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REAL PROPERTY CERTIFICATE OF VALUE <br /> ST LOUIS COUNTY <br /> Type or print all information. All questions must be answered by grantee. DATE / / <br /> 1. Grantor: Lending Alternatives, II, LLC <br /> DAILY <br /> 2. Grantee: City of University City, Missouri <br /> 3. Address of Property: 6515 Corbitt, University City, MO <br /> Locator(s): <br /> 4. Is this newly constructed residential property? Yes 0 , No®. If"Yes",date of occupancy: / / <br /> 5. Intended use of property? Present use❑ , Renovation❑ , New Development❑ , Short term Investment❑ <br /> 6. Did the transaction transfer title in any of the following ways: <br /> A. To or from any governmental or political agency? -Yes <br /> B. For the purpose of correcting a previously recorded deed? -Yes ❑ <br /> C. For the purpose of releasing security for a debt? -Yes ❑ <br /> D. Sale for delinquent taxes? -Yes <br /> ❑ <br /> E. Sale of cemetery lot? -Yes <br /> F. Transfer of severed mineral interests? -Yes ❑ <br /> G. By order of any court? -Yes ❑ <br /> H. By deed between husband &wife, parent& child,without actual consideration;to or from <br /> a family corporation or partnership or trust for no consideration? -Yes ❑ <br /> I. By deed of partition? -Yes ❑ <br /> J. By deed made pursuant to merger, consolidation, sale or transfer of the assets of a <br /> corporation pursuant to a plan filed with the Missouri Secretary of State? -Yes ❑ <br /> K. By executory contract for deed? -Yes ❑ <br /> L. By deed of distribution conveying property to heirs? -Yes ❑ <br /> M. By lease or easement? -Yes ❑ <br /> N. By deed which conveys property held in name of partnership to any partner or partner's <br /> spouse? -Yes ❑ <br /> If any of the above are marked yes,go to item 10. <br /> 7. Did this transaction involve any of the following: <br /> A. A transaction between relatives or related corporations? -Yes ❑ <br /> B. A compulsory transaction in lieu of foreclosure, divorce, court order, condemnation,probate? -Yes ❑ <br /> C. A transaction with one of the following types of deed: Quit Claim Deed, Trustee's Deed, <br /> Deed conveying less than full fee simple interest in property? -Yes ❑ <br /> If a, b, or c was answered yes, explain: <br /> 8. A. Full consideration, including the amount of all assumed mortgages and liens, excluding personal property: <br /> Mortgage(s): $ Cash: $ Total: $ <br /> B. If a gift, in whole or part, state the estimated market value of the gift portion: $ DONATION--ZERO VALUE <br /> C. Was a trade of property involved in this transaction? Yes 0 , No 0 <br /> If"Yes"estimate the value and describe the traded property: Estimated Value: $ <br /> Describe Property: <br /> 9. If you believe this transaction does not represent market value, please attach any additional information that you <br /> want the County Assessor to consider. <br /> 10. I certify under the penalty of law that this statement has been examined by me and to the best of my knowledge <br /> and belief is a true, correct and complete statement. <br /> DATE )( SIGNATURE OF GRANTEE OR HIS REPRESENTATIVE <br /> CITY OF UNIVERSITY CITY, MISSOURI <br /> PRINT NAME AND POSITION <br /> THIS CERTIFICATE TO BE FILED WITH DEED AT TIME OF RECORDING FORM COV1 REV:12/09 <br />