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#3164- Deed; QUIT-CLAIM DEEDLot 85 Hartman's and Miller's Addition
304 8/i/2006 Quit Claim Deed 18-5099-3499 LOT NO. SUB: South Bend Heritage Foundation, Inc. 1147 Burns Description: Lot 85 Hartman's and Miller's Addition 1316 COUNTY -CITY BUILI)ING 227 W. JEFFERSON BOULEVARD SOUTH BEND, iNDIANA 46601-1830 CITY of SOUTH BEND STEPHEN J. LUECKE, MAYOR BOARD OF PUBLIC WORKS August 21, 2006 South Bend Heritage Foundation 803 Lincoln Way West South Bend, Indiana 46616 RE: Quit Claim Deed Key Nos. 18-5099-3499 18-5100-3536 18-5101-3556 Dear Sir or Madam: PHONE 574/ 235-9251 FAx 5741235-9171 TDD 5741235-5567 The Board of Public Works recorded the Quit Claim Deeds with the St. Joseph County Recorder's Office August 1, 2006. The original deeds are enclosed for your records. If you have any questions, please call me at (574) 235-9251. Enclosure Sincerely, r Angela Jacob, C1 rk GARYA. GILOT, P.F. CARL P. L.ITIRELL, P.E. DONALD E. INKS P RES I D ENT MEMBER MEMBER 40 � J - 6MA61 t (Jn� 0 6 3 2 6 6 0 RECORDED AS PRESENTED ON 08/01/2006 01:33:23PH Mail Deed o: Mail Tax Bills To: South end Heritage Foundation 803 inc Way West Sou Bend, IN 46616 QUIT CLAIM DEED Civil City of South Bend, Indiana Conveys and Warrants to South Bend Heritage Foundation the Grantor the Grantee TERRI J. RETHLAKE ST. JOSEPH COUNTY RECORDER REC FEE: $17.00 PAGES: 1 Auditor's Record Transfer No.s57� 9 LS Taxing Unit Date tl-(—/-D/., Key No. 18-5099-3499 for Ten Dollars ($10.00) and other good and valuable consideration the receipt of which is hereby acknowledged, Real Estate in St. Joseph County, in the State of Indiana described as follows: Lot 85 Hartman's and Miller's Addition Commonly known as 1147 Burns, South Bend, Indiana 46617 Signed and dated on the I `'„ day of a 2006. CITY OF SOUTH BEND Stephen J. Lue e, Mayor John oorde, City Clerk STATE OF ]NDIANA, ST. JOSEPH COUNTY, ss: Before me, a Notary Public in and for said County and State, personally appeared Stephen J. Luecke, Mayor, and John Voorde, City Clerk, respectively, of the City of South Bend, and acknowledge the execution of the foregoing deed on -7 1 -�_ , 2006. My Commission Expires: 96L 1y ^& MyLrS Notary Public l 2` I g'( p � Residing in St. Joseph County, Indiana I affirm under the penalties for perjury, that I have taken reasonable care to redact each Social Security number i rithis document, unless required by law, Thomas L. Bodnar. Prepared by Thomas L. Bodnar, Assistant City Attorney, 1400 County -City Building, South Bend, IN 46601. DULY ENTERED FOR TAXATION MIC'r4P0 C. E13Y ST. JOSMI CO. INDIANA .' �q'i.. STA T fi O SALES DISCLOSURE FORM �; _ t' ' ➢ State Form 46021 (RQ944) PRIVACY NOTICE; The telephone N _ A' cnumbers of the onfidential according parties tan this o IC 8 form are _ Prescribed by Department of Local Government Fnance Pursuant to IC 6.1.1-5.5 3(d). Parcel NumberWert ci -o,$) (Show additional parcels on separate sheet if necessary.) Acreage or Lot Size (sl JJJ o 9 J� 4 IJiJJ_1JIJ IJ_I I�JF _IJJJ-JJ1 ► c JJ JJJJJJJJJJJJJJJJJ JJ JJJJJJ c Address J JJ JJ Li JJJJJ IJJJ_JJ J 1J.JJJ 0 # of Parcels k 147 Burns JJJ City, Town, or Post Office State ZIP Cade South Bend I J JJJJ - JJ_JJ Tax Billing Address (if other than orcoerty address) 1 803 Lincoln !day !lest City, Town, or Post office State ZIP Code F South Bend Zkil A 6161J6 JJJJ Lot 85 Hartman's and Miller's Addition 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 n2-Vac3nt Land O3-Exchange for other real property ("Trade") O4-Seller Paid Points; amount if applicable 0 JJT O5-Change planned in the primary use of the property? Describe in special circumstances. O6-Existence of family or business relationship between buyer and seller O7- Land Contract Dated: OB-Personal property included in transfer; amount if applicable $J 1� � O9- Significant physical changes to property between March 1 and date of sale 10- Non -Warranty deed; specify type 4U It C l a! m O11- Partlal intere$t Describe In special circumstances. Contract Date (MM/DD/YYW) Sales Price Descnbe any unusual or special circumstances related to this sale, including the specification of any less -than -cal I1 O12-Security Interest documents such as mortgages or trust deeds. O13-Leases less than 90 years O14-Document resulting from foreclosure, or express threat of foreclosure, divorce court order, condemnation, probate or otherjudicial proceedings. O15-Agreements and other documents for mergers, consolidations, and incorporations O16-Quitclaim deeds not serving as a source of title O1?-Documents involving the partition of land between tenants in common, joint tenants, or tenants by the entirety. (�( 19-Transfer to a charity, not -for -profit or government tiJ Institution O19-Transfer for no or discounted consideration, or gift O20-Rerecording to correct prior recorded document O21-Easements, Right-of-way grants , Clete ownership interest and terms of seller 61 -A A INDIANA SALES DISCLOSURE FORM Page 2 n i Seller I - Name or Entity as appears on deed City_ -of South Bend Address 227 West Jefferson Blvd., Ste 130.0 City- Town, or Post Office Stall a ZIP Code j South Bend �IJ N1 ���_j� I I I Salley 2 -Name pr Entity as appears on deed Address City, Town, or Post office State ZIP Code Tice Company Name (if applicable) Tile Company Phone Buyer I- Name or Entity as appears on deed lWilt this property be the South Bend Heritage Foundation I buyer's primary Address residence? 803 Lincoln Clay West O Yes O No City, Town, or Post Office _l State ZIP Code f South Bend 1 -LU -J16 16J, U - JJ-J-J Buyer 2. Name or Entity as aooears on deed Address C,y, Town, or Post Office State ZIP Code 11 _ f 1 L1 I I I - III J Under penalties of perjury, I hereoy certify that this Sates Disclosure, to the best of my knowledge and belief, is true, correct and complete as required by law, and ,s prepared in accordance with IC fi-1.1S.5, "Real Property Sales Disclosure Act". Signature of Seller Signature of Buyer G Seller Sign Date y IJ Buyer Sign Dale (MMJDO YYYY) U ! I / Z I L U U I G (MMIDOrr—) / I (/121 Of O Seller Phone Buyer Phone �iTZ S—Jd—��J- ?JK�V —)J(g I& IL01 County Assessor or other assessing offlcai must verify and complete the following information: OSignificant physical changes to property between March 1 and dale of sale AU01TOFd S FqX 5TAIS4P f I ! ©AV LAND —J—J-1 Property class use code Taxing District (DLGF assigned I I I I I AV IMPV Completion O Yes ONO I j�_I� J I Date Entered in Transfer Book + I '�—J__-_.J AV TOTAL O Valid Sale / =1 /—��� �_U_ U-11 NEIGHBORHOOD CODE