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#3163- Deed; QUIT-CLAIM DEED Lot 124 Oak Grove 1st Addition
3 �3 8/l/2006 Quit Claim Deed 18-2021-0651 LOT NO, SUB: Habitat for Humanity, Inc. 103 Carlisle Description: Lot 124 Oak Grove 1 st Addition 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 CITY OF SOUTH BEND STEPHEN J. LuECKE, MAYOR BOARD OF PUBLIC WORKS August 21, 2006 Habitat for Humanity 402 East South Street South Bend, Indiana 46601 RE: Quit Claim Deed Key No. 18-2021-0651 Dear Sir or Madam: PHONE 574/ 235-9251 FAx 574/235-9171 TDD 574/ 235-5567 The Board of Public Works recorded the above Quit Claim Deed with the St. Joseph County Recorder's Office August 1, 2006. The original deed is enclosed for your records. If you have any questions, please call me at (574) 235-9251. Sincerely, Angela Kj Jacob, Cler Enclosure GARYA. GILOT, P.E. CARL P. LITTRELL, P.E. DONALD E. INKS PRESIDENT MEMBER MEMBER """`5 IAI J6. JUNC')II l.011111y, IIICjlilll�l y4c & -��yu\d 0 (� ,Z)632�!6Es 1 RECORDED AS PRESENTED ON Mail Dee To: Habi a r Humanity 402 So Street Sou h Bend, 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 08/01/2006 01:33:24PH TERRI J. RETHLAKE ST. JOSEPH COUNTY RECORDER REC FEE: $17.00 PAGES: 1 Auditor's Record Transfer No.� Taxing Unit Date Key No. 18-2021-0651 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: Lot 124 Oak Grove 1" Addition Commonly known as 103 Carlisle, South Bend, Indiana 46628 Signed and dated on the y .� da of 2006. CITY OF SOUTH BEND X2�,! 4.4 (�,L Stephen J. LucWe, Mayor J d_ (:�Zhn oorde, 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 Voordc, City Clerk, respectively, of the City of South Bend, and acknowledge the execution of the foregoindeed on 1 l I -t- o , 2006. My Commission Expires: +� Mycv5 Notary Public ZI f�' dg' Residing ifrSt. Joseph County, Indiana I affirm under the penalties for perjury, that I have taken reasonable care to redact each Social Security number i nthis document, unless required by law, Thomas L. Bodnar. Prepared by Thomas L. Bodnar, Assistant City Attorney, 1400 County -City Building, South Bend, IN 46601. DULY ENTERED FOR TAXATION MICRIM C. EBY ST. JOSEPH CO. INDIANA 1 i SALES DISCLOSURE FORM Slate Form 48021 (R4/9-04) PRIVACY NOTICE: The telephone numbers of the parties nthis form re Prescribed by Department of Loral Government Financence confidential according to IC 6 1.1 5 5 Ilf(�fl(IIII(III1(Il�(I��(INf [IIII(llf ill( I Pursuant to IC 8.1 1.5.5 3(d), Parcel Number(s) (Show additional parcels on separate sheet if necessary.) Acreage or Lot Size Pan of Parrs lard J�J 1 0 2 1 JJ� 5 I iJJJ J 1 1 i JJJ_I JJJ J jb�]� o JJJJJJJJJJJJJJJJJJJJ JJJ J.JJ o _iJJJJJJ I I_UJJ�JJ�JJ�J_iJ �_,_I_' JJ ' '=- Address 9 of Parcels 103 Carlisle �I i City, Town, or Post Office Stale ZIP Code JA j4ddA 81 - JAJJ South Bend Tax Billing Address (if other than property address) 402 E. South Street City, Town, or Post Office Stale ZIP Code I� South Bend --- T INt JJ16IO]lj J�JJ Lot 124 Oak Grove tat Addition Identify all conditions/items that apply 0 1-Buyer is an adjacent property owner 0 2-Vacant Land 0 3-Exchange for other real property ('Trade") o. 4-Seller Paid Paints; amount if applicable $ I � . F_ -I _J� , 0 5-Change planned in the primary use of the property? Describe in special circumstances. NOTE: if items 12-21 apply, filers are not subject to disclosure filinq fee. 0 6-Existence of family or business relationship between buyer and seller 0 7- Land Contract Dated; oB-Personal property included in transfer, amount if applicable 0 9- Significant physical changes to property between March 1 and date of sale © 10- Non -Warranty deed; specify type Q u I t C l a i m 0 11- Partial Interest Describe in special circumstances. 0 12-Security interest documents such as mortgages or trust deeds. 0 13-Leases less than 90 years 0 14-Document resulting from foreclosure, or expre4. ss threat of foreclosure, divorce court order, condemnation, probate or other judicial proceedings. 0 15-Agreements and other documents for mergers, consolidations, and Incorporations 0 16-Quitclaim deeds not serving as a source of title 0 17-Documents involving the partition of land between tenants in common, joint tenants, or tenants by the entirety. O18-Transfer to a charity, not -for -profit or government institution 0 19-Transfer for no or discounted consideration, or gift 0 20-Rerecording to correct prior recorded document 0 21-Easements, Right-of-way grants Contract Cate (MM/DCffyyy) Sales Price - FT I Describe any unusuaf or special circumstances related to this sale, including the specification of any less -than -complete ownership interest and terms of seller financing. Nq .4 ® Page 2 IINDIANA SALES DISCLOSURE FORM Seller t - Name or Entity as appears on deed City of South Bend Address 227 W. Jefferson Blvd. Ste 1300 City, Town, or Post Office State Z,,IP Code south Bend J'J ,4J�lIJQ 11 IJ—� Seller 2 - Name or Entity as appears on deed Address City, Town, or Post Office State J ZIP Code �U-1 Title Company Name rif appficabfe) Title Company �Phone I . Buyer 1 - Name or Emily as appears on deed _ — �— WII this property be the Habitat for Hunan i t y buyers primary residence? Address O Yes O No 402 E. South Street State ZIP Code City, Town, or Post Office _ _ FSouth Bend I f\ 6uwer 2 - Name or Entity as appears an deed Address City, Town, or Post Office State ZIP Code Under penalties of perjury, I hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is true, correct and complete as required by law, and is prepared in accordance with IC 6-1.15.5, "Real Property Sales Disclosure Act". Signaturewf B er Signature of Seller r = !� SSi ate (MM/OD(Myer Sign Date Seiler Jt I� I Mid (MMlD [YYYY)1 G� M'1'Y) (J Seller Phone Buyer Phone m County Assessor or other assessing ofrcal must verity and complete the following Information: Significant physical changes to property between March 1 and date of Sala �� f Property class ` AV LAND J F•:Ie�I'i�' .i':�.7-^'. t)7'�'yl,,� dry $ usa cotle Tailing District (f7LG IF assigned) AV IMPV Completion � No I AV TOTAL O Valid Salo Date Entered in Transfer Book _—�—I L! ICJ —1I—J..J�� �J� —! NEIGHBORHOOD CODE