SALES DISCLOSURE FORM Form 46023 Fursuazit to EC according to if.? by Department of Locai Government *9 if 49 {.2023 12473120 Unique ID SDF ID I County Year Date: PIHVACY The telephone numbers ofthe parties on this form are confirientiai en. RT 1? Te e_..eRePeRT. 1. Property Nrimber Check box if applicable 5. Complete Address 6, Complete Tax Biimng Address to parcel from property Parcel Number: 0 in 2_3p?gt 8315 Codesse Way Iiadialxapolis Ceits Pete Word; PO Box E7 Indianapolis, mi 46278 53500 3- Wm? 45253 7. Legai Description: Lot 139 in Waders Poiute Townhomes, Replat ofi.ots 139~14?1- and Block ofthe iunended Piat'l?rader3 it TABLE -. - I is subject to emf a fee 1. A transfer of reel p1'0pe2'ty interest for vaiuabie consideration. 2. Buyer is an adjacent property owner. EW 3.Vacantia11ci. 4-. EXi.?h.?1l1g?3 for oti:e1'1'eai }n'ope1'ty. S. Seiiez? paid points. {Provide the value Table czrem 12.} 6. Change piazmed in the use of the p:'ope1'ty? {Describe in special in Item 3) if 7. 1'-Ixisteswe of family or business reiationship between buyer and seller. 8. term (YYJ: 0 Lanti Contract Date 1. Conveyance (fate 06/2772013 2. Total Numiser ot'pa1'ceis: 3. Describe any unusual or speciai circuznstances reiated to this sale, inciutiilzg the specification ofany iess-tiian-complete See a?tachmem.?sfor appilcabfe 9. Personal pz'0pez?ty inciudeci in t1'ansfei'. {Describe in Specfaf in TOMB Item in 10. Physical changes to pI?0pe1?ty between March 1 and date of sale. in special circumstance in Table (I Item 3} 4. Fainiiy or business reietionslzip existing between buyer and selier? Amount of discount: $0.00 Disclose amm-I mine in money, property, :2 ser'vi?ce, an agreement, or other 11. Part?ai interest. Ta?IieC!?em3} 5. Estimated Veiue ofpersona} property: $0.00 12. I?iesements grants. 6. Sales price: $139,500.00 ffcorzrfitions I3 - IS rzppiies, file!? is saibject to dfsciosaire and a in 13. Document for compuisory transzictioms as resuit of f0s?eci0sm'e express threat 0ff0I'eciosuI?e, divorce, court condemnation, or probate. Em? 7. is the seliei? sale? ifyes, answer questions (8-13) im B. is pe1?sona}ly iiabie forioeil? 9. is this a mortgage ioazi? 14. Docziments involving the partition ofiand between tenants in common, join tenants, by the entirety F7 15. ?i?1?ansfe1' to a cizarity, o1'gem'zatio1: 10. Amount ofiozm: $0.00 11. Interest rate: 0.000091: 12. Amoimt in points: $0.00 13. Amortization Period: 0 {xiv 2 01' g0"v'BI'n Inent rm?. 0% Ur C) We? SDF ID: sates DISCLOSURE FORM Krug Under penaities of perjury, I hereby certify that this Sales Disciosure, to the best ofmy knowledge anti belief, is true, correct Deborah K. Bates Ciosincz Of?cer Preparer ofthc Disciosyre Form Titfc 920? N. Meridian Street. Suite ?$00 Titie Services. LLC xiddresx 1' Number and Street} inciiananoiis, EN 46260 .. . i City, and ZIP {Jade Tefep?xans Nmnbe: - Warns as appears on we as \3 and Freer) Address and Stree Kasswwaxxtn is-3 W375 Ca?: State, at Coda I - Nmm: a 'appc'{1r$ an Suzie, and ZIP Code Mrmber Teiepfmm: RA is prepared in accordance with IC 6-1.1-5.5, "Reai Pr0;Je1'ty Saies Disclosure Act". and c0r11;)1ete z??ti by in ll 7 afsefisr Evans Krug _P:-mesa? Name oISeffer 573:1 Dare 2009 Biue Trust 325 157/ 3 52ham}. as ocu?wat Buyer Hume asappearson mi? - Address am} Street} State, and ZIP Code . . I Xlephom: E-amait? Telephone Nurrzber MAY BE USED TO APPLY FOR FOR THIS OF TIMT YES NO CONDITION YES NO [3 1. Wili this pznperizy be the buyer?s girimary 3. Homestead residence? Frovide complete address of primary 4_ 303;} 1. System 3'esidence,incIL2diz county- . . ?5 57% Wind Powel Device 5- iiestin I Ceoiina Device 8 I gy 2 . . .Ist1.is )1?(me2?t a1?esi:er1t1a rent?: roiertf. 2. Does the buyeriaaveahomesteaci HI imizanaitobe I I 3 would you iike to receive tax statements for this property via e-maii? [Provide contact befow. Pfease see Nat czvriifabie in as?! counties.) vacated for this :?esicieI1ce? Ifyes, provide compiete address of residence being vacated, inciuding county: and Street) ?are ZIP {fade County owner Umier penalties of periury, I hereby certify that this Sales Disciosure, to the best of my knowledge and belief, is true, corre ct anti complete as reqlzireci by law, and is prepareti in accorcizmce with EC "Real Property Sales Disciosure Act". Wore: Spouse inforniation, Social Security and Driv "s Lic /?Other numbers are11otnecesszu'yifz1o Homestead Deduction is Danie: Emerson 'l?msiee, by Steve Decatur AIF 3 Legal Name I 5 13:: I) 1 Printed Legaf Home o?iayer 2/Spozxse Sign Date 5.05: .1 arm-re Last 5 Digit? ofsocial Security Nmnber Last 5 digits of Buyer 2/Spouse Driver's Stare Last 5 Digits 92:33:: 9/ED/other Number 5 Number Number . . . - .. . - - - - - - INDIANA SALES DISCLOSURE FORM 49~2013-24373120 Page 3 PARTZ-COUNTYASSESSOR - - The county assessor must verify and compiete items 1 through 14 and staxnp the sales disclosure Form before sending to the auditor: 1. Par reel 2. A Land 3. A 4. A Pars one! 5. Term? 1% G. I?roperty 7. 8. 9. A crenge Improvement Crass Code Code Agsessgy Si;a111p 10. Identify physical changes to property Between Marc}: 1 I-md 4333 date ofsale. is farm completcci? . . . ?Ton 12.Sa}es me 1-equzred.? 13. Date cfsaie 4, . us ..1 3 14. Date form received Items 15 through 18 are to he completed by the asst':ss01' when vaiidaling this saie: anyguiglltionpl r_eiati:compiete? 18. by: PART 3 - Auditor Stamp ,3 2. Disciosure fee amount collected: 6. is form 2. Other Loss} Fee: 7.13 fee coliected? 4. .??1udito1' receipt book 5. Date I 4 Recitzer F012 STATEM ENT OF (312 ASSESSED SDF ID Buyer 2 - as appears on corweyaxare :1oc::me::1 Pu me! Nmnber Address of Property {Nurnmer c.-mi Chuck An that Appiy: City, State, amx?Z;?P Cede of Property SOEGY Wind P0\?r?er Auli?orsfy?afure Date ?ydroeieclris: Geothermal} Rental Property {u Electronic I . A person who knowingly and ilzteutiunaiiy Faisi?es value nftransferred real property, or omits or falsi?es any information required to be provided in the sales disclosure form commits a (3355 felony.