Document Elbertcounty-Co_doc_a939cc314a

TD-1000 Confidential Document This form provides essential market information to the county assessor to ensure accurate, fair and uniform assessments for all property. This document is not recorded, is kept confidential, and is not available for public inspection. This declaration must be completed and signed by either the grantor (seller) or grantee (buyer). Questions 1, 2, 3, and 4 may be completed (prefilled) by a third party, such as a title company or closing agent, familiar with details of the transaction. The signatory should confirm accuracy before signing. This form is required when conveyance documents are presented for recording. If this form is not completed and submitted, the county assessor may send notice. If the completed and signed form is not returned to the assessor within 30 days of notice, the assessor may impose a penalty of $25.00 or 0.025% (0.00025) of the sale price, whichever is greater. Additional information as to the purpose, requirements, and level of confidentiality regarding this form are outlined in Colorado Revised Statutes, sections 39-14-102, 39-5-121.5, and 39-13-102. 1. Physical Address and/or legal description of the real property sold: Please do not use P.O. Box numbers. 2. Type of property purchased:  Single Family Residential  Townhome  Condominium  Multi-Unit Residential  Commercial  Industrial  Agricultural  Mixed Use  Vacant Land  Other 3. Date of closing: mm/dd/yyyy Date of contract: mm/dd/yyyy 4. $ $ Total Sale Price: include all real and personal property Contracted price (if different from final sale price) 5. List any personal property included in the transaction that materially impacts the total sale price. Personal property may include, but is not limited to: machinery or equipment, vehicles, exceptional appliances, electronic devices, furniture, or anything that would not typically transfer with the real property (attach additional pages if necessary). Description Approximate Value $ $ $ Personal Property Total: $ If no personal property is listed, the entire purchase price will be assumed to be for the real property. 6. Did the total sale price include a trade or exchange of additional real or personal property?  No  Yes If Yes, approximate value of the goods or services as of the date of closing: $ If Yes, does this transaction involve a trade under IRS Code Section 1031?  No  Yes 7. Was 100% interest in the real property purchased?  No  Yes Mark "No" if only a partial interest is being purchased. If No, interest purchased % 8. Is this a transaction between related parties or acquaintances? This includes persons connected by blood or marriage, or business affiliates, or those acquainted prior to the transaction.  No  Yes ---PAGE BREAK--- 9. Please mark type of sale:  Builder (new construction)  Public (MLS or Broker Representation)  Private (For Sale By Owner)  Other (describe) 10. Mark any of the following that apply to the condition of the improvements at the time of purchase.  New  Excellent  Good  Average  Fair  Poor  Salvage 11. Type of financing: (mark all that apply)  None (all cash or cash equivalent)  New/Mortgage Lender (government-backed or conventional bank loan)  New/Private Third Party (nonconventional lender, e.g., relative, friend, or acquaintance)  Seller (buyer obtained a mortgage directly from the seller)  Assumed (buyer assumed an existing mortgage)  Combination or Other: Please explain 12. Total amount financed $ 13. Terms:  Variable; Starting interest rate %  Fixed; Interest rate % Length of time years Balloon payment?  No  Yes If yes, amount $ Due date 14. Mark any that apply:  Seller assisted down payments  Seller concessions  Special terms or financing If marked, please specify terms: 15. Was an independent appraisal obtained in conjunction with this transaction?  No  Yes For properties OTHER THAN Residential (Residential is defined as: single family detached, townhomes, apartments and condominiums), please complete questions 16-18, if applicable. 16. Did the purchase price include a franchise or license fee?  No  Yes If yes, franchise or license fee value $ 17. Did the purchase price involve an installment land contract?  No  Yes If yes, date of contract 18. If this is vacant land, was an on-site inspection conducted by the buyer prior to the closing?  No  Yes Please include any additional information concerning the transaction and price paid that you feel is important: Signature of Grantee (Buyer) Date mm/dd/yyyy Printed name of Grantee Signature of Grantor (Seller) Date: mm/dd/yyyy Printed name of Grantor Buyer Mailing Address: Future correspondence (tax bills, property valuations, etc.) regarding this property should be mailed to: Address (mailing) City State Zip Code Daytime Phone Email address Contact information is kept confidential, for County Assessor and Treasurer use only, to contact buyer with questions regarding this form, property valuation, or property tax information. SIGN SIGN