DTE 100M EX

Statement of Reason for Exemption Form Manufactured and Mobile Home Conveyance Fee

Ohio Revised Code section 319.202 and 319.54 (G)(3)
Instruction to Grantee (Buyer) or Representive for Completing Manufactured or Mobile Home Conveyance Fee Statement of Value

WARNING: All questions must be completed to the best of your knowledge to comply with Ohio Revised Code section (R.C.) 319.202. Persons willfully failing to comply or falsifying information are guilty of a misdemeanor of the first degree (R.C. section 319.99(B)).

NOTE: This form only applies to the transfer of manufactured or mobile homes where (i) the grantor is not a new manufacturer or mobile home dealer or (ii) the grantor is a new manufactured or mobile home dealer, but the home was previously titled to an owner who was not a new manufactured or mobile home dealer.

Statement of Reason for Exemption From Manufactured and Mobile Home Conveyance Fee

Ohio Revised Code section 319.202 and 319.54(G)(3)
All fields marked with * are required and must be filled.
Warning! All taxes must be paid in full to transfer the home.
Click here to access the Franklin County Treasurer's website to check balance due information.
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To access the application, please follow the link below to download the PDF application form, complete, and sign the application. Completed and signed applications may be submitted by mail to:

Franklin County Auditor
Manufactured and Mobile Homes department
373 S High St 20th floor
Columbus, OH 43215

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Franklin County Auditor
Manufactured or Mobile Homes department
373 S. High St., 20th Floor
Columbus, OH 43215

If this manufactured or mobile home is transferred by one of the reasons in this form, it would be exempt from the conveyance fee. Only the $0.50 per registration is owned toward the manufactured or mobile home transfer.

To calcualte the fee required to be submitted, refer to the Transfer tax & Conveyance fee Calculator. FCA accepts payments in cash, money order, or business check.
Follow Must Be Completed By Grantee or Grantee's Representative
Line 1: List the grantor's (seller's) name as shown on the title conveying this home. If there are 3 or more grantors, please list the name on a seperate sheet and attach below.

Please include the lot number after the street address if applicable.
Is the grantor individual(s) or business/public entity?*

Individual(s)Business/Public Entity (e.g., a corporation, LLC)
1. Grantor's (seller's) name (1)*

First NameMiddle NameLast NameSuffix
1. Grantor's (seller's) name (2)

First NameMiddle NameLast NameSuffix
Business Grantor's (seller's) Name (1)*
Business Grantor's Name (2)
Grantor's Name All
Attach additional grantors here

Cancelof
Phone*
Please enter a valid phone number.
Line 2: List the grantee's (buyer's) name as shown on the title conveying this home and the grantee's mailing address. If there are 3 or more grantees, please list the names on a seperate sheet and attach below.
Is the Grantee and individual (s) or business/public entity*

Individual (s)Business/Public entity (e.g. a corporation or LLC)
2. Grantee's (buyer's) name (1)*

First NameMiddle NameLast NameSuffix
2. Grantee's (buyer's) name (2)

First NameMiddle NameLast NameSuffix
2. Business Grantee's (buyer's) Name (1)*
2. Business Grantee's (buyer's) Name (2)
Grantee's Name All
Attach additional grantees here

Cancelof
Phone*
Please enter a valid phone number.
Grantee's address*

Street Address

Street Address Line 2

CityState

Zip Code
Grantee's address full
Line 3 List address of home before this transfer by street number and name.

Please include the lot number after the street address if applicable.
3. Address of home before transfer*

Street Address

Street Address Line 2

CityState

Zip Code
Address Before Full
Line 4 List address of home after this transfer (address to which buyer will relocate this home if it is relocated).

Please include the lot number after the street address if applicable.
4. Address of home after transfer*

Street Address

Street Address Line 2

CityState

Zip Code
Address After Full
Line 5: List complete address to which tax bills are to be sent.

CAUTION: Each property owner is responsible for paying the property taxes on time even if no tax bill is received.

Please include the lot number after the street address if applicable.
5. Tax billing address*

Street Address

Street Address Line 2

CityState

Zip Code
Tax Billing Address Full
Line 6: Check one of the exemptions – (a)-(t) – as appropriate. Keep in mind that a county auditor may inspect any and all documents in connection with the submission of a conveyance to determine whether the transfer is entitled to exemption. The auditor may exercise that discretionary power by requiring additional information in the form of affidavits, deeds, trust documents, purchase agreements, closing statements, court orders, resolutions from corporate boards of directors, articles of incorporation, Internal Revenue Service exemption certificates, or in any other form deemed necessary by the auditor that sufficiently substantiates the claim for exemption.

If this manufactured home is transferred by one of the reasons in this form, it would be exempt from the conveyance fee. Only the $0.50 transfer tax per registration is owned toward the property transfer.
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 home.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 othersl) 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 beneficiaries 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.
Line 7: If the grantor (seller) has indicated that the home to be conveyed will receive the senior citizen, disabled person or surviving spouse homestead exemption for the current tax year under R.C. section 4503.065, grantor (seller) must complete DTE form 101 or submit a statement that complies with the provisions of R.C. section 319.202(A)(2), and the grantee (buyer) must submit such form to the county auditor along with this statement.
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?*

YesNo
Click here to access the DTE101 Form.
If yes, complete and upload DTE101.

Cancelof
Line 8: Complete line 8 (application for owner occupancy – 2.5% reduction on qualified levies) only if the parcel is used for residential purposes. To receive the owner occupancy tax reduction for next year, you must own and occupy your home as your principal place of residence (domicile) on Jan. 1 of that year. A homeowner and spouse may receive this reduction on only one home in Ohio. Failure to complete this application prohibits the owner from receiving this reduction until another proper and timely application is filed.
8. Application for owner-occupancy (2.5% on qualified levies) reduction. (Notice: Failure to complete this application prohibits the owner from receiving this reduction until another proper and timely application is filed.) Will this property be grantee's (buyer's) principal residence by Jan. 1 of next year?*

YesNo
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 complete statement.
Signature of grantee or representative*

Clear
Date*

MonthDayYear
Date
Grantee's Email
example@example.com
Please verify that you are human*
Should be Empty:

Statement of Reason for Exemption Form Manufactured and Mobile Home Conveyance Fee

Statement of Reason for Exemption From Manufactured and Mobile Home Conveyance Fee

Warning! All taxes must be paid in full to transfer the home.