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DR 1083 (09/27/10) COLORADO DEPARTMENT OF REVENUE DENVER, CO 80261-0005 www.TaxColorado.com INFORMATION WITH RESPECT TO A CONVEYANCE OF A COLORADO REAL PROPERTY INTEREST 1. Name(s) and address of
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COLORADO transferor 1099-S nonresidents transferors transferee TaxColorado ownerships unimproved unincorporated encumbering 238-SERV nonjudicial thereon encumbrance apportioned disbursement mortgaging taxable staffs certifying inclusion transact CONVEYANC

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