Laserfiche WebLink
C1)C{elllml`nl O� <br /> evenue Kh;AL ESTATE EXCISE TAX AFFIDAVIT 77�is fnmi is yom ttteipl <br /> r�_entil:i�'risoel'0.1��T CIIAI'1'GRtl2A5RCW-CIIAPTCR45R-61AWAC whrnstampcJbycuhicr. <br /> 1'llltinl'FID,N'IT\PII.I.NITOf:ACCF.I'fl:DUNI.FSSAI.I.ANEAtiO\AII,PAGF_SAREFUI.LYfO\IPLF:TF:U I� 1 L . � J <br /> (Seelackoflutpageforimlmetinm) ) ' <br /> ❑fLn�AMnifrymialulcn(pmM�v I(muhi�IeawnmGA�xrcm�a�eafnxnmhi ncattu�ume. <br /> _ � <br /> Nanc_�U4n�.(�i ��.11 i � 1� �-LC Name f'/ p{ .Fv1.` ,'%. �j n1L/l �L °� <br /> m w �'p � �- GJOr.F� ����7�'. <br /> rc c -- , <br /> Jj MaJinyAJd�css_L. ' Yi'? _Ji.' I 'i y� AlailingAJArtn_ �• /;r; � , '.t �� � <br /> �� I�v. �c.i � idA . `"r�'71 ', 'o� c�iy�sui.�rc��.=c�cr-•� / 1� ✓N�r'/ <br /> � cnYsimc¢fp_ — u <br /> PhoncNn.OncWdingemcafa) '(-� F�( �i'i'I� I'AuncNa.l�ncludinyuvaa�dc) 9�='»1'n��S�'' <br /> tirnAullpmprn)'tascnrtn�anlrnwm:�,Sameulluye�M�antm Lutalltmlundpemmlpmpeny�aaryviceluaaunt Lislas�essNraluqel <br /> numb�n-cLcd.hus if pcnanal pfupcny <br /> n���K ('C�l_ 'h'r�t'4 51��!_�O p <br /> � r <br /> MeilingnJ�4vu� f' P,9:lirr, Sh. ❑ _ n <br /> rn,nivUt.�v \�_7G�1�/l/ron;!�^/c! O.://b'e'��D'c/ '. <br /> rmm�w.l�nd�a��ee2��„�el ��//a`OrnC!/O� d�'////80oo�[Q o2 L_r___�,"���' <br /> ' n OJ/f/r'.�BAKF/P.i—G�({�iflapPd P?— <br /> � tiVcnaJJrtss��fpropcnY'�1G�lI�.'.��_�3/�/rt�• (Jr �IZ//// D CI>1L'}_O��LIIIPi.0��27n¢ -"—__"— <br /> Ihi. ro �t � lacomd in �r _.foum OR wiiAinJ ci� of I- J�.: � __ <br /> . p pv Y�+ ❑uninca mIN__ Y � )' <br /> ❑ChMlKn danY�f�e InIN N.«I�nrt hcin8 x6n'F��N fmm a luge parcal. <br /> I.cy+l docnpunn o(pmper�Y lif morc�pacc is nacdcJ.Yuu maX�t1uA a upuole sheat tu ea<M1 paFc prm�.rc�a���n <br /> � �,. .:.ii . � j ((,'c,� .: Il.( 1c11cU. .�� 1I�._cc ,h•r JioPnt�+y <br /> L�:Z Il. t'.lcric y �cver��/ H 1�� O,v.S�un 1�C. 1 � {�; I�cr �L�* <br /> y,��,,...c lu uC t�IM� � P�Sa 7G F:�'�cr�` �' � <br /> '�J::, r .,.cc� � • ' <br /> SnU1�,��„� �'�.. . CUVn��� WAS�,..jiu� � r . r <br /> Cc, ;� .,r� ,� `, /h- � /, i� , l �L� <br /> 1 ' �--- <br /> �Lnlcr AM1siract Usc Calcgorics:��____IS�1� Liel all �w`xmal pmpcny(mngiblc. 1 intangiM1lc)incWdcJ in sclling <br /> � � price. <br /> �Scc back of last page(ur insvumions) <br /> \'i;ti NU <br /> 1(ccaimiug an caemptiun,list NAC numbcr anJ�casun far enempliun: <br /> i<m�s���,•n>�>��,��i�t,��„�«,�nyi:��«���i�, O �C <br /> fi476 NCW(noupmlii urgaNi��ion1T K'AC Nu.(5cctiunlSubscction)�� O 'G:�fi. _C= <br /> YIiS NO <br /> Rnson for cxemption Tr e���i�/' /i����nL%'_G_�� <br /> L.Wi.�,��ny�L.�i�uvJssfv�.�tuW�vd.yaax4�3R(tiY! � � 1�� ll.f� �i..' fiL'11�t�� !,�-nF- !'✓.:,i <br /> 61hi�ITM'M1r)'a::vli�Jm�iu2�rtu.elqan`lac.fiummvl ❑ [� . T �� <br /> :y;ri.vhw.d,ir andR�l lud�+.r clvynn:H_N? . <br /> I.��i.ry�y�nymlti��ingy���.J�+Iwo�nacluauieJpn�..�tY ❑ � 7'Ypeo(Ducument. Jt. ff.f�r��ii•n�_ <br /> M1�d.yq�t SL'6 NQ\'! p <br /> Da1c of DocumeN �� ' �O— zUnf. — <br /> I f:m)':ui uin:ur���a��ydAe:t.i�t.11�tAJ Mk�w. <br /> (11\OI1Cl:OFCUYI7\.;\N(}:IFY)gEtiI�L\RI�ONQ!HNE\T0.tiF1 GrussScllingPricc S � <br /> Nli\VU�\'KIiRlSl�Tncunlinucllmcum•nldc+i�utian:n'(un.tlnnJor •1'<rsonalYrnperty(dcdua) S� <br /> cl:u.ilic:ninn:u cum�nt uv I�ryk+�>ry�••.f.�mi:ud agricullnm.ur IiminQ <br /> IJI�II.\1N1�11M1f{CIIOIIUIIIfI1�N.��kC�rt11tlVA4.ti xmmttlwndcicnninc 1'acmpiionCluimcdl,cJncq 5 � <br /> iftLcl:mJtnn.tim�.l.ominmsmqinlilyanJxilliixlicamhysiN�inglnlnw. Taza61c5cllingPriccS� _ <br /> IIJmlandnulongcryuJif��..or��uuJonulwiil�tacoutinw�tlic�-i�cnion IinciscTaK:SlaleS_� . <br /> or al.usitiraiion.n will M�vno�nl:md tlie n�ni�n�ling ur mLlilioml Li��� <br /> willMdneanlN)aF:eM1)'Wexll�urVmcfenwattlmtmxaf:�leBCW Local 5�� — <br /> KJU.I.IOmKC\1'1LI.I;JO%1.1'nnr�nsigningll)Lclow.yiwmiymnucl •pclinyucn11n1emsl: StaleS�/� _ <br /> ��wrtl�walcmmlymsa�'vrtfnrmarein4wnution. Local S !!� <br /> I lus IanJ ❑d.ks ❑d�k.not yualil)'fnr mnlinuancc. —r <br /> •DelinyueN 1'enal�y S � <br /> _ _ tiuMomlS_y <br /> UCPtlil'AUI:StiUR UnTli <br /> •Slalc Tedmulogy Pee S 5.00 <br /> (:I\(117Ck:OF'CY)VPI.I,\\CF:l11LtiIORICI'flUPENII� <br /> NIiWUN'VLNItiI�.'I'oconlinucsrccial�'alwi�iona�hismricprn�wny. 'AffidavilProccssingPwS �) <br /> �i4��U)lrrinn.I(Iht nc�r oancrlsl do m�t uish lo continuc,all To�al Une 5� <br /> aAdinon:J tan calculairJ punumn io chapmr FJ1b R('\1'.shall Lc duc <br /> and payahle Fy ILc ullcr or vans�i�m�at thc limc uf s�lc. <br /> (J) O\1'NEHIti)ti1GN,\'1'URF. ,\DIINIMIIM OF SI0.00 Iti ItUt:1\FEk:(til ANPIUp 7'AS <br /> •tiCl:INtiTkUC170NS <br /> � �—� 1'ItIS'I'N,\\IF. <br /> � IC4:Nl��l4l/'1lVj�U•l:S,1LLNIF ' NRYTIIAI'TIIEFOHF.GOINCI1TIIl�EA1DCONNEI"1'. <br /> tiign.uum ol /���� 1 Signature of �// :" <br /> CraNnrorGrm�lur's,\�rnl ��`�nr-1--r�� c_= (7ranlceorCranlee'ed�;en�L J�e_rGt-- — <br /> Namclptin0 '•11 l)tl 1-. Name(pmnl_�f(_q J�J�'(l,:.C.� _ <br /> Palc.l''dryo(aigning: � ' �'I 1.J� IVr:<11 U�Ic.hcityolsigning:._y�¢� ��1/� t'.C' <br /> 1'crJnn�:IYrjury is a dac�C&4my xhich is punislnhlc hy impriv�mnrnl in tlx>une cuncsioml in.iiwiion fnr a muimw�icm�ofiwl mwe thvi five ycaR.or M1�. <br /> a linc u a i'�nunul�itN 6r��c nwl MnM mnre tlum liec UxHmuvl Jull:us(SS.qXI1Nl6�r hy Iti�J� nC mnmem mul line(k('lV 4A.?0020 QC�). <br /> Ib.'Sszeser—arzx�zen—Ie�,e� <br /> wvs�mxn,iw,m:ool TIIIti51'ACG-7721a\SUILCR'SUSIiI�aYyouforyatp�pent. TAXPAVER <br /> 1 <br /> r <br /> �� -, <br /> � / <br />