CERTIFICATE OF RECORDATION TAX CORRECTION VA. CODE §§ 58.1-801 to 58.1-814

58.1-3800 to 58.1-3804

Virginia, Circuit Court

.

DEED BOOK NO.

DEED BOOK PAGE NO.

DATE INSTRUMENT RECORDED

NAME(S) OF GRANTOR(S)

NAME(S) OF GRANTEE(S)

Brief description of property

Subsequent to the recordation of the above instrument, an error in computing the tax and/or an error in stating the consideration on which the tax should have been assessed was/were discovered.

is the proper consideration. The assessment should have been as follows:

State Tax

City/County Tax

Grantor’s Tax

Total Tax

is the amount of the error in the assessed tax. I HEREBY CERTIFY

that recordation tax in this amount was

 collected today

receipt number; or

 refunded today

our check number

Given under my hand on

, Clerk

DATE

, Deputy Clerk

CC-1550 (w) 1/85)