Form Pt 56 - Certificate Of Real Estate Value

Print Form

COURTHOUSE USE ONLY

CERTIFICATE OF REAL ESTATE VALUE [SDCL 7-9-7(4)]

Book ______ Page _______

State of South Dakota, County of ________________________________

Ratio Card No._________

(

)

Seller(s):

Name

Phone Number

Mailing

Address__________________________________________________ ___________________________________________________

Street/Box Number

City

State/Zip Code

(

)

Buyer(s):

Name

Phone Number

Current

Mailing

Address

Street/Box Number

City

State/Zip Code

NEW

Mailing

________________________________________________________________________________________

Address

Street/Box Number

City

State/Zip Code

OWNER OCCUPIED - THIS BOX TO

BE COMPLETED BY BUYER ONLY

These items are important to complete for property to continue to be classified as owner occupied for a lower property tax rate.

Property is currently classified as owner-occupied

YES_______ NO _______

Property will be occupied by buyer on ____________(date)

YES_______ NO _______

Property will be principal residence of buyer on the above stated date

YES_______ NO _______

Do you own any other residential property in the United States?

YES_______ NO _______ If yes, state location_____________________

Signature (BUYER ONLY) ___________________________________________________________________________________________________

Legal Description (Please include the number of acres for unplatted properties)

(1) Date of Instrument ________________________

(2) Type of Instrument:

Warranty Deed

Contract for Deed

Executor's Deed

Mineral Deed

Quit Claim Deed

Trustee's Deed

Administrator's Deed

Gift

Other (specify)

________________________________________

(3) Items Involved in Transaction

(d) Actual Consideration Exchanged: $________________

YES

(a) Was this property offered for sale to the general public

(b) Relationship between buyer and seller?

YES

(e) Adjusted price paid for real estate: $________________

agent

(actual consideration less amount paid for major items of

personal property which are listed below)

In the blanks below, list any major items of personal property and their value which were included in the total purchase price (i.e. furniture, inventory,

crops, leases, franchises):

If yes, items (a) and (b) below MUST

(4) Was there Buyer Financing

YES

be completed

YES

(b) Contract for Deed

(a) Type of Buyer Financing - check where applicable

(If yes, MUST comlete items below)

Like Kind Exchange

Conventional Bank Loan

Down Payment ___________________________________

Assumed Mortgage

Cash Sale

Farm Credit Service

FHA, FmHA, SDHA Loan

Monthly/Yearly Payment_____________

Interest Rate__________

[must complete part (b)]

Contract for Deed

No. of Payments __________

Balloon Payment __________

__________________________________________________

__________________________________

Date

Signature of seller, Buyer, or agent of _________________________________

PT 56 (Rev 06/05) Form required pursuant to SDCL 7-9-7(4) and Administrative Rule 64:04:01:06.01

Form Pt 56 - Certificate Of Real Estate Value - 2005

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