Dte Form 102 - Statement Of Conveyance Of Current Agricultural Use Valuation Property - Ashtabula County Auditor

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DTE Form 102
Prescribed 8/09
Rev. Ashtabula 0 /20
Pursuant ORC 319.202(B)
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 _______________________________________________________________________________
Taxing District: _______ Parcel or Account No. ____________________ CAUV No. _______________________
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.
Estimated Recoupment:
Tax Year 20_____
Tax Year 20_____
Tax Year 20_____
Total
$
$
$
$
___________________________________________
_______________________________________________
Signature of Grantor or Representative
Signature of Grantee
Sworn to or affirmed in my presence, this _____ day
Sworn to or affirmed in my presence, this _____ day
of _______________________________, 20______
of _______________________________, 20______
__________________________________________
__________________________________________
Notary Public
Notary Public
Endorsement by County Auditor:
Upon presentation of this instrument, the County Auditor shall endorse it, make copies available to
grantees/grantors and/or representatives, and file the original alongside the CAUV application to be maintained the
same as the application.
__________________________________________
__________________________________
County Auditor
Date

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