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Til another proper and timely application is filed.) Will this property be grantee s principal residence by Jan. 1 of next year? Yes No If yes, is the property a multi-unit dwelling? Yes No I declare under penalties of perjury that this statement has been examined by me and to the best of my knowledge and belief it is a true, correct and complete statement. Signature of grantee or representative Date Consideration DTE Use Only Valid sale 1. Yes 2. No Receipt Number R.

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