Laserfiche WebLink
P INDIANA SALES DISCLOSURE FORM <br />Page 2 <br />14 <br />Seher 1 - Name or Entity as appears on deed <br />Perfection Bakeries, Inc. <br />Address <br />350 Pearl St. <br />rF <br />y, Town, or Post Office state <br />t. Wayne �J <br />Seller 2 - Name or Entity as appears on deed <br />Address <br />City, Town, or Post OKce State <br />Title Company Name (if applicable) _ Title Company Phon <br />Buyer 1 - Name or Entity as appears on deed <br />City of South Bend <br />Address <br />1316 County -City Bldg, 227 W. Jefferson Blvd. <br />Cily, Town, or Post Office State <br />South Bend, <br />Buver 2 - Name or Entity as appears on deed <br />Address <br />ZIP Code <br />���] �]_J _1-1-1j <br />ZIP Code <br />JJ _! <br />Will this property be the <br />buyers primary <br />residence? <br />OYes ,10 No <br />City, Town, or Post Office State ZIP Code <br />Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete as required bylaw, and <br />Is prepared In accordance with IC 6-1.1-5.5," at Property Sales Disclosure Act". <br />Signaku201aler 51 J I Bu <br />i11 <br />FSeiler <br />ign Dale rM <br />Buyer Sign Date FTMI/F/ <br />ig Dat v I C� (MMIDDM YY) <br />Buye <br />�l �7rnJJ —1JJ <br />PART 2 - COUNTY AUDITOR PART 3 - COUNTY OR TOWNSHIP ASSESSOR <br />County Assessor or other assessing offical must verify and complete the following information: <br />OSignificant physical changes to property between March 1 and date of sale <br />Prope <br />AUDITORS FILESTANIP $ L� AV LAND J `-1 J use usecdydass <br />code <br />Taxing District (DLG IF asslgnet <br />$ � AV IMPV —1-1-1 k_� <br />Completion O Yes O No <br />' l � AV TOTAL 0 Valid Sale <br />Date Entered in Transfer Book l �` <br />NEIGHBORHOOD CODE <br />m 1 C� � JIJ JJJJJJ <br />