The Register of Deeds shall not accept a deed for recording unless
items 1 through 25 are properly completed and this statement is
WHO MUST FILE. Any grantee, or the grantee’s authorized
representative, who has a deed to real property recorded must file this
statement. A land contract or memorandum of contract requires a
completed transfer statement, which will be exempt from the
documentary stamp tax until the deed is presented for recording.
WHEN AND WHERE TO FILE. This statement must be filed with
the Register of Deeds when the deed or land contract or memorandum
of contract is presented for recording.
ITEM 1. Indicate county where property is located. If located in more
than one county, indicate county where transfer is being filed.
ITEM 4. The date of the deed is the date on which it was signed by the
grantor unless otherwise specified in the deed.
ITEMS 5 AND 6. Enter the complete name, address, and telephone
number. Business addresses should be used for business organizations
such as corporations, trusts, and partnerships.
ITEM 7. Indicate the type of property being transferred. Mark only
one box in categories A and B. Mark C only if property is a mobile
home. IOLL means improvement on leased land.
ITEM 8. The type of deed includes, but is not limited to: tax, warranty,
quit claim, partition, mineral, sheriff, cemetery, trustee, correction,
land contract, and bill of sale conveying realty or tenements.
ITEM 9. Check appropriate box to indicate whether the transfer is a
like-kind exchange under Internal Revenue Code Section 1031.
ITEM 11. Check the appropriate box to indicate what property
interests were retained or transferred. If the box marked “NO” is
ITEM 12. A purchase for the same use would mean a purchase with
the same intended use of the property. Examples of change in use are
a vacant lot becoming a cemetery or an agricultural lot becoming a
ITEM 13. Check the appropriate box to indicate if the transfer was
between relatives. A relative is a seller related to the buyer by blood
ITEM 14. Indicate the current market value of the real property.
Current market value is the purchase price which would be paid for the
real property purchased, based upon a sale between a willing buyer
and a willing seller in the ordinary course of trade made at the time of
registering this deed.
ITEM 15. Check the box marked “YES” if the buyer assumed a
mortgage as part of the purchase price, and indicate the amount and
interest rate. If no mortgage was assumed, check the box marked
ITEM 16. If this transfer subdivides the subject property into two or
more parcels, check the box marked “YES.” If this transfer does not
subdivide or split the property, check the box marked “NO.”
ITEM 20. The legal description can be found in your deed or abstract
of the real property.
ITEM 21. Indicate the total number of acres included if the transfer
was of agricultural or horticultural land.
ITEM 22. 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 23. 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 none, check the box marked “NO” and enter zero.
AUTHORIZED SIGNATURE. This statement must be signed and
dated by the grantee or the grantee’s authorized representative.
REGISTER OF DEEDS
The Register of Deeds shall not record the deed if items 1 through 25
on this statement have not been completed or the statement has not
been signed by the grantee or authorized representative.
The Register of Deeds shall complete items 26 through 29 at the time
the deed is recorded.
The Register of Deeds shall forward this statement to the assessor
when items 1 through 29 are complete
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