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V!!@y!r?.a! !2"0b"m! <'<'y!<'ky!<" !!xb"<'& 1: STATE OF NEVADA DECLARATION OF VALUE FOR RECORDERS OPTIONAL USE ONLY Document/Instrument# _________________________ Book: _________________ Page: _______________ Date of Recording: ____________________________ Notes: ______________________________________ _____________________________________________ Assessor Parcel Number(s):  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Type of Property: a)  FORMCHECKBOX  Vacant Landb)  FORMCHECKBOX  Single Family Residencec)  FORMCHECKBOX  Condo/Townhoused)  FORMCHECKBOX  2-4 Plexe)  FORMCHECKBOX  Apartment Buildingf)  FORMCHECKBOX  Commercial/Industrialg)  FORMCHECKBOX  Agriculturalh)  FORMCHECKBOX  Mobile Homei)  FORMCHECKBOX  Other Total Value/Sales Price of Property: $ FORMTEXT 0.00 Deed in Lieu of Foreclosure Only (value of property) $ FORMTEXT 0.00 Transfer Tax Value: $ FORMTEXT 0.00 Real Property Transfer Tax Due: $ FORMTEXT 0.00 If Exemption Claimed: Transfer Tax Exemption, per NRS 375.090, Section:  FORMTEXT       b) Explain Reason for Exemption:  FORMTEXT       Partial Interest: Percentage being transferred:  FORMTEXT      % The undersigned declares and acknowledges, under penalty of perjury, pursuant to NRS 375.060 and NRS 375.110, that the information provided is correct to the best of their information and belief and can be supported by documentation if called upon to substantiate the information provided herein. Furthermore, the disallowance of any claimed exemption, or other determination of additional tax due, may result in a penalty of 10% of the tax due plus interest at 1% per month. Pursuant to NRS 375.030, the Buyer and Seller shall be jointly and severally liable for any additional amount owed. 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