Form Pt 56 - Certificate Of Real Estate Value [sdcl 7-9-7(4)]

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CERTIFICATE OF REAL ESTATE VALUE [SDCL 7-9-7(4)]
STATE OF SOUTH DAKOTA, COUNTY OF __________________________________
Seller(s):
____________________________________________________________________________________________________________________
COURTHOUSE USE ONLY
Current Mailing Address:
Phone No.
__________________________________________
Book____________ Page__________
(Street/Box No)
(City)
State
Zip Code
Buyer(s):
Ratio Card No ___________________
Phone No.
Current Mailing Address:
Property will be occupied by buyer on November 1
(Street/Box No)
(City)
State
Zip Code
YES
NO
NEW Mailing Address:
Signature – must be signed by BUYER ONLY
(Street/Box No)
(City)
State
Zip Code
Legal Description (Please include the number of acres for unplatted properties)
Date of Instrument ________________
Type of Instrument:
Contract for Deed
Mineral Deed
Warranty Deed
Executor's Deed
Property is currently classified as owner-occupied
YES____ NO ____
Quit Claim Deed
Gift
And buyer SHALL retain owner-occupied status
YES____ NO ____
Trustee's Deed
Other (specify)
Was this property offered for sale to the general public YES____ NO ____
Administrator's Deed
Relationship between buyer and seller?
YES____ NO ____
Was this property sold by owner __________ agent _________
Type of Buyer Financing
Actual Consideration Exchanged: _________________________________
In the blanks below, list any major items of personal property and
Conventional Bank Loan
their value which were included in the total purchase price (i.e.
FHA, FmHA, SDHA Loan
Like Kind Exchange
furniture, inventory, crops, leases, franchises): ___________________________
Cash Sale
Farm Credit Service
_________________________________________________________________
Is this an assumed mortgage?
_________________________________________________________________
If none of the above - terms of payment - Contract for Deed
_________________________________________________________________
Down Payment
_________________________________________________________________
_________________________________________________________________
Monthly/Yearly Payment___________________________
Adjusted price paid for real estate: ____________________________
Interest Rate ________ No. of Payments ______________
Balloon Payment ________________________
__________________________________________
_________________________________________________________________
(Date)
(Signature of Seller, Buyer or agent of ________________________)
PT 56 (Rev 5/99) Form required pursuant to SDCL 7-9-7(4) and Administrative Rule 64:04:01:06.01

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