Eff. 0 7 / 01 /201 9 DOCUMENTARY STAMP TAX INFORMATION Section 201.02(1)(a), Florida Statute s, imposes a tax (commonly referred to as documentary stamp tax ) on documents, such as deeds, that transfer, assign, or otherwise convey an interest in Florida real property. The tax is to be paid at the rate of $ 0 .70 per $100 or fraction thereof on the total consideration. Consideration includes, but is not limite d to, the money paid or agreed to be paid; the discharge of an obligation; and the amount of any mortgage, purchase money mortgage lien, or other encumbrance, whether or not the underlying indebtedness is assumed. If the consideration paid or given in exc hange for real property or any interest therein includes property other than money, it is presumed that the consideration is equal to the fair market value of the real property that is transferred or interest therein. The attached form is to be completed and submitted with the conveyance document, but will not be recorded with the document. It is for purposes of helping to determin e the correct tax amount due at the time of recording. PENALTY FOR FAILING TO PAY THE REQUIRED TAX A penalty is imposed (247 201.17(2)(b) , Florida Statutes) , equal to 10% of any unpaid tax if the failure is for not more than 30 days, with an additional amount of 10% for each additional 30 days or fraction thereof, up to 50% of the unpaid tax. Additionally, i nterest shall be charged based upon the amount of tax due from the date of record ing until the tax is paid ( 247 201.17(2)(c ), Florida Statutes) . QUESTIONS If there are any questions concerning this form, please contact the Orange County Comptroller Official Records Dep artment at 407 - 836 - 5115. If there are any questions concerning documentary stamp tax , please contact the Florida Department of Revenue at 850 - 488 - 6800 or visit their web page at www.myflorida.com/dor/ American LegalNet, Inc. www.FormsWorkFlow.com Eff. 0 7 / 01 /201 9 ORANGE COUNTY COMPTR OLLER OFFICIAL REC ORDS PROPERTY TRANSFER INFORMATION F ORM Note: This form will be kept confidential and used for internal purposes only. Please note that all deed s are subject to audit by the Florida Department of Revenue. SUBMITTER INFORMATION I ndividual/Organization Name Phone Email Address PROPERTY INFORMATION Parcel I.D. Number or Property Address or Legal Description: GRANTOR/SELLER GRANTEE/BUYER Name Name Address Address Date of Sale/Transfer: Sale/Transfer/Purchase Price/Consideration: $ Was the transferred property subject to a mortgage? YES NO If yes, amount of mortgage balance at the time of the transfer? $ Type of document being recorded: Contract/Agreement for Deed Quit Claim Deed Warranty Deed Other specify Amount of Doc Stamps: $ Are you paying no documentary stamp tax or only minimum documentary stamp tax ($ 0 . 70)? YES NO If yes, please check the appropriate box below indicating why. Paid doc umentary stamp tax previously or in another county Re - recording Corrective Marital home transferred between spouses and the only consideration is a mortgage or other lien encumbering the property Marital home transferred between former spouses pursuant to a divorce decree (Rule 12B - 4.013(27), Flor ida Administrative Code) Property transferred to or from a trust with no beneficial ownership change (Rule 12B - 4.013(28), Florida Administrative Code) Gift of property which is not subject to a mortgage Other Specify OTHER COMMENTS: WARNING!! NOTE IS NOT OPTIONAL . YOU ARE REQUIRED TO PAY DOCUMENTARY STAMP TAX UNL ESS YOU HAVE A VALID EXEMPTION . THE DEPARTMENT OF REVENUE ROUTINELY REVIEWS AND AUDITS DOCUMENTS TO ENSURE THAT PROPER TAX IS PAID. Failure to pay the required tax may result in penalties and interest ( Section 201.17 (2), Florida Statutes ). Under penalties of perjury, I declare that I have read the foregoing form and that the facts stated in it are true. If prepared by someone other than the taxpayer, his/her declaration is based on all information of which he/her has any knowledge. Signature of Grantor or Grantee or Agent American LegalNet, Inc. www.FormsWorkFlow.com