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HomeMy WebLinkAbout015 Park 5B, 5D, 5E - Realty Transfer Certificate (DRAFT)000 000 000 000 000 000 000 00 00 00 00 00 00 00 00 000 REALTY TRANSFER CERTIFICATE &RQ¿GHQWLDO7D['RFXPHQW 7KHLQIRUPDWLRQFRQWDLQHGLQWKLVFHUWL¿FDWHLVFRQ¿GHQWLDO by Montana law. Unauthorized disclosure of this information is a criminal offense. *(2&2'( 6  _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ $66(660(17&2'( __________________________________________ 3$57±'$7(2)75$16)(5 6$/( The Department of Revenue will change the name on ownership records used IRUWKHDVVHVVPHQWDQGWD[DWLRQRIUHDOSURSHUW\ZKHQWKLVIRUPLVIXOO\DQG DFFXUDWHO\FRPSOHWHGDQGVLJQHG 3OHDVHUHDGWKHDWWDFKHGLQVWUXFWLRQVRQ SDJHIRUDVVLVWDQFHLQFRPSOHWLQJDQG¿OLQJWKLVIRUP  Montana law requires this form be completed and may impose up to a SHQDOW\IRUIDLOXUHWR¿OHD5HDOW\7UDQVIHU&HUWL¿FDWH  DQG0&$ PART 2 – PARTIES3OHDVHFRPSOHWHWKLVVHFWLRQLQIXOOLIDGGLWLRQDOVSDFHLVUHTXLUHGSOHDVHDWWDFKDVHSDUDWHSDJH %X\HU *UDQWHH 1DPH ________________________________________________________ Mailing Address ________________________________________________________ 3HUPDQHQW  ________________________________________________________ City _______________________________67 _____ Zip __________ %X\HU3ULQFLSDO5HVLGHQFHBB<HVBB1R Mailing Address ________________________________________________________ )RU7D[1RWLFH ________________________________________________________ (If different) City _______________________________67 _____ Zip __________ 3$57±3523(57<'(6&5,37,213OHDVHFRPSOHWHIXOO\LIDGGLWLRQDOVSDFHLVUHTXLUHGSOHDVHDWWDFKDVHSDUDWHSDJH 3$57±'(6&5,37,212)75$16)(53OHDVHFRPSOHWHIXOO\PRUHWKDQRQHPD\DSSO\ ‰6DOH ‰ Gift ‰ Barter ‰1RPLQDORU1R&RQVLGHUDWLRQ ‰3DUWRIRUH[FKDQJH ‰7UDQVIHULVVXEMHFWWRDUHVHUYHGOLIHHVWDWH 7UDQVIHUE\2SHUDWLRQRI/DZ ‰7HUPLQDWLRQRIMRLQWWHQDQF\E\ death ‰Termination of life estate by death ‰Court order or decree H[FHSWVKHULII¶VVDOH ‰Merger, consolidation, or other business entity reorganization 3$57±(;&(37,216)5203529,',1*6$/(635,&(,1)250$7,213OHDVHFRPSOHWHIXOO\PRUHWKDQRQHPD\DSSO\ ‰Gift ‰Transfer in contemplation of death without consideration ‰Transfer between husband/wife or parent/child for nominal consideration ‰Transfer of property of the estate of a decedent ‰Transfer by government agency ‰&RUUHFWLRQPRGL¿FDWLRQRUVXSSOHPHQWRISUHYLRXVO\UHFRUGHG instrument, no additional consideration ‰7HUPLQDWLRQRIMRLQWWHQDQF\E\GHDWK ‰Termination of life estate by death ‰7UDQVIHUSXUVXDQWWRFRXUWGHFUHH H[FHSWVKHULII¶VVDOH ‰7D[GHHG ‰Merger, consolidation or reorganization of business entity ‰/DQGHOLJLEOHIRUWLPEHUODQGIRUHVWODQGFODVVL¿FDWLRQ 0&$ ‰/DQGHOLJLEOHIRUDJULFXOWXUDOFODVVL¿FDWLRQ 0&$ ‰Transfer to a revocable living trust ‰2WKHU 6SHFLI\7\SH ____________________________________ PART 6 – SALE PRICE INFORMATION3OHDVHFRPSOHWHIXOO\PRUHWKDQRQHPD\DSSO\ $FWXDO6DOH3ULFH ________________________ )LQDQFLQJBB&DVKBB)+$BB9$BB&RQWUDFWBB2WKHU 7HUPVBB1HZORDQORBB$VVXPSWLRQRIH[LVWLQJORDQ 9DOXHRISHUVRQDOSURSHUW\LQFOXGHGLQVDOH _____________ 9DOXHRILQYHQWRU\LQFOXGHGLQVDOH ________________ 9DOXHRIOLFHQVHVLQFOXGHGLQVDOH ________________ 9DOXHRIJRRGZLOOLQFOXGHGLQVDOH ________________ :DVDQ6,'SD\RIILQFOXGHGLQWKHVDOHSULFH" ____<HV ____1R 'LGWKHEX\HUDVVXPHDQ6,'" ____<HV ____1R $PRXQWRI6,'SDLGRUDVVXPHG _______________ :DVDPRELOHKRPHLQFOXGHGLQWKHVDOH" ____<HV ____1R 3$57±:$7(55,*+7',6&/2685(7KLV'LVFORVXUHLVRQO\DSSOLFDEOHWRWKHSURSHUW\LGHQWL¿HGLQ3$57DERYH ‰$3URSHUW\LVVHUYHGE\DSXEOLFZDWHU supply, i.e., city, irrigation district, or water district provides water. ‰ %6HOOHUKDVQRZDWHU rights on record with '15&WRWUDQVIHU ‰&6HOOHULVWUDQVIHUULQJ$// water rights on record ZLWK'15&WRWKH%X\HU ‰'6HOOHULVGLYLGLQJRUH[HPSWLQJ UHVHUYLQJ ZDWHUULJKWV6HOOHU PXVW¿OH:DWHU5LJKW8SGDWHIRUP 6HOOHU *UDQWRU 6LJQDWXUH __________________________________________________ Date ________________________ PART 8 – PREPARER INFORMATION 3UHSDUHU¶VVLJQDWXUHLVUHTXLUHG 1DPH7LWOH _____________________________________________(please print) Mailing Address ___________________________________________________ City _________________________67 _______ Zip ____________ 6LJQDWXUH ______________________________________________ 'D\WLPH3KRQH _______________________________ &OHUNDQG5HFRUGHU8VH2QO\ 5HFRUGLQJ,QIRUPDWLRQ'RFXPHQW __________________%RRN _______________3DJH____________________Date ___________________ /HJDO'HVFULSWLRQ _______________________________________________________________________________ Attachment ‰ _______________________________________________________________________________ $GG6XE _________________________________________________%ORFN __________________/RW _____________________ County __________________________________City/Town __________________________ 6HFWLRQ _______ Township _______ Range ________ 6HOOHU *UDQWRU 1DPH ________________________________________________________ Mailing Address ________________________________________________________ 3HUPDQHQW  ________________________________________________________ City _______________________________67 _____ Zip __________ 6HOOHU3ULQFLSDO5HVLGHQFHBB<HVBB1R BBBBBBBBBBBBBBBBBBBBBBBBBBBB 00''<<<< Main Geocode _______________________________$VVHVVRU&RGHRU3DUFHO _____________________ / / / / / / 'LVWUHVVHGVDOHV‰6KHULII¶VGHHG ‰7UXVWHH¶VGHHG ‰ Deed in lieu of foreclosure ‰6KRUWVDOH ‰Other ‰%HQH¿FLDU\GHHG 3DJHDepartment of Revenue Copy 661 ________ - ______ - ____________ 661 ________ - ______ - ____________ )(,1 _______- ______________________ 'D\WLPH3KRQH ______________________ 661 ________ - ______ - ____________ 661 ________ - ______ - ____________ )(,1 _______- ______________________ 'D\WLPH3KRQH ______________________ Transfer to Trustee, Custodian, or other 5HSUHVHQWDWLYH 7UXVW)(,1 ______- __________________ 0LQRU661 ________- _____- __________ /LVWWKHODVWGLJLWVRIWKH661RU)(,1 04/01/2020 NortonProperties, LLC 63020 NE Lower Meadow Road, Suite 200 Bend OR 97701 ✔ 7200 (541) 389-0070 City of Bozeman P.O. Box 1230 Bozeman MT 59771 ✔ 7210 (541) 389-0070 Linear Park5C, NortonEast RanchSubdivision, Phase 5A NortonEast RanchSubdivision, Phase 6 N/A 1 Gallatin Bozeman 9 2 S. 5 E. ✔ ✔ ✔ C&HEngineering and Surveying 1091 Stoneridge Drive (406) 587-1115 Bozeman MT 59718 03/03/23 22203 Norton East Ranch Ph. 5B FP