Dor Form 82162 PDF Details

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QuestionAnswer
Form NameDor Form 82162
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesA1, Numeric, arizona affidavit of property value, affidavit of property value

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AFFIDAVIT OF PROPERTY VALUE

1. ASSESSOR’S PARCEL IDENTIFICATION NUMBER(S)

Primary Parcel: _______ - _____ - _______ - ______

BOOK MAP PARCEL SPLIT

Does this sale include any parcels that are being split / divided?

Check one: Yes

No

How many parcels, other than the Primary Parcel, are included in this sale? ______________

Please list the additional parcels below (attach list if necessary):

(1)________________________ (2) ________________________

(3)________________________ (4) ________________________

2.SELLER’S NAME AND ADDRESS:

________________________________________________________

________________________________________________________

________________________________________________________

3.(a) BUYER’S NAME AND ADDRESS:

________________________________________________________

________________________________________________________

________________________________________________________

(b) Are the Buyer and Seller related? Yes

No

If Yes, state relationship:

 

4.ADDRESS OF PROPERTY:

________________________________________________________

________________________________________________________

________________________________________________________

5.(a) MAIL TAX BILL TO: (Taxes due even if no bill received)

________________________________________________________

________________________________________________________

________________________________________________________

(b) Next tax payment due ______________________

6.PROPERTY TYPE (for Primary Parcel): NOTE: Check Only One Box

a.

Vacant Land

f.

Commercial or Industrial Use

b.

Single Family Residence

g.

Agricultural

 

c.

Condo or Townhouse

h. Mobile or Manufactured Home

 

 

 

Afixed

Not Afixed

d.

2-4 Plex

i.

Other Use; Specify:

e.

Apartment Building

 

_____________________

 

 

 

 

 

7.RESIDENTIAL BUYER’S USE: If you checked b, c, d or h in Item 6 above, please check one of the following:

a.

To be used as a primary residence.

b.

To be used as a vacation home or secondary residence.

c.

To be rented to someone other than a “family member.”

See reverse side for deinitions of a “primary residence, secondary residence” or “family member.”

8.If you checked e or f in Item 6 above, indicate the number of units: _____

For Apartments, Motels / Hotels, Mobile Home / RV Parks, etc.

FOR RECORDER’S USE ONLY

9. TYPE OF DEED OR INSTRUMENT (Check Only One Box):

a.

Warranty Deed

d.

Contract or Agreement

b.

Special Warranty Deed

e.

Quit Claim Deed

c.

Joint Tenancy Deed

f.

Other:

 

 

 

 

10. SALE PRICE:

$

 

00

11.DATE OF SALE (Numeric Digits): ____________

Month / Year

12. DOWN PAYMENT

$

 

 

 

 

00

13. METHOD OF FINANCING:

 

 

 

 

 

 

 

a.

Cash (100% of Sale Price)

e.

New loan(s) from

 

 

 

 

 

inancial Institution:

 

b.

Barter or trade

 

(1)

Conventional

 

 

 

 

 

(2)

VA

 

c. Assumption of existing loan(s)

 

(3)

FHA

 

 

 

 

f.

Other inancing; Specify:

d.

Seller Loan (Carryback)

 

_______________________

 

 

14. PERSONAL PROPERTY (see reverse side for deinition):

 

(a)

Did the Sale Price in Item 10 include Personal Property that

 

 

impacted the Sale Price by 5 percent or more?

Yes

No

(b)

If Yes, provide the dollar amount of the Personal Property:

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

00

 

AND

 

briely describe the Personal Property: _________________________

15.PARTIAL INTEREST: If only a partial ownership interest is being sold,

briely describe the partial interest:___________________________

16.SOLAR / ENERGY EFFICIENT COMPONENTS:

(a)Did the Sale Price in Item 10 include solar energy devices, energy

eficient building components, renewable energy equipment or

combined heat and power systems that impacted the Sale Price by

5 percent or more? Yes

No

If Yes, briely describe the solar / energy eficient components:

______________________________________________________

_______________________________________________________

17.PARTY COMPLETING AFFIDAVIT (Name, Address, Phone Number):

_________________________________________________________

_________________________________________________________

___________________________________ KRQH________________

18.LEGAL DESCRIPTION (attach copy if necessary):

THE UNDERSIGNED BEING DULY SWORN, ON OATH, SAYS THAT THE FOREGOING INFORMATION IS A TRUE AND CORRECT STATEMENT OF THE FACTS PERTAINING TO THE TRANSFER OF THE ABOVE DESCRIBED PROPERTY.

____________________________________________________________

__________________________________________________________

Signature of Seller / Agent

Signature of Buyer / Agent

State of ______________________, County of ______________________

State of ______________________, County of ____________________

Subscribed and sworn to before me on this ____day of ____________ 20 __

Subscribed and sworn to before me on this ____day of ___________20 __

Notary Public _________________________________________________

Notary Public _______________________________________________

Notary Expiration Date _________________________________________

Notary Expiration Date ________________________________________

DOR FORM 82162 (10/2013)

 

STATUTES AND EXEMPTIONS

A.R.S. §§ 11-1133 and 11-1137(B) require all buyers and sellers of real property or their agents to complete and attest to this Afidavit. Failure to do so constitutes a class 2 misdemeanor and is punishable by law.

The County Assessors and the Department of Revenue use data obtained from the afidavits to develop tables and schedules

for the uniform valuation of properties based on fair market value. Data supplied for an individual property will not directly affect the assessment or taxes of that property.

A.R.S. § 11-1134 exempts certain transfers from completion of the Affidavit of Property Value and the $2.00 filing fee. See the list of exemption codes below. If the transfer meets the criteria for an exemption, do not complete the Affidavit. Instead, please post the Statute Number and Exemption Code on the face of the Deed, in the area beneath the Legal Description. For example, if Exemption Code B3 is applicable, the proper exemption notation would be A.R.S. 11-1134 B3.

Unless exempt, carefully complete the Afidavit, sign, notarize and submit it to the County Recorder.

LIST OF EXEMPTION CODES (A.R.S. § 11-1134)

A1. A deed that represents the payment in full or forfeiture of a recorded contract for the sale of real property.

A2. A lease or easement on real property, regardless of the length of the term.

A3. Sales to or from government: “A deed, patent or contract for the sale or transfer of real property in which an agency or

representative of the United States , this state, a county, city or town of this state or any political subdivision of this state is the named grantor, and authorized seller, or purchaser.”

A4. A quitclaim deed to quiet title as described in A.R.S. § 12-1103, subsection B.

A5. A conveyance of real property that is executed pursuant to a court order.

A6. A deed to an unpatented mining claim.

A7. A deed of gift.

B1. A transfer solely in order to provide or release security for a debt or obligation, including a trustee’s deed pursuant to power of sale under a deed of trust.

B2. A transfer that conirms or corrects a deed that was previously recorded.

B3. A transfer of residential property between family members as deined below with only nominal actual consideration for

the transfer.

B4. A transfer of title on a sale for delinquent taxes or assessments.

B5. A transfer of title on partition.

B6. A transfer of title pursuant to a merger of corporations.

B7. A transfer between related busines entities for no consideration or nominal consideration.

B8. A transfer from a person to a trustee or from a trustee to a trust beneiciary with only nominal consideration for the transfer.

B9. Atransfer of title to and from an intermediary for the purpose of creating a joint tenancy estate or some other form of ownership. B10. A transfer from a husband and wife or one of them to both husband and wife to create an estate in community

property with right of survivorship.

B11. A transfer from two or more persons to themselves to create an estate in joint tenancy with right of survivorship.

B12. A transfer pursuant to a beneiciary deed with only nominal actual consideration for the transfer.

B13. From an owner to itself or a related entity for no or nominal consideration solely for the purpose of consolidating or splitting parcels.

B14. Due to legal name change.

Any instrument describing a transaction exempted by A.R.S. § 11-1134 shall bear a notation thereof on the face of the instrument at the time of recording, indicating the speciic exemption that is claimed.

DEFINITION OF PRIMARY AND SECONDARY RESIDENCE

Primary Residence is your one and only main residence where you or a family member intend to reside more than nine months of the year. You can have only one primary residence no matter how many homes you own. Secondary residence is a home used as a vacation home, occupied by a non-qualiied family member or unoccupied. If you have a homestead exemption for a home in another state, the listed home cannot qualify as a primary residence.

DEFINITION OF FAMILY MEMBER

“Family member” is deined as:

a.A natural or adopted son or daughter of the taxpayer or a descendent of either.

b.The father or mother of the taxpayer or an ancestor of either.

c.A stepson or stepdaughter or stepparent of the taxpayer.

d.A son-in-law, daughter-in-law, father-in-law, or mother-in-law of the taxpayer.

e.A natural or adopted sibling of the taxpayer.

DEFINITION OF PERSONAL PROPERTY

Personal Property is all other property that is not Real Property. In general, it is all property other than land, buildings and other

permanent structures. Personal Property can be tangible or intangible. Examples of tangible personal property are furniture, equipment and inventory. Examples in the intangible category are franchises, business licenses, goodwill, and corporate stocks

and bonds.

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Writing segment 1 in A6

2. Once your current task is complete, take the next step – fill out all of these fields - a MAIL TAX BILL TO Taxes due even, a Cash of Sale Price b Barter or, PERSONAL PROPERTY see reverse, e New loans from f Other inancing, a Did the Sale Price in Item, b If Yes provide the dollar amount, briely describe the Personal, AND, b Next tax payment due, PROPERTY TYPE for Primary Parcel, a Vacant Land, b Single Family Residence g, c Condo or Townhouse d Plex, h Mobile or Manufactured Home i, and Not Afixed with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Part no. 2 of filling in A6

3. This next step is usually straightforward - fill in all of the fields in THE UNDERSIGNED BEING DULY SWORN, Signature of Seller Agent, Signature of Buyer Agent, State of County of, State of County of, Subscribed and sworn to before me, Subscribed and sworn to before me, Notary Public, Notary Public, Notary Expiration Date, Notary Expiration Date, and DOR FORM to conclude this process.

Step no. 3 for submitting A6

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