Real Estate Ownership Statement

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Date: January 15, 2080

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I. Owner Information:

• Full Name(s): [Your Name], Valerius Blackwood

• Address: 1188 Ivywood Lane, Autumn Falls, California 90210

• Phone Number: +1 (555) 762-4819

• Email Address: artemisia.thorne@email.com, valerius.blackwood@email.com

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II. Property Information:

• Property Address: 4567 Maple Ridge Drive, Eldersfield, California 90325

• Property Description: Two-story modern estate with 4 bedrooms, 3 bathrooms, and a detached guest house. The property spans 5 acres, featuring a private vineyard and swimming pool.

• Legal Description of Property: Parcel Number: 765-4321-098, Lot 23 of Map No. 56, Eldersfield Subdivision, County of Autumn Falls

• Date of Ownership: October 10, 2080

• Type of Ownership: Joint Tenancy with Right of Survivorship

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III. Ownership Details:

1. Percentage of Ownership:

   • [Your Name]: 50%

   • Valerius Blackwood: 50%

2. Mortgage Information:
   Lender: Golden Oak Financial
   Loan Balance: $850,000
   Interest Rate: 3.75%
   Loan Term: 30 years
   Monthly Payment: $3,927.38
   Loan Origination Date: October 10, 2080

3. Property Taxes:
   Current Annual Property Tax: $14,750
   Paid in Full for 2080
   Outstanding Balance: None

4. Current Use of Property:
   The property is currently used as a primary residence with the guest house being rented as short-term accommodation. The vineyard is managed by a local vineyard consultant.

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IV. Affirmation:

I, the undersigned, hereby affirm that the above information regarding the ownership of the described property is true and accurate to the best of my knowledge.

Signature(s):

[Your Name]

Valerius Blackwood

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V. Notary Public:

Subscribed and sworn to before me this 15th day of January 2080.

Signature of Notary Public:

My commission expires: on August 20, 2085

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