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Rptt Refund Form

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Office of the County Recorder

Debbie Conway

Clark County Recorder

Real Property Transfer Tax Refund Request Form

Instructions: Complete this form and enclose a cashier’s check or money order for $18 to record the correction

document. Mail fee and form to: Clark County Recorder, Audit Division

500 S. Grand Central Pkwy

Box 551510

Las Vegas, NV 89155-1510

I, _________________________________, having paid a Real Property Transfer Tax in the amount of

$ ________________ on Document No. _____________________ do hereby request a refund for the following reason:

1. _____

The transaction is exempt as provided by NRS 375.090 Section ________. (Explain reason for exemption and

supply supporting documentation if necessary to support the exemption)

_________________________________________________________________________________________

2. _____ The property conveyed is not real property in its entirety as evaluated. (Attach exhibits)

3. _____ The computation of the tax is erroneous. (Attach supporting documentation)

4. _____ Other. (Explain reason for refund, attach supporting documentation and use additional sheets if necessary)

________________________________________________________________________________________

Original Computation

Correct Computation

Full Value of Property Interest Conveyed

$ ________________

$________________

Deed in Lieu of Foreclosure (Value of Property)

$ ________________

$________________

Transfer Tax Value

$ ________________

$________________

Transfer Tax Amount

$ ________________

$________________

Under penalty of perjury, I hereby declare the above statements are correct, and I hereby apply for a refund in the amount of $ _________________.

Payee Information (Please Print)

______________________________________

________________________________________________

Date

Make Check Payable to

______________________________________

________________________________________________

Signature

Attention (if applicable)

______________________________________

________________________________________________

Print Name

Street Address

______________________________________

________________________________________________

Firm Name (if applicable)

City

State

Zip

RECORDER’S USE ONLY

Approved by: ____________________________________________

Date: __________________________

Department Approval: _____________________________________

Date: __________________________

P:\Recorder\WU\RPTT\Dec2011

Rptt Refund Form

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