Form 635 - Confidential Real Property Statement - Michigan Department Of Treasury
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Michigan Department of Treasury
CONFIDENTIAL
L-4182 R
635 (Rev. 3-08)
Real Property Statement
This form is issued under authority of the General Property Tax Act. (See Section 211.19 on reverse side.) Filing is mandatory. Failure to file is punishable by fine and/or
imprisonment.
NOTE: If any information provided in the boxes is incorrect, cross out the incorrect information and write in the correct information.
1. FILE THIS STATEMENT ON OR BEFORE:
Name and Address
MAIL THIS STATEMENT TO:
ASSESSMENT AND CERTIFICATION DIVISION
DEPARTMENT OF TREASURY
430 W ALLEGAN
LANSING MI 48922
TO BE COMPLETED BY THE MICHIGAN STATE TAX COMMISSION
County
City/Township
Assessment Roll Parcel Code Number
Address of Property
Property Description
TO BE COMPLETED BY THE BUYER
Sale Price
Date of Purchase or Sale
1.
Cash
4.
Mortgage Assumption*
Combination of 1 - 6 or other.
2.
Land Contract*
5.
Second Mortgage*
Explain
3.
New Mortgage*
6.
Purchase Money Mortgage to Sellers*
* Specify Type of Mortgage or Land Contract
FHA
VA
FmHA
Land Contract
Conventional
MSHDA
Variable Rate
Buydown
Purchase Money Mortgage
Wraparound or Blended Rate
Monthly Payment
by seller
Down
Amount
Interest
Amortization Terms
Balloon Payment
Buydown or Points Paid
Do Not Include Taxes
Payment
Financed
Rate
Years or Months
Due Date
if Included in the Sales Price
or Insurance
$
$
$
%
$
Secondary Financing
Is the buyer a relative of the seller or a business partner with the seller?
NO
YES — Explain:
Was there any Personal Property (such as furniture, boats, lawnmowers, and appliances that were not built in)
Included in the Sale Price Listed Above?
NO
YES — If yes, describe below.
Describe Personal Property
Estimated Cash Value or Personal Property
Do you believe that the sale price indicates the actual Market Value of the Property at the time of sale?
YES
NO — If no, describe below.
If you answered NO above, why do you feel the sale price was higher or lower than the price should have been?
Did you purchase the Property at public auction? ...........................................................................................
YES
NO
If you answered Yes above: Was the auction held by a governmental agency? ............................................
YES
NO
Was the auction part of a bankruptcy proceeding? ...........................................
YES
NO
CERTIFICATION
I hereby declare that the above is a complete and true statement.
Signature of Owner (Buyer)
Date
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