Fillable Form 521 - Real Estate Transfer Statement (Page 2 of 2) in pdf

Instructions

The register of deeds will not accept a deed for recording unless items 1 through 25 are properly completed and this Real

Estate Transfer Statement, Form 521, is signed.

Who Must File. Any grantee, or grantee’s authorized representative, who wishes to record a deed to real property must file

Form 521. Land contracts, memoranda of contract, and death certificates being recorded pursuant to a transfer on death deed

require a completed Form 521, which are not subject to the documentary stamp tax until the deed is presented for recording.

When and Where to File. Form 521 must be filed with the register of deeds when a deed, land contract, memorandum of

contract, or a death certificate being recorded pursuant to a transfer on death deed is presented for recording.

Specific Instructions

Grantee (Buyer)

• Note: An attachment may be added if additional space is needed for items 5, 6, and 20.

Items 1 and 2. Indicate the county where the property is located. If it is located in more than one county, indicate the

county where the transfer is being filed. The county number can be found on the Department of Revenue website at

revenue.nebraska.gov/PAD.

Item 4. The date of the deed is the date on which it was signed by the grantor, unless otherwise specified in the deed.

Items 5 and 6. Enter the complete name, address, and telephone number of all of the grantors and grantees. A business

address should be used for business organizations such as corporations, trusts, and partnerships.

Item 7. Indicate the type of property being transferred. Check only one box in Categories A and B. “Improved” means

land with a building or a structure on it. “ IOLL” means improvement on leased land. Check C only if the property being

transferred is a mobile home.

Item 8. Indicate the type of deed being filed. Check all that apply.

Item 9. Indicate whether the real estate transfer is a like-kind exchange under Internal Revenue Code § 1031. If claiming an

exemption, provide the recording office a copy of the exchange agreement.

Item 10. Indicate the type of transfer. Check all that apply.

Item 11. Indicate what property interests were transferred. If full ownership was not transferred, check “No” and explain.

Item 12. A “purchase for the same use” means a purchase with the same intended use of the property. A change in use can

include, for example, a vacant lot becoming a cemetery or an agricultural lot becoming a subdivision.

Item 13. Check the appropriate box to indicate if the transfer was between relatives.

Item 14. Indicate the current market value of the real property. Current market value is the purchase price which would be

paid for the property, based upon a sale between a willing buyer and a willing seller in the ordinary course of trade.

Item 15. Indicate whether the grantee assumed a mortgage as part of the purchase price. If a mortgage was assumed, check

“Yes” and indicate the dollar amount and interest rate. If no mortgage was assumed, check “No.”

Item 16. If this transfer divides the property into two or more parcels, check “Yes.” If this transfer does not divide or split

the property, check “No.”

Item 20. The legal description can be found from the deed of record or surveys of the real property.

Item 21. Indicate the total number of agricultural or horticultural acres included in the sale.

Item 22. Enter the total purchase price or consideration paid or to be paid, including cash, mortgages, property traded,

assumed liabilities, leases, easements, and personal property purchased.

Item 23. Enter the total dollar value of items which are included in the total purchase price, but are not considered a part

of the real property. Check “Yes” if there are these items and attach an itemized list with a breakdown. If there are none of

these items, check “No” and enter zero.

Item 25. The list of exemptions is available from the register of deeds or at revenue.nebraska.gov/PAD. Under “Featured

Information,” click on “Documentary Stamp Tax” and “Documentary Stamp Tax Exemptions.”

Authorized Signature. Form 521 must be signed and dated by the grantee or the grantee’s authorized representative.

The register of deeds will not record the deed if items 1 through 25 on Form 521 have not been completed or the Form 521

has not been signed by the grantee or authorized representative.

The register of deeds will complete items 26 through 28 at the time the deed is recorded.

The register of deeds will forward Form 521 to the county assessor when items 1 through 28 are complete.

Retain a copy of this statement for your records.

Form 521 - Real Estate Transfer Statement Page 2

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