Laserfiche WebLink
SALES DISCLOSURE FORM <br />State Form 46021 (11817-08) <br />Prescribed by Depariment of Local Government Fmince <br />Pursuant to IC6-1.I-5.5 <br />`f PRIVACY NOTICE: The tcic hone numbers of the p.irLies oil tbi <br />9RT To tie co3npteted by-'BEJYER/GftAiVTEE'aild SELLI <br />PROI?ERTYTRANSFERRED -MUST 13E CONVEYED ONA <br />I. Property Number Check box if applicable to <br />parcel <br />A.J <br />3 - �(� 2 Q ' i 5- <br />[� <br />2. Split <br />❑ <br />3. Land <br />❑ <br />4.Improvement <br />7. Legal Description ofparcel A. <br />2. Split <br />❑ <br />3. Land <br />❑ <br />4. Improvement <br />7. Legal Description of Parcel R, <br />n�rec nuacnnai ac din t ICG-1-]-5.5-3 <br />/GRANTOR <br />NGLE CONVEYANCE D000MI <br />5. Complete Address of Property <br />/3c--;2 fast _ictc <br />;B.:CONDITIONS IDENTIFY ALL'MAT APPLY - <br />If conditions 1-11 apply, filers are subject to disclosure and a disclosure filing fee. <br />YES NO CONDITION <br />❑] I. A transfer of real property interest for valuable <br />consideration. <br />❑ 2. Buyer is an adjacent property owner. <br />❑ [ 3. Vacant land. <br />❑ ® 4. Exchange for other real property ("Trade"). <br />❑ 5. Seller paid points. (ProWdcthe Value'rublcChem 12.) <br />❑ ® 6. Change planned in the primary use of the <br />property? (Describe in special circumstances in Toblc C Item 3.) <br />❑ Q 7. Existence of family or business relationship <br />between buyer and seller. (compieteTablecltem.i.) <br />❑ 0 S. Land contract. Contract term (Yy): <br />and contract date (A6%f1DD/Y-M: <br />❑ 0 9. Personal property included in transfer. (Provide thevalue <br />Table C Item 5.) <br />❑ 0 10. Physical changes to property between March 1 <br />and date of sale. (Describe inspeciarcimumstanccs in Table Citem 3,) <br />® ❑ 11. Partial interest. (Describe in special circumstances in Table C Item 3.) <br />If apply, filers conditions 12-I5 are subject to disclosure, but no disclosure filing fee. <br />YES NO <br />CONDITION <br />❑ <br />12. Document for compulsory transactions as a <br />result of foreclosure or express threat of <br />foreclosure, divorce, court order, judgment, <br />condemnation, or probate, <br />❑ <br />13, Documents involving the partition of land <br />between tenants in common, joint tenants, or <br />tenants by the entirety. <br />[ ❑ <br />14. Transfer to a charity, not -for -profit organization, <br />or government. <br />❑ <br />1S. Easements or right-of-way grants. <br />SDF ID <br />County Year Ualque fD <br />SDF Date: <br />T �, <br />«r <br />6. Complete Tax Billing Address (if different from <br />property address) <br />C,.;SALES•"DATA -DISCLOSE VALUE OF ITEMS. LISTED IN TABLE:B; <br />ITEMS 1.15 <br />1. Conveyance date ihl.kt1DD/YYM: ^ �l L i-/ZX (f <br />/ <br />2. Total number of parcels: <br />3. Describe any unusual or special circumstances related to this <br />sale, including the specification of any less -than -complete <br />ownership interest and terms of seller financing. <br />-v <br />YES NO CONDITION <br />❑ © 4. Family or business relationship existing between <br />buyer and seller? <br />Amountofdiscount: $ <br />Disclose actual value In money, property, a service, an agreement• or other consideration, <br />5. Estimated value of personal roe $ <br />6. Sales rice: $A 96 <br />YES NO CONDITION <br />❑ ® 7. Is the seller financing sale? If yes, answer <br />questions (8-13). <br />❑ Q 8. Is buyer/borrower personally liable for loan? <br />❑ Q 9. Is this a mortgage loan? <br />10. Amount of loan: <br />$ <br />11. Interest rate: <br />% <br />12. Amount inpoints: <br />$ <br />13. Amortizationperiod: <br />