Form PV-RE-22-OP Kansas Real Estate Sales Validation Questionnaire - Kansas

Form PV-RE-22-OP or the "Kansas Real Estate Sales Validation Questionnaire" is a form issued by the Kansas Department of Revenue.

Download a PDF version of the Form PV-RE-22-OP down below or find it on the Kansas Department of Revenue Forms website.

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ONLY FOR USE IN COUNTIES APPROVED TO ACCEPT ONE-PART FORMS
(See website information below)
KANSAS REAL ESTATE SALES VALIDATION QUESTIONNAIRE
FOR COUNTY USE ONLY:
DEED
__ __ __
__ __ __ __ __
__
__ __
__ __
__ __ __ . __ __ __
BOOK ________ PAGE _______
__ __ __ __ __ __ CO. NO.
MAP
SEC SHEET QTR. BLOCK
PARCEL
OWN
RECORDING
TYPE OF INSTRUMENT ______________ SPLIT
MO
YR
TY
AMOUNT
S
V
DATE ______/______/______ CR ________ RA ________ DE ________ MULTI
__ __ __ __ __ _____________
__
__
SELLER (Grantor)
BUYER (Grantee)
NAME ________________________________________________
NAME _________________________________________________________
MAILING ______________________________________________
MAILING _______________________________________________________
CITY/ST/ZIP ___________________________________________
CITY/ST/ZIP ____________________________________________________
PHONE NO. (______)___________________________________
PHONE NO. (______)_____________________________________________
email (optional) _________________________________________
email (optional) __________________________________________________
IF AN AGENT SIGNS THIS FORM, BOTH BUYER AND SELLER TELEPHONE NUMBERS MUST BE ENTERED
.
BRIEF LEGAL DESCRIPTION
Property / Situs Address: ___________________________________
________________________________________________
Name and Mailing Address for Tax Statements
________________________________________________
________________________________________________________
________________________________________________
________________________________________________________
________________________________________________
________________________________________________________
st
1. Check any special factors that apply:
6. Were any changes made to the property since January 1
?
Yes
No
Sale between immediate family members:
Demolition
New construction
Remodeling
Additions
Specify the relationship _____________________
Date completed ______________ Amount $________________
7. Were any delinquent property taxes paid by the buyer? Amt.$______
Sale involved corporate affiliates or related entities
Auction sale (absolute auction
Yes
No)
Yes AND the amount was included in the total sale price
Yes but the amount was not included in the total sale price
Short sale (amount of lien(s) exceeds sale proceeds)
Transfer in lieu of foreclosure or repossession
No delinquent property taxes were included in the sale
Sale involved a build-to-suit or leaseback arrangement
8. Method of financing (check all that apply):
Sale by judicial order (by a guardian, executor,
New loan(s) from a financial institution
IRS 1031Exchange
conservator, administrator, or trustee of an estate)
Seller financing
Assumption of an existing loan(s)
Sale involved a government agency or public utility
All cash
Trade of property
Not applicable
Buyer (new owner) is a religious, charitable, or benevolent
9. Was the property offered to other potential buyers?
organization, school or educational association
Yes: Advertised (listed, Internet, yard sign, word-of-mouth, etc.)
Buyer (new owner) is a financial institution, insurance
No: Private purchase (not offered on the open market)
company, pension fund, or mortgage corporation
10. Does the buyer hold title to any adjoining property?
Sale of only a partial interest in the real estate
Yes
No
Sale involved a trade or exchange of properties
11. Are there any additional facts that would cause this sale to be a
None of the above
distressed, forced, or non-arm’s length exchange?
2. Check use of property at the time of sale:
Yes
No
If yes, please describe ___________
Single family residence
Agricultural land
____________________________________________________
Farm/Ranch with residence
Mineral rights included?
____________________________________________________
K.S.A. 79-1437g. Same; penalty for violations. Any person who
Condominium unit
Yes
No
Vacant land
Apartment building
shall falsify the value of real estate transferred shall be deemed
guilty of a misdemeanor and upon conviction thereof shall be
Other: (Specify)
Commercial/Industrial bldg.
fined not more than $500.
3. Was the property rented or leased at the time of sale?
Yes (number of years remaining on lease ________)
12. TOTAL SALE PRICE $_________________________________
Tenant is buyer
No
4. Did the sale price include an operating business?
DEED DATE _____/_____/______
Yes (estimated value $_______________)
No
13. I have read the instructions for completing this form and certify
5. Was any personal property included in the sale price (such
that the above information is true and accurate.
as furniture, equipment, inventory, machinery, crops, etc.)?
Yes
No If yes, please describe _______________
Print name ______________________________________________
________________________________________________
_______________________________________________
Estimated value of all personal property items included in the
Signature _______________________________________________
sale price $_____________________________________
Grantor (Seller)
Grantee (Buyer)
If Mobile Home: Year ____ Model _________________
Agent Daytime phone number (_____)______________________
PV-RE-22-OP
KANSAS REAL ESTATE SALES VALIDATION ONE-PART QUESTIONNAIRE WEBSITE ADDRESS:
(Rev. 08/12)
http://www.ksrevenue.org/pvdratiostats.html
ONLY FOR USE IN COUNTIES APPROVED TO ACCEPT ONE-PART FORMS
(See website information below)
KANSAS REAL ESTATE SALES VALIDATION QUESTIONNAIRE
FOR COUNTY USE ONLY:
DEED
__ __ __
__ __ __ __ __
__
__ __
__ __
__ __ __ . __ __ __
BOOK ________ PAGE _______
__ __ __ __ __ __ CO. NO.
MAP
SEC SHEET QTR. BLOCK
PARCEL
OWN
RECORDING
TYPE OF INSTRUMENT ______________ SPLIT
MO
YR
TY
AMOUNT
S
V
DATE ______/______/______ CR ________ RA ________ DE ________ MULTI
__ __ __ __ __ _____________
__
__
SELLER (Grantor)
BUYER (Grantee)
NAME ________________________________________________
NAME _________________________________________________________
MAILING ______________________________________________
MAILING _______________________________________________________
CITY/ST/ZIP ___________________________________________
CITY/ST/ZIP ____________________________________________________
PHONE NO. (______)___________________________________
PHONE NO. (______)_____________________________________________
email (optional) _________________________________________
email (optional) __________________________________________________
IF AN AGENT SIGNS THIS FORM, BOTH BUYER AND SELLER TELEPHONE NUMBERS MUST BE ENTERED
.
BRIEF LEGAL DESCRIPTION
Property / Situs Address: ___________________________________
________________________________________________
Name and Mailing Address for Tax Statements
________________________________________________
________________________________________________________
________________________________________________
________________________________________________________
________________________________________________
________________________________________________________
st
1. Check any special factors that apply:
6. Were any changes made to the property since January 1
?
Yes
No
Sale between immediate family members:
Demolition
New construction
Remodeling
Additions
Specify the relationship _____________________
Date completed ______________ Amount $________________
7. Were any delinquent property taxes paid by the buyer? Amt.$______
Sale involved corporate affiliates or related entities
Auction sale (absolute auction
Yes
No)
Yes AND the amount was included in the total sale price
Yes but the amount was not included in the total sale price
Short sale (amount of lien(s) exceeds sale proceeds)
Transfer in lieu of foreclosure or repossession
No delinquent property taxes were included in the sale
Sale involved a build-to-suit or leaseback arrangement
8. Method of financing (check all that apply):
Sale by judicial order (by a guardian, executor,
New loan(s) from a financial institution
IRS 1031Exchange
conservator, administrator, or trustee of an estate)
Seller financing
Assumption of an existing loan(s)
Sale involved a government agency or public utility
All cash
Trade of property
Not applicable
Buyer (new owner) is a religious, charitable, or benevolent
9. Was the property offered to other potential buyers?
organization, school or educational association
Yes: Advertised (listed, Internet, yard sign, word-of-mouth, etc.)
Buyer (new owner) is a financial institution, insurance
No: Private purchase (not offered on the open market)
company, pension fund, or mortgage corporation
10. Does the buyer hold title to any adjoining property?
Sale of only a partial interest in the real estate
Yes
No
Sale involved a trade or exchange of properties
11. Are there any additional facts that would cause this sale to be a
None of the above
distressed, forced, or non-arm’s length exchange?
2. Check use of property at the time of sale:
Yes
No
If yes, please describe ___________
Single family residence
Agricultural land
____________________________________________________
Farm/Ranch with residence
Mineral rights included?
____________________________________________________
K.S.A. 79-1437g. Same; penalty for violations. Any person who
Condominium unit
Yes
No
Vacant land
Apartment building
shall falsify the value of real estate transferred shall be deemed
guilty of a misdemeanor and upon conviction thereof shall be
Other: (Specify)
Commercial/Industrial bldg.
fined not more than $500.
3. Was the property rented or leased at the time of sale?
Yes (number of years remaining on lease ________)
12. TOTAL SALE PRICE $_________________________________
Tenant is buyer
No
4. Did the sale price include an operating business?
DEED DATE _____/_____/______
Yes (estimated value $_______________)
No
13. I have read the instructions for completing this form and certify
5. Was any personal property included in the sale price (such
that the above information is true and accurate.
as furniture, equipment, inventory, machinery, crops, etc.)?
Yes
No If yes, please describe _______________
Print name ______________________________________________
________________________________________________
_______________________________________________
Estimated value of all personal property items included in the
Signature _______________________________________________
sale price $_____________________________________
Grantor (Seller)
Grantee (Buyer)
If Mobile Home: Year ____ Model _________________
Agent Daytime phone number (_____)______________________
PV-RE-22-OP
KANSAS REAL ESTATE SALES VALIDATION ONE-PART QUESTIONNAIRE WEBSITE ADDRESS:
(Rev. 08/12)
http://www.ksrevenue.org/pvdratiostats.html
INSTRUCTIONS FOR COMPLETING THE SALES VALIDATION QUESTIONNAIRE
One Part Form
ITEM 1
Please check all boxes which pertain to the sale.
ITEM 2
Check the box which describes the current or most recent use of the property at the time of sale. Check all boxes which are applicable if the
property has multiple uses.
ITEM 3
Check yes if the buyer assumed any long term lease(s) (more than 3 years remaining) at the time of sale. Enter the years remaining if known.
Check the box if a tenant (renter or lessee) purchased the property.
ITEM 4
Check yes if the purchase price included an operating business that may include intangible personal property such as a franchise, trade license,
patent, trademark, stocks, bonds, and/or goodwill. Estimate the value of the intangibles if this was part of the purchase agreement and included in
the total sale price.
ITEM 5
Check yes if any tangible items of property were included in the sale price. If possible, provide a brief description and your estimate of all
personal property included in the total sale price.
st
ITEM 6
Check yes if the property characteristics changed after January 1
of the sale year. Indicate what type of major change(s) (such as demolition, new
construction, remodeling, rehabilitation) took place by marking the appropriate box. Indicate the approximate date the changes took place and the
approximate cost.
ITEM 7
Check yes if any delinquent property taxes were paid by the buyer and included as part of the sale price. Do not include the estimated real estate
taxes prorated for the year the property sold included as part of the typical escrow closing cost.
ITEM 8
Check the predominate method of financing used to acquire the property. Check "Not Applicable" if money did not exchange hands.
ITEM 9
Check yes if the property was advertised on the open market, listed with a real estate agent or broker, displayed a for sale sign, advertised in a
newspaper or other publication, listed on the internet, and/or offered by word of mouth. A private sale is an exchange that was not made available
to the general public or the property was not exposed on the open market.
ITEM 10
Check yes if the buyer owns or controls the property adjoining or adjacent to the property being purchased.
ITEM 11
Provide a brief explanation if either the buyer or seller did not act prudently, was not fully informed about the property, did not have knowledge of
the local market, was poorly advised, did not use good judgment in the negotiations, was acting under duress, or was compelled to sell or buy the
property out of necessity.
ITEM 12
Provide the total sale price and date of sale. The date should be the date that either the deed or the contract for deed was signed, not the date the
deed was recorded.
ITEM 13
Please sign the questionnaire and list a daytime phone number. The county appraiser may need to make a follow up phone call to clarify unusual
terms or conditions.
When a real estate sales validation questionnaire is not required due to one or more of the exemptions provided in 1-16 below, the exemption must be clearly
stated on the document being filed. The Register of Deeds cannot add this information to the deed at filing.
TRANSFERS OF TITLE THAT DO NOT REQUIRE A SALES VALIDATION QUESTIONNAIRE:
(1)
Recorded prior to the effective date of this act, i.e., July 1, 1991;
(2)
made solely for the purpose of securing or releasing security for a debt or other obligation;
(3)
made for the purpose of confirming, correcting, modifying or supplementing a deed previously recorded, and without additional consideration;
(4)
by way of gift, donation or contribution stated in the deed or other instruments;
(5)
to cemetery lots;
(6)
by leases and transfers of severed mineral interests;
(7)
to or from a trust, and without consideration;
(8)
resulting from a divorce settlement where one party transfers interest in property to the other;
(9)
made solely for the purpose of creating a joint tenancy or tenancy in common;
(10)
by way of a sheriff's deed;
(11)
by way of a deed which has been in escrow for longer than five years;
(12)
by way of a quit claim deed filed for the purpose of clearing title encumbrances;
(13)
when title is transferred to convey right-of-way or pursuant to eminent domain;
(14)
made by a guardian, executor, administrator, conservator or trustee of an estate pursuant to judicial order;
(15)
when title is transferred due to repossession; or
(16)
made for the purpose of releasing an equitable lien on a previously recorded affidavit of equitable interest, and without additional consideration.
(b)
When a real estate sales validation questionnaire is not required due to one or more of the exemptions provided in 1-16 above, the
exemption shall be clearly stated on the document being filed.
If you have any questions or need assistance completing this form, please call the county appraiser's office.
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