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Home My WebLink About#3021- Deed; QUICK CLAIM DEED The South 49.60 feet of Lot 10 and the South 49.60 feet, except 8 feet along the West side of Lot 11, Wall and Hines Subdivisionof B.O.l. in the City of South Bend1 316 COUNTY -CITY BUILDING 227 W. ]EFFEMON BOULEVARD SOUTH BEND, INDIANA 46601-1830 CITY of SOUTH BENT} ST.EPHEN J. LUECKE, MAYOR BOARD OF PUBLIC WORKS January 24, 2006 Habitat for Humanity 402 East South Street South Bend, Indiana 46601 R.E: Quit Claim Deed 18-3068-2651 Dear Sir or Madam: PHONE 574/ 235-9251 FAx 574/235-9171 TDD 574/ 235-5567 The Board of Public Works recorded the Quit Claim Deed with the St. Joseph County Recorder's Office December 1, 2005. The original deed is enclosed for your records. If you have any questions, please call me at (21.9) 235-9251. Sincerely, 1 � t Bela Jacob, C1e1�1 Enclosure GARYA. GILOT, P.E. CARL P. LITTRE-LL, P.E. DONALD E. INKS PRESIDENT MEMBER MEMBER 1-U -- ') co, 6 e Ljj�L Li0--�lL"� Mail Deed To: Habi t for umanity 402 E. th Street South nd, 1N 46601 Conveys and Warrants to Mail Tax Bills To: Habitat for Humanity. Inc. QUIT CLAIM DEED Civil City of South Bend, Indiana the Grantor the Grantee RECORDED AS PRESENTED ON 12/01/2005 03:09:59PM TERRI J. RETHLAKE ST. JOSEPH COUNTY RECORDER REC FEE: $14.00 PAGES: 1 Auditor's/ Record Transfer NoL e Taring Unit Date /a —/ —O Key No. 18-3068-2651 for Ten Dollars ($10.00) and other good and valuable consideration the receipt of which is hereby acknowledged, Real Estate in St. Joseph County, in the State of Indiana described as follows: The South 49.60 feet of Lot 10 and the South 49.60 feet, except 8 feet along the West side of Lot 11, Wall and Hines Subdivision of B.O.L. in the City of South Bend. Commonly known as 133 S. Laurel, South Bend, Indiana 46628 U - Signed and dated on the t\ U day of �y , 2005. U RCCORDLD AS ,RESENTED 0111 12/01/2095 03:09:59PM Mail Deed To: Habit t for umanity 402 E. ith Street South nd, IN 46601 Conveys and Warrants to Mail Tax Bills To: Habitat for Humanity, Inc. QUIT CLAIM DEED Civil City of South Bend, Indiana the Grantor the Grantee TERRI J. RET14LAIIE ST. JOSEPH COUNTY RECORDER REC FEE: $1.4.00 PAGES; 1 Auditor's Record Transfer NoL Taxing Unit Date a l —D 5% Key No. 18-3068-2651 for Ten Dollars ($10.00) and other good and valuable consideration the receipt of which is hereby acknowledged, Real Estate in St. Joseph County, in the State of Indiana described as follows: The South 49.60 feet of Lot 10 and the South 49.60 feet, except 8 feet along the West side of Lot 11, Wall and Hines Subdivision of B.O.L. in the City of South Bend. Commonly known as 133 S. Laurel, South Bend, Indiana 46629 Signed and dated on the day of U 2005. CITY OF SOUTH BEND Stephen J. L6ecke, Mayor J hn V orde, City Clerk STATE OF INDIANA, ST. JOSEPH COUNTY, ss: Before me, a Notary Public in and for said County and State, personally appeared Stephen J. Luecke, Mayor, and John Voorde, City Clerk, respectively, of the City of South Bend, and acl<nowledge the execution of the foregoing deed on _/l�cl✓erl f,c- z� , 2005. t,Qt�G My Commission Expires: fella V� & +`1 Mryc Notary Public f > f 1 �1 !D t Residing to St. Joseph County, Indiana Prepared by Thomas L. Bodnar, Assistant City Attorney, 11400 County -City Building, South Bend, IN =46601. IlIJLY ii 7 L: s D r-e e b�riF yt d8v 1jJU`�v L-, ST. Vr.c ea cm, p m m d 2 CU W 4) ti c4 ¢ S;RLu 10 a aU Crr r TAh7 ye LW q a CT . CC rti j e j Q R1 to cti �CID, � w Er1 _ US U Q I- L'.I f~ y SYJ DATE RECEIVED FROM Address FOR ACCOUNT HOW PAID REGINNING CASH BALANCE AMOUNT CHECK PAID BALANCE MONEY DUE ORDER f RECEIPT ffff,otopmj� DOLLARS $ BY . ()Oj JV 02001 REN a S1654-NCR ' 30 Pe, Vs r SALES DISCLOSURE FORM /�` f L o7 s*� \�= Slate Form 46021 (R516-05) PRIVACY NOTICE: The tell on' BUD/ ii T fff s !! ttt J II numbers of the parties on this' orm/ate/�I�� Presuibed by Department of Local Government r;nance I ' Pursuant to IC 6-1 1.5.5 confidential according T-3(d). ree _-- Parcel Number(s) (Show additional Parcels ar rani parcels on separate sheet it necessary.) Acreage or Lot Size (,p1; 1 181JJJ 6 IJJ�JJJJJJJ JJJ JJJJJJJ � JJJJJ.JJJJJJJJJJJJJJJJJ JJJJJ � JJJJJJJJJJJJJJJJJJJJJJ JJJJ-JJJ � Address p of Parcels 133 SOUTH LAUREL JJJ City, Town, or Post Office State ZIP Code 50 J_ _J_J_ JJJJ Tax BAlinq Address (if other than orooeriv address) City, Town, or Post Office State ZIP Code SOUTH BEND �]J - JJJJ THE SOUTH 49.60 FEET OF LOT 10 AND THE SOUTH 49.60 FEET, EXCEPT 8 FEET ALONG THE WEST Identify all conditions/items that apply NOTE: If items 12-21 apply, filers are not subject to disclosure filing fee. O1-Buyer is an adjacent property owner O 12-Security Interest documents such as mortgages or trust deeds ® 2-Vacant Land O 13-Leases less than 90 years O 3-Exchange for other real property ("Trade") O 14-Document resulting from foreclosure, or express 0 4-Seller Paid Points; amount If applicable threat of foreclosure, divorce court order, condemnation, R probate or other judicial proceedings. O5-Change planned in the primary use of the property? Describe in O 15-Agreements and other documents for special circumstances. O6-Existence of family or business relationship between buyer and seller O7- Land Contract Dated: O8-Personal property included In transfer; amount If applicable sF1 O9- Significant physical changes to property between March 1 and date of sale 6 10- Non -Warranty deed; specify type QUIT CLAIM O11- Partial Interest. Describe in special circumstances. Contract Date (MWODA^NY) Sales Price /12 0 0 1 0 mergers, consolidations, and incorporations O16-quitclaim deeds not serving as a source of title O17-Documents involving the partition of land between tenants in common, joint tenants, or tenants by the entirety. ® 18-Transfer to a charity, not -For -profit or government institution O19-Transfer for no or discounted consideration, or gift O20-Rerecording to correct prior recorded document O21-Easements, Right-of-way grants Descnoe any unusual or specidi 611Gur115i01Hbtl5 leldleU 10 MIS 5a e. 11M U .1Ig L C Spec. ca .0n 0 Qnj - w= 0 Owners IP In I INDIANA SALES DISCLOSURE FORM Page 3 INSTRUCTIONS Indiana law requires a sales disclosure form to be completed when a conveyance document (see definition below) is filed with the county auditor. The county auditor may not accept a conveyance if (1) the sales disclosure form is not included with the conveyance document; or (2) the safes disclosure form is incomplete. A person filing a sales disclosure form shall pay a fee of ten dollars ($10.00) to the county auditor. PART 1: BUYER AND SELLER INFORMATION Property Transferred Information. Either the buyer/grantee or the seller/grantor should provide the parcel number(s) (including all dashes and decimals), full address, tax billing address, lot size, and legal description of the parcel(s) transferred. A legal description is especially important for metes and bounds descriptions and new parcels. If the transaction consists of more than three parcels, an additional list of parcel numbers and lot sizes must be attached to this document, Sales conditionslitems. The information in this section is used to determine sales characteristics, establish market value, determine applicability of the sale and for use in ratio or other studies. The appropriate circle or circles should be filled in for all conditions/items that apply to the sale. With regard to personal property (see definitions below), the buyer or seller must enter an estimated value of the personal property included in the sale. Similarly, the buyer and seller must enter the amount of seller paid points as applicable. Please note that while indicating that certain conditions/items will result in not paying a filing fee, the buyer/grantee or seller/grantor is still responsible for completing the form in full. Sales Data. The date and sales price of the property transfer is to be printed in the spaces provided. Any unusual or special conditions of the sale that may affect the sales price or terms of the safes agreement should also be described. Seller/Grantor Information. Seller(s)/grantor(s) are to provide the full name and address for seller(s) or entity as applicable. If there are more than two individuals or entities involved in the transaction, additional ownershlp information must be included in an attachment to this form. The sellerlgrantor must also provide the name, address, and telephone number of the preparer of the form. Buyer/Grantee Information. Buyer(s)/grantee(s) are to provide the full name and address for buyer(s) or entity as applicable. If there are more than two individuals or entities involved in the transaction, additional ownership information must be included in an attachment to this form. The buyer/grantee must also indicate whether the property will be used as a residential primary residence. Signature and Verification. The buyer/grantee, seller/grantor or their representatives must sign one (1) sales disclosure form, or if the parties do not agree on the information to be included on the completed form, each party must sign and file a separate form. If anyone other than the buyer/seller or an attorney of the buyer/seller is filling out the form, a properly executed Power of Attorney must be completed and attached. A person who knowingly and intentionally falsifies or omits any information required on this form commits a Class A infraction, PART 2: COUNTY AUDITOR RESPONSIBILITY The county auditor is responsible for collecting the filing fee as well as ensuring that all parties to the conveyance have completed and signed the form as required. The county auditor may not accept the safes disclosure statement if the statement is not signed by the buyer or seller. If the buyer or seller fails to completely fill out their designated portion of the form, the county auditor may not accept the conveyance document. The county auditor must also confirm the date the property was duly entered for transfer. PART 3: COUNTY ASSESSOR INFORMATION The county assessor is responsible for determining whether or not significant physical changes have been made to the property between March 1 and the date of sale. The county assessor is also responsible for entering property class or use codes, the proper department of local government finance taxing district number, the current assessed value, and neighborhood code information- The county assessor and/or other assessing officials are responsible for verifying the sale as well (note that verification is not required prior to submitting sales data to the DLGF). Sales disclosure forms provided in response to public records requests should not include phone numbers. Definitions Conveyance Document means any document, land safe contract, deed, quitclaim deed serving as a source of title, or other document presented for recording, that purports to transfer a real property interest for valuable consideration. Personal property — items that are not attached (built-in or affixed) to the real estate (land and buildings). This might include items such as washers, dryers, window treatments, stoves and refrigerators. Other items considered personal property are boats and other vehicles, inventories (livestock, goods in process or for trade, or agricultural commodities) and machinery used in farming or manufacturing. I If . I Iq 4M6_JrrA 10. X rats SALES DISCLOSURE FORM State Form 46021 (R516-05) Prescribed by Department of Local Government Finance Pursuant to IC 6-1 t-5.5 PRIVACY NOTICE: The telephone uu numbers of the parties on this confidential according to IC 6 1 1r5.5f a conf I�IIII ��Il��lll�lllllllllll It�lll 3(d). Part of Parcc Parcel Number(s) (Show adddional parcels on separate sheet If necessary) Acreage or Lot Size f;pi,r JJJ8iJJJJJJJJJJJJJJJJ JJJ JJJ ___IJJJJJJJJJJJJJJJJJJJ JJJJJJ � LIJ JJJ�JJJ � Address M of Parcels 133 SOUTH LAUREL ljJ City. Town, or Post Office State ZIP Code SOH E J� J_JJ JJJ Tax Billing Address (if other than property address) City. Town, or Post Office Stale ZIP Code SOUTH BEND J� J�l - JJ IJ Legal Description THE SOUTH 49.60 FEET OF LOT 10 AND THE SOUTH 49.60 FEET, EXCEPT 8 FEET ALONG THE WEST Identify all conditions/items that apply NOTE: If items 12-21 apply, filers are not subject to disclosure filing fee. O1-Buyer is an adjacent property owner O 12-Security interest documents such as mortgages or trust deeds. ® 2-Vacant Land O 13-Leases less than 90 years O3-Exchange for other real property ("Trade') O 14-Document resulting from foreclosure, or express O4-Seller Paid Points; amount If applicable threat of foreclosure, divorce court order, condemnation, ❑ probate or other judicial proceedings. O5-Change planned In the primary use of the property? Describe in O 15-Agreements and other documents for special circumstances. mergers, consolidations, and incorporations O6-Existence of family or business relationship between buyer and seller O7- Land Contract Dated: O8-Personal property Included in transfer-, amount if applicable 01MENUMEN O9- Significant physical changes to property between March 1 and date of sale 6 10- Non -Warranty deed; specify type QUIT CLAIM O11- Partial interest. Describe in special circumstances. Contract Date (MMfDD1YYYY) Sales Price /12 0 0 $ 1 0 O16-Quitclaim deeds not serving as a source of title O17-Documents involving the partition of land between tenants in common, joint tenants, or tenants by the entirety. ® 18-Transfer to a charity, not -for -profit or government institution O19-Transfer for no or discounted consideration, or gift O20-Rerecording to correct prior recorded document 0 21-Easements, Right-of-way grants 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. I r Page 3 INDIANA SALES DISCLOSURE FORM INSTRUCTIONS Indiana law requires a sales disclosure form to be completed when a conveyance document (see definition below) is filed with the county auditor. The county auditor may not accept a conveyance if (1) the sales disclosure form is not included with the conveyance document; or (2) the sales disclosure form is incomplete. A person filing a sales disclosure form shall pay a fee of ten dollars ($10.00) to the county auditor. PART 1: BUYER AND SELLER INFORMATION Property Transferred Information. Either the buyer/grantee or the seller/grantor should provide the parcel number(s) (including all dashes and decimals), full address, tax billing address, lot size, and legal description of the parcel(s) transferred. A legal description is especially important for metes and bounds descriptions and new parcels. If the transaction consists of more than three parcels, an additional list of parcel numbers and lot sizes must be attached to this document. Sales condition slitems. The information in this section is used to determine sales characteristics, establish market value, determine applicability of the sale and for use in ratio or other studies. The appropriate circle or circles should be filled in for all conditions/items that apply to the sale. With regard to personal property (see definitions below), the buyer or seller must enter an estimated value of the personal property included in the sale. Similarly, the buyer and seller must enter the amount of seller paid points as applicable. Please note that while indicating that certain conditions/items will result in not paying a filing fee, the buyer/grantee or seller/grantor is still responsible for completing the form in full. Sales Data. The date and sales price of the property transfer is to be printed in the spaces provided. Any unusual or special conditions of the sale that may affect the sales price or terms of the sales agreement should also be described. SellerlGrantor Information. Seller(s)/grantor(s) are to provide the full name and address for seller(s) or entity as applicable. If there are more than two individuals or entities involved in the transaction, additional ownership information must be included in an attachment to this form. The seller/grantor must also provide the name, address, and telephone number of the preparer of the form. Buyer/Grantee Information. Buyers)/grantee(s) are to provide the full name and address for buyer(s) or entity as applicable. If there are more than two individuals or entities involved in the transaction, additional ownership information must be included in an attachment to this form. The buyer/grantee must also indicate whether the property will be used as a residential primary residence. Signature and Verification. The buyer/grantee, seller/grantor or their representatives must sign one (1) sales disclosure form, or if the parties do not agree on the information to be included on the completed form, each party must sign and file a separate form. If anyone other than the buyerlseller or an attorney of the buyer/seller is filling out the form, a properly executed Power of Attorney must be completed and attached. A person who knowingly and intentionally falsifies or omits any information required on this form commits a Class A infraction. PART 2: COUNTY AUDITOR RESPONSIBILITY The county auditor is responsible for collecting the filing fee as well as ensuring that all parties to the conveyance have completed and signed the form as required. The county auditor may not accept the sales disclosure statement if the statement is not signed by the buyer or seller. If the buyer or seller fails to completely fill out their designated portion of the form, the county auditor may not accept the conveyance document. The county auditor must also confirm the date the property was duly entered for transfer. PART 3: COUNTY ASSESSOR INFORMATION The county assessor is responsible for determining whether or not significant physical changes have been made to the property between March 1 and the date of sale. The county assessor is also responsible for entering property class or use codes, the proper department of local government finance taxing district number, the current assessed value, and neighborhood code information. The county assessor and/or other assessing officials are responsible for verifying the sale as well (note that verification is not required prior to submitting sales data to the DLGF). Sales disclosure forms provided in response to public records requests should not include phone numbers. Definitions Conveyance Document means any document, land sale contract, deed, quitclaim deed serving as a source of title, or other document presented for recording, that purports to transfer a real property interest for valuable consideration. Personal property— items that are not attached (built-in or affixed) to the real estate (land and buildings). This might include items such as washers, dryers, window treatments, stoves and refrigerators. Other items considered personal property are boats and other vehicles, inventories (livestock, goods in process or for trade, or agricultural commodities) and machinery used in farming or manufacturing. Page 2 Pr INDIANA SALES DISCLOSURE FORM Seller 1 - Name or Entity as appears on deed CITY OF SOUTH BEND Address 1400 COUNTY —CITY BUILDING, 227 WEST JEFFERSON State ZIP Code City, Town, or Post Office SOUTH BEND �JI lc�_li Snul Seller 2 - Name or Entity as appears on deed Address Crty. Town, or Post Of(ce State �� ZIP Code I �� JI preparer Name and Address PreparerPhone Buyer 1 - Name or Entity as appears on deed Will this property be the HABITAT FOR HUMANITY, INC. buyers primary residence? ss AddL402 O Yes No EAST SOUTH STREET City. Town. or Post Office state I IN ZIP code ` f n ,1 I _ y�1I—tl SOUTH BEND J JI J J Buyer 2 - Name or Entity as appears on deed Address Stale ZIPCode City. Town, or Post Office Under penalties of perjury, I hereby certify that this Safes isriosure. to the s DisclosureAt1^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 PropertySignature of Buyer Signature of Seller } , Buyer Stgn Date IJ L • Seller Sign Date (MMID6IYYYY) (MMfDDNYYY) Buyer Pnone Seller Phone ..- ,� County Assessor or other assessing oNtcal most verity and complete the following information: between March 1 and date of sale Significant physical changes to property pe class Pro m AV LAND J J J use code iR n � Tarin Dlslrict(DLGF assigner `\\\Cli 6`��r 1 I l LL�� AV IMPV L� Completion O Yes O No O Valyd Sale AV TOTAL Date Entered in Transfer Book ` NEIGHBORHOOD CODE