03/02/2021 Instrument Year Number Number
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DTE FROM 100 Real Property Conveyance Fee Revised by County Auditor Dusty Rhodes 09/20 Statement of Value and Receipt 20370106 If exempt by Ohio Revised Code section 319.54(G)(3), use form DTE 100(EX). TYPE OR PRINTALL INFORMATION. Type WD Tax list 2021 county 31 Tax. dist. 3180 Date 03/02/2021 instrument year number number EADING-READING CSD Number Property located f taxing district HALE SANDRA L & TOM 2021 259740 Name on tax di,plicatA Tax duplicate year 671-0030-0204-00 Acct. or permanent parcel no. Map book Page HUNT RD 90 X 140 No. of Parcels Description LOT 17 MAPLE WOODS SUB 0 Platted 0 Unplatted 1 BLK A Auditor's comments: 0 Split El New plat El New improvements El Partial value DTE Code No. 0 C.A.U.V 0 Building removed 0 Other 510 Grant*e or Representative Must Complete All Questions in This Section. See instructions on reverse. 1. Grantor's name SANDRA L HALE AND TOM HALE Phone Neigh. Code 2. Grantee's name KYLE MATTHEW HEERY Phone Grantee's address 2626 HUNT ROAD, READING, OH 45236 3. Address of property 2626 HUNT ROAD, READING, OH 45236 No. of Acres 4. Tax billing address 350 THE BRIDGE STREET, SUITE 116, 200 & 202, HUNTSVILLE AL 35806 5. Are there buildings on the land? 4 Yes No If yes, check type: Condominium Apartment: No. of units I/ 1, 2 or 3 family dwelling Land Value Manufactured (mobile) home Farm buildings Other vacant, what is intended use? 14540 6. Conditions of sale (check all that apply) 1 Grantor is relative I Part Interest transfer I Land contract Trade Life estate Leased fee Leasehold Mineral rights reserved Gift Bldg. Value Grantor is mortgagee Other 7. a) New mortgage amount (if any) $ 233,100.00 43750 b) Balance assumed (if any) $ Total Value c) Cash (if any).... .$ d) Total consideration (add lines 7a, 7b and 70 $ 233,100.00 58290 e) Portion, if any, of total consideration paid for items other than real property ......................$ -9100 DTE Use Only D Consideration for real property on which fee is to be paid (7d minus 7e) .......................... , 825; 000 g) Name of mortgagee HOMETOWN LENDERS INC h) Type of mortgage Conv. F.HA. 1 V.A. Other DTE Use Only i) If gift, in whole or part, estimated market value of real property $ 8, Has the grantor indicated that this property is entitled to receive the senior citizen, disabled person or surviving spouse homestead exemption for the preceding or current tax year? Yes / No If yes, complete form DTE 101. DTE Use Only 9. Has the grantor indicated that this property qualified for current agricultural use valuation for the preceding or current tax year? Yes v No If yes, complete form DTE 102. 10. Application for owner-occupancy (2.5% on qualified levies) reduction. (Notice: Failure to complete this application prohibits Consideration the owner from receiving this reduction until another proper and timely application Is filed.) Will this property be grantee's principal residence by Jan. 1 of next year? 4 Yes No If yes, is the properly a multi-unit dwelling? Yes v No 11. Is this property leased or otherwise rented to tenants solely for residential purposes? r Yes F No If yes, 22snon new owner must complete and submit a Rental Registration Form to the County Auditor within 60 days (including DTE Use Only weekends and holidays) of the date of this transfer to avoid a penalty on their tax bill. Valid sale 1. Yes 2. No I declare under penalties of pedury that this statement has been examined by me and to the best of my knowle90.and belief Is tue, oomct Rec2%1'AAB@Pl tZLSJZUERZOPF lei- 2-25-21 Printed Name of Grantee or Representative Signature of Grantee or Representative Date Receipt for Payment of Conveyance Fee Theconveyance feerequIred by Ohio Revised Code section (R.C.) 319.5*G)(3) and, if applicable, the fee required by R.C. 322, In thetolal amountof $ has been paid by and received by the HAMILTON County Auditor. 900.50 Grantor . DUSTY RHODES County Auditor Date 03/02/2021 STATEMENT OF REASON FOR EXEMPTION FROM REAL PROPERTY CONVEYANCE FEE Revised Code Sections 319.202 and 319.54 (G) (3) DTE FORM 100 (EX) Revised by County Auditor Dusty Rhodes 11/12 Date Co. No. Number FOR COUNTY USE ONLY 03/02/2021 259741 Instrument Taxing Dist. No. Tax List Land Building Total QE 1060 2021 25,130 113,090 138,220 DTE Code Numbe, 510 O Split/New Plat Remarks: Property Located irGREEN TWP-OAK HILLS I Rn Taxing District Name on Tax DuplicatiCVEY ISRAEL G Tax Duplicate Year 2021 Acct. or Permanent Parcel N£550-0121-0049-00 Map Book Page Description: _HARRISON PK 50 X 130 IRR LOT 29 LEDERS 2ND SUB BLK B The Following Must Be Completed by Grantee or His/Her Representative Type or print all information. See instructions on reverse. 1. Grantor's Name: *6<at 1 1'116 Vry Phone: 573 1-5-1 4 4,0 Z 2. Grantee's Name: *Fn C TYIC'VL€1 E-ZtlY\J,J 'Fk O SIr Phone: Grantee's Address: 3492 *AUV V.10 ¥A),·.t,I,unnIA.hi ©H 95; 1«f I 3. Address of Property: 64 7-2 12-AU U, Lk) IA-LY.1 Zln/A n rl h, irt# 45 2, i 4. TaxBillingAddress: 341-2 KAU./Le,Lu ¥h.*., Z.trt/1 rlnot#-i, o H L.'5-*Il 5. No Conveyance fees shall be charged because the real property being transferred: (we may request and require an affidavit on items checked below) __(a) To or from the United States, this state, or any instrumentality, agency, or political subdivision of the United States or this state; % _(b) Solely in order to provide or release security for a debt or obligation; (must include affidavit of facts) _jc) To confirm or correct a deed previously executed and recorded; -£(d) To evidence a gift, in any form, between husband and wife, or parent and child or the spouse of either; _(e) On sale for delinquent taxes or assessments; _(0 Pursuant to court order, to the extent that such transfer is not the result of a sale effected or completed pursuant to such order; -(9) Pursuant to a reorganization of corporations or unincorporated associations or pursuant to the dissolution of a corporation, to the extent that the corporation conveys the property to a stockholder as a distribution in kind of the corporation's assets in exchange for the stockholdees shares in the dissolved corporation; __(h) By a subsidiary corporation to its parent corporation for no considerations, nominal consideration, or in sole consideration of the cancellation or surrender of the subsidiary's stock; _(i) By lease, whether or not it extends to mineral or mineral rights, unless the lease is for a term of years renewable forever; \0 _0) When the value of the real property or interest in real property conveyed does not exceed one hundred dollars; Uk) Of an occupied residential property being transferred to the builder of a new residence when the former residence is traded as part of the consideration for the new residence; _(1) To a grantee other than a dealer in real property, solely for the purpose of and as a step in, its prompt sale to others; _(m) To or from a person when no money or other valuable and tangible consideration readily convertible into money is paid or to be paid for the real estate and the transaction is not a gift; (must include affidavit of facts) _(n) To an heir or devisee, between spouses or to a surviving spouse, from a person to himself and others, to a surviving tenant, or on the death of a registered owner; (0) To a trustee acting on behalf of minor children of the deceased; _(p) Of an easement or right-of-way when the value of the interest conveyed does not exceed one thousand dollars; _(q) Of property sold to a surviving spouse pursuant to section 2106.16 of the Revised Code; _(r) To or from an organization exempt from federal income taxation under section 501(c)(3) of the Internal Revenue Code, provided such transfer is without consideration and is furtherance of the charitable or public purpose of such organization; __(s) Among the heirs at law or devisees, including a surviving spouse of a common decedent, when no consideration in money is paid or to be paid for the real property: _(t) To a trusteeof a trust, when the grantor of the trust has reserved an unlimited power to revoke the trust; _(u) To the grantor of a trust by a trustee of the trust, when the transfer is made to the grantor pursuant to the exercise of the grantor's power to revoke the trust or to withdraw trust assets; _(v) To the beneficiaries of a trust if the fee was paid on the transfer from the grantor of the trust to the trustee or pursuant to trust provisions that became irrevocable at the death of the grantor; _(w) To a corporation for incorporation into a sports facility constructed pursuant to section 307.696 [307.69.9] of the Revised Code. -Cx) Between persons pursuant to R.C. section 5302.18. _(y) From a county land reutilization corporation organized under R.C. section 1724 to a third party 6. The grantor hos indicated that this property is entitled to receive the senior citizen, disabled person, or surviving spouse homestead exemption for the preceding or current tax year.