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Get NC DoR RO-1062 (Formerly OIC-1062) 2019

Se if sole proprietor) 17a. Primary Residence Purchase/Lease Date County Current Fair Market Current Loan Amount of Monthly Date of Final Equity (mm/dd/yy) Tax Value Value (FMV) Balance Payment Payment FMV minus loan $ Property Location (Street, Address, State, ZIP code) Lender/Lessor/Landlord Name, Address, (Street, Address, State, ZIP code) Property County Landlord/Lessor Phone Number First Mortgage Holder Second Mortgage/Home Equity Line 17b. Property Description Purchase/.

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