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REAL ESTATE EXCISE TAX AFFIDAVIT

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This form is your receipt

PLEASE TYPE OR PRINT
CHAPTER 82.45 RCW – CHAPTER 458-61A WAC
when stamped by cashier.
THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED
(See back of last page for instructions)
Check box if partial sale of property
If multiple owners, list percentage of ownership next to name.
1

Mailing Address
City/State/Zip
Phone No. (including area code)

3

Name

2
BUYER
GRANTEE

SELLER
GRANTOR

Name

Mailing Address
City/State/Zip
Phone No. (including area code)

Send all property tax correspondence to:

List all real and personal property tax parcel account
numbers – check box if personal property

Same as Buyer/Grantee

List assessed value(s)

Name
Mailing Address
City/State