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P. <br />DISCLOSURE OF SALES INFORMATION <br />State Form 46021 (6-93) <br />Prescribed by the Slate Board of Tax Commissioners 1993 <br />S r Pursuant to IC 6-1.1-5.5 <br />rein <br />Paul E. and Iness L. <br />sere! ":rcucry nu nF,er o• 1 r, :• . . <br />1911 S. 1ronwood Dr. <br />C-i-Ly of Sou-L'h Bend, .Indiana <br />i belling <br />South Bend <br />81254 7193 <br />PRIVACY NOTICE <br />Notwithstanding IC 5-14-3, a sales disclo- <br />sure form is not a public record and may <br />only bo used by the Stale Board of Tax <br />Commissioners or persons acting on behalf <br />of the Slate Board of Tax Commissioners. <br />IN .46613 <br />14'Ch Flt . , County -City Bldg: South Bend <br />IN 46601 <br />- 1911 S. TronF_7ood Dr. South Bend <br />1N 46G13 <br />- -'— <br />Parcr,€ cr Kei r:umbe-€ <br />- <br />. Lots 120 and 121 of the Roseland Par], addition <br />St. Jasep]i--._. ...�-..... - - -- -—�-.._� Pr�_ �ag e <br />X'X: Residential Commercial ❑ Industrial <br />. , Mineral Agricultural L] Other (specify) <br />EXEMPT TRANSACTIONS (see instructions on page 2) <br />Does the transaction quality as an exempt transaction? <br />It Yes, specify the number of the exemption and skip to the signature section on page 2. (To determine the number of the <br />Yes iXNo <br />exemption see section entitled 'Exempt Transactions" on page 2) <br />_i <br />Reason number: <br />Declaration of Value <br />Date of Sale <br />l 1 12 ,' , 9 3 <br />6 0 , 0 0 0 . 0_0 <br />-- - - <br />____0 -- <br />�' __0__ - <br />6 0 ; _C ME <br />. o 0 <br />1. Total Sales Price <br />Less: <br />2. Amount of Personal Property transferred to buyer <br />3. Seller paid points <br />4. Net consideration for real properly (item i minus items 2 and 3) <br />Sales Information <br />[check (x) ALL of the following conditions that apply to this safe] <br />J onveyance of entire parcel f 7 Assignment of Contract (explain below) (J Condominium sale <br />+. _j Conveyance of Interest in Land only F' Fulfillment of Prior Year Contract [ <br />_j Purchase of adjoining land <br />iJ Conveyance of Interest in Improvements only [j quitclaim Deed <br />I Land to be operated as a unit <br />)�XConveyance of interest in Land and Improvements L� Personal Property included in transfer <br />Mobile Home <br />Exchange for other Real Properly ("Trade") C_ Existence of a family or business <br />I Splits <br />Significant physical changes to property between relationship between buyer and seller <br />time of last March <br />assessment, 1 and dale of Sale <br />- _.. - - - .. - .- • � . - - sir.' r .enL@5 felt lPO tC 1h-: <br />Buyer is purchasing land for widening of Ironwood Drive. <br />