Statement of Reason for Exemption From
Manufactured and Mobile Home Conveyance Fee
Ohio Revised Code section 319.202 and 319.54(G)(3)
FOR COUNTY AUDITOR’S USE ONLY
Tax list year
Type or print all information.
Home located in taxing district
Name on tax duplicate Tax duplicate year
Description of home: Year mfg. Certiﬁ cate of title number
Make Serial number Registration number
Following Must Be Completed By Grantee or Grantee’s Representative
1. Grantor’s (seller’s) name Phone
2. Grantee’s (buyer’s) name Phone
3. Address of home before transfer
4. Address of home after transfer
5. Tax billing address
6. No conveyance fees shall be charged because the house is transferred:
a) to or from the United States, this state or any instrumentality, agency or political subdivision of the United States or this state.
b) solely in order to provide or release security for a debt or obligation.
c) to evidence a gift, in any form, between husband and wife, or parent and child, or the spouse of either.
d) on sale for delinquent taxes or assessments.
e) pursuant to court order, to the extent that such transfer is not the result of a sale effected or completed pursuant to such order.
f) pursuant to a reorganization of corporations or unincorporated associations or pursuant to the dissolution of a corporation, to the extent that
the corporation conveys the property to a stockholder as a distribution in kind of the corporation’s assets in exchange for the stockholder’s
shares in the dissolved corporation.
g) by a subsidiary corporation to its parent corporation for no consideration, nominal consideration or in sole consideration of the cancellation
or surrender of the subsidiary’s stock.
h) by lease, unless the lease is for a term of years renewable forever.
i) when the value of the home or interest in home conveyed does not exceed $100.
j) of an occupied home being transferred to the dealer of a new home when the former home is traded as part of the consideration for the new
k) to a grantee other than a manufactured or mobile home dealer, solely for the purpose of and as a step in, its prompt sale to others.
l) to or from a person when no money or other valuable and tangible consideration readily convertible into money is paid or to be paid for the
home and the transaction is not a gift.
m) to a trustee acting on behalf of minor children of the deceased.
n) of property sold to a surviving spouse pursuant to Ohio Revised Code section (R.C.) 2106.16.
o) to or from an organization exempt from federal income under Internal Revenue Code section 501(c)(3), provided such transfer is without
consideration and is in furtherance of the charitable or public purpose of such organization.
p) among the heirs at law or devisees, including a surviving spouse of a common decedent, when no consideration in money is paid or to be
paid for the home.
q) to a trustee of a trust, when the grantor of the trust has reserved an unlimited power to revoke the trust.
r) to the grantor of a trust by a trustee of the trust, when the transfer is made to the grantor pursuant to the exercise of the grantor’s power to
revoke the trust or to withdraw trust assets.
s) to the beneﬁ ciaries of a trust if the fee was paid on the transfer from the grantor of the trust to the trustee or pursuant to trust provisions that
became irrevocable at the death of the grantor.
t) to a corporation for incorporation into a sports facility constructed pursuant to R.C. section 307.696.
7. Has the grantor indicated that this property is entitled to receive the senior citizen, disabled person or surviving spouse homestead exemption for the
preceding or current year?
Yes No If yes, complete DTE 101.
8. Application for owner-occupancy (2.5% on qualiﬁ ed levies) reduction. (Notice: Failure to complete this application prohibits the owner from receiving
this reduction until another proper and timely application is ﬁ led.) Will this property be grantee’s (buyer’s) principal residence by Jan. 1 of next year?
I declare under penalties of perjury that this statement has been examined by me and to the best of my knowledge and belief it is a true, correct and
Signature of grantee or representative Date