Form Pt 56 - Certificate Of Real Estate Value

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SD EForm - 0919

HELP

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

COURTHOUSE USE ONLY

STATE OF SOUTH DAKOTA, COUNTY OF ________________________

Book________ Page__________

Ratio Card No ___________________

Seller(s) _______________________________________________________________

Phone No.

Name

Phone No.

Mailing

Address

________________________________________

State

Zip Code

Street/Box No

City

State (Zip Code)

Buyer(s):

Name

Phone No.

Mailing

Address:

State

Zip Code

Street/Box No

City

State (Zip Code)

NEW

Address:

State

Zip Code

Street/Box No

City

State (Zip Code)

OWNER-OCCUPIED – THIS BOX TO BE COMPLETED BY BUYER ONLY

These items are important to

Property is currently classified as owner-occupied

YES_____

NO _____

complete for property to continue

Property will be occupied by buyer on __________________ (date)

YES _____

NO _____

to be classified as owner occupied

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

YES _____

NO _____

for a lower property tax rate.

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:

Contract for Deed

______

Warranty Deed

______

Executor's Deed

______

Mineral Deed

______

Quit Claim Deed

______ Trustee's Deed

______

Administrator's Deed ______

Gift

______

Other (specify)

______________________________

(3) Items Involved in Transaction

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

YES____ NO ____ (d) Actual Consideration Exchanged: $______________________

(b) Relationship between buyer and seller?

YES____ NO ____

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

Agent __________

(actual consideration less amount paid for major items of personal

property which are listed 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):

___________________________ ________________________________________________________________

_________________________________________________________

________

(4) Was there Buyer Financing

YES__________ NO ___________

If yes - -items (a) below MUST be completed

(a) Type of Buyer Financing – check where applicable

Conventional Bank Loan

______

Like Kind Exchange

________

Cash Sale