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REAL PROPERTY TRANSFER DECLARATION <br /> (TD-1000) <br /> 6EI4ERAL INFORMATION <br /> PURPOSE: The Real Property Transfer Declaration provides essential information to the county assessor to help ensure fair and uniform assessments <br /> for all property for property tax purposes. Refer to 39-14-102(4),Colorado Revised Statues(C.R.S.). <br /> REOUIREMENTS: All conveyance documents(deeds)subject to the documentary fee submitted to the county clerk and recorder for recordation <br /> must be accompanied by a Real Property Transfer Declaration. This declaration must be completed and signed by the grantor(seller)or grantee <br /> (buyer),Refer to 39-14-IO2(i)(a),C.R.S. <br /> PENALTY FOR NONCOMPLIANCE: Whenever a Real Property Transfer Declaration does not accompany the deed,the clerk and recorder <br /> notifies the county assessor who will send a notice to they buyer requesting that the declaration be returned within thirty days after the notice is mailed. <br /> If the Real Property Transfer Declaration is not returned to the county assessor within the 30 days of notice,the assessor may impose a penalty of <br /> $25.00 or.025p(.0025)of the sales price,whichever is greater.This penalty may be imposed for any subsequent year that the buyer fails to submit the <br /> declaration until the property is sold. Refer to 39-14-102(t)(b),C.R.S. <br /> CONFIDENTIALITY: The assessor is required to make the Real Property Transfer Declaration available for inspection to the buyer. However,it is <br /> only available to the seller if the seller filed the Declaration,information derived from the Real Property Transfer Declaration is available to any <br /> taxpayer or any agent of such taxpayer subject to confidentiality requirements as provided by law. 39-5-121.5,C.R.S.and 39-13-102(5)(c),C.R.S. <br /> 1. Address and/or legal description of the real property sold. (Please do not use P.O.box number <br /> 8133 COUNTY ROAD 28,PLATTEVILLE,COLORADO 80651 <br /> 2. Type of property purchased- ❑ Single Family Residential ❑ Townhome ❑ Condominium ❑ Multi-Unit Res <br /> ❑Commercial ❑ Industrial 5(Agricultural ❑ Mixed Use ❑ Vacant Land ❑ Other <br /> 3. Date of closing: SeptemberW004 <br /> 4. Total Sales Price: including all real and personal property,$ 103ovi!;'- a' <br /> 5. Was any personal property included in the transaction? Personal property would include, but not limited to,carpeting,drapes, free <br /> standing appliances,equipment,inventory,furniture. If the personal property is not listed,the entire purchase pnce will be assumed to be <br /> for the real property as per 39-13-102.C.R.S. <br /> ❑ Yes EK No If yes,approximate value $ Describe <br /> 6 Did the total sale price include a trade or exchange of additional real or personal property? If yes,give the approximate value of the goods or <br /> services as of the date of closing. <br /> ❑ Yes W No If yes,value $ <br /> If yes,does this transaction involve a trade under IRS Code Section 1031? ❑ Yes ❑ No <br /> 7. Was 100%interest in the real property purchased?Mark"no"if only a partial interest is being purchased. <br /> 9 Yes ❑ No If no,Interest purchased <br /> 8. Is this a transaction among related parties? Indicate wbether the buyer or seller are related. Related parties include persons within the same <br /> fanuly,business affiliates,or affiliated corporations. <br /> ❑ Yes R No <br /> 9. Check any of the following that apply to the condition of the improvements at the time of purchase. <br /> ❑ New ❑ Excellent U Good EX Average ❑ Fair ❑ Poor ❑ Salvage. <br /> If the property is financed please complete the following: <br /> 10. Total amount financed. $0.00 <br /> It. Type of financing- (Check all that apply) <br /> ❑ New ❑ Assumed ❑ Seller ❑ Third Party <br /> ❑ Combination;Explain <br /> 12. Terms: ❑ Variable;Starting interest rate <br /> Terms: ❑ Fixed;Interest rate <br /> Length of time years <br /> Balloon payment ❑ Yes ❑ No;Amount Due Date <br /> 13. Please explain any special terms,seller concessions,or financing and any other information that would help the <br /> Assessor understand the terms of the sale. <br /> Page 51 of 126 <br />