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HomeMy WebLinkAboutA_Bill of Sale_220519_V1.pdfForm 21
Residential PSA
Rev, 3121
Page 1 of 6
Date: November 22, 2021
,gCopyright 2021
RESIDENTIAL PURCHASE AND SALE AGREEMENT Northwest Multiple Listing Service Z
Specific Terms ALL RIGHTS RESE_Q(� t2l
MLS No.: Offer Expiration Date: %Z
2. Buyer: Blue Fern Development I, LLC and/or Assigns
Buyer Buyer
3. Seller. Louis B Woodcock
Seller Seller
4. Property: Legal Description attached as Exhibit A. Tax Parcel No(s).: 0423059101
3916 NE 12th Street Renton King WA 98056
Address City County State Zip
5. Included Items: ❑ stove/range; ❑ refrigerator; ❑ washer; ❑ dryer; ❑ dishwasher; ❑ hot tub; ❑ fireplace insert;
❑ wood stove; ❑ satellite dish; ❑ security s m; ❑ attached television(s); ❑ a ached speaker(s); ❑microwave;
❑ generator; ❑ other r2 6 2 2 • Z
6. Purchase Price: $ 11111JUDollars
7. Earnest Money: $411111111111011111ftO ❑ Check; 8 Note; ❑ Wire; ❑ Other
Delivery Date 3 days after mutual acceptance; to be held by ❑ Buyer Brokerage Firm; id Closing Agent
8. Default: (check only one) is Forfeiture of Earnest Money; ❑ Sellers Election of Remedies
9. Title Insurance Company: First American Title Insurance Company
10. Closing Agent: First American Title Insurance Company
Company Individual (optional)
11. Closing Date: See NWMLS Form 34 possession Date: 0 on Closing; ❑ Other
12. Services of Closing Agent for Payment of Utilities: is Requested (attach NWMLS Form 22K); ❑ Waived
13. Charges/Assessments Levied Before but Due After Closing: ❑ assumed by Buyer; 0 prepaid in full by Seller at Closing
14. Seller Citizenship (FIRPTA): Seller ❑ is; id is not a foreign person for purposes of U.S. income taxation
15. Agency Disclosure: Buyer represented by: id Buyer Broker; ❑ Buyer/Listing Broker (dual agent); ❑ unrepresented
Seller represented by: ❑ Listing Broker; ❑ Listing/Buyer Broker (dual agent); id unrepresented
16. Addenda: Form 22T, Form 31, Form 34, Form 35F
Mal,Gvats
11/22/2021
Date
Buyer Signature
Date
Buyer Address
City, State, Zip
Buyer Phone No.
Fax No.
Buyer E-mail Address
Land Advisors Organization WA
3393
Buyer Brokerage Firm
Wes Falkenborg
MLS Office No.
58427
Buyer Broker (Print)
(425) 526-7555 (425) 761-6489
MLS LAG No.
Firm Phone No. Broker Phone No.
Firm Fax No.
Firm Document E-mail Address
wfalkenborg@landadvisors.com
Buyer Broker E-mail Address
90823
19491
Buyer Broker DOL License No.
Firm DOL License No.
elie r Signature Date
Seller Signature
Date
Seller Address
j J,
�j
City, state, Zip q �}
Seller Phone No. Fax No.
Seller E-mail Address /
YV a G f, e' S- <-p 0
Listing Broke/age Firm MLS Office No.
Listing Broker (Print) MILS LAG No.
Firm Phone No. Broker Phone No. Firm Fax No.
Firm Document E-mail Address
Listing Broker E-mail Address
Listing Broker DOL License No. Firm DOL License No.
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Auth.mislyn to 39A555C9-345D-EC11:94F8-281878CED430 9E40-72132AC22F14
Form 21
Residential PSA RESIDENTIAL PURCHASE AND SALE AGREEMENT
Rev. 3/21
Page 1 of 6 Specific Terms
Date: December 08, 2021 MLS No.:
2. Buyer: Blue Fern Development 1, LLC and/or Assigns
©Copyright 2021
Northwest Multiple Listing Service
ALL RIGHTS RESERVED
Offer Expiration Date: 12/15/2021
"uyer Buyer Status
3. Seller: Jennifer A Le
Seller Seller
4. Property: Legal Description attached as Exhibit A. Tax Parcel No(s).: 0423059247
3926 NE 12th Street Renton King WA 98056
12/14542021 city County state Zip
�G 5. Included Items: ❑ stove/range; ❑ refrigerator; ❑ washer; ❑ dryer; ❑ dishwasher; ❑ hot tub; ❑ fireplace insert;
❑ wood stove; ❑ satellite dish ❑ securi system; ❑ attache tel evision(s ; ❑ attached speaker(s); ❑microwave
6. 418e.7
rahase Price: $ Dollars
7. Earnest Money: $ Check; 0 Note; ❑ Wire; ❑ Other �G 12/14/2021
Delivery Date 3 days after mutual acceptance; to be held by ❑ Buyer Brokerage Firm; 0 Closing Agent
8. Default: (check only one) 0 Forfeiture of Earnest Money; ❑ Seller's Election of Remedies
9. Title Insurance Company: First American Title Insurance Company
10. Closing Agent: First American Title Insurance Company
Company Individual (optional)
11. Closing Date: See Form 34 Possession Date: 0 on Closing; ❑ Other
12. Services of Closing Agent for Payment of Utilities: 10 Requested (attach NWMLS Form 22K); ❑ Waived
13. Charges/Assessments Levied Before but Due After Closing: ❑ assumed by Buyer; 0 prepaid in full by Seller at Closing
14. Seller Citizenship (FIRPTA): Seller ❑ Is; 0 is not a foreign person for purposes of U.S.-income taxation
15. Agency Disclosure: Buyer represented by: 0 Buyer Broker; ❑ Buyer/Listing Broker (dual agent); ❑ unrepresented
Seller represented by: ❑ Listing Broker; ❑ Listing/Buyer Broker (dual agent); 0 unrepresented
16. Addenda: Form 22T, Form 34, Form 35F, Form 31
�6Llu 6_41AW-S 12/9/2021 7wo
Buyer Signature
Buyer Address
City, State, Zip
Buyer Phone
Date Seller Sign*Tre Date
Date
Fax No.
Buyer E-mail Address
Land Advisors Organization WA
3393
Buyer Brokerage Firm
MLS Office No.
Wes Falkenborg
58427
Buyer Broker (Print)
MLS LAG No.
(425)526-7555 (425)761-6489
Firm Phone No. Broker Phone No.
Firm Fax No.
Firm Document E-mail Address
wfalkenborg ,Iandadvisors.com
Buyer Broker E-mail Address
90823 19491
Buyer Broker DOL License No. Firm DOL License No.
Seller Signature
Date
Seller Address
City, State, Zip
Seller Phone No,
Fax No,
Seller E-mail Address
Listing Brokerage Firm
MLS Office No.
Listing Broker (Print)
MLS LAG No.
Firm Phone No. Broker Phone No,
Firm Fax No.
Firm Document E-mail Address
Listing Broker E-mail Address
Listing Broker DOL License No. Firm DOL License No.