Form 5401(8)bp - Realty Transfer Tax Declaration For Building Permit

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FORM 5401(8)BP
Page 1.
STATE OF DELAWARE
FOR AGENCY USE ONLY:
REALTY TRANSFER TAX
Building Permit #:
DECLARATION FOR BUILDING PERMIT
Building Permit Value:
1.
Name and Address of Owner of land
3.
Tax Parcel/Property I.D. number and
4.
Name and Address of person applying for
or building for which Building Permit
address of realty for which Building Permit
Building Permit if different from person
is required.
is required.
identified in Item #1.
2.
SSN or Federal EIN of person identified
5.
SSN or Federal EIN of person identified
in Item #1.
in Item #4 if different from Item #2.
IF YOU CLAIMAN EXEMPTION FROM THIS TAX, PLEASE COMPLETE PAGE 1.
IF YOU DO NOT CLAIM EXEMPTION, 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
materials are not required to be supplied in a contract entered into before September 1, 1990.)
YES
NO
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 land owned by the builder or developer?
YES
NO
IF YES, Enter here your State of Delaware Contractor’s License Number:
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 September 1, 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 YEAR AFTER DATE INDICATED IN ITEM 7 “A”, YOU MAY STOP HERE
GN AT ITEM #9 ON PAGE 1.
AND SI
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 DIVISION OF REVENUE
9.
Subject to the penalties of perjury, I
Owner’s Signature
swear or affirm the foregoing is true and
correct to the best of my knowledge and
Print:
belief.
Date
*DF40513019999*

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