Statement Of Conveyance Of Current Agricultural Use Valuation Property {DTE 102}

DTE 102 Rev. 8/09 Statement of Conveyance of Current Agricultural Use Valuation Property To be attached to conveyance fee forms DTE 100 and 100(EX). Grantor's name Grantor's address Grantee's name Grantee's address Taxing district Parcel or account number The grantor of the property referred to above states that the property has qualified for the current agricultural use valuation exemption under Ohio Revised Code section 5713.31 for the preceding or the current tax year. The grantee has been made aware prior to the closing that if the property does not continue to so qualify, either for the current or for the succeeding tax year, it will be subject to a recoupment charge equal to the tax savings as described in R.C. sections 5713.30 and 5713.34. Furthermore, the grantor and the grantee have considered and accounted for the total estimated amount of such recoupment, if any, to the satisfaction of both the grantee and the grantor. Signature of grantor or representative Sworn to or affirmed in my presence, This day of 20 . Notary public Endorsement by the County Auditor Upon presentation of this instrument, the county auditor shall endorse it, forward it to the grantee or his representative, and provide a copy of the endorsed instrument to the grantor or his representative, evidencing delivery to the county auditor. County auditor Date American LegalNet, Inc. www.FormsWorkFlow.com