Laserfiche WebLink
I <br />If . I <br />Iq <br />4M6_JrrA <br />10. <br />X <br />rats <br />SALES DISCLOSURE FORM <br />State Form 46021 (R516-05) <br />Prescribed by Department of Local Government Finance <br />Pursuant to IC 6-1 t-5.5 <br />PRIVACY NOTICE: The telephone uu <br />numbers of the parties on this <br />confidential according to IC 6 1 1r5.5f a <br />conf I�IIII ���Il���lll�lllllllllll It�lll <br />3(d). <br />Part of Parcc <br />Parcel Number(s) (Show adddional parcels on separate sheet If necessary) Acreage or Lot Size f;pi,r <br />JJJ8iJJJJJJJJJJJJJJJJ JJJ JJJ <br />___IJJJJJJJJJJJJJJJJJJJ JJJJJJ � <br />LIJ JJJ�JJJ � <br />Address <br />M of Parcels <br />133 SOUTH LAUREL <br />ljJ <br />City. Town, or Post Office <br />State <br />ZIP Code <br />SOH E <br />J� <br />J_JJ <br />JJJ <br />Tax Billing Address (if other than property address) <br />City. Town, or Post Office Stale ZIP Code <br />SOUTH BEND J� J�l - JJ IJ <br />Legal Description <br />THE SOUTH 49.60 FEET OF LOT 10 AND THE SOUTH 49.60 FEET, EXCEPT 8 FEET ALONG THE WEST <br />Identify all conditions/items that apply <br />NOTE: If items 12-21 apply, filers are not subject to disclosure <br />filing fee. <br />O1-Buyer is an adjacent property owner <br />O 12-Security interest documents such as mortgages or trust deeds. <br />® 2-Vacant Land <br />O 13-Leases less than 90 years <br />O3-Exchange for other real property ("Trade') <br />O 14-Document resulting from foreclosure, or express <br />O4-Seller Paid Points; amount If applicable <br />threat of foreclosure, divorce court order, condemnation, <br />❑ <br />probate or other judicial proceedings. <br />O5-Change planned In the primary use of the property? Describe in <br />O 15-Agreements and other documents for <br />special circumstances. mergers, consolidations, and incorporations <br />O6-Existence of family or business relationship between buyer and seller <br />O7- Land Contract Dated: <br />O8-Personal property Included in transfer-, amount if applicable <br />01MENUMEN <br />O9- Significant physical changes to property between March 1 and date of sale <br />6 10- Non -Warranty deed; specify type QUIT CLAIM <br />O11- Partial interest. Describe in special circumstances. <br />Contract Date (MMfDD1YYYY) Sales Price <br />/12 0 0 $ 1 0 <br />O16-Quitclaim deeds not serving as a source of title <br />O17-Documents involving the partition of land between <br />tenants in common, joint tenants, or tenants by the <br />entirety. <br />® 18-Transfer to a charity, not -for -profit or government <br />institution <br />O19-Transfer for no or discounted consideration, or gift <br />O20-Rerecording to correct prior recorded document <br />0 21-Easements, Right-of-way grants <br />Describe any unusual or special Circumstances related to this safe. Including the specification of any less -than -complete ownership interest and terms of seller financing. <br />I <br />