Becky R. Sutton
Tax Administrator
DEED INFORMATION FOR TAX OFFICE
PRIOR TO RECORDING AT REGISTER OF DEEDS
(see reverse regarding delinquent taxes prior to recording)
1) Grantor Information
Name:_________________________________________________________ SS#____________________________
Address:
2) Grantee Information:
Name:__________________________________________________________ SS#______________________________
Address:
3) Address and Legal description of property being transferred:_____________
______________________________________________________________
4) Breakdown of land if this is a "split": cropland (acres)__________________
Woodland(acres)_____________ Homesite(acres)_____________
Wasteland(acres)______________ Other:_________________
5) Buildings or other improvements transferred if this is a "split":_________________________________
6) Description of personal property, if any, to be conveyed (example: mobile home)______________________________
7) Deferred Value (taxes) involved: Yes _______ No____________
If yes, what relationship (kin) is the Grantor to the Grantee?______________
8) Deferred taxes due (Deferred taxes have not be calculated unless this section is completed):
YEAR
AMOUNT
YEAR
AMOUNT
YEAR
AMOUNT
YEAR
AMOUNT
9) Taxes Due Prior Yrs: __________________ Current Year Tax: ___________________________
Form completed by:
(owner or agent)
Tax office clerk:
Book:_____________ Page:______________ Date Recorded:_____________________________
The disclosure of social security numbers is voluntary. This number is needed to establish the identification of individuals. The authority
to request this number for the administration of tax is given by the United States Code Title 42, Section 405(c ) (2)©(i) and N.C.G.S. 105-309
229 Kingold Blvd., Suite B • P.O. Box 482 • Snow Hill, NC 28580 • (252) 747-3615 • FAX (252) 747-5067
www.greenecountync.gov
Parcel Identification Number
(To be Determined by Tax Office)
Transfer
Split Merge to:
Date:
