Form Pt 56 - Certificate Of Real Estate Value - 2005

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COURTHOUSE USE ONLY
CERTIFICATE OF REAL ESTATE VALUE [SDCL 7-9-7(4)]
Book ______ Page _______
State of South Dakota, County of ________________________________
Ratio Card No._________
(
)
Seller(s):
Name
Phone Number
Mailing
Address__________________________________________________ ___________________________________________________
Street/Box Number
City
State/Zip Code
(
)
Buyer(s):
Name
Phone Number
Current
Mailing
Address
Street/Box Number
City
State/Zip Code
NEW
Mailing
________________________________________________________________________________________
Address
Street/Box Number
City
State/Zip Code
OWNER OCCUPIED - THIS BOX TO
BE COMPLETED BY BUYER ONLY
These items are important to complete for property to continue to be classified as owner occupied for a lower property tax rate.
Property is currently classified as owner-occupied
YES_______ NO _______
Property will be occupied by buyer on ____________(date)
YES_______ NO _______
Property will be principal residence of buyer on the above stated date
YES_______ NO _______
Do you own any other residential property in the United States?
YES_______ NO _______ If yes, state location_____________________
Signature (BUYER ONLY) ___________________________________________________________________________________________________
Legal Description (Please include the number of acres for unplatted properties)
(1) Date of Instrument ________________________
(2) Type of Instrument:
Warranty Deed
Contract for Deed
Executor's Deed
Mineral Deed
Quit Claim Deed
Trustee's Deed
Administrator's Deed
Gift
Other (specify)
________________________________________
(3) Items Involved in Transaction
(d) Actual Consideration Exchanged: $________________
YES
(a) Was this property offered for sale to the general public
NO
(b) Relationship between buyer and seller?
YES
(e) Adjusted price paid for real estate: $________________
NO
agent
(actual consideration less amount paid for major items of
(c) Was this property sold by owner
personal property which are listed below)
In the blanks below, list any major items of personal property and their value which were included in the total purchase price (i.e. furniture, inventory,
crops, leases, franchises):
If yes, items (a) and (b) below MUST
(4) Was there Buyer Financing
YES
NO
be completed
YES
NO
(b) Contract for Deed
(a) Type of Buyer Financing - check where applicable
(If yes, MUST comlete items below)
Like Kind Exchange
Conventional Bank Loan
Down Payment ___________________________________
Assumed Mortgage
Cash Sale
Farm Credit Service
FHA, FmHA, SDHA Loan
Monthly/Yearly Payment_____________
Interest Rate__________
[must complete part (b)]
Contract for Deed
No. of Payments __________
Balloon Payment __________
__________________________________________________
__________________________________
Date
Signature of seller, Buyer, or agent of _________________________________
PT 56 (Rev 06/05) Form required pursuant to SDCL 7-9-7(4) and Administrative Rule 64:04:01:06.01

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