Form Builder

PIN or LRK

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16-Digit PIN or 7-digit LRK. Refer to the mailed form you received

Property Street Address

Refer to the mailed form you received

Property City

Property State

Property Zip

Land Size

Refer to the mailed form you received

NC Revenue Stamp as recorded indicates property was purchased for ($ sale price):

Refer to the mailed form you received

1. Is actual sale price same as on NC Revenue Stamp?

What was the actual price paid IF different from NC Revenue Stamp?

2. What was the use of property at the time of sale? Select only one

Other property use

Provide details on "other" selection

3. Did sale include anything other than land and / or buildings? (ex. Single wide mobile home, boats, etc.)

If yes, please describe.

Estimated value of all personal property included in the sale price $

4. If sale included house, did house have any of the following?

5. Basement Estimated Heated Living Area

1st Floor Estimated Heating Living Area

2nd Floor Estimated Heated Living Area

Other Estimated Heated Living Area

6. Property was purchased from:

7. Was the seller under any compulsion to sell the property?

Please provide compulsion:

If Other selected please explain:

8. How long was property for sale before you purchased it?

9. Special financing factors that may have affected sales price.

if other special finacing factors, please explain:

10. Was there an appraisal made on the property?

If yes, appraised value: