Self-declaration and sale survey forms

As the municipal evaluator, we have the duty to carry out a new three-year assessment role. Being that the property in question was subject of a real estate transaction in the last few years, we kindly ask you to complete the present document.

Information on the applicant

Owner's name

First name

Last name

Address

Number, street, apartment or P.O. box

City

Postal code

Province

File number

As entered on the notice of assessment (roll) or Tax bill. Format: xxxx-xx-xxxx-x-xxx-xxxx

Date of sale

Sale price

Daytime telephone number

Extension

Cell phone

Email

Please answer the following questions

1. Is the purchased price the same as the above?

Yes

No

Specify

2. Did the final price include furniture, equipment or other goods that are not part of the building or land?

Yes

No

Approximate value

Description

3. How long had the property been for sale

Specify the number of years, months, weeks and/or days. Enter “Don’t know” if you don’t know.

4. What was the asking price before negotiations in dollars?

5. Was the seller a:

Parent

Friend

Non-affiliated seller

6. Was it a forced sale: dation-in-payment, 60 days notice, court rulling, divorce or separation settlement?

Yes

No

Specify

7. Is this property adjacent to an already owned property?

Yes

No

8. Do you believe the sale price of the real estate transaction represented the market value of the property when you purchased it?

Yes

No

Specify

9. Have you done some work on the property since the purchase?

Yes

No

Notes

Amount in dollars

Notes

12. Does the topography, location or shape of the land influenced the price of the transaction?

Yes

No

Specify

Attesting declaration

I declare the information provided in this form is compliant with the state of my property. Also, I understand the assessor or his representative may, if need be, conduct an inspection of my property, in accordance with article 18 of the Municipal Taxation Act.

Section 18:
Information: Every owner or occupant of a property or his mandatary must produce or make available to the assessor or his representative, any information respecting the property that he requires for the performance of his duties, according as he requests him to produce if by means of a questionnaire or otherwise, or to make it available [....].

Consent

I have read and agree to the privacy policy

Those information remains confidential and will only be used for municipal property assessment purposes.

Self-declaration and sale survey forms

Online self-declaration and sale survey forms

Select a form

Survey form for residential sale

The MRC Brome-Missisquoi assessment team

Contact information

Business hours

Information