Fillable Form 521mh - Manufactured Housing Transfer Statement (Page 2 of 2) in pdf

Instructions

Who Must File. Any purchaser (or the purchaser’s authorized representative) must file this Manufactured Housing Transfer

Statement, Form 521MH, when seeking a certificate of title for manufactured housing.

When and Where to File. Form 521MH must be filed with the county clerk (or the county treasurer if he or she is the designated

county official) in the county where the application for title is made. The county clerk or county treasurer cannot deliver the title

to the purchaser unless a properly completed Form 521MH accompanies the application for title.

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

Items 5 and 6. Enter the complete name, address, and telephone number of the seller and buyer. A business address should be

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

Item 7. Indicate the type of transfer. Check only one box.

Item 8. Indicate what property interests were transferred. If full ownership was not transferred, check “No” and explain.

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

Item 10. Check the appropriate box to indicate if the transfer was between relatives.

Item 11. Indicate the current market value of the manufactured housing (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 12. Indicate whether the buyer 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 21. Indicate the name and address of the owner of the land where the manufactured housing will be located after the sale.

Item 22. The legal description can be found in the deed or the abstract of the real property.

Item 23. 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 24. 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. If there are none of these items, check “No” and enter zero.

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

County Clerk or County Treasurer

The county clerk or county treasurer will not issue the title if items 1 through 25 on the Form 521MH have not been completed

or the Form 521MH has not been signed by the buyer or authorized representative.

The county clerk or county treasurer will retain the original of this Form 521MH.

Please make a copy of this statement for your records.

Form 521mh - Manufactured Housing Transfer Statement Page 2