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Get Pt 61 Form Printable

N C TAX COMPUTATION SELLER'S BUSINESS / ORGANIZATION / OTHER NAME Exempt Code If no exempt code enter NONE Downtown LaGrange Development Authority MAILING ADDRESS (STREET & NUMBER) 1. Actual Value of consideration received by seller Complete Line 1A if actual value unknown 200 Main St CITY, STATE / PROVINCE / REGION, ZIP CODE, COUNTRY DATE OF SALE LaGrange, GA 30240 USA 9/24/2013 SECTION B BUYER S INFORMATION (Do not use agent s information) BUYER S LAST NAME FIRST NAME.

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