#2435- Deed; QUIT-CLAIM DEED E Pt lot 6 & Vac 8ft of St S Adj Cottrells 3rd Add

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PRIVACY NOTICE P ppp' ,ALES DISCLOSURE r1 ) la 51itlC Pone •1G021 ( 21 9-98 Notwithstanding IC 5.11.3. a sales discto- Presrhbed by the Sale Board nl address? N Yes ❑ No 1 _ Address (number and street) 611 Kalorama City, Town or Post Office South Bend County Township St Joseph State ZIP code IN School corporation EXEMPT TRANSACTIONS see instructions on reverse side Exempt transaction? It Yes, specify the exemplion number Yes ❑ No (see "Exempt Transactions' on other side) ❑ SALES INFORMATION DATE OF SALE 1. Total Sales Price $ 427 .00 2. Seller Paid Points $ Month Day Year 11? 3. Net Sales Price (item 1 minus item 2) $ q 217 00 Check ALL of the following conditions that apply to this sale: DQ Transfer of entire parcel ❑ vacant Land ❑ Exchange for other Real ❑ Purchase of adjoining land Property ("Tradel ❑ Existence of a family or business ❑ Personal Property included in ❑ Condominium ❑ Split(s) relationship between buyer and seller transfer (estimated value ❑ Seller provided financing $ ) ❑ Mobile Home Describe any unusual or special circumstances related to this sale, including the specification of any less than complete ownership interest, and the terms of any seller financing: County Auditor must verity and complete the following information: ❑ Buyer and Seller Information ❑ Sales Price Parcel / Key Number: ❑ Address of Property Transferred ❑ Conditions of Sale ❑ Date of Sale / Transfer County Assessor must verify and complete the following information: ❑ Significant physical changes to property between March 1 and date of sale ❑ Current Property Record Card Attached Property Class / Use Code: 18 5036 1273 Warranty Deed? ❑ Yes ❑ No ASSESSED VALISE AV AV Land: $ AV Improvement(s): $ AV Total: I $ RMATION The parties to a real property conveyance are required to file this form and attest in writing and under the penalties of perjury that the information contained herein is true and correct. A person who knowingly and intentionally falsifies or omits any Information required on this form commits a Class A infraction. Under Penalties of Perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". Slgnat r ell�se to " _ � V Telephone number Date signed (month, day, year) (219) 235-9241 Michelle L. Engel Signature of buyer or representative Telephone number Date signed (month, day, year) { )