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DTE100 Form Real Property Conveyance Fee Statement of ...

NumberNo. of ParcelsDTE Code CodeNo. of AcresLand ValueBldg. ValueTotal ValueDTE Use OnlyDTE Use OnlyDTE Use OnlyConsiderationDTE Use OnlyValid sale1. Yes2. NoReal Property Conveyance Fee Statement of Value and ReceiptIf exempt by Ohio Revised Code section (G)(3), use form DTE 100(EX).TYPE OR PRINT ALL INFORMATION. DTE 100 Rev. 5/20 Grantee or Representative Must Complete All Questions in This Section. See instructions on Grantor s namePhone2. Grantee s name PhoneGrantee s address3. Address of property4. Tax billing address5. Are there buildings on the land? Yes No If yes, check type: 1, 2 or 3 family dwelling Condominium Apartment: No. of units Manufactured (mobile) home Farm buildings OtherIf land is vacant, what is intended use?6. Conditions of sale (check all that apply) Grantor is relative Part interest transfer Land contract Trade Life estate Leased fee Leasehold Mineral rights reserved Gift Grantor is mortgagee Other7.

Real Property Conveyance Fee Statement of Value and Receipt If exempt by Ohio Revised Code section 319.54(G)(3), use form DTE 100(EX). TYPE OR PRINT ALL INFORMATION. DTE 100 Rev. 5/20 Grantee or Representative Must Complete All Questions in This Section. See instructions on reverse. 1. Grantor’ s name Phone 2. Grantee’s name Phone Grantee ...

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