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2. ASSESSORS OFFICE CITY OF LOWELL
3. Sales/Purchase Verification Form

   (978) 674-4200          (978) 970-4205 (fax)

5. 1. ln accordance with MGL. Ch. 59, Section 38D, the Board of Assessors request that you complete this sales verification form to help identify bonafide arms-length sales which are critical in evaluating market conditions and properties utilized in the market approach to value.

9. Map:
10. Lot:
11. Property Location:*
13. Date of Sale:*
14. Sale Price:*
16. Owner Name:*
17. Phone Number:
19. Mailing Address:*
21. City:*
22. State:*
23. Zip Code:*
25. 1. Was this a private sale? e.g. purchased from a family member or friend**

    1. Yes
    2. No
27. 2. Is this property abutting other property also owned by you?**

    1. Yes
    2. No
29. 3. Was the property purchased through a Real Estate Broker?**

    1. Yes
    2. No
30. If yes, list Broker's Company's name:
32. 4. Was this sale in the proceeding of bankruptcy?**

    1. Yes
    2. No
34. 5. Was any property, other than real estate, involved in this sale (ex. Furniture/machinery)**

    1. Yes
    2. No
36. If yes, please describe:
37. If yes, what is the approximate value?
39. 6. Was any of the purchase price paid in a form other than cash, such as trade?**

    1. Yes
    2. No
41. 7. How long did you shop before deciding on this property?
43. 8. In your opinion. Did the selling price of the real estate reflect fair market value?

    1. Yes
    2. No
44. If no, please explain your reasoning
46. 9. Was the purchase price adjusted because of septic system repair/replacement?**

    1. Yes
    2. No
48. If yes, what was the approximate cost?
49. Description of work:
51. If this sale was for land only, please stop here and sign.

    If this sale was for building and land, please skip signing and continue below.

53. Signature

    Please type your name to sign the form.

54. Date
58. 1. Dwelling type:

    1. Single family
    2. Two family
    3. Three family
    4. Other
59. If other:
60. 2. Story height:

    1. 1 Story
    2. 1.5 Stories
    3. 2 Stories
    4. Other
61. If other:
63. 3. Year Built:
64. 4. Contractor / Builder (if known);
66. 5. Total number of rooms:

    Basement

    
    

67. Total number of rooms:

    First Floor

    
    

68. Total number of rooms:

    Second Floor

69. Total number of rooms:

    Other

71. 6. Total number of bedrooms:
72. 7. Total number of full baths:
73. Total number of half baths:
75. 8. Basement size:

    1. Full
    2. Partial
    3. None
76. 9. Basement finish:

    1. Unfinished
    2. Partially finished
    3. Fully finished
77. 10. Number of fireplaces:
79. 11. Heating type:

    1. Hot water
    2. Hot air
    3. Electric
    4. Other:
80. If other:
81. 12. Fuel type:

    1. Gas
    2. Oil
    3. Electric
    4. Other
82. If other:
84. 13. Central Air Conditioning?

    1. Yes
    2. No
85. 14. Garage:

    1. Attached
    2. Detached
    3. None

    1. 1 Car
    2. 2 Car
    3. 3 Car
87. 14. Finished area over garage?

    1. Yes
    2. No
88. 15. Storage area over garage?

    1. Yes
    2. No
90. 16. Are any major repairs or remodeling being done to the house after the sale?

    1. Yes
    2. No
91. If yes, please describe:
93. 17. At the time of sale, was any portion of the dwelling unfinished?

    1. Yes
    2. No
94. If yes, please describe:
96. 18. Please list any other structures or improvements on your property:

    e.g. sheds, barns, pools, etc.

98. 19. Do you intend to declare this property as your permanent place of residence?

    1. Yes
    2. No
100. Signature

     Please type your name to sign the form.

101. Date
Leave This Blank:


103. 1. Receive an email copy of this form.
104. Email address

     This field is not part of the form submission.

105. Submit

* indicates a required field