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ST BE COMPLETED TO THE BEST OF YOUR KNOWLEDGE TO COMPLY WITH OHIO REVISED CODE SECTION 319.202. PERSONS WILLFULLY FAILING TO COMPLY OR FALSIFYING INFORMATION ARE GUILTY OF A MISDEMEANOR OF THE FIRST DEGREE (O.R.C. SECTION 319.99(B)). LINE 1 List grantor s name as shown in the deed or other instrument conveying this real property. LINE 2 List grantee s name as shown in the deed or other instrument conveying this real property and the grantee s mailing address. LINE 3 List address of propert.

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