Iowa > Statewide > Miscellaneous
Real Estate Transfer Declaration Of Value - Iowa
| Real Estate Transfer Declaration Of Value Form. This is a Iowa form and can be used in Miscellaneous Statewide . |
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*IDRDOV* REAL ESTATE TRANSFER - DECLARATION OF VALUE Please read the instructions on the reverse side BEFORE completing and filing this form. Part I - TO BE COMPLETED BY BUYER, SELLER OR AGENT SELLER: Seller Address: BUYER: Buyer Address: Address of Property Conveyed: Date of Instrument: Legal Description: SSN or FEIN: e-mail/phone: L L SSN or FEIN: e-mail/phone: L Deed _1 Contract _ 2 L Type of Sale (check all that apply): Fulfillment of prior year(s) contract Purchase of adjoining land Corporation Trust Sale to/by Exempt Organization Transfer of partial interest Alien Non-Resident Alien Auction Sale Corporate merger or reorganization Was this a sale of AG LAND to: Quit Claim Deed Limited Partnership Sale between family members or related parties Foreclosure, forfeitures, or transfers arising from default; forced sale L DECLARATION OF VALUE STATEMENT 1. Total Amount Paid 2. Amount Paid for Personal Property (see instructions) 3. Amount Paid for Real Property Only (1 minus 2) Contract Sale Information: Down Payment $ _______________________ Length of Contract ________________ years $____________________________ $____________________________ $____________________________ Interest Rate __________% L Monthly Payment $ _________________ Balloon Payment Date (if applicable) I HEREBY DECLARE THAT THE INFORMATION CONTAINED IN PART I OF THIS FORM IS TRUE AND CORRECT AS DETAILED ON THE BACK OF THIS FORM . Printed Name: Signature Phone #: Buyer or Seller or Agent or Attorney PART II - TO BE COMPLETED BY THE ASSESSOR Classification of Property: Primary Parcel Number Land Full Assessed Value January 1 of Year of Sale Res _4_ Com _5_ Ind _2_ Ag _1_ L Deeded Acres: L ( attach list of additional parcels) Total L OCC __________________________ TLA/GBA ____________________________ Tax District ________________________________________ L L L Building Dwelling Good for study? Yes No NUTC L If No, give reason: Iowa Department of Revenue L 57006a (03/23/12) American LegalNet, Inc. www.FormsWorkFlow.com Effective Date of Form 09/30/12 SPECIAL INSTRUCTIONS Visit our web site at www.iowa.gov/tax. See more detailed instructions online at www.iowa.gov/tax/forms/DOVdetails.pdf FILING INSTRUCTIONS: Iowa law requires that a "Declaration of Value" statement reflecting the full consideration paid in certain nonexempt real estate conveyances be submitted to the county recorder at the time a deed, contract, instrument, or other writing is presented for recording. Part I of this form is the prescribed "Declaration of Value" statement that must be completed by the buyer or seller or either's agent for nonexempt transactions. Part II of this form is to be completed only by the assessor. The blank area at the top of the form is for use by the county recorder. In this area the recorder will provide the following information: Date of Recording, Book and Page Number or Instrument Number, County, Real Estate Transfer Tax, Deed or Contract. IMPORTANT: This form does not have to be completed for any document presented for recording which clearly indicates on such document that it is an exempt transaction. Refer to Iowa Administrative Code 701-79.5. If the transaction is exempt, but the reason for exemption is not stated on the actual document presented for recording, Part I of this form must be completed. If this form is not completed accurately and completely for nonexempt transactions by the buyer or seller or either's agent, the county recorder is required by law to refuse to record the contract, deed or other instrument conveying the affected property. Social Security Numbers (SSNs) and Federal ID Numbers (FEINs) are required by 701 IAC 79.5(5), pursuant to Iowa Code sections 428A.1 and 428A.7, as authorized by 42 U.S.C. §405(c)(2)(C)(i). All Social Security Numbers and Federal ID Numbers must be redacted prior to release to the public. TYPE OF SALE: Check all box or boxes that designate conditions that apply to the sale on the front section of the form. For purposes of indicating a "Sale Between Family Members" only the following relationships are to be considered: Mother Daughter Sister Sister-in-law Stepsister Mother-in-law Daughter-in-law Niece Foster Child Foster parent Foster brother Foster sister Father Son Brother Brother-in-law Stepbrother Father-in-law Son-in-law Nephew Grandson Granddaughter Grandfather Grandmother Stepmother Stepfather Stepson Stepdaughter Uncle Aunt DECLARATION OF VALUE STATEMENT: Total Amount Paid Enter the entire and full purchase price of the property transferred, including down payment. Reporting of personal property should conform to the transfer document and any related income tax filings. Amount Paid for Personal Property Enter the amount of the purchase price that was paid for personal property. For residential sales, personal property includes items that are not attached ("built in") to the home that are normally removed by the owner, when he or she vacates. This includes, but is not limited to items such as washers, dryers, drapes, stoves, refrigerators, and portable dishwashers. Personal property for commercial or industrial sales includes inventories, as well as equipment and fixtures classified and assessed as personal property. Reporting of personal property should conform to the transfer document and any related income tax filings. Amount Paid for Real Property Only Subtract Line 2 from Line 1 and enter the difference here. IF THIS TRANSACTION IS EXEMPT FROM THE TRANSFER TAX, you may not be required to complete this form UNLESS you are claiming exemption number 1, 6,14, or 15, which require a Declaration of Value Statement. Exceptions Iowa Code 428A.2 1. (DOV required) Any executory contract for the sale of land under which the vendee is entitled to or does take possession thereof, or any assignment or cancellation thereof. 2. Any instrument of mortgage, assignment, extension, partial release, or satisfaction thereof. 3. Any will. 4. Any plat. 5. Any lease. 6. (DOV required for federal agency or instrumentality) Any deed, instrument, or writing in which the United States or any agency or instrumentality thereof or the state of Iowa or any agency, instrumentality, or governmental or political subdivision thereof is the grantor, assignor, transferor, or conveyor; and any deed, instrument or writing in which any of such unit of government is the grantee or assignee where there is no consideration. 7. Deeds for cemetery lots. 8. Deeds which secure a debt or other obliga
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