Pennsylvania Realty Transfer Tax Statement of Value

Realty Transfer Tax Statement of Value
Realty Transfer Tax Statement of Value (REV-183)
1830019105

REV-183

Book:

REALTY TRANSFER TAX
STATEMENT OF VALUE

Bureau of IndIvIdual Taxes
Po Box 280603
HarrIsBurg, Pa 17128-0603

SECTION I

COMPLETE EACH SECTION

Telephone Number

Mailing Address

Date Recorded:

Grantee(s)/Lessee(s)

Telephone Number

Mailing Address

City

State

ZIP Code

City

State

ZIP Code

REAL ESTATE LOCATION

Street Address

City, Township, Borough

County

Tax Parcel Number

School District

VALUATION DATA
YES

Was transaction part of an assignment or relocation?
1. Actual Cash Consideration

NO

2. Other Consideration

3. Total Consideration

+
4. County Assessed Value

=

5. Common Level Ratio Factor

6. Computed Value

x

VSECTION IV

Instrument Number:

MM/DD/YYYY

Grantor(s)/Lessor(s)

SECTION III

Page:

TRANSFER DATA

START Date of Acceptance of Document
➜

SECTION II

RECORDER’S USE ONLY
State Tax Paid:

(EX) MOD 06-19 (FI)

=

EXEMPTION DATA - Refer to instructions for exemption status.
1b. Percentage of Grantor’s Interest in Real Estate 1c. Percentage of Grantor’s Interest Conveyed

1a. Amount of Exemption Claimed

%

$

%

2. Fill in the Appropriate Oval Below for Exemption Claimed.

Will or intestate succession.
(Estate File Number)
(Name of Decedent)
Transfer to a trust. (Attach complete copy of trust agreement and all amendments.)
Transfer from a trust. (Attach complete copy of trust agreement and all amendments.)
Transfer between principal and agent/straw party. (Attach complete copy of agency/straw party agreement.)
Transfers to the commonwealth, the U.S. and instrumentalities by gift, dedication, condemnation or in lieu of condemnation.
(If condemnation or in lieu of condemnation, attach copy of resolution.)
Transfer from mortgagor to a holder of a mortgage in default. (Attach copy of mortgage and note/assignment.)
Corrective or confirmatory deed. (Attach complete copy of the deed to be corrected or confirmed.)
Statutory corporate consolidation, merger or division. (Attach copy of articles.)
Other (Provide a detailed explanation of exemption claimed. If more space is needed attach additional sheets.)

SECTION V

CORRESPONDENT INFORMATION - All inquiries may be directed to the following person:

Name

Telephone Number

Mailing Address

State

City

ZIP Code

Under penalties of law, I declare that I have examined this statement, including accompanying information, and to the best of my knowledge and belief, it is true, correct and complete.

Signature of Correspondent or Responsible Party

Date MM/DD/YYYY

PLEASE SIGN AFTER PRINTING

FAILURE TO COMPLETE THIS FORM PROPERLY OR ATTACH REQUESTED DOCUMENTATION MAY RESULT IN THE RECORDER’S REFUSAL TO RECORD THE DEED.

1830019105
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Pennsylvania Department of Revenue

Instructions for REV-183
realty Transfer Tax statement of value

rev-183 In (ex) 06-19

GENERAL INFORMATION
Complete each section and file in duplicate with the
Recorder of Deeds when (1) the full value/consideration is
not set forth in the deed, (2) the deed is without consideration or by gift, or (3) a tax exemption is claimed. If more
space is needed, please attach additional sheets. A
Statement of Value (SOV) is not required if the transfer is
wholly exempt from tax based on family relationship or
public utility easement. However, it is recommended that a
SOV accompany all documents filed for recording.

LINE INSTRUCTIONS
SECTION I
Date of Acceptance – Enter the date the document was
delivered to and accepted by the grantee/lessee.
Enter the full names and addresses of all grantor(s)/
lessor(s) and all grantee(s)/lessee(s). Attach additional
sheets if necessary.

SECTION II
This section identifies the real estate to be transferred.
Complete fully, including the tax parcel number where
applicable and the county where the statement is to be
filed.

SECTION III
Indicate by filling in YES or NO, whether the document
represents two or more transactions accomplished by an
assignment of the agreement of sale or by the use of a
relocation arrangement. Complete for all transactions:
1. Actual Cash Consideration – Enter the amount of
cash or cash equivalent that the grantor received for
the transfer of the real estate.
2. Other Consideration – Enter the total amount of
noncash consideration that the grantor received for the
transfer of the real estate, such as property and
securities. Include mortgages and liens existing before
the transfer and not removed thereby, and the agreed
consideration for the construction of improvements.
3. Total Consideration – Enter the sum of Lines 1 and 2.
This will be the total consideration for the purchase of
the real estate.
4. County Assessed Value – Enter the actual assessed
value of the entire real estate, per records of the county
assessment office. Do not reduce the assessed value
by the grantor’s fractional interest in the real estate.
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5. Common Level Ratio Factor – Enter the common
level ratio factor for the county in which the real estate
is located. An explanation of this factor is provided
below.
6. Computed Value – Enter the product of Lines 4 and 5.

SECTION IV
Complete only for transactions claiming an exemption. For
exemptions refer to Title 61 §91.193 of the Pennsylvania 
Code.
1a. Amount of Exemption Claimed – Enter the dollar
amount of the value claimed as exempt.
1b. Percentage of Grantor’s Interest in Real Estate –
Enter the percentage of grantor’s ownership interest in
the real estate listed in Section II.
1c. Percentage of Grantor’s Interest Conveyed – Enter
the fraction or percentage of grantor’s interest in the
real estate on Line 1b that the grantor conveyed to the
grantee. For example, if you indicated on Line 1b that
grantor owns a 50 percent tenant-in-common interest
in the real estate and grantor is conveying his entire 50
percent interest to the grantee, then you would enter
100 percent on this line.
2. Fill in the Appropriate Oval for Exemption Claimed –
Ovals are provided for the most common Pennsylvania
realty exemptions. Each is explained in order of
appearance on the Realty Transfer Statement of Value
form.
Will or Intestate Succession – A transfer by will for no or
nominal consideration, or under the intestate succession
laws, is exempt from tax. Provide the name of the decedent
and estate file number in the space provided.
Transfer to a Trust – A transfer for no or nominal
consideration to a trust is exempt from tax when the
transfer of the same property would be exempt from tax if
the transfer were made directly by the grantor to all the
possible (including contingent) beneficiaries. Attach a
complete copy of the trust agreement and identify the
grantor’s relationship to each beneficiary.
Transfer from a Trust – Attach a complete copy of the
original trust and all amendments to the trust.
Transfer Between Principal and Agent/Straw Party – A
transfer between an agent/straw party and principal for no
or nominal consideration is exempt. Attach a complete
copy of the agency/straw party agreement.
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Transfer to the Commonwealth, the U.S. and
Instrumentalities by Gift, Dedication, Condemnation or
in Lieu of Condemnation – If the transfer is by
condemnation or in lieu of condemnation, attach a copy of
the resolution.
Transfer from Mortgagor to Holder of a Mortgage in
Default – A transfer from a mortgagor to a holder of a
mortgage in default, whether pursuant to a foreclosure or in
lieu thereof, is exempt. Provide a copy of the mortgage and
note, and any documentation evidencing the assignment
thereof.
Corrective or Confirmatory Deed – A deed for no or
nominal consideration that corrects or confirms a previously
recorded deed but does not extend or limit the title or
interest under the prior deed is exempt from tax. Attach a
complete copy of the prior deed being corrected or
confirmed.
Statutory Corporate Consolidation, Merger or Division
– A document that evidences the transfer of real estate
pursuant to the statutory consolidation or merger of two or
more corporations (15 Pa. C.S. §1921-1932 or 15 Pa. C.S.
§5921-5930) – or the statutory division of a nonprofit
corporation (15 Pa. C.S. §5951-5957) – is exempt from tax.

Attach a copy of the articles of consolidation, merger or
division.
Other – When claiming an exemption other than those
listed, you must specify what exemption is claimed. When
possible, provide the applicable statutory and regulatory
citation. Attach additional pages, if necessary. Attach a
copy of supporting documentation.

SECTION V
Enter the name, address and telephone number of party
completing this form.
COMMON LEVEL RATIO FACTOR
This is a property valuation factor provided by the PA
Department of Revenue by which the county assessed
value is multiplied to determine the taxable value of real
estate for all non-arm’s-length transactions, leases and
acquired companies. The factor is based on the common
level ratio established by the State Tax Equalization Board.
The common level ratio is a ratio of assessed values to
current fair market values as reflected by actual sales of
real estate in each county. A statewide list of the factors is
available at the Recorder of Deeds’ office in each county
and on the department’s website at www.revenue.pa.gov

THIS STATEMENT MUST BE SIGNED BY A RESPONSIBLE PERSON CONNECTED WITH THE TRANSACTION.

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