Real Property Certificate Of Value - Jackson County, Missouri
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1REAL PROPERTY CERTIFICATE OF VALUE - JACKSON COUNTY, MISSOURI
(REQUIRED TO BE FILED WITH DEED AT TIME OF RECORDING)
Please type or print all information. This form must be prepared by the Buyer or his/her Representative.
Grantor’s (Seller) Name:
Grantee’s (Buyer) Name:
Address of Property:
Grantee’s address, if different from above:
FOR OFFICE USE ONLY
Parcel ID Number:
DO NOT WRITE IN THIS SPACE
1. Is this newly constructed residential property?
YES Date occupied: ___/___/_______
NO
2. Is this vacant land?
YES
NO
3. Intended use of property:
Present Use
Renovation
New Development / Construction
Other
__________________________________________________
4.
Check if the transaction transfers property in any of the following ways:
sale for delinquent taxes
sale of cemetery lot
by deed pursuant to merger, consolidation,
lease or transfer of severed mineral interests
sale or transfer of substantially all of the
by order of any court
assets of a corporation.
by executory contract for deed
by deed as a part of the contribution to the
by lease or easement
capital of a corporation, partnership, limited
to or from the United States, the State of
liability company, or other similar entity.
Missouri, or any agency, or political
by deed executed by personal representative
subdivision thereof.
to convey to devisees or heirs property
for purpose of confirming, correcting,
passing by testate or intestate succe ssion
modifying, or supplementing a previously
by deed which conveys property held in
recorded deed, without additional
name of any partnership, not a family, to any
consideration
partner or his or her spouse.
solely for the purpose of releasing security
by deed which is a gift of property.
for a debt or other obligation
by deed between family members, or to or
by deed of partition
from a family corporation, partnership, or
by deed where no money or other valuable
trust for the benefit of a family member, for
consideration is given for the transfer.
no consideration.
IF ANY OF THE ABOVE ITEMS IN THE SHADED BOX ARE CHECKED, PLEASE PROCEED TO #11 BELOW
5. Total Sales Price (including all assumed mortgages and liens): $________________
Points were paid by:
SELLER
BUYER
NONE
6. Was there new financing?
YES
NO Did financing concessions affect sales price?
YES
NO
7. Is this deed part of a trade?
YES
NO
8. Was any personal property included in the sale price? (For example: furniture, equipment, machinery,
livestock, crops, business franchise or inventory... etc.)
YES
NO
Please describe: _______________________________________________________________________
9. Was this transaction at arm’s length?
YES
NO
(An arm’s length transaction is one between unrelated parties under no duress.)
10. If you believe this transaction does not represent market value, please attach any additional information
that you want the county assessor to consider.
11. I certify, under penalties of law, that this statement ha s been examined by me and, to the best of my
knowledge and belief, is a true, correct and complete statement.
ANY PERSON WHO FAILS TO FILE A COMPLETED CERTIFICATE OF VALUE WHEN REQUIRED BY LAW, OR WHO
KNOWINGLY FILES A FALSE CERTIFICATE, MAY BE PUNISHED BY A FINE OF UP TO $1,000.
For assistance in filing this form,
Date
Signature of Grantee/Representative
Call the Assessor’s Office at (816) 881-3530
th
415 E. 12
St., Suite 100M
Kansas City, MO 64106-2752
Print Name and Position
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