åute:
Seller hasquah6ed as a [\4alne re¡ldent
A walve¡ ha¡ been received from the StateTax Asses¡o¡
Consldentlon forthe prcperty ls lesr rhan 550.000
foreclosuæSale
L41
fiont a ¡ubna¡tial ñnancÍol penaltycould be trggercd bydevelopmerit,subdnísìon, partil¡on orqhange In use
flcr¡ssr¡r¡o
27 5A0.0
II,OATH byTltla 3ó $48t1-( we swearoraffi¡rn we haveeachorJr l¡ lrue, ço¡rect
Deta 6rontor
6nÍtee+Oaté- Gnntor
retum and to the besl ofare requhed to slgn below:therr
D¡te-D¿te
-
TZ. FNEFAßEß Nameof Pleparer
Malling r4ddress
üNXPAÍIÜCK& AETS{ETT LAIT OFF¡CES PhoneNumber%"). P. O, 80X 28, CARTBOU. rrAtNE 04736
Fâi¡llAddress
Fax Number
paùick@canbouhw,com
(æ7)498S712
htlpy'/lvww.maíne,gov/revenue/propeÍ¡ttåltransfert¡ x/trôn¡fertaxJttm
llerits: 0011611396609 Trips: 31 62440670009
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RETTD
3.GRANTEE'PIJßCHASER
SELTER
MAINEREVENUE5ERVICESREAL ESTATE TRANSFER TÆ(
DECTARAÏIONnnE 36, M.Rs.A. SECÍIONS 554641464t N
hlED Jul 2012016 â 10¡t7q i84p{IrsnsfeÎ Eor of *176.009!g!ç-of toine Tnqnsfer ToxâRllOSTOflK SSr IIAINE
5Så5 É5SOOIVPAGE-ßEGIÍRY USE OIìLY
,¿ïlllsL
IME J
BOUfu)Strrâ ¡lhlZoCodc
EFird-l5.pROPERTY 5¿l Måp
6a) Purchase Price (lfthe transfer ¡s a gíft, enter'o')
ób) Fa¡r MarketVafue (€nteravalue only lfyou entef€d'0'in 6a) orlf (hlwa¡ of nominal value)
6dExempt¡on ctaím - Check the bo( ¡f either gnnrcr or grantee ls
fronr a íbsranrtal llnrnctal penaly could be rlEEered by
t, SPECIAL ClßCUL/lsrANCEFWele thøe any dlclmstancej 10.in rhe tramferwhlch ruggcstthuthe prke paldwas cither more orlegsthan ltr hk market vrlual
Aw¡fe
)D¡ Itpa0rPl0pffry-Ëñtarüþ<o{¡nuñ!fi lhålÞ.¡ldea<nbesúß progenybelng rold. (5€G hrtn¡<do.rs)ø
(hesk ¡r¡y th¡t apply¡Notox mopr exist 5d) Asc¡gc
filulüple p¿rcel¡
Portlon ofFarcel
6a
6b
fiomtaNfe¡Exand
Open Specc, fioe Growth, orlÁ/orldng Whter'.
ot_1_
Itame of heporer
MarlingAddnss
Lot
004Eloct 5ùb.fra
6.TRANSFERTA'(
7.
or dr¡noe ln use.
Ecrisruo
(xrf
thebor øtrEEl
wc hereþ træar oraffirm thatwe have cach
@!!l!!- Gantor
O¡te
-
Gontor
Pl¡onePO Bo< E€6
€.fllarl Addrcss
FaxNwnberCanbou. ME &736
nor requiled rowlrhholdlnometax becausel
$eller has quotlñed os a il¡lnc le¡tdent
A waþerh¿s been ecelved fromrhe StåteTo( As:e¡sof
Con¡lden¡üon forthe propenylr less than S5O.000
Foreclosure Sale
fêNm tô best ofrequiÞdto slgn below!
Date.ElE4!l!-Date.!80S9.-
ßolm¿n@€olmeDhuntet com
S
1
4 0000
7- 2AL6
((}lrec[
hnpt/www.mâf n¿,gov/revenre/propertytåx/trâñtlertax/tnncfe rt¿x,htm
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RETTD
3.GFA!¡IEVPURCHASER
1266
SEI.IER
MATNE REvENuEsERUfitftREAL ESTATE TRANSFER TAX
DECLARATION
TTTLE 36, M.RS.A. SECITONS 55464t.4641N
ROAD
00fi6fi396610 Trips: 3162'140670010
UËD Jql ?01201å Ð 03¡tóp tBEt2Tconsfer tcx ol $8?5.60Stote of llcine T¡unsfei TaxAR00ST00K 5Sr IIAINE
55bS- zzlF 5 édovpras-n¡o silRglrSÊ tiltlv
ffiW-s.PgOpÊRrY 5äl fri¡p uoo< lÐl $¡bLot
6a) PurchasePdce (lf thetraffifer15 a g¡ft,eôter'0T
6b) Fah MarketValue (enter a value only lf you entered'O'ln 6a) orlf 6a) was of nomlnalvalue)
6cl clolm Chackthe
oRCUMSÍANCES-WeIe any circum¡tanceg
$eck any that apply:Not ¡(maprêdrt
Muhfple parcefr
Podonofparol
5d)Aoorgc
6a
10. INCOMETTìxWTHHELD- Buyerlsl not requtred to wlthhold Mafnelncor¡e tax bec¿u¡e:
Seller hasquahñed a¡a Malne resldent
Awalvcr has beenrecelved fiom the StateT¿xAsesgo¡
Conslderatlon lor the propenytsle$ thÐ g5o,o0o
Foreclosure Sale
examined thls rotum and to the be¡t ofto Þlow:
10
sc)
51-A
6.IRANSFERTAX
7.
than lt¡ falr ma¡ket
T'.OATH
6b
grðnt€e üåtEfertaxand
S.WARNINGTO pmp€rg as famlrndopen ot Water-fionta subst¿ntlalf nondal pmaltycould be tdggered bydevelopm€nç suHlvlslon, panrüon or change fn u¡e,
CLASSIËIED
in the uansfer wl¡ich sugg$t that the pdcepald t'ras é¡ther more o¡less
Aware fotth byTltle 36 54641-lÇ we hereby swear or affilmIt 15 true,corect,änd cotnplÉte. Gran¡edt) and
oa¡e W-6entee- Dåto
-
NameofPreparer Gateu¡ayTíUe of Malne Phone
Molllng Addres -adl slele sfreel PrærIn lel¡ rltr lU{Â9 - -, FM¡il Addrest
Fax Numbert
APPLETON E M862
DARREL
794 Main Sfeet
SPR httpy'/wur¡r,mâlne.govÍancnue/propGrtytàrdlfaníertax¡ltran¡fertax.htm
l/lerit¡: 00lf 611 336301 Trips: 3l 62{a066lD00l
ililililil|tililtililililtffi tililililtil 00*0599900*
RETTD
ret Addr¡¡s
1f) Clty
MONMOUTH
MAINE REVENUE SERVICES
R EAL ESTATE TRANSF ER TAX.DECLARAT¡ON
TITLE M.R.S.A. SECTTONS 4641-4641 N
FftI Jul ?2r?01ó ô 08¡5fa *8EilóTrqnsfen tax of Sæ.20Stqte of llqine T¡ansfe¡ TaxAR00ST00I' SSr I1AINE
õ56s =55EOOIUPAGÊ*RE6I'I1Y UsE O,IIY
.ME .
3hl zrpcodå
.ç47s6 . ,
F JR
49ùSt!tÊ ¡lhlZlpCode
04259rJ-.trrJ-l-¡
PIEASETYPE OR PRINT CLEARLY
AROOSTOOKDO NOT USE REq NKIr.(ouNrY
2. MUNIqPÁUTT'TOWN5Tf, P
S.CRANÍEE'PURCHASEN
4.GRANÍOR/SEI.tER
S.PROPEÂTY
No laxmâps edst
lrlultlple parcels
Portlon olp¿rcel
023 -5ub'|,át
D3-NEW SVüEDEN ROAÞ cARlBOtt
fot
50Âcr.¡ge:ME
CheckaDy thätðpp¡!,:deadrber ùep.oDeûy
8lô(l
t-.¡-¡-l-t hrrrucdent X01
otrr ¿Á¿¡¿
6a) Purchase Prlce (¡fthe transfer ls a g¡fl enter'o') oa$,-r--r., . . :rqggg 00ób)Falr MarketValue (enterav¿lue only if you entered'0'lnóal orrf 6al was of nomlnal value) 6b$, .1, . ¡ ,.. ,., ..006clEtemptfon <laím- [ Checkthe boxrfelthergrantororgranteelrclatmlngo(empüonfiomtrânsfertaxandexplafn,'
6.TRANSTERTÆ(
'. DATË OF IñANSFER þ'N.DD.YYYYI
.0.7. .1.3. .2.0. t 6.
MONI}I DAY IÏAR
S.wARNINGfOSUYER-|f rhe proper¡y f5(tarlfhd ar Farüìtand, OpÊ¡ Space orTree Growth, a Subrranüal fnândôl penalrycould be ülggered by developrnen¡subdfvlrloñ, prdtton orchange ln ute
E cusstr¡go9. SpECIAL CIRCUMSIANCES-Wêre there ðny speclal df(um5r¡tces ln the úansferwhkh suggert that rhe plkepaldwasekher moreor le¡¡ rhan lsfalr ma¡ke¡ ì/atue?lfyes, <heck the boxand explaln:
tr totNçoMETAx wtIHHEtD- Suye(e) nolrequited rcGiññdifMôlÍe fnçome tax bec¡ute:
fl seiler tnar qualfr ed as a Matne reCdent
[A walver tras bee¡¡ recelved fiom the Stôre Tax A3senor
@Condderatton for lta properry ls less üran iS0,000tl. o^fll 36 9.|ó,ll-Kwe hereby a,ræar ol affrm thðtwc hâve each exarnlned lhls return and to ¡he be¡t
lrue, cor€ct, and complete, Granteelr) atd Grantor¡g orth€lrauúor¡¿edâ33et aÍ
a¡d belfef agent(s) arerequfred to slgn below:
Àwarcouf
Dåte-Oôte
-
D¡rrê
0ate
Glantor
-
12.PRË,PARÊR Nameoftrep.arer Richard K. Dubois, Esq. phoneNumber
dubols. rtchard. esq0 gmaílCaribot¡, ME 04736
1207t 496-3280
Mdlfng Addreis E MalAdd¡essP. O. Box 338
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MAINE REVËNUE SERVICESREAL ESTATE TRANSFER TN(
DECLARATIONïrrtE 36, M.Rs SECÍ|ONS 554641-4641N
FRI JUI 22121|16 â 10:14q i8592Tnunsfe¡ tax of 11.10Sbate of llolne Tronsfer ïqxAR00ST00Y. 9Sr ÌtAItlERETTD
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Waterordrangeln ure
L!ct¡ssm¡o9. SPECIAL €IRCUMIIANCES-Wêíe there any sp¡dal ctKumst¡nceúln üre transfei wtrfch suggesr rhat úe prlce pald wæ efther mole or le¡s x lo.tN(oÑrE TA,YWTHHELD-Buyer(s) not requlred to wtthhold Maine
lhân lte falr market rralue? the box andorplafn: f,nrx
¡ncomeËxbecauseSdfer häs qualñed ðs a Mätne re5¡dent
A waiwr has ben recehrcd fipm the Sate1ãx Asser¡or
ConsÍdaGt¡on forths prcpeny ß less úrao 9S0,Ot0
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rrl 4NameofPreparer
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Phonel,lumbEr
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Merits: 0011611396303 Trips: 3162440660003
00MAINE REVENUE SERV¡CES
REAL ESTATE TRANSFER TAXDECLARATION
TLLE 36, M.RS.A. SECnONS 594641-4&¡1 N
FRI Jul 2h2016 0 lorl{q ç8F93Trqnsfer tox of $1.1t1Stcbe of llcine Transfer ToxAR00ST00K S$r tlâINERETTD
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.00:Checkthe tÞnsferExånd erelaln.
8. propeny fs da$lfied äs Farmlan4 Open Sp¡oe,Trê€ Grovrrh,f¡ont a substannal ñnanclal penalty<ould be trlggered by deyelopment subdlvf¡f oD, pâItlilon oJChangeln uie.
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wfflillErr- 8üy'e(rl nol requh€d to ' 4thhold l,hlneincometor because
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Consldentfon fo¡the prcperty ls fess than $50,000
ForeclosureSaJE
Aware of penaldes ls sct fu rrh 361t4641-Kwehereby+rear oraff rm úatu¡ehave eacf¡ examrned thls ren¡n and to tl¡ebmof
Gmntee Daþ Grantor
Grantor - Da¡e
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lValllng Addnss ÉMallAddress%Fax Number
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DECLARATIONImE 36, M.RS.A. SECflONS 9S46414641N
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FRI Jul 22fl01[ 0 10¡t,lo *8594trqnsfeF tqx of $ll.l09!q!g_gf flqine Trqnsfen TqxAR00ST00K $Sr IIAINE
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ób)FairMarftetValue (entera value onty ifyou cntered'0,Ín 6al orif 6a)wasof nomlnal valr¡e) .00;
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7 L TO lsdaslfied o¡ Famland, Open Tree Growth, o¡Workrng WaGr-front ¡ substantlal 6nancfal panalty <oufd be utggered by developmen¿ subdivlloû, pârtùon orchange ln use
Llcussn¡oanyspedalckcumnances Xpafd wðs€¡thermoreor less 7]
to. lNcofrtE TÆ( wlT-H HEU'- Buyer{rl rot requlrcd Malne9. sPÉCIAL CIRCUMS¡ÃNCES-We'E rher€ln the ransfer wlu'ch sugg¡st th¡t the prkelhan lts falr market value? d¡edrúrcbox and
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trnlncr¡me ax beou¡e:
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A walwr has bern receh¡ed f¡om ¡he SEte Tax AsrerSor
Coruldçraüon fortheprþperryls less than g5g,flXt
Foredo¡ure Safe
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- ¡ A walver has been recelvod fiom the Sþtel¿x Anetþl, t- | Con¡lderar¡on for the property í¡ les¡ ¡han i50,000
clalm - Check rhe box ¡f ¡t from lronsfer tax and expla[n.
MRSÀ Soê. 1¡641-C and {2}- H¡ln€ SÈ¡te ås GouenT¡enÈal entlS,WARNINGTO prop€rly 13däiCÍed ar Farmland Open Space,Tree Growth, orWorklng Water-fiont a ¡ub¡tanûal ñnanchl penalg roufd be trfggered b,y developme¡t,
{641-C 1 and 2
Awareof penalller a9 ret tonh byltle 36 5,16ll-l(,we herebysrnearoraffim thlsre¡urn ånd to the best ofouf bsllaf, and complete Grailae{s} ùnd tre
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claim-, Chcckthe box lf elther
7. DATE OF TRANSFET ÍMM.OD.YYYYI S.rrVARNlNG TO BUYEfÈlf úteøoper¡y ltfiont a:ubsuntl¡l frnancral penalty corld
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ITflTHHELD-8uye(s) nor rÊqulred rowíthhotd Mat¡reíncome t¡x becau¡e¡
Seller hrr quahfied a¡ a M¡lne re¡rdent
A w¡fverhas been resefved fiom the $ote Tax Assessor
Con¡Hention fo¡ the property is lers thôn 5SO,0O0
to¡eclosureSale
¡h¡twe úlsre$m¡nd toûe berrofrre required to rrgn bebw;
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DECLARATIONTITrE 36, M.RS.A" SECïONS 554æ14641
Ierits: 00l16ll39Glll8 Trips: 3162440ô60008
FRI Jul 29flt16 ð 0?:12q tS8?1Trqnsfer tqx of *55.00$tote of llaine TrsnsfE¡. TqxAR00ST00K SSr llAlNE
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