GEAUGA COUNTY AUDITOR'S OFFICE SPLIT QUESTIONNAIRE (PLEASE FILL OUT BEFORE TRANSFER) IS ORIGINAL PARCEL(S) IMPROVED? YES _____ NO _____ SELLER'S NAME: __________________________________________________ BUYER'S NAME: __________________________________________________ BUYER'S ADDRESS: ________________________________________________ ________________________________________________ PARCEL NUMBER(S): (ORIGINAL PARCEL) TOTAL ACRES: (ORIGINAL PARCEL) SPLIT ACRES: __________________ __________________ __________________ _____________________ _____________________ ______________________ ______________________ NEW PARCEL NUMBERS _________________ (AUDITOR'S OFFICE USE ONLY) ARE WE COMBINING ACREAGE? IS IMPROVEMENT(S) GOING WITH SPLIT? YES _____ IF YES, DESCRIBE: (HOUSE OR ANY OUT BUILDINGS) NO ______ _____________________________________________________________________ _____________________________________________________________________ IS PROPERTY ON C.A.U.V.? _______ IF YES, COMPLETE RECOUPAGE FORM IS PROPERTY ON HOMESTEAD? _______ IF YES, COMPLETE FORM DTE 101 PREPARED BY ________________________________________________________ PHONE _____________________ American LegalNet, Inc. www.FormsWorkFlow.com