Real Estate Sales Verification Survey Form - Florida - Broward County Property Appraiser'S Office
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1Real Estate Sales Verification Survey
‐For Office Use Only‐
Qualified Disqualified Reason_______________________
Date
Parcel ID#
Sale Price:
OR Book/Page:
Owners Name
Date of Sale:
Use Code:
Mailing Address
Situs (Property)Address:
City, State Zip
Is the mailing address correct? Yes
No
Is the site address correct? Yes
No
If the property or mailing address is incorrect, please provide correct address. Mailing
Site
______________________________________________________________________________
GENERAL SALE INFORMATION
1. Was property listed on the market? Yes
No
MLS
If not MLS, how was it listed?___________________________
2. Was there ANY relationship between the buyer and seller? Yes
No
If yes, please explain ______________________
_______________________________________________________________________________________________________
3. In your opinion, does the sale price reflect market value?
Yes
No
4. Was there an appraisal done for the property?
Yes
No
If yes, what was the appraised value? ___________
_______________________________________________________________________________________________________
5. Were there any special conditions affecting the sale price? (e.g. foreclosure, short sale, Chinese drywall, divorce)
Yes
No
If yes, please explain_________________________________________________________________________
_______________________________________________________________________________________________________
6. Did the sale price include personal property? Yes
No
If yes, please provide a copy of the contract or closing
statement listing the personal property.
7. Was the property in need of repairs at the time of sale? Yes
No
If yes, please explain _________________________
________________________________________________________________________________________________________
8. What is the intended use of the property?___________________________________________________________________
9. Did this sale include a TRADE of real property (1031 exchange)? Yes
No
If yes, please provide us with the address
of other property _________________________________________________________________________________________
Please complete, if applicable
Number of Bedrooms____
Carport
Driveway type:
Number of Bathrooms____
Garage
1__ 2__ 3__
Pavers
Family Room
Central A/C
Concrete
Den
In‐ground Pool
Screened
Asphalt
Fireplace
Porch
Screened
None
Florida Room
Other
10. Has the property been remodeled recently? Yes
No
If yes: Kitchen
Bath
Garage to Living Area
Other__________________________________________________________________________________________________
List any upgrades ________________________________________________________________________________________
Additional Information (if any): __________________________________________________________________
_____________________________________________________________________________________________
Please submit a copy of your settlement (HUD) statement, if available. Mail survey to: Broward County Property
Appraiser’s Office, Attn: Sales Verification, 115 S. Andrews Ave, Room 111, Fort Lauderdale, FL 33301 (envelope is
enclosed).
Print name______________________________ Date____________ Phone number_____________________
Signature_______________________________________
Email______________________________
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