Affidavit Of Property Value
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1
2
3Arizona Department of Revenue
AFFIDAVIT OF PROPERTY VALUE
Division of Property Valuation & Equalization
SEE INSTRUCTIONS ON NEXT PAGE
AFFIDAVIT OF PROPERTY VALUE
________________________________
DOR Form 82162 (Rev. 12/99)
1. ASSESSOR'S PARCEL NUMBER(S)(Primary Parcel Number)
9.
FOR OFFICIAL USE ONLY (buyer and seller leave blank)
(a)
_________________________________________________
(a)
County Recordation ______________________________
Book
Map
Parcel
Split
(b)
Docket & Page Number ___________________________
(c)
Fee/Recording Number ___________________________
Does this sale include any parcels that are being split/divided?
●
●
(d)
Date of Recording _______________________________
Check one: Yes
No
Assessor/DOR Validation Codes
(b)
List the number of additional parcels other than
the
primary parcel that are included in sale.________________ List the
(e)
Assessor _________________ (f) DOR ________________
additional parcel numbers (up to 4) below:
(c) ___________________________
(d) ____________________
Use Code: ___________________________________________
(e) ___________________________
(f) ____________________
2.
SELLERS NAME & ADDRESS
10.
TYPE OF DEED OR INSTRUMENT (Check One)
●
●
3.
(a)
(d)
Warranty Deed
Contract or Agreement
●
●
(b)
(e)
Special Warranty Deed
Quit Claim Deed
●
●
(c)
(f)
Joint Tenancy Deed
Other ____________
4.
BUYER’S NAME & ADDRESS
11.
TOTAL SALE PRICE: $ _____________________
12.
PERSONAL PROPERTY
Did the buyer receive any personal property (see next page for
definition) that has a value greater than 5% of the sale price:
(a)
Yes ____ No ____ If yes, briefly describe ________________
______________________________________________________
Buyer and Seller related? Yes____ No____
Approximate value (b) $___________________________________
If yes, state relationship ________________________
5.
ADDRESS OF PROPERTY:
13. DATE OF SALE
_______________/___________
Month
Year
____________________________________
NOTE: This is the date of the contract of sale if you are recording title in fulfillment of a
____________________________________
previously recorded contract, you need not complete this affidavit (see A.1 on next page)
__________
14.
CASH DOWN PAYMENT: $ __________________________
15.
METHOD OF FINANCING (check all that apply):
6.
MAIL TAX BILL TO:
●
●
a.
All Cash
b.
Exchange or trade
●
●
____________________________________
c.
Assumption of existing loan(s) d.
New loan from seller
____________________________________
●
e.
New Loan(s) from financial institution
__________
●
●
●
(1)
Conventional
(2)
VA
(3)
FHA
●
f.
Other Explain _______________________________________
16.
PARTIAL INTERESTS:
Is only a partial interest (e.g. 1/3 or ½) being transferred?
Yes ____ No ____ If yes, explain ___________________________
7.
TYPE OF PROPERTY (Check One):
●
●
a.
f.
Vacant Land
Commercial/Industrial
●
●
b.
g.
Single Fam. Residence
Agriculture
●
c.
●
Condo/Townhouse
h.
Mobile Home
●
d.
●
2-4 Plex
Affixed
●
e.
●
Apartment Bldg.
i.
Other Specify:
_________________________
8.
RESIDENTIAL BUYERS INTENDED USE (Answer if you checked,
17.
ADDITIONAL INFORMATION (check all that apply):
●
●
b, c, d, or h above) (Check One)
a.
b.
Other
Affixed Mobile Home
Number of Units: ________ (Apartment, Motel, Mobile Home Park)
●
●
To be occupied by Owner or
To be rented to someone other
“family member”
than “family member”
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