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Maryland Land Instrument Intake Sheet (MUST SUBMIT 4 COPIES ON 8.5X14 PAPER) AOC-CC 300 - Maryland
| Maryland Land Instrument Intake Sheet (MUST SUBMIT 4 COPIES ON 8.5X14 PAPER) Form. This is a Maryland form and can be used in Land Records Circuit Court Statewide . |
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Baltimore City Information provided is for the use of the Clerk's Office, State Department of Assessments and Taxation, and County Finance Office Only. (Type or Print in Black Ink Only All Copies Must Be Legible) 1 Type(s) of Instruments Conveyance Type Check Box Tax Exemptions (if applicable) ( Check Box if addendum Intake Form is Attached.) Deed Deed of Trust Improved Sale Arms-Length [1] Recordation State Transfer County Transfer Consideration Amount Purchase Price/Consideration Any New Mortgage $ $ $ $ $ $ Doc. 1 $ $ $ $ $ $ $ Property Tax ID No. (1) Subdivision Name Grantor Liber/Folio Lot (3a) $ $ $ $ $ $ $ Map Block (3b) Mortgage Lease Unimproved Sale Arms-Length [2] Other _________ _______________ Multiple Accounts Arms-Length [3] Other _________ _______________ Not an ArmsLength Sale [9] 2 3 Cite or Explain Authority 4 Finance Office Use Only Transfer and Recordation Tax Consideration Transfer Tax Consideration X( )% = Less Exemption Amount Total Transfer Tax = Recordation Tax Consideration X( ) per $500 = TOTAL DUE Doc. 2 $ $ $ $ $ $ $ Agent: Tax Bill: C.B. Credit: Ag. Tax/Other: Parcel No. Plat Ref. Var. LOG (5) SqFt/Acreage (4) Consideration and Tax Calculations Balance of Existing Mortgage Other: Other: Full Cash Value: 5 Amount of Fees Recording Charge Surcharge State Recordation Tax State Transfer Tax County Transfer Tax Other Other Fees 6 Description of Property SDAT requires submission of all applicable information. A maximum of 40 characters will be indexed in accordance with the priority cited in Real Property Article Section 3-104(g)(3)(i). 7 Transferred From 8 Transferred To 9 District Sect/AR (3c) Location/Address of Property Being Conveyed (2) Other Property Identifiers (if applicable) Residential or Non-Residential Yes No Fee Simple or Ground Rent Amount: Description/Amt. of SqFt/Acreage Transferred: Water Meter Account No. Partial Conveyance? If Partial Conveyance, List Improvements Conveyed: Doc. 1 Grantor(s) Name(s) Doc. 2 Grantor(s) Name(s) Doc. 1 Owner(s) of Record, if Different from Grantor(s) Doc. 1 Grantee(s) Name(s) Doc. 2 Owner(s) of Record, if Different from Grantor(s) Doc. 2 Grantee(s) Name(s) New Owner's (Grantee) Mailing Address Doc. 1 Additional Names to be Indexed (Optional) Doc. 2 Additional Names to be Indexed (Optional) Other Names to Be Indexed Contact/Mail Information 10 Space Reserved for Circuit Court Clerk Recording Validation State of Maryland Land Instrument Intake Sheet County: Instrument Submitted By or Contact Person Name: Firm Address: Phone: ( ) Return to Contact Person Hold for Pickup Return Address Provided 11 IMPORTANT: BOTH THE ORIGINAL DEED AND A PHOTCOPY MUST ACCOMPANY EACH TRANSFER Yes Assessment Information Yes Yes No No Will the property being conveyed be the grantee's principal residence? Does transfer include personal property? If yes, identify: Space Reserved for County Validation Terminal Verification Transfer Number Year 20 Land Buildings Total REMARKS: No Was property surveyed? If yes, attach copy of survey (if recorded, no copy required). Assessment Use Only Do Not Write Below This Line Agricultural Verification Whole Part Tran. Process Verification Date Received: Deed Reference: Assigned Property No.: 20 Geo. Map Sub Block Zoning Grid Plat Lot Use Parcel Section Occ. Cd. Town Cd. Ex. St. Ex. Cd. Distribution: White Clerk's Office Pink Office of Finance AOC-CC 300 (4/05) Canary SDAT Goldenrod Preparer American LegalNet, Inc. www.FormsWorkflow.com
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