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74 <br />r <br />DO NOT RECORD <br />DOCUMENTNO - " 72252-6 <br />STATEMENT OF DOCUMENTARY TRANSFER TAX DUE AND <br />REQUEST THAT AMOUNT OF TAX NOT BE MADE A PART <br />OF THE PERMANENT RECORD IN THE OFFICE OF THE COUNTY RECORDER <br />(Pursuant to Section 11932 Rev. & Tax Code and Section 2-29.01 et seq. Alameda County Ordinance Code) <br />To: PATRICK O'CONNELL <br />Alameda County Recorder <br />Request is hereby made in accordance with the provisions of the Documentary Transfer Tax Act that the amount of tax shall be shown <br />on this statement which shall be affixed to the document by the Recorder after the record is made and before the original is returned as <br />specified in Section 27321 of the Government Code. <br />Toll -Dublin, LLC <br />(Name of one grantor or lessor) <br />and <br />Daniel B. Poirier Gail J. Poirier <br />(Name of one grantor or lessor) <br />Property described said document is located in (lot 378) Dublin.Alameda <br />(Show name of city or unincorporated) <br />DOCUMENTARY TRANSFER TAX $617.10 <br />❑ Computed on full value of property conveyed, or <br />❑ Computed on full value less liens and encumbrances remaining <br />thereon at time of sale. <br />C ONVEYANCE TAX $ <br />Westminster Title Company <br />Signature of clarant or agent determining tax Firm Name <br />