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#2435- Deed; QUIT-CLAIM DEED E Pt lot 6 & Vac 8ft of St S Adj Cottrells 3rd Add
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#2435- Deed; QUIT-CLAIM DEED E Pt lot 6 & Vac 8ft of St S Adj Cottrells 3rd Add
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PRIVACY NOTICE <br />P ppp' <br />,ALES DISCLOSURE <br />r1 ) <br />la <br />51itlC Pone •1G021 ( 21 9-98 <br />Notwithstanding IC 5.11.3. a sales discto- <br />Presrhbed by the Sale Board nl <br />address? <br />N Yes ❑ No 1 <br />_ Address (number and street) <br />611 Kalorama <br />City, Town or Post Office <br />South Bend <br />County Township <br />St Joseph <br />State ZIP code <br />IN <br />School corporation <br />EXEMPT TRANSACTIONS see instructions on reverse side <br />Exempt transaction? It Yes, specify the exemplion number <br />Yes ❑ No (see "Exempt Transactions' on other side) <br />❑ <br />SALES INFORMATION <br />DATE OF SALE 1. Total Sales Price $ 427 .00 <br />2. Seller Paid Points $ <br />Month Day Year <br />11? 3. Net Sales Price (item 1 minus item 2) $ q 217 00 <br />Check ALL of the following conditions that apply to this sale: <br />DQ Transfer of entire parcel ❑ vacant Land ❑ Exchange for other Real ❑ Purchase of adjoining land <br />Property ("Tradel <br />❑ Existence of a family or business ❑ Personal Property included in ❑ Condominium ❑ Split(s) <br />relationship between buyer and seller transfer (estimated value <br />❑ Seller provided financing $ ) ❑ Mobile Home <br />Describe any unusual or special circumstances related to this sale, including the specification of any less than complete ownership interest, and <br />the terms of any seller financing: <br />County Auditor must verity and complete the following information: <br />❑ Buyer and Seller Information ❑ Sales Price Parcel / Key Number: <br />❑ Address of Property Transferred ❑ Conditions of Sale <br />❑ Date of Sale / Transfer <br />County Assessor must verify and complete the following information: <br />❑ Significant physical changes to property between March 1 and <br />date of sale <br />❑ Current Property Record Card Attached <br />Property Class / Use Code: <br />18 5036 1273 <br />Warranty Deed? ❑ Yes ❑ No <br />ASSESSED VALISE AV <br />AV Land: $ <br />AV Improvement(s): $ <br />AV Total: I $ <br />RMATION <br />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 <br />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. <br />Under Penalties of Perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete <br />as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". <br />Slgnat r ell�se to " _ � V Telephone number Date signed (month, day, year) <br />(219) 235-9241 <br />Michelle L. Engel <br />Signature of buyer or representative Telephone number Date signed (month, day, year) <br />{ ) <br />
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