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doc14863 Blank_Deed_Certification.pdf_t_202611021245430.pdf
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Page 1
29 item(s)
JSON
form_field (3)
heading (1)
text (24)
title (1)
1 · TITLE
2 · TEXT
3 · TEXT
4 · TEXT
5 · TEXT
6 · TEXT
7 · TEXT
8
9 · TEXT
10 · TEXT
11 · TEXT
12
13 · HEADING
14 · TEXT
15 · TEXT
16 · TEXT
17 · TEXT
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Page 1 JSON
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"text": "SURRY COUNTY DEED CERTIFICATION\nPlease provide the following information:",
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"text": "Per NCGS: 105-303(a)(2);161(a);161.31;161-30(b)"
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"text": "Buyer(s): ___ Deed Book & Pages: ___"
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"text": "Parcel ID# _____ (One Parcel per form please.) Original Deed must have Parcel Number induced."
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"text": "Name Of Current Owner(s): ___"
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"text": "Is there a manufactured home on the property? ___ Make And Model ___",
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"text": "Property Owners(s) for the past 10 years:"
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"text": "Date ___ Signature ___\n***All the above information must be filled out before the Tax Department can certify deed***\n(Fax 336-401-8132)\nStatement of Taxes Due (Office use Only)",
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"text": "Property Description:",
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"text": "Parcel ID#: ___ Township: ___"
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"text": "Personal Valuation: $"
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"text": "Exemptions: $ ___"
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"text": "Value Of Manufactured Home:[p1.16.1] _____",
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"text": "_____ Deferred:",
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"text": "Year Name Total Due"
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"text": "Additional Cost And/Or Interest Will Be Added: ___"
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"text": "Deferred taxes in the amount of $. ___ plus interest will become due upon disqualification of Use Value Assessment."
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"text": "Date ___"
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"text": "Signature",
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"excluded_furniture": {
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