Fillable CERTIFICATION FOR PROPERTY TRANSFER FORM (Minnesota Department of Revenue)

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CERTIFICATION FOR PROPERTY TRANSFER FORM (Minnesota Department of Revenue)

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The CERTIFICATION FOR PROPERTY TRANSFER FORM (Minnesota Department of Revenue) form is 1 page long and contains:

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  • 13 check-boxes
  • 22 other fields

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This form is valid until
. All closing dates must
occur prior to the expiration of this form, or a new certification will be
required for this property transfer.
Parcel ID:
Buyers' name:
Current address: Contact number:
Sellers' name:
Current address: Contact number:
Address of property transferred:
Legal Description
(from deed/abstract):
Section:
C. Condition Applicable to Transfer :
D. Compliance Information: staff to complete
Existing system permit #:
E. Signatures:
Seller(s): Date:
Date:
Buyer(s) Date:
Date:
Signed: Date:
STEARNS COUNTY ENVIRONMENTAL SERVICES
CERTIFICATION FOR PROPERTY TRANSFER FORM
705 Courthouse Square Administrative Center Rm 343
St. Cloud, Minnesota 56303 (320) 656-3613 or 1-800-450-0852
Certification number:
A
. Property Information:
Has this site housed any livestock/horses in the past 5 yrs? YES NO
If any of the boxes in Section B were checked, the compliance section (D) below need not be completed. Buyer and Seller must sign
below.
B. Exemptions : (check if applicable)
This property is exempt from the required compliance
portion of the Certificate of Compliance for a exisitng
SSTS. Stearns County Ordinance #422 allows the
following exempt provision:
Cite Stearns County Ordinance #422 exemption provision
Township Name:
If none of the boxes in Section B were checked, the compliance section (D) below must be completed by Stearns County Environmental
Services Department staff and Buyer and Seller must sign below.
If none of the boxes in Section B were checked, and the transaction occurs between December 1 and April 30 and the compliance
section cannot be completed because of weather conditions, it is the buyer’s and seller’s responsibility to ensure that the Sewage
Treatment System Certificate of Compliance is completed and filed with the Stearns County Environmental Services Department by
June 15, following the closing date. Stearns County Environmental Services staff must verify that weather conditions prohibit the
inspection of the system.
Date of system installation:
We agree that Certification will be completed by: Buyer Seller (select one).
If required, upgrading will be completed by: Buyer
Seller (select one). Buyer and Seller must sign below.
Based on the information available and the existing conditions on this date,
the on-site sewage treatment system serving the property described herein
appears to be in conformance with the standards set forth in Stearns County
Ordinance 422. The Sewage Treatment System Certificate of Compliance
does not guarantee that the system will continue to function indefinitely.
System has been classified as Failing and/or an Imminent
Threat to Public Health and Safety.
System has been Failed per owner's request, and a new system
will be installed per County guidelines.
Obtain permit by:
Replace system by:
By signing below, the seller(s) disclose that to their knowledge, no sewage backup or surface discharge has occurred with the current sewage treatment system unless noted above.
Stearns County Environmental Services QE
Select from drop down list - Please read entire exemption
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Stearns County Ordinanace #422 -- Transfer of Properties
(3) The transfer is a foreclosure or tax forfeiture, i.e. the transaction from the former property owner to the
secured entity.
A. Whenever ownership of land upon which a dwelling is located or a tract of land upon which a structure that is required
to have an SSTS is transferred, the following requirements shall be met:
(1) A compliance inspection must be performed and a Certificate of Compliance issued unless one has been issued
within the previous three (3) years for an SSTS older than five years or an original Certificate of Compliance is on file
with the Department for an SSTS less than five years old prior to the intended sale or transfer of the property, unless
evidence is found identifying an Imminent Threat to Public Health and Safety.
(2) The seller of the property must disclose in writing information about the status and location of all known SSTS on
the property to the buyer on a form provided by the Department.
(3) The Certification shall be filed with the County Auditor-Treasurer.
B. The compliance portion of the Certificate of Compliance need not be completed if the sale or transfer involves the
following circumstances:
(1) The affected tract of land is without buildings or contains no dwellings or other buildings with plumbing
fixtures.
(2) The transfer does not require the filing of a Certificate of Real Estate Value, as described in Minnesota
Statutes, section 272.115, subdivision 1; or successor statues.
9.2.3 Transfer of Properties
E. The issuance of an SSTS Construction Permits, Certificates of Compliance or Notices of Noncompliance shall not be
construed to represent a guarantee or warranty of an SSTS operation or effectiveness. Such certificates signify that the
system in question is, or has been, designed and installed in compliance or non-compliance with the provisions of this
Ordinance at a specific point in time.
(4) The sale or transfer completes a contract for deed or purchase agreement entered into prior to January 22,
1998. This subsection applies only to the original vendor and vendee on such a contract.
(5) Any dwellings or other buildings that are connected exclusively to a municipal wastewater treatment
system, permitted by the State of MN (SDS permit), or by ESD w/ an OP & reporting requirements.
(6) In the case where a contract for deed is paid off or otherwise satisfied in its entirety and the SSTS servicing
the property was certified or replaced at the time the original contract for deed was entered. This exemption
only applies to the original vendor and vendee on such a contract for deed.
(7) When title to real property is held jointly by a husband and wife and one spouse becomes deceased and
the only change that occurs is to remove the deceased spouse’s name from the title.
C. All property conveyances subject to this Ordinance occurrin
g
durin
g
the period between December 1st and April 15th,
when an SSTS compliance cannot be determined due to frozen soil conditions, shall require a winter agreement, which
includes agreement to complete a compliance inspection by the following June 15th. If, upon inspection, the SSTS is found
to be non-compliant, the system must be upgraded in accordance with Section 5.2.3 or 5.2.4 of this Ordinance.
D. The responsibility for filin
g
the completed compliance portion of the Certificate of Compliance under Section 9.2.3 A.
(3) of this Ordinance or for upgrading a system found to be non-compliant shall be determined by the buyer and seller.
(8) When title to real property is held jointly by a husband and wife and through a divorce decree one of the
said parties is removed from the title with the other said party retaining ownership of the property.
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CERTIFICATION FOR PROPERTY TRANSFER FORM (Minnesota Department of Revenue)

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Completed 18 July 2020

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