Form Pe-100 - Register Of Deeds - Criteria For A Completed Real Estate Transfer Return (Form Pe-500) With Instructions For County Officials (Section V) Page 2

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Page 2, Criteria for a Completed Real Estate Transfer Return (PE-500)
Section VI: TRANSFER
(39)
Grantor/Grantee Relationship; one box must be marked. Family or Other must be explained.
(40)
Type of Transfer; one box must be marked.
(41)
Ownership interest transferred; one box must be marked.
(42)
Grantor Retaining rights; one box must be marked.
(43)
Grantor is; one box must be marked.
Section VII: GRANTEE’S FINANCING
(44)
Grantee’s Financing; at least one box must be marked. NOTE: If any type of financing is provided by the Seller (credit, gift,
donation to non-profit/charitable, land contract, etc.) the box “Obtained from seller” MUST be checked along with any other box
describing other financing obtained by the buyer.
Section VIII: PHYSICAL DESCRIPTION AND GRANTEE’S PRIMARY USE OF PROPERTY
(45)
Type of Property; one box must be marked. Other must be explained.
(46a)
Predominant Use; one box must be marked.
• If Multi-family is marked, fill in number of units.
• If Agricultural is marked, answer question Yes or No.
• Explain if Commercial, Utility, Manufacturing/Telephone or Miscellaneous.
(46b)
Check if grantee’s primary residence.
(47a-b) Estimated Land Area; 47a or 47b one box must be completed.
(48-49) If not applicable, leave blank.
Section IX: ENERGY
(50-52) Energy; If (50) is No, (51) must be completed and if W-12, (52) must be completed.
Section X: CERTIFICATION
(53-59) If Agent signing, must be completed. Must be completed if grantor or grantee is not an individual.
(60-61) Complete if return prepared by someone other than the grantor, grantee or their agent.
(62-66) If tax bill is to be sent to a different address than Grantee’s on Lines (4-10), must be completed.
(67-70) Must be completed.
(71-73) Grantor or Agent Signature, dated and telephone number – REQUIRED; complete (53-59) if agent.
(74-76) Grantee or Agent Signature, dated and telephone number – REQUIRED; complete (53-59) if agent.
Signatures may be in blue or black ink.
INSTRUCTIONS FOR COUNTY OFFICIALS
Section V: TO BE COMPLETED BY AUTHORIZED COUNTY/LOCAL OFFICIALS
(23-27) After you have reviewed and accepted the form, enter the Document Number, Volume/Jacket, Page/Image (as applies),
date recorded, and date of conveyance.
(28)
Mark the box that indicates the kind of conveyance recorded. If Other is entered, explain on line provided (e.g. sheriff’s deed,
personal rep., trustee deed, etc.).
(29-32) Enter the two digit county code and the three digit municipal code in the boxes provided. If the sale is in more than one munici-
pality, use 31 and 32 to enter the second set of codes. If sale is in more than two municipalities, also place an X in the box
provided after number 32.
(33-38) These areas are to remain blank.

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