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2. St. Charles County Assessor's Office
   Ph: 636-949-7444
4. First Name
5. Last Name
7. Address1
9. Address2
11. City
12. State
13. Zip
15. Parcel Number
16. Sale Price
18. Sale Date
    Sale Date
20. The process of verifying the sale and physical information is a key component of the valuation process. Fair market value is derived in part by utilizing this data. We ask that you respond to the following questions by completing this form. If you would like to be personally contacted by a member of our staff, please leave a message with a daytime phone number where you may be reached.
22. Purchased From
    -- Select One --Real Estate AgentFor Sale by OwnerOther (i.e. Auction or Forclosure)
23. Was there any relationship or association between the buyer and seller?

    1. Yes

    1. No
25. Please Identify
27. Were there any seller concessions?

    1. Yes

    1. No

    I.e. personal property, repairs, or closing costs.
29. If so, what was the value assigned?
31. Please describe any recent updates to the property prior to purchase.
33. Please describe any recent updates since your purchase.
35. What was the condition of the structure at the time of sale?
37. Total Number of Bedrooms Above Grade
38. Total Number of Full Bathrooms
39. Total Number of Half Bathrooms (Half Bath = 2 fixtures; e.g. toilet and sink)
41. Total Number of Fireplaces
43. Approximate percentage of a finished basement at the time of purchase:
45. It is critical to the accuracy of our records that you respond to this request.
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit Submit and Print

* indicates a required field