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March 23, 2015, Re: Title Number Premises County Purchaser Seller/Owner 821134(SOHCPJM) 700 North Levitt Road, Amherst, OH 44001 Lorain TBD DSO Bob LLC Dear Sir/Madam, With reference to the above

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KV cover sheet-HILI is a form used to report information about certain taxable transactions.

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Any individual or entity that engages in taxable transactions subject to KV cover sheet-HILI reporting requirements.

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Information such as the type of transaction, amount involved, and the parties involved must be reported on KV cover sheet-HILI.

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