1)
NAME(S) NAME(S)
MAILING ADDRESS
MAILING ADDRESS
CITY/ STATE/ ZIP
CITY/ STATE/ ZIP
3)
No. OF STRUCTURES
ON PROPERTY
4b)
ABBREVIATED LEGAL DESCRIPTION
*ATTACH COPIES OF FULL LEGAL DESCRIPTION, DEED, AND EXHIBITS WITH AFFIDAVIT
APPROXIMATE
SIZE OF PROPERTY
SELLER/GRANTOR SHALL PAY $ ____________
OF CURRENT AND/OR PAST DUE LOUT
$
$
$
Signature
Date
Specify:
Address of residence or place of business of person signing:
2)
Return complete and notarized affidavits, payment,
and required and/or supplemental documents to:
TULALIP TAX & LICENSING DIVISION
6406 MARINE DR - TULALIP, WA 98271
REAL ESTATE EXCISE TAX AFFIDAVIT
Additional information on reverse
SELLER/
GRANTOR
BUYER/
GRANTEE
PROPERTY
INFORMATION
PROPERTY
LOCATION
SNO CO TAX PARCEL No., IF ANY
PROPERTY ADDRESS
CITY/STATE/ZIP
4a)
PROPERTY TAX &
USE INFORMATION
$
CURRENT No.
OF RESIDENTS
PROPOSED No.
OF RESIDENTS
_____________________
_____________________
_____________________
_____________________
Reserved
for
Official Tax
Stamp
Initial Date
Grantor Other:
/
Affix
Notary
Seal
AFFIDAVIT
THE STATEMENTS MADE HEREIN ARE MADE UNDER OATH WITH THE INTENT THAT
THEY BE RELIED ON AS SWORN STATEMENTS. A FALSE STATEMENT IS PUNISHABLE.
/ /
Sale or Conveyance Date
Type of instrument
Gross Sale Price
1% of Gross Sale Price
Interest Due for Late Payment
TOTAL REET DUE
SEE REVERSE SIDE FOR ASSISTANCE
5)
Uses
Current property use:
b.
6b)
Request for Tax Credit - Determination
A "tax credit" is being claimed pursuant to TTC 12.20.100 wherein a
single family residence (SFR), for which the REET was paid, is now
being transferred in consideration for the purchase of another SFR,
and such transfer shall occur nine (9) months or less after the first
transfer. A credit for the amount of the tax paid at the time of the
first transfer to the other party is requested to be herein credited toward
the amount of tax due on the subsequent transfer. The first transfer
occurred on _____/_____/_____, in the amount of $ ____________, and
is recorded via Tulalip REET affidavit no. 2019-_______.
*If the tax now due is greater than the tax paid previously, the
difference must be remitted to the Tulalip Tax & Licensing Division.
6a)
Indicate reason for claiming this transaction is exempt from tribal and/
or federal law and submit proof of exemption claim and tax payment
with affidavit.
Request for Exemption Determination
1. _____ The land is being sold by or to the Tulalip Tribes of
Washington.
2. _____ The land is being sold by or to the United States in
trust for the Tulalip Tribes of Washington or an Indian Person(s).
3. _____ The property is subject to a restriction on alienation,
imposed bythe UnitedStates.
4. The property is being sold by the State of Washington.
5. _____ The property is being transferred via gift, devise, or
inheritance.
6. _____ The real property being transferred is otherwise excluded
from taxation by Tulalip Real Estate Excise Tax Code, Title
12.20, Section __________ for the following reason(s):
LAND OCCUPATION USE TAX - ANNUAL RATE: $ __________
Water Sewer
Grantor's Agent
/
2019 Taxes Due: $ ____________ Past Due Taxes: $ ____________
Acct:
Total Due: $ ____________
N/A
7) Transfer Document Enclosed
c. Current water and sewer source:
Tulalip
Sewer Both
d. Current power sources:
Marysville
REET IS DUE AT THE THE TIME OF SALE.
SUBMIT TWO ORIGINAL NOTARIZED AFFIDAVITS.
The foregoing affidavit was acknowledged and
subscribed before me on this _____ day of
_____________ 20___ in the State of _____, County
of _____________ by _________________________.
Printed Name
CurrentDeliquent
BUYER/GRANTEE SHALL PAY $ ____________
OF CURRENT AND/OR PAST DUE LOUT
INCOMPLETE FILINGS WILL BE RETURNED &
SUBJECT TO PENALTY FEES.
Individual
(private)
Source
Well Septic
Community
Water Assoc./
Shared Source
Well Septic
Water Both
Natural Gas PUD
Renewable: __________
CHECK ALL THAT APPLY
Vacant land - no connection/ source
Natural Gas
Yes- Lessor number and name(s)
Wood/Pellet StoveElectricity
of Postmark Delivery
/ /
Proposed uses including any division of the property for future sale or use:
Notary Public Signature
Telephone No.
e. Current heat source:
f.
Land lease:
No
a.
TDS-28432 02-19
click to sign
signature
click to edit
click to sign
signature
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Updated 08/28/18 ew
REAL ESTATE EXCISE TAX - INSTRUCTIONS & GUIDANCE SHEET
A COMPLETE FILING INCLUDES, AT MINIMUM: TWO ORIGINAL COMPLETED AND NOTARIZED AFFIDAVITS,
PAYMENT OF ONE PERCENT EXCISE TAX, DEED, AND DETAILED LEGAL DESCRIPTION, INCLUDING ALL EXHIBITS,
COVENANTS, AND RESTRICTIONS. Other supporting documents may be required or assist in expediting your filing. Please
do not submit copies of this instruction page.
Upon receipt TLD shall assign an affidavit number and obtain a receipt for payment from the Cashier. If the tax obligation
initially appears to be satisfied, the affidavit will be stamped evidencing such. The stamp does not certify the correct
amount has been paid, nor does it preclude action by the Tribes for underpayment. TLD will provide the taxpayer, or
agent on their behalf, a determination letter within thirty (30) days of receipt of a complete submittal. A copy of the receipt and
affidavit bearing an original Tulalip TLD stamp will be included with the letter of determination. Transactions determined as
exempt, eligible for tax refund, or refund of overpayment shall receive a check made out to the original payer within fourteen
(14) business days of such determination.
Copies of TTC 12.20 -Real Estate Sales Excise Tax can be found at www.codepublishing.com/WA/Tulalip
1. GROSS SALES PRICE: "Selling price" shall mean consideration, including money, or anything of value, paid or delivered,
or contracted to be paid or delivered or services performed, contracted to be performed in return for the transfer of real property
or estate or interest in real property, and shall include the amount of lien, mortgage, contract indebtedness, or other
encumbrance, either given to secure the purchase prices, or any part thereof, or remaining unpaid on such property at the time
of sale. When consideration is other than money and the transfer is taxable, market value is to be reported.
2. REAL ESTATE: Means real property, including all improvements the title to which is held separately from the title to the
land to which the improvements are affixed. The term also includes used mobile homes and used floating homes, as well as air
and development rights.
3. INTENT TO EVADE: Includes knowingly making false statements or taking actions so as to intentionally underpay or not
pay the proper real estate excise tax due on the transfer of real estate, or ignoring the tribal tax because of a jurisdictional
dispute without meritorious legal justification.
4. PENALTY ASSESED FOR WILLFUL FRAUD/ INTENT TO EVADE: A penalty of 50% of the additional tax found to be due
or remaining due after insufficient payment upon transfers found to have committed willful fraud or intent to evade tax payment.
5. AFFIDAVITS: TLD is prohibited by adopted regulation from accepting incomplete affidavits. It is the taxpayer's (or agent
working on their behalf) responsibility to furnish complete documentation for tax payments and claimed exemptions. Incomplete
affidavit forms, those submitted without payment, a copy of the deed, legal description, or other documentation required to
process the transaction shall be considered late for purposes of penalty and returned to the taxpayer.
6. INTEREST DUE FOR LATE PENALTY: If the tax due is not paid within thirty (30) days from the transaction date, interest
of 1% per month shall be charged from the sale date until date of payment. Non-payment or underpayment resulting from intent
to invade is subject to a penalty upto 50% of tax due.
7. REFUND: Taxpayers seeking to contest the real estate excise tax must pay the tax in full prior to petition for refund.
Refunds may be sought by written petition to the Tulalip Tax & Licensing Division within 30 days from the date of payment in
the event of:
a) duplicate tax payment
b) overpayment due to computation error
c) revision of the sale prior to closing
d) rescinded transfer
e) failure to claim exemption
Petitions must be accompanied by documentation supporting the claim of exemption, including a revised Real Estate Excise
Tax affidavit. The authority of the TLD to issue refunds is limited to those authorized under Section 6a (i) (v) of the adopted
REET Regulations.
8. APPEAL: Taxpayer’s may appeal a determination of the TLD within thirty (30) days of the receipt of such determination to
the Tulalip Court system. If any tax is determined due and unpaid, the Taxpayer shall provide such security for the payment of
tax as the TLD determines appropriate as a condition of the appeal. This amount is no less than the 1% tax on the sale named
in such transaction.