Form 5401(8)bp - Declaration For Building Permit
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FORM 5401(8)BP
STATE OF DELAWARE
REALTY TRANSFER TAX
FOR AGENCY USE ONLY
Building Permit #:
DECLARATION FOR BUILDING PERMIT
Building Permit Value:
DECLARATION YEAR
12
31
1.
Name and address of owner of land
3.
Tax Parcel/Property I.D. number and
4.
Name and address of person applying
or building for which Building Permit is
address of realty for which Building
for Building Permit if different from
required.
Permit is required.
person identifed in Item #1.
2.
SSN of person identifed in Item #1,
5.
SSN of person identified in Item #4,
or Federal EIN.
or Federal EIN, if different from Item #2.
IF YOU CLAIM AN EXEMPTION FROM THIS TAX, PLEASE COMPLETE PAGE 1.
IF YOU DO NOT CLAIM EXEMTION, PLEASE COMPLETE PAGE 2.
6.
If you answer “YES” to 6A, 6B, or 6C, you may stop and sign at Item 9. If you answer “NO”, please continue filling out the form.
A.
Is the cost of all contracts for all phases of this construction, alteration or addition less than $10.000? (The total cost must
include all contracts entered into after September 1, 1990, and all materials supplied after that date, to the extent such
YES
NO
materials are not required to be supplied in a contract entered into before September 1, 1990.)
B.
Is this an application by a builder or developer for a building permit in order to construct, alter, or add to a building for resale on
YES
NO
land owned by the builder developer?
IF YES, enter your State of Delaware’s Contractor’s License Number here:
C. Is this construction totally governed by contracts or agreements entered into before September 1, 1990?
YES
NO
For purposes of this form, “contract” includes the purchase of goods by the owner of the property. Thus, you must answer
NO if you intend to purchase supplies or materials after September1, 1990; apart from supplies or materials required to be
supplied under any agreement or undertaking entered on or before September 1, 1990.
D. Is the Building Permit requested for construction or alteration of, or addition to, a “building” – a structure having a roof
supported by columns or walls?
YES
NO
IF NO, YOU MAY STOP HERE AND SIGN AT ITEM 9 ON PAGE 1.
IF YES, GO TO ITEM 7 BELOW.
7.
A.
Please check box if the property has been owned for more than one year prior to entering into a construction contract.
YOU MAY STOP HERE AND SIGN AT ITEM #9 ON PAGE 1.
Date on which ownership in realty on which construction, alteration or addition is intended was transferred (settlement date) to
owner identified in Item #1.
B.
Date on which contract for this construction was entered into or labor or materials were first supplied, whichever date occurred
earlier:
IF DATE IN ITEM 7 “B” IS LATER THAN ONE YEARAFTER DATE INDICATED IN ITEM 7 “A”, YOU MAY STOP HERE AND
SIGN AT ITEM #9 ON PAGE 1.
8.
Do you claim exemption from this tax on grounds other than those described above? If so, please indicate basis for exemption
below. (Subsequent construction is exempt if transfer of realty on which construction is to occur was exempt, but specific but for
exemption must be stated.)
PLEASE SIGN AT ITEM 9 BELOW. IF YOU CANNOT CLAIM EXEMPTION ABOVE, YOU MUST COMPLETE PAGE TWO AND
SECURE VALIDATION OF TAX PAYMENT FROM THE DELAWARE DIVISIONOF REVENUE
9.
Subject to the penalties of perjury, I swear or affirm the foregoing is true and correct to the best of my knowledge and belief.
Owner’s Signature
Print Name
Date
*DF40516019999*
(Revised 10/2016)
DF40516019999
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