Form Rev 84 0001Ae PDF Details

Understanding the Real Estate Excise Tax Affidavit is crucial for anyone involved in property transactions within certain jurisdictions. This official document serves multiple important functions: it provides a receipt of excise tax payment, details regarding the sale or transfer of property, and essential declarations required by law. Specific contents demand attention, such as the listing of seller and buyer information, property description, determination of tax based on the selling price, and conditions for tax exemptions based on property type. Furthermore, it outlines the responsibilities of both parties concerning the continuation of certain property designations, like forest land, current use, or historical valuation, which can affect tax obligations. The affidavit also prescribes penalties for perjury, emphasizing the seriousness of providing accurate information. Errors or omissions can lead to legal consequences, underscoring the need for meticulous completion. With tax implications spanning state and local levels, understanding and accurately completing this affidavit is a vital step in the property transaction process, aimed at ensuring compliance with state laws and regulations outlined in the Revised Code of Washington (RCW) and the Washington Administrative Code (WAC).

QuestionAnswer
Form NameForm Rev 84 0001Ae
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other names84-0001B, unincorporated, Underpayments, GRANTEE

Form Preview Example

PLEASE TYPE OR PRINT

REAL ESTATE EXCISE TAX AFFIDAVIT

This form is your receipt

CHAPTER 82.45 RCW – CHAPTER 458-61 WAC

when stamped by cashier.

 

 

 

 

 

 

 

 

THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED

 

 

 

 

 

 

 

 

 

 

 

 

(See back page for instructions)

 

 

 

 

 

 

 

 

□ Check box if partial sale of property

 

 

 

 

 

 

 

 

If multiple owners, list percentage of ownership next to name.

 

1

 

 

Name

 

 

 

 

 

2

 

Name

 

 

SELLER GRANTOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUYER GRANTEE

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address

 

 

 

 

 

 

Mailing Address

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

 

Phone No. (including area code)

 

 

 

 

 

 

 

 

Phone No. (including area code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

Send all property tax correspondence to: Same as Buyer/Grantee

 

List all real and personal property tax parcel account

 

List assessed value(s)

 

 

 

 

 

 

 

numbers – check box if personal property

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone No. (with area code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4Street address of property:

This property is located in

unincorporated

 

County OR within

city of

Check box if any of the listed parcels are being segregated from a larger parcel.

 

 

Legal description of property (if more space is needed, you may attach a separate sheet to each page of the affidavit)

5

Enter Abstract Use Categories:

 

 

 

 

 

7

List all personal property (tangible and intangible) included in selling

 

 

(Please see list on the back page of this form)

 

 

 

 

 

price.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If exempt from property tax per chapter 84.36 RCW (nonprofit

 

 

 

 

 

 

 

 

 

 

 

 

organization), include:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Seller’s Exempt Reg. No.:

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

 

 

 

YES NO

If claiming an exemption, list WAC number and reason for exemption:

 

Is this property designated as forest land per chapter 84.33 RCW?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is this property classified as current use (open space, farm and

 

 

 

 

WAC No. (Section/Subsection)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

agricultural, or timber) land per chapter 84.34?

 

 

 

 

Reason for exemption

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is this property receiving special valuation as historical property

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

per chapter 84.26 RCW?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If any answers are yes, complete as instructed below.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) NOTICEOFCONTINUANCE (FORESTLANDORCURRENTUSE)

Type of Document

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NEW OWNER(S): To continue the current designation as forest land or

Date of Document

 

 

 

 

classification as current use (open space, farm and agriculture, or timber)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

land, you must sign on (3) below. The county assessor must then determine

 

Gross Selling Price

$

 

 

 

if the land transferred continues to qualify and will indicate by signing below.

 

 

 

 

 

*Personal Property (deduct)

$

 

 

 

If the land no longer qualifies or you do not wish to continue the designation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or classification, it will be removed and the compensating or additional taxes

 

Exemption Claimed (deduct) $

 

will be due and payable by the seller or transferor at the time of sale. (RCW

 

 

 

Taxable Selling Price

$

 

 

 

84.33.140 or RCW 84.34.108). Prior to signing (3) below, you may contact

 

 

 

 

 

Excise Tax: State

$

 

 

 

your local county assessor for more information.

 

 

 

 

 

 

 

 

This land

does

does not qualify for continuance.

 

 

 

 

 

 

 

 

Local $

 

 

 

 

 

 

*Delinquent Interest: State

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Local $

 

 

 

DEPUTY ASSESSOR

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2) NOTICE OFCOMPLIANCE(HISTORICPROPERTY)

 

*Delinquent Penalty

$

 

 

 

NEW OWNER(S): To continue special valuation as historic property,

 

*County Technology Fee $

 

sign (3) below. If the new owner(s) do not wish to continue, all

 

 

 

 

 

 

 

 

 

 

 

 

 

additional tax calculated pursuant to chapter 84.26 RCW, shall be due

 

*State Technology Fee

$

 

 

 

and payable by the seller or transferor at the time of sale.

 

 

 

 

 

*Affidavit Processing Fee

$

 

 

 

 

 

 

(3) OWNER(S) SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Due $

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A MINIMUM OF $10.00 IS DUE IN FEE(S) AND/OR TAX

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*SEE INSTRUCTIONS

 

8

 

 

I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of

 

 

 

 

Grantor or Grantor’s Agent

 

 

 

 

 

Grantee or Grantee’s Agent

 

 

 

 

Name (print)

Date & city of signing:

Name (print)

Date & city of signing:

Perjury: Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years, or by a fine in an amount fixed by the court of not more than five thousand dollars ($5,000.00), or by both imprisonment and fine (RCW 9A.20.020 (1C)).

REV 84 0001ae (a) (07/11/05)

THIS SPACE - TREASURER’S USE ONLY

COUNTY TREASURER

PLEASE TYPE OR PRINT

REAL ESTATE EXCISE TAX AFFIDAVIT

This form is your receipt

CHAPTER 82.45 RCW – CHAPTER 458-61 WAC

when stamped by cashier.

 

 

 

 

 

 

 

 

THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED

 

 

 

 

 

 

 

 

 

 

 

 

(See back page for instructions)

 

 

 

 

 

 

 

 

□ Check box if partial sale of property

 

 

 

 

 

 

 

 

If multiple owners, list percentage of ownership next to name.

 

1

 

 

Name

 

 

 

 

 

2

 

Name

 

 

SELLER GRANTOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BUYER GRANTEE

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address

 

 

 

 

 

 

Mailing Address

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

 

Phone No. (including area code)

 

 

 

 

 

 

 

 

Phone No. (including area code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

Send all property tax correspondence to: Same as Buyer/Grantee

 

List all real and personal property tax parcel account

 

List assessed value(s)

 

 

 

 

 

 

 

numbers – check box if personal property

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone No. (with area code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4Street address of property:

This property is located in

unincorporated

 

County OR within

city of

Check box if any of the listed parcels are being segregated from a larger parcel.

 

 

Legal description of property (if more space is needed, you may attach a separate sheet to each page of the affidavit)

5

Enter Abstract Use Categories:

 

 

 

 

 

7

List all personal property (tangible and intangible) included in selling

 

 

(Please see list on the back page of this form)

 

 

 

 

 

price.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If exempt from property tax per chapter 84.36 RCW (nonprofit

 

 

 

 

 

 

 

 

 

 

 

 

organization), include:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Seller’s Exempt Reg. No.:

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

 

 

 

YES NO

If claiming an exemption, list WAC number and reason for exemption:

 

Is this property designated as forest land per chapter 84.33 RCW?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is this property classified as current use (open space, farm and

 

 

 

 

WAC No. (Section/Subsection)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

agricultural, or timber) land per chapter 84.34?

 

 

 

 

Reason for exemption

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is this property receiving special valuation as historical property

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

per chapter 84.26 RCW?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If any answers are yes, complete as instructed below.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) NOTICEOFCONTINUANCE (FORESTLANDORCURRENTUSE)

Type of Document

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NEW OWNER(S): To continue the current designation as forest land or

Date of Document

 

 

 

 

classification as current use (open space, farm and agriculture, or timber)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

land, you must sign on (3) below. The county assessor must then determine

 

Gross Selling Price

$

 

 

 

if the land transferred continues to qualify and will indicate by signing below.

 

 

 

 

 

*Personal Property (deduct)

$

 

 

 

If the land no longer qualifies or you do not wish to continue the designation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or classification, it will be removed and the compensating or additional taxes

 

Exemption Claimed (deduct) $

 

will be due and payable by the seller or transferor at the time of sale. (RCW

 

 

 

Taxable Selling Price

$

 

 

 

84.33.140 or RCW 84.34.108). Prior to signing (3) below, you may contact

 

 

 

 

 

Excise Tax: State

$

 

 

 

your local county assessor for more information.

 

 

 

 

 

 

 

 

This land

does

does not qualify for continuance.

 

 

 

 

 

 

 

 

Local $

 

 

 

 

 

 

*Delinquent Interest: State

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Local $

 

 

 

DEPUTY ASSESSOR

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2) NOTICE OFCOMPLIANCE(HISTORICPROPERTY)

 

*Delinquent Penalty

$

 

 

 

NEW OWNER(S): To continue special valuation as historic property,

 

*County Technology Fee $

 

sign (3) below. If the new owner(s) do not wish to continue, all

 

 

 

 

 

 

 

 

 

 

 

 

 

additional tax calculated pursuant to chapter 84.26 RCW, shall be due

 

*State Technology Fee

$

 

 

 

and payable by the seller or transferor at the time of sale.

 

 

 

 

 

*Affidavit Processing Fee

$

 

 

 

 

 

 

(3) OWNER(S) SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Due $

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A MINIMUM OF $10.00 IS DUE IN FEE(S) AND/OR TAX

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*SEE INSTRUCTIONS

 

8

 

 

I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of

 

 

 

 

Grantor or Grantor’s Agent

 

 

 

 

 

Grantee or Grantee’s Agent

 

 

 

 

Name (print)

Date & city of signing:

Name (print)

Date & city of signing:

Perjury: Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years, or by a fine in an amount fixed by the court of not more than five thousand dollars ($5,000.00), or by both imprisonment and fine (RCW 9A.20.020 (1C)).

REV 84 0001ae (a) (07/11/05)

THIS SPACE - TREASURER’S USE ONLY

COUNTY ASSESSOR

How to Edit Form Rev 84 0001Ae Online for Free

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Be attentive while completing this document. Ensure each field is filled out accurately.

1. The Washington needs certain details to be typed in. Ensure the next blank fields are complete:

How to fill in 0001ae stage 1

2. Your next step is to fill in the next few blank fields: Select Land Use Codes, List all personal property, price, enter any additional codes See, Was the seller receiving a, YES, YES NO, If claiming an exemption list WAC, Is this property designated as, WAC No SectionSubsection, Is this property classified as, Is this property receiving special, If any answers are yes complete as, NOTICE OF CONTINUANCE FOREST LAND, and Reason for exemption.

Completing segment 2 in 0001ae

3. In this specific part, examine This land, does, does not qualify for continuance, DEPUTY ASSESSOR, DATE, NOTICE OF COMPLIANCE HISTORIC, NEW OWNERS To continue special, OWNERS SIGNATURE, Delinquent Interest State, Local, Delinquent Penalty, Subtotal, State Technology Fee, Affidavit Processing Fee, and Total Due. All of these should be filled out with greatest accuracy.

Part number 3 of filling out 0001ae

4. To move ahead, this next section involves typing in several form blanks. These include THIS AFFIDAVIT WILL NOT BE, Check box if partial sale, See back of last page for, Name, R E L L E S, R O T N A R G, Mailing Address, CityStateZip, List percentage of ownership, Name, R E Y U B, E E T N A R G, Mailing Address, CityStateZip, and Phone No including area code, which you'll find essential to carrying on with this particular PDF.

How to prepare 0001ae stage 4

5. Now, the following final subsection is what you should wrap up before closing the form. The blanks here include the next: enter any additional codes See, Was the seller receiving a, YES, YES NO, If claiming an exemption list WAC, Is this property designated as, WAC No SectionSubsection, Is this property classified as, Is this property receiving special, If any answers are yes complete as, NOTICE OF CONTINUANCE FOREST LAND, This land, does, does not qualify for continuance, and DEPUTY ASSESSOR.

Part number 5 for submitting 0001ae

Be really attentive while filling out does not qualify for continuance and If claiming an exemption list WAC, since this is the part where most people make errors.

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