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Get NC DoR OIC-1062 2012

Urchase/Lease Date County Tax Current Loan Amount of Monthly Date of Final Equity (mm/dd/yy) Value (CTV) Balance Payment Payment CTV 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 16c. Total County Tax Value 16d. Total Current Loan Balance 16e. Net Equity Attach additional sheets as needed Section 5. 17. Licensed Assets/Vehicles Vehicles Pur.

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