[ { "page": 1, "items": [ { "page": 1, "type": "TITLE", "location": { "l": 210.72, "t": 990.72, "r": 404.4, "b": 969.84 }, "text": "SURRY COUNTY DEED AND TAX CERTIFICATION\nPlease furnish the following information:", "reading_order": 0, "level": 1 }, { "page": 1, "type": "TEXT", "location": { "l": 19.92, "t": 966.48, "r": 139.2, "b": 956.88 }, "text": "North Carolina G.S. 105-361. (a)", "reading_order": 1 }, { "page": 1, "type": "TEXT", "location": { "l": 19.68, "t": 956.64, "r": 590.88, "b": 915.12 }, "text": "Duty to Furnish Certificate. On the request of any of the persons prescribed in subdivision (a) (2), below, the tax collector shall furnish a written certificate stating the amount of taxes and special assessments for the current year and for prior years is his hands for collections (together with any penalties, interests, and costs accrued thereon) including the amount due under G.S. 105-277.4 (c) if the property should lose its eligibility for the benefit of classification under G.S. 105-277.2 et seq. that are a lien on a parcel of real property in the taxing unit.", "reading_order": 2 }, { "page": 1, "type": "TITLE", "location": { "l": 20.4, "t": 918.48, "r": 144.72, "b": 908.88 }, "text": "North Carolina G.S. 105-361 (a).2", "reading_order": 3, "level": 2 }, { "page": 1, "type": "TEXT", "location": { "l": 19.68, "t": 909.12, "r": 593.28, "b": 870.24 }, "text": "Duty of Person making Request. With respect to taxes, the collector shall not be required to furnish a certificate unless the person making the request specifies in whose name the real property was listed for taxation for each year for which the information is sought. With respect to assessments, the tax collector shall not be required to furnish a certificate unless the person making the request furnishes such identification of real estate as may be reasonably required by the tax collector.", "reading_order": 4 }, { "page": 1, "type": "TEXT", "location": { "l": 22.08, "t": 861.36, "r": 594.48, "b": 848.88 }, "text": "Buyer(s): ___ Deed Book & Pages: ___", "reading_order": 5 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 59.146, "t": 863.348, "r": 369.227, "b": 849.748 }, "text": "Buyer(s):", "field_kind": "text", "label": "Buyer(s):", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].buyers[0]", "pdf_field_type": "Text", "reading_order": 6 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 453.693, "t": 863.263, "r": 593.441, "b": 849.663 }, "text": "Deed Book & Pages:", "field_kind": "text", "label": "Deed Book & Pages:", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].DeedBookAndPages[0]", "pdf_field_type": "Text", "reading_order": 7 }, { "page": 1, "type": "TEXT", "location": { "l": 21.12, "t": 840.96, "r": 593.04, "b": 829.44 }, "text": "Parcel ID # ___ (One Parcel per form please.) Original Deed must have Parcel Number included.", "reading_order": 8 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 74.141, "t": 843.221, "r": 334.73, "b": 829.621 }, "text": "Parcel ID #", "field_kind": "text", "label": "Parcel ID #", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].ParcelID[0]", "pdf_field_type": "Text", "reading_order": 9 }, { "page": 1, "type": "TEXT", "location": { "l": 21.36, "t": 820.8, "r": 592.32, "b": 808.32 }, "text": "Name Of Current Owner(s): ___", "reading_order": 10 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 127.404, "t": 822.841, "r": 590.465, "b": 809.241 }, "text": "Name Of Current Owner(s):", "field_kind": "text", "label": "Name Of Current Owner(s):", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].CurrentOwners[0]", "pdf_field_type": "Text", "reading_order": 11 }, { "page": 1, "type": "TEXT", "location": { "l": 19.68, "t": 804.48, "r": 234.96, "b": 792.48 }, "text": "Is the Parcel to be conveyed ☐ in whole or ☐ in part?", "reading_order": 12 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 132.613, "t": 802.414, "r": 142.613, "b": 792.414 }, "text": "ParcelConveyed", "field_kind": "radio", "label": "ParcelConveyed", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].ParcelConveyed[0]", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 13 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 188.824, "t": 802.414, "r": 198.824, "b": 792.414 }, "text": "ParcelConveyed", "field_kind": "radio", "label": "ParcelConveyed", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].ParcelConveyed[0]", "pdf_field_type": "RadioButton", "value": "Off", "reading_order": 14 }, { "page": 1, "type": "TEXT", "location": { "l": 23.28, "t": 784.08, "r": 552.96, "b": 771.6 }, "text": "Is there a manufactured home on the property? Make And Model", "reading_order": 15 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 197.902, "t": 785.282, "r": 244.702, "b": 770.713 }, "text": "Is there a manuafactured home on the property?", "field_kind": "text", "label": "Is there a manuafactured home on the property?", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Manufacturedhome[0]", "pdf_field_type": "ComboBox", "reading_order": 16 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 314.115, "t": 784.544, "r": 590.465, "b": 770.944 }, "text": "Make And Model", "field_kind": "text", "label": "Make And Model", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].MakeModel[0]", "pdf_field_type": "Text", "reading_order": 17 }, { "page": 1, "type": "TEXT", "location": { "l": 18.72, "t": 767.76, "r": 169.68, "b": 756.24 }, "text": "Property Owners(s) for the past 10 years:", "reading_order": 18 }, { "page": 1, "type": "TEXT", "location": { "l": 20.64, "t": 756.96, "r": 573.12, "b": 743.04 }, "text": "Year Name Parcel Number (Office use only)", "reading_order": 19 }, { "page": 1, "type": "TEXT", "location": { "l": 24.48, "t": 751.2, "r": 597.12, "b": 541.68 }, "text": "_____", "reading_order": 20 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 65.028, "t": 737.291, "r": 338.38, "b": 723.691 }, "text": "Owner1", "field_kind": "text", "label": "Owner1", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Owner1[0]", "pdf_field_type": "Text", "reading_order": 21 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 26.796, "t": 736.897, "r": 51.117, "b": 723.297 }, "text": "Year1", "field_kind": "text", "label": "Year1", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Year1[0]", "pdf_field_type": "Text", "reading_order": 22 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 65.028, "t": 716.938, "r": 338.38, "b": 703.338 }, "text": "Owner2", "field_kind": "text", "label": "Owner2", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Owner2[0]", "pdf_field_type": "Text", "reading_order": 23 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 26.797, "t": 716.544, "r": 51.118, "b": 702.944 }, "text": "Year2", "field_kind": "text", "label": "Year2", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Year2[0]", "pdf_field_type": "Text", "reading_order": 24 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 65.028, "t": 696.671, "r": 338.38, "b": 683.071 }, "text": "Owner3", "field_kind": "text", "label": "Owner3", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Owner3[0]", "pdf_field_type": "Text", "reading_order": 25 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 26.796, "t": 696.531, "r": 51.117, "b": 682.931 }, "text": "Year3", "field_kind": "text", "label": "Year3", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Year3[0]", "pdf_field_type": "Text", "reading_order": 26 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 65.028, "t": 676.573, "r": 338.38, "b": 662.973 }, "text": "Owner4", "field_kind": "text", "label": "Owner4", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Owner4[0]", "pdf_field_type": "Text", "reading_order": 27 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 26.797, "t": 676.434, "r": 51.118, "b": 662.834 }, "text": "Year4", "field_kind": "text", "label": "Year4", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Year4[0]", "pdf_field_type": "Text", "reading_order": 28 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 26.768, "t": 656.96, "r": 51.089, "b": 643.36 }, "text": "Year5", "field_kind": "text", "label": "Year5", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Year5[0]", "pdf_field_type": "Text", "reading_order": 29 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 65.025, "t": 656.617, "r": 338.377, "b": 643.017 }, "text": "Owner5", "field_kind": "text", "label": "Owner5", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Owner5[0]", "pdf_field_type": "Text", "reading_order": 30 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 26.768, "t": 636.607, "r": 51.089, "b": 623.007 }, "text": "Year6", "field_kind": "text", "label": "Year6", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Year6[0]", "pdf_field_type": "Text", "reading_order": 31 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 64.999, "t": 636.264, "r": 338.351, "b": 622.664 }, "text": "Owner6", "field_kind": "text", "label": "Owner6", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Owner6[0]", "pdf_field_type": "Text", "reading_order": 32 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 26.768, "t": 616.595, "r": 51.089, "b": 602.995 }, "text": "Year7", "field_kind": "text", "label": "Year7", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Year7[0]", "pdf_field_type": "Text", "reading_order": 33 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 64.999, "t": 616.252, "r": 338.351, "b": 602.652 }, "text": "Owner7", "field_kind": "text", "label": "Owner7", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Owner7[0]", "pdf_field_type": "Text", "reading_order": 34 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 26.768, "t": 596.979, "r": 51.089, "b": 583.379 }, "text": "Year8", "field_kind": "text", "label": "Year8", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Year8[0]", "pdf_field_type": "Text", "reading_order": 35 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 64.999, "t": 595.899, "r": 338.351, "b": 582.299 }, "text": "Owner8", "field_kind": "text", "label": "Owner8", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Owner8[0]", "pdf_field_type": "Text", "reading_order": 36 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 26.768, "t": 577.02, "r": 51.089, "b": 563.42 }, "text": "Year9", "field_kind": "text", "label": "Year9", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Year9[0]", "pdf_field_type": "Text", "reading_order": 37 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 64.999, "t": 576.227, "r": 338.351, "b": 562.627 }, "text": "Owner9", "field_kind": "text", "label": "Owner9", "pdf_field_name": 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"DeedAndTaxCert[0].#subform[0].Date[0]", "pdf_field_type": "Text", "reading_order": 42 }, { "page": 1, "type": "TEXT", "location": { "l": 218.16, "t": 515.04, "r": 483.36, "b": 502.56 }, "text": "ation must be filled out before the Tax Department can certify th", "reading_order": 43 }, { "page": 1, "type": "TEXT", "location": { "l": 269.28, "t": 506.16, "r": 343.92, "b": 496.56 }, "text": "(Fax 336-401-8132)", "reading_order": 44 }, { "page": 1, "type": "TEXT", "location": { "l": 18.24, "t": 502.32, "r": 597.6, "b": 488.64 }, "text": "(Fax 336-401-8132)", "reading_order": 45 }, { "page": 1, "type": "TEXT", "location": { "l": 200.88, "t": 492, "r": 412.32, "b": 481.44 }, "text": "Surry County Deed And Tax Certification (Office use Only)", "reading_order": 46 }, { "page": 1, "type": "TEXT", "location": { "l": 22.32, "t": 474.96, "r": 591.36, "b": 461.76 }, "text": "Property Description: ___", "reading_order": 47 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 100.349, "t": 476.362, "r": 591.904, "b": 462.762 }, "text": "Property Description:", "field_kind": "text", "label": "Property Description:", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].TextField1[0]", "pdf_field_type": "Text", "reading_order": 48 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 407.114, "t": 455.895, "r": 591.166, "b": 442.295 }, "text": "Township:", "field_kind": "text", "label": "Township:", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].TextField3[0]", "pdf_field_type": "Text", "reading_order": 49 }, { "page": 1, "type": "TEXT", "location": { "l": 18.24, "t": 455.04, "r": 404.4, "b": 441.36 }, "text": "Parcel ID#: ___ Township:", "reading_order": 50 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 74.1, "t": 456.349, "r": 359.406, "b": 442.749 }, "text": "Parcel ID#:", "field_kind": "text", "label": "Parcel ID#:", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].TextField2[0]", "pdf_field_type": "Text", "reading_order": 51 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 410.259, "t": 435.769, "r": 591.137, "b": 422.169 }, "text": "Personal Valuation: $", "field_kind": "text", "label": "Personal Valuation: $", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].TextField5[0]", "pdf_field_type": "Text", "reading_order": 52 }, { "page": 1, "type": "TEXT", "location": { "l": 18, "t": 434.16, "r": 394.32, "b": 422.88 }, "text": "Real Valuation: $", "reading_order": 53 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 98.081, "t": 435.854, "r": 308.411, "b": 422.254 }, "text": "Real Valuation: $", "field_kind": "text", "label": "Real Valuation: $", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].TextField4[0]", "pdf_field_type": "Text", "reading_order": 54 }, { "page": 1, "type": "TEXT", "location": { "l": 313.44, "t": 435.12, "r": 393.84, "b": 422.88 }, "text": "Personal Valuation: $", "reading_order": 55 }, { "page": 1, "type": "TEXT", "location": { "l": 18.48, "t": 415.44, "r": 296.64, "b": 401.04 }, "text": "Exemptions: $ ___", "reading_order": 56 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 87.592, "t": 416.324, "r": 294.917, "b": 402.724 }, "text": "Exemptions: $", "field_kind": "text", "label": "Exemptions: $", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].TextField6[0]", "pdf_field_type": "Text", "reading_order": 57 }, { "page": 1, "type": "TEXT", "location": { "l": 18.48, "t": 395.28, "r": 593.28, "b": 381.12 }, "text": "Value Of Manufactured Home: __Deferred: ___", "reading_order": 58 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 143.094, "t": 396.199, "r": 395.405, "b": 382.599 }, "text": "Value Of Manufactured Home: $", "field_kind": "text", "label": "Value Of Manufactured Home: $", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].TextField7[0]", "pdf_field_type": "Text", "reading_order": 59 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 451.22, "t": 396.198, "r": 591.08, "b": 382.598 }, "text": "Deferred: $", "field_kind": "text", "label": "Deferred: $", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].TextField8[0]", "pdf_field_type": "Text", "reading_order": 60 }, { "page": 1, "type": "TEXT", "location": { "l": 257.28, "t": 379.2, "r": 354.96, "b": 367.44 }, "text": "Statement Of Taxes Due", "reading_order": 61 }, { "page": 1, "type": "TEXT", "location": { "l": 16.32, "t": 363.12, "r": 373.68, "b": 351.84 }, "text": "Year Name", "reading_order": 62 }, { "page": 1, "type": "TEXT", "location": { "l": 343.44, "t": 362.88, "r": 382.32, "b": 352.32 }, "text": "Total Due", "reading_order": 63 }, { "page": 1, "type": "TEXT", "location": { "l": 342, "t": 362.4, "r": 590.64, "b": 352.32 }, "text": "2023", "reading_order": 64 }, { "page": 1, "type": "TEXT", "location": { "l": 18.96, "t": 357.36, "r": 590.4, "b": 331.44 }, "text": "Total Due", "reading_order": 65 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 59.804, "t": 347.896, "r": 333.156, "b": 334.296 }, "text": "Owner1", "field_kind": "text", "label": "Owner1", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Owner1[1]", "pdf_field_type": "Text", "reading_order": 66 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 21.572, "t": 347.502, "r": 45.893, "b": 333.902 }, "text": "Year1", "field_kind": "text", "label": "Year1", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Year1[1]", "pdf_field_type": "Text", "reading_order": 67 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 59.804, "t": 327.544, "r": 333.156, "b": 313.944 }, "text": "Owner2", "field_kind": "text", "label": "Owner2", "pdf_field_name": "DeedAndTaxCert[0].#subform[0].Owner2[1]", "pdf_field_type": "Text", "reading_order": 68 }, { "page": 1, "type": "TEXT", "location": { "l": 19.44, "t": 319.92, "r": 48.48, "b": 309.36 }, "text": "____", "reading_order": 69 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 21.573, "t": 327.149, "r": 45.894, "b": 313.549 }, "text": "Year2", "field_kind": "text", "label": "Year2", "pdf_field_name": 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