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Get Reeta Supplemental Statement

-304) PLEASE NOTE: This document cannot be saved to your hard drive without the full version of Adobe Acrobat 4.0 or higher. If you are not using the full version of Adobe Acrobat, you must complete this form, then print. This form must be submitted with the Real Estate Excise Tax Affidavit (FORM REV 84 0001A) for claims of tax exemption as provided below. Completion of this form is required for the types of real property transfers listed in numbers 1-3 below. Only the first page of this form.

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