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Lot No.
Block No.
Name
Residence
Amt. Paid, $
Certificate No.
Deed Recorded Book
Date Sold
Date
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No. of NAME OF DECEDENT
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Residence
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No.
Date Sold
Date psBe
Certificate
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Deed Recorded Book
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Lot No.
Name
Residence
Certificate No.
Amt. Paid, $
Date Sold
Deed Recorded Book Page
Transferred to
Date
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