REAL ESTATE EXCISE TAX AFFIDAVIT
CHAPTER 82.45 RCW - CHAPTER 458-61A WAC
THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED
O
nly for sales in a single location code on or after January 1, 2020.
is form is your receipt
when stamped by cashier.
PLEASE TYPE OR PRINT
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: o Same as Buyer/Grantee
List all real and personal property tax parcel
account numbers - check box if personal property
List assessed value(s)
Name
o
Mailing Address
o
City/State/Zip
o
Phone No. (including area code)
o
4
Street address of property:
This property is located in
o Check box if any of the listed parcels are being segregated from another parcel, are part of a boundary line adjustment or parcels being merged.
Legal description of property (if more space is needed, you may attach a separate sheet to each page of the afdavit)
5
Select Land Use Code(s):
7
List all personal property (tangible and intangible) included in selling price.
enter any additional codes:
(See back of last page for instructions) YES NO
Was the seller receiving a property tax exemption or deferral
under chapters 84.36, 84.37, or 84.38 RCW (nonprot
organization, senior citizen, or disabled person, homeowner
with limited income)?
o o
o o
If claiming an exemption, list WAC number and reason for exemption:
WAC No. (Section/Subsection)
Reason for exemption
Is this property predominantly used for timber (as classied under
RCW 84.34 and 84.33) or agriculture (as classied under RCW
84.34.020)? See ETA 3215
6
YES NO
Is this property designated as forest land per chapter 84.33 RCW? o o Type of Document
Is this property classied as current use (open space, farm and
agricultural, or timber) land per chapter 84.34 RCW?
o o
o o
Date of Document
Gross Selling Price $
Is this property receiving special valuation as historical property
per chapter 84.26 RCW?
If any answers are yes, complete as instructed below.
(1) NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE)
NEW OWNER(S): To continue the current designation as forest land or
classication as current use (open space, farm and agriculture, or timber) land,
you must sign on (3) below. The county assessor must then determine if the
land transferred continues to qualify and will indicate by signing below. If the
land no longer qualies or you do not wish to continue the designation or classi-
cation, it will be removed and the compensating or additional taxes will be due
and payable by the seller or transferor at the time of sale. (RCW 84.33.140 or
RCW 84.34.108). Prior to signing (3) below, you may contact your local county
assessor for more information.
Personal Property (deduct) $
Exemption Claimed (deduct) $
Taxable Selling Price $
Excise Tax: State
Less than $500,000.01 at 1.1% $
From $500,000.01 to $1,500,000 at 1.28% $
From $1,500,000.01 to $3,000,000 at 2.75% $
This land o does o does not qualify for continuance.
Above $3,000,000 at 3.0% $
Agricultural and timberland at 1.28% $
Total Excise Tax: State $
DEPUTY ASSESSOR DATE
Local $
(2) NOTICE OF COMPLIANCE (HISTORIC PROPERTY)
NEW OWNER(S): To continue special valuation as historic property, sign (3)
below. If the new owner(s) does not wish to continue, all additional tax calcu-
lated pursuant to chapter 84.26 RCW, shall be due and payable by the seller or
transferor at the time of sale.
*Delinquent Interest: State $
Local $
*Delinquent Penalty $
Subtotal $
*State Technology Fee $
(3) NEW OWNER(S) SIGNATURE
*Afdavit Processing Fee $
Total Due $
PRINT NAME
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
Grantor or Grantor’s Agent
Signature of
Grantee or Grantee’s Agent
Name (print) Name (print)
Date & city of signing 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 ve years, or by a
ne in an amount xed by the court of not more than ve thousand dollars ($5,000.00), or by both imprisonment and ne (RCW 9A.20.020(1C)).
REV 84 0001a (12/6/19)
THIS SPACE - TREASURER’S USE ONLY COUNTY TREASURER
List percentage of ownership acquired next to each name.
o Check box if partial sale, indicate % ________ sold.
o Check box if the sale occurred
in more than one location code.
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Select Location
Required (For Unincorporated locations please select your county)
Select Land Use Codes
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0.0000
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5.00
10.00
Print This Form (all copies)
Please print on legal size paper.
Reset This Form
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INSTRUCTIONS
Note: To report a transfer of a controlling interest in real property, please use the Real Estate Excise Tax Afdavit Controlling Interest
Transfer Return, Revenue Form No. 84-0001B. This form is available online at http://dor.wa.gov.
Section 1:
If the sale involves property in more than one location code, use the Multiple Location Real Estate Excise Tax Afdavit.
If sale is less than 100%, check the box “Check if partial sale” and ll in the percentage sold.
Enter the name(s) of seller/grantor. This is the person(s) conveying interest in the property.
Section 2:
Enter the name(s) of buyer/grantee. This is the person(s) receiving interest in the property. List the percentage acquired after each
name.
Section 3:
• Enter the name and address where you would like all future property tax information sent.
Enter the tax parcel number and current assessed value for real and personal property being conveyed. Check the box to indicate
personal property.
Section 4:
• Enter the street address of the property.
• Enter the county if in unincorporated area. Enter city name if located within a municipality.
• Enter the legal description of the property.
Section 5:
Enter the appropriate land use code for the property. Please list all codes that apply on the lines provided in section 5.
See WAC 458-53-030(5) for a complete list.
9 - Land with mobile home 10 - Land with new building 11 - Household, single family units
12 - Multiple family residence
(2-4 Units)
13 - Multiple family residence (5 + Units) 14 - Residential condominiums
15 - Mobile home parks or courts 16 - Hotels/motels 17 - Institutional Lodging
(convalescent homes, nursing homes, etc.)
18 - All other residential not coded 19 - Vacation and cabin 21 - Food and kindred products
22 - Textile mill products 23 - Apparel and other nished products made from
fabrics, leather, and similar materials
24 - Lumber and wood products
(except furniture)
25 - Furniture and xtures 26 - Paper and allied products 27 - Printing and publishing
28 - Chemicals 29 - Petroleum rening and related industries 30 - Rubber and miscellaneous plastic
products
31 - Leather and leather products 32 - Stone, clay and glass products 33 - Primary metal industries
34 - Fabricated metal products 35 - Professional scientic and controlling
instruments; photographic and optical goods;
watches/clocks manufacturing
39 - Miscellaneous manufacturing
50 - Condominiums-other than resi-
dential
53 - Retail Trade - general merchandise 54 - Retail Trade - food
58 - Retail trade - eating & drinking
(restaurants, bars)
59 - Tenant occupied, commercial properties 64 - Repair services
65 - Professional services
(medical, dental, etc.)
71 - Cultural activities/nature exhibitions 74 - Recreational activities
(golf courses, etc.)
75 - Resorts and group camps 80 - Water or mineral right 81 - Agriculture (not in current use)
83 - Agriculture current use
RCW 84.34
86 - Marijuana grow operations 87 - Sale of Standing Timber
88 - Forest land designated
RCW 84.33
91 - Undeveloped Land (land only) 94 - Open space land RCW 84.34
95 - Timberland classied
RCW 84.34
96 - Improvements on leased land
Check yes if the seller was receiving a property tax exemption or deferral under RCW 84.36, 84.37, or 84.38 (nonprot
organization, senior citizen, or disabled person, homeowner with limited income).
Check yes if the land is primarily used for timber as dened by RCW 84.34 and 84.33 or agriculture as dened by RCW
84.34.020. See ETA 3215 for additional information. If the sale involves multiple parcels with different land use codes,
complete the predominate use worksheet.
Section 6:
Indicate whether the property is designated as forest land per chapter 84.33 RCW, classied as current use (open space, farm,
agricultural, or timber) per chapter 84.34 RCW, or receiving special valuation as historic property per chapter 84.26 RCW.
Section 7:
List personal property included in the selling price of the real property. For example, include tangible (furniture, equipment,
etc.) and intangible (goodwill, agreement not to compete, etc.).
Use Tax is due on personal property purchased without payment of the sales tax. Report use tax on your Combined Excise Tax
Return or a Consumer Use Tax Return, both available at dor.wa.gov.
If you are claiming a tax exemption, cite the specic Washington Administrative Code (WAC) number, section and subsection
and provide a brief explanation. Most tax exemptions require specic documentation. Refer to the appropriate WAC to
determine documentation requirements. Chapter 458-61A WAC is available online at dor.wa.gov.
Enter the type of document (quit claim deed, statutory warranty deed, etc.), and date of document (MM/DD/YYYY).
Enter the selling price of the property.
Selling price: For tax purposes, the selling price is the true and fair value of the property conveyed. When property is conveyed
in an arm’s length transaction between unrelated persons for valuable consideration, there is a presumption that the selling price
is equal to the total consideration paid or contracted to be paid, including any indebtedness. Refer to RCW 82.45.030 for more
information about selling price.
Deduct the amount of personal property included in the selling price.
Deduct the amount of tax exemption claimed per chapter 458-61A WAC.
INSTRUCTIONS CONTINUED
Calculate the state excise tax:
The state portion of excise tax is calculated using a graduated tax rate structure. The amount of tax increases as the amount of
the transaction increases. Each portion of the sales amount is taxed at a different rate.
Exception: Property designated as farm and agriculture or timberland is taxed at 1.28% per 83.34 RCW.
Instructions
1. Enter the sale amount that falls within the specic threshold in column A
2. Multiply the amount in column A by the state rate in column B, enter the results in column C
3. Enter the amount in column C on the appropriate threshold line on page 1 of the afdavit
Example: This is how the state REET tax would be calculated on a sale totaling $1,600,000:
Column A Column B Column C
Threshold Amount within threshold amount State rate Tax
0 to $500,000 500,000 1.1% 5,500
500,000.01 – 1,500,000 1,000,000 1.28% 12,800
1,500,000.01 to 3,000,000 100,000 2.75% 2,750
3,000,000.01 and above 0 3.0% 0
Totals $1,600,000 $21,050
Calculate the state excise tax due using this chart:
Column A Column B Column C
Threshold Amount within threshold amount State rate Tax
0 to $500,000 1.1%
500,000.01 – 1,500,000 1.28%
1,500,000.01 to 3,000,000 2.75%
3,000,000.01 and above 3.0%
Totals
Enter the total tax due amount on the Excise Tax: State line on the rst page of the afdavit.
Due date, interest and penalties: Tax is due at the time of sale/transfer. If tax is not paid within one month of the date of
sale/transfer, interest and penalties will apply. The interest rate is variable and determined per RCW 82.32.050. Delinquent
penalties are 5% one month after the due date; 10% two months after the due date; and 20% three months after the due
date. (RCW 82.45.100)
State technology fee: A $5.00 electronic technology fee that is due on all transactions. (82.45.180)
Afdavit processing fee: A minimum of $5.00 shall be collected in the form of tax and processing fee. A processing fee is
due on all transactions where no tax is due and on all taxable transactions where the tax due is less than $5.00
(RCW 82.45.180)
Section 8:
Both grantor (seller) and grantee (buyer), or the agent of each, must sign this form, certifying that all the information provided
is correct. Note: Original signatures required on the “County Treasurer” copy. Signatures may be required on the “Assessors”
copy. Check with your county.
Audit:
Information you provide on this form is subject to audit by the Department of Revenue. Underpayments of tax will result in the
issuance of a tax assessment with interest and penalties. Note: in the event of an audit, it is the taxpayers responsibility to provide
documentation to support the selling price or any exemption claimed. This documentation must be maintained for a minimum of
four years from date of sale. (RCW 82.45.100)
Ruling requests:
You may request a ruling on the taxability of the property transfer. Go to our website at dor.wa.gov/rulings or fax your request to
360-705-6655.
Where to send completed forms:
Completed forms must be submitted to the County Treasurers or Recorder’s Ofce where the property is located.
For tax assistance, contact your local County Treasurer/Recorder or visit http://dor.wa.gov/REET. To request this document in an alternate format, please call
360-705-6705. Teletype (TTY) users may use the Washington Relay Service by calling 711.
REV 84 0001a inst. (11/18/19)