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Nebraska Form 521 2013
Telephone (Please Print)
Grantor’s Name (Seller)
Grantee’s Name (Buyer)
Street or Other Mailing Address
Street or Other Mailing Address
City
State
Zip Code
City
State
Zip Code
State Assessed
Mobile Home
Telephone Number
Telephone Number
( )
( )
7 Property Classification Number. Check one box in categories A and B. Check C if property is also a mobile home.
(A) Status
(B) Property Type
(C)
Improved
Unimproved
...
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