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T Name Transferor's Last Name Address City Spouse's Last Name (if applicable) First Name Address Middle Initial State City Individual Estate Middle Initial State 2. Transferor is (check one): Zip Zip If other, please specify: Corporation 3. SSN Trust Other (specify) Colorado Account Number 5. Type of property sold 4. FEIN 6.Date of closing (MM/DD/YY) 7. Address or legal description of property sold City State 8. Selling price of the property $ 9. Selling price.

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