[
    {
        "page": 1,
        "items": [
            {
                "page": 1,
                "type": "TITLE",
                "location": {
                    "l": 222.4251,
                    "t": 974.611,
                    "r": 384.1453,
                    "b": 955.1716
                },
                "text": "SURRY COUNTY DEED CERTIFICATION\nPlease provide the following information:",
                "reading_order": 0,
                "level": 1
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 26.8734,
                    "t": 941.732,
                    "r": 216.4266,
                    "b": 930.4523
                },
                "text": "Per NCGS: 105-303(a)(2);161(a);161.31;161-30(b)",
                "reading_order": 1
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 27.5932,
                    "t": 906.693,
                    "r": 579.2172,
                    "b": 893.0134
                },
                "text": "Buyer(s): ___ Deed Book & Pages: ___",
                "reading_order": 2
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 28.7929,
                    "t": 873.094,
                    "r": 575.3781,
                    "b": 858.2144
                },
                "text": "Parcel ID# _____ (One Parcel per form please.) Original Deed must have Parcel Number induced.",
                "reading_order": 3
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 27.5932,
                    "t": 849.3347,
                    "r": 578.0175,
                    "b": 837.5751
                },
                "text": "Name Of Current Owner(s): ___",
                "reading_order": 4
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 27.1133,
                    "t": 824.6154,
                    "r": 251.6979,
                    "b": 811.4158
                },
                "text": "Is the Parcel to be conveyed D in whole or D in part?",
                "reading_order": 5
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 26.8734,
                    "t": 801.3361,
                    "r": 574.8982,
                    "b": 788.8565
                },
                "text": "Is there a manufactured home on the property? ___ Make And Model ___",
                "reading_order": 6
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 25.9136,
                    "t": 791.9764,
                    "r": 575.858,
                    "b": 776.6169
                },
                "text": "Property Owners(s) for the past 10 years:",
                "reading_order": 7
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 65.024,
                    "t": 769.1771,
                    "r": 579.937,
                    "b": 569.263
                },
                "text": "Year Name\nFarcer Number (Once use only)",
                "reading_order": 8
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 24.7139,
                    "t": 558.2234,
                    "r": 581.6166,
                    "b": 519.8245
                },
                "text": "Date ___ Signature ___\n***All the above information must be filled out before the Tax Department can certify deed***\n(Fax 336-401-8132)",
                "reading_order": 9
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 220.7456,
                    "t": 517.4246,
                    "r": 381.9858,
                    "b": 505.9049
                },
                "text": "Statement of Taxes Due (Office use Only)",
                "reading_order": 10
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 24.474,
                    "t": 491.5054,
                    "r": 579.2172,
                    "b": 480.2257
                },
                "text": "Property Description:",
                "reading_order": 11
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 24.474,
                    "t": 458.6263,
                    "r": 583.2962,
                    "b": 445.4267
                },
                "text": "Parcel ID#: ___ Township: ___",
                "reading_order": 12
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 23.7541,
                    "t": 421.9074,
                    "r": 393.9828,
                    "b": 411.1078
                },
                "text": "Real Valuation: $ ___",
                "reading_order": 13
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 307.8441,
                    "t": 422.3874,
                    "r": 393.7429,
                    "b": 411.3477
                },
                "text": "Personal Valuation: $",
                "reading_order": 14
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 23.5142,
                    "t": 398.1481,
                    "r": 578.7373,
                    "b": 386.3885
                },
                "text": "Exemptions: $ ___",
                "reading_order": 15
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 24.9538,
                    "t": 384.4685,
                    "r": 578.0175,
                    "b": 372.7089
                },
                "text": "Value Of Manufactured Home: ____Deferred: _____",
                "reading_order": 16
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 65.5038,
                    "t": 353.5095,
                    "r": 579.4571,
                    "b": 167.035
                },
                "text": "Year Name Total Due",
                "reading_order": 17
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 340.476,
                    "t": 161.7552,
                    "r": 578.9772,
                    "b": 147.8356
                },
                "text": "___",
                "reading_order": 18
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 25.4337,
                    "t": 142.0758,
                    "r": 578.2574,
                    "b": 131.2761
                },
                "text": "Other Personal Property Taxes Due:",
                "reading_order": 19
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 26.1536,
                    "t": 125.7563,
                    "r": 456.6074,
                    "b": 113.2766
                },
                "text": "Total Dues As Of ___ $ ___",
                "reading_order": 20
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 27.5932,
                    "t": 105.8368,
                    "r": 581.6166,
                    "b": 93.1172
                },
                "text": "Additional Cost And/Or Interest Will Be Added: ___",
                "reading_order": 21
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 23.9941,
                    "t": 87.3574,
                    "r": 84.2192,
                    "b": 77.2777
                },
                "text": "G.S. 105-277.4",
                "reading_order": 22
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 24.474,
                    "t": 76.0777,
                    "r": 516.3527,
                    "b": 64.7981
                },
                "text": "Deferred taxes in the amount of $. ___ plus interest will become due upon disqualification of Use Value Assessment.",
                "reading_order": 23
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 24.9538,
                    "t": 47.2786,
                    "r": 75.5814,
                    "b": 36.2389
                },
                "text": "Date ___",
                "reading_order": 24
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 25.4337,
                    "t": 47.0386,
                    "r": 546.8251,
                    "b": 35.039
                },
                "text": "Signature",
                "reading_order": 25
            },
            {
                "page": 1,
                "type": "FIGURE",
                "location": {
                    "l": 137.0062,
                    "t": 46.7986,
                    "r": 155.9615,
                    "b": 37.1989
                },
                "text": "",
                "reading_order": 26
            }
        ]
    }
]