Main Content:
Real Estate Forms
Forms:
- Affidavit of Surviving Spouse for Change of Title to Real Estate (14.7 KB)

- Declaration of Value (121.1 KB)

- Recorder Cover Sheet Template (11.8 KB)

- Recorder Cover Sheet Template (9.2 KB)

Groundwater Hazard Form:
- Find all necessary forms at the Iowa DNR site:
http://www.iowadnr.com/other/gwhaz.html
Septic Tank - If there is a private sewage disposal system on the property being transferred:
- Iowa's time of transfer inspection law (SF261) requires that every home/building served by a septic system have that septic system inspected prior to the sale or deed transfer for the home/building. All inspections must be conducted by a certified inspector.
- You must submit a certified inspectors report – Time of Transfer Inspection Report (DNR Form 542-0191).
- If the weather or other temporary physical conditions prevents the certified inspection on the private sewage disposal system from being conducted, the buyer must execute a binding acknowledgement (Time of Transfer Inspection Agreement Binding Acknowledgement for Future Inspection) with the county Board of Health. (Read Item 6. on the Groundwater Hazard Statement).
- More about Time of Transfer Inspection including state-wide list of certified inspectors and applicable forms.
- Although any Iowa certified inspector can be used in any county, below is a list for Scott County:
-
- Jack Hoskins
Scott County Health Department
600 W 4th St. • Davenport, IA 52801
(563) 326-8618 • Jhoskins@scottcountyiowa.com - Tammy Loussaert
Scott County Health Department
600 W 4th St. • Davenport, IA 52801
(563) 326-8618 • Loussaert@scottcountyiowa.com - Richard Conner
2917 Sycamore Terrace • Bettendorf, IA 52722
(563) 370-4313 • rconner57@yahoo.com - Dennis Sullivan
Dennis Sullivan Excavating
#8 Circle O • Colona, IL 61241
(309) 441-5579 • jdirons@geneseo.net - Dale Ellsworth
Ellsworth Excavating
1224 60th Ave • Walcott, IA 52773
(563) 284-6773 • - Doug Kerman
John Wulf Septic Tank Service
21905 Maysville Rd • Walcott, IA 52773
(563) 388-8899 • wulfseptic@netins.net - John Wulf
John Wulf Septic Tank Service
21905 Maysville Rd • Walcott, IA 52773
(888) 489-9394 • wulfsseptic@netins.net - Dave Bell
Petersen Plumbing & Heating
926 W 3rd St • Davenport, IA 52802
(563) 529-2772 • Dbell03@hotmail.com - Troy Castens
Roto-Rooter
7301 Vine Street Ct • Davenport, IA 52806
(563) 388-9900 • kfitzgibbon@enviromark.com - Larry Seiler
Seiler Enterprise
17693 100th Ave • Davenport, IA 52804
(563) 370-1188 • juliebtwerbach@live.com - Richard Peek
The Outhouse
519 Progress Dr • Blue Grass, IA 52726
(563) 381-1643 • outhouseia@aol.com - Amos Peek
The Outhouse
519 Progress Dr. • Blue Grass, IA 52726
(563) 381-1643 • outhouseia@aol.com - Dustin Wood
Wood Excavating & Trucking
102 E Kimberly Rd STE 332 • Davenport, IA 52806
(309) 221-5713 • woodxkvtr@gmail.com - Derek Wessel
3 Home Inspectors
169 116th Ave • East Moline, IL 61244
(309) 631-4184 • wessel40@yahoo.com
- Jack Hoskins

