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Home My WebLink AboutRecording SALES DISCLOSURE,6E iR� SALES DISCLOSURE FORM 6Z, ,, �" ~fib State Fonn 46021(Raly09) 'tit - hi s Prcscnbed by Dvpattncnl of t.ocal Government Fnuncc Purseare to IC61155 ,ana PRIVACY MITIC'l: Taole,nne npma-a Soaal$ttufltyn ion orn,e p-i- na roan en conrtlennfll ccuNiue to 1C IIAI.Ilbn) SDFID County Year Un ique lO SOF Darr. PART 1- To be completed by BUYER/GRANTEE and SELLER/GRANTOR A. PROPERTY TRANSFERRED - MUST BE CONVEYED ON A SINGLE CONVEYANCE DOCUMENT /. Properly Number Check bax ifapp/icable La Parcel 5. Complete Address of Property 6. Complete Tax Hitting Address (Idiffereat from prop,,tv address) A.) 29-09-34-011-009.000-018 ❑ 2. Split ® 3. Land 473 Simon Drive, Carmel, IN 46032 4631 Lisburn Drive, Carmel, IN 46033 ❑ 4. fro,Pemmt 7. Legal Description of Parcel A: THE HAM LET AT JACKSONS GRAN 1, Section 1, Lot R.) 29-09-34-011-010.000-018 ❑ 2. Split ® 3, Land ❑ 4. Inr rovement 477 Simon Drive, Carmel, IN 46032 4631 Lisbon Drive, Cannel, LN 46033 7. Leg al Description of Parcel B: THE HAMLET .AT JACKSONS GRANT, Section 1, Lot 10 B. CONDITIONS - IDENTIFY ALL THAT APPLY C. SALES DATA- DISCLOSE VALUE OF ITEMS LISTED IN TABLE B, ITEMS 1-15 lfcondiliun I applies, Gler is subject to doclone, and a Ji.clusum Glint' fee. YES NO CONDITION N ❑ 1. A transfer of real property interest for valuable 1. Conveyance date (MM/Dn/Ym'): 94/e/2020 2. Total number of parcels: THREE (3) consideration. 3. Describe any unusual or special circumstances related to this ❑ N 2. Buyer is an adjacent property owner. sale, including the specification of any less than complete N ❑ 3. Vacant land. ownership interest and terms of seller financing. ❑ N 4. Exchange for other real property ("Trade"). Total Price = $290 661 ❑ N 5. Seller paid points. (Pr„,dde,le.(1,,7aeleClre,n 12.) ❑ N 6. Change planned in the primary use of the Lot 9 = $96 887 property? ......anee. in mble t ee,,, 31 Lot 10 = $96 887 ❑ N 7. Existence of family or business relationship Lot 15 = $96 887 between buyer and seller. (cr„nrrlele r nlrCIt- 4.) ❑ N 8. Land contract. Contract term ryrl: _ and Contract date (Mnl/n2Yyyy). ❑ N 9. Personal property included in transfer. oci,oideme YES NO CONDITION ❑ ❑ N N -ble Table COem iJ 10. Physical changes to property between March 1 and date of sale.(Deevnn.;,reprrmtri..,n.niz-avioTehn,C 11eo, 3J 11. Partial interest. (Drm.inr in.+yzcial circmnslancer in Ta61e COe,u ❑ N 4. Family or business relationship existing between buyer and seller? Amount of discount: $ Disclose atrial value in money, property, a service, an agreement, or other consideration. ❑ ® 3.1 12. Easements or right-of-way grants. If conditions 13-I5 apply, filers are subject to disclosure, but no disclosure filing fee. 5. Estimated value of personal propery7 $0.00 6. Sales rice: $290,661-00 YES NO CONDITION ❑ ® 13. Document for compulsory transactions as a YES NO CONDITION result of foreclosure or express threat of ❑ N 7. Is the seller financing sale? If yes, answer foreclosure, divorce, court order, judgment, questions (8-13)- condemnation, or probate. ❑ ❑ 8. Is buyer/borrower personally liable for loan? ❑ N 14. Documents involving the partition of land ❑ ❑ 9. Is this a mortgage loan? between tenants in common, joint tenants, or tenants by the entirety. 10. Amount of loan: $ 11. Interest rate: % ❑ ® 15. Transfer to a charity, not -for -profit organization, or government. 12. Amount in points: $ 13. Amortization period: ,roof sT+>p'� SALES DISCLOSURE FORM Stale Form 46021(R9/909) 0 a t, Prescribed by I1,1-5 ern of Local Government Finence r+\ - Pursuant& [o IC b-L IS.i PRNAL'Y NOTIC[: The MIepM1ooe numlwsanJ Socu15¢uritsnumbersolthe Paolo on @i, form am confJcmial SDF ID County Year Unique ID SDF Date: PART 1 - To be completed by BUYER/GRANTEE and SELLER/GRANTOR A. PROPERTY TRANSFERRED - MUST BE CONVEYED ON A SINGLE CONVEYANCE DOCUMENT 1. Property Number Check box ifapplicable to arcet 5. Complete Address of Property 6. Complete Tax Billing Address (if different from ro erN address A.) 29-09-34-0117015.000-018 ❑ 2. Split ® 3. Land ❑ 4. Lm rovement 12110 Sigillary Way, Carmel, IN 46032 4631 Lisburn Drive, Carmel, IN 46033 7. Legal Description of Parcel A: THE HAMLET AT.IACKSONS GRAN 1, Section 1, Lot 15 B.) ❑ 2. Split ❑ 3. Land ❑ 4. Improvement 7. Legal Description of Parcel B: B. CONDITIONS - IDENTIFY ALL THAT APPLY C. SALES DATA- DISCLOSE VALUE OF ITEMS LISTED IN TABLE B, ITEMS 1-15 If condition I applies, filer is subject to disclosure and a disclosure filing fee. YES NO CONDITION ® ❑ L A transfer of real property interest for valuable �J 1. Conveyance date (MM'DI):YY»'J: 04//2020 2. Total number of parcels: THREE (3) consideration. 3. Describe any unusual or special circumstances related to this ❑ ® 2. Buyer is an adjacent property owner. sale, including the specification of any less than complete ® ❑ ❑ ® 3. Vacant land. 4. Exchange for other real property ("Trade"). ownership interest and terms of seller financing. Total Price = $290 661 ❑ ® 5. Seller paid points. (rrnride the Paae 74hreCoen, /z, ❑ ® 6. Change planned in the primary use of the Lot 9 = $96 887 property? (Je.,mmr Inayovrej ,musermy e,in aahk (Irmo 3.) ❑ ® 7. Existence of family or business relationship Lot 10 = $96 887 Lot 15 = $96,887 between buyer and seller. (cur,b,re7 meci,enr,.) ❑ ® 8. Land contract. Contract term (rr): and contract date (snail) rrrr): ❑ ® 9. Personal property included in transfer. (Proaidrh.. VEs No CONDITION El ❑ ® ® ,,rme Table C Lem s.) 10. Physical changes to property between March 1 and date of sale. (Deerrf5e in.,7,..ia/,Ter smncr in iW,C 1o,m1) 11. Partial interest.(lJencrihe in.+prcia/cirvmvrnnces in 7ob/e(hear ❑ ® 4. Family or business relationship existing between buyer and seller? Amount of discount: $ Disclose actual value in m°ney,property, aservice, an agreement, or other consideration. ❑ ® 3) 12. Easements or right-of-way grants. If conditions 13-15 apply, filers are subject to disclosure, but no disclosure filing fee, 5. Estimated value of personal roe $0.00 6. Sales rice: $290,661.00 YES NO CONDITION ❑ ® 13. Document for compulsory transactions as a YES NO CONDITION ❑ ® result of foreclosure or express threat of foreclosure, divorce, court order, judgment, condemnation, or probate. 14. Documents involving the partition of land ❑ ® 7. Is the seller financing sale. If yes, answer questions (8-13). ❑ ❑ 8. Is buyer/borrower personally liable for loan? ❑ ❑ 9. Is this a mortgage loan? between tenants in common, joint tenants, or tenants by the entirety. 10. Amount of loan: $ ❑ ® 15. Transfer to a charity, not -for -profit organization, or government. 11. Interest rate: 12. Amount in points: $ 13. Amortization period: raze Z D.PREPARER ESCROW OFFICER Prepare. afthe Sales D[vclasure Farm. Title 4630 LISBORN DRIVE TITLE LINKS LLC Address (Nlanher "I'd Street) Can leiny CARMEL, IN 46033 (317) 815-4462 office@titlelinksllc.com City, State and 71P Cod, Telephone Number E-mail E. SELLER S /GRANTOR S HDC, LLC Seller I - Name as.ppeara on converance document Seller 2 -Name as appears on convevance document 4631 Lisbom Drive Address (NII/nber a,a1 Street) Address (Number and Streer) Cannel IN 46033 City, State and ZIP Code City, State and ZIP Code 317-574-7616 Telephone A' her E-mail Tel, hone Numher E-mail Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, it true, correct and comp) as requ' d by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". rC -_ Signature q(Selle, Signan" r fBeller John E McKenzie Dulv AQ rized Signatory 041A /2020 Printed Name o/ Seller Sign Date (MM/DD/YYYY) Printed Name fSeller Si n Date (MM/DD/YYYY) F. BUYER S /GRANTEE S - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL ITEMS THAT APPLY Homes by McKenzie Inc Buyer 1-Name as nppears an convevance document B,.,er 2 - Name as appears on convevance document 4631 Lisbom Drive Address (Number and Street) Address (Morris r and Street) Carmel IN 460323 - City, State and ZIP Cod, City, State rsad ZIP Code 317-574-7616 Telephone Nimebe, E-muil Telephone Number E-mail THE SALES DISCLOSURE FORIM YIAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY YES NO CONDITION YES NO CONDITION ❑ ® 1. Will this property be the buyer's primary ❑ ® 3. Homestead residence? Provide complete address of primary ❑ ® 4. Solar Energy Heating/Cooling System residence, including county: ❑ ® 5. Wind Power Device 4631 Lisbom Drive El® 6. Hydroelectric Power Device Address(Matherandsaeet) Cannel IN 46033 HAMILTON ❑ ® 7. Geothermal Energy Heating/Cooling Device ❑ ® 8, Is this property a residential rental property? city, State ZIP code C,,,eN ❑ ® 2. Does the buyer have a homestead in Indiana to be ❑ ® 9. Would you like to receive tax statements for this vacated for this residence? If yes, provide property via e-mail? (Provide contact information complete address of residence being vacated, below. Please see instructions for more including county: information. Not available in all counties) Address (Number and Street) Cirv, State ZIP Code counry Prima env owner camactmm�e E-mail 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 by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".(Note: Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deductionfi beingld d.) !�- Signatare afBnver 1 qq �, Signature of Buyer 2/Spoare John E. McKenzie, Presiders 04/d I /2020 Printed Legal Name of Buyer I Sign Date (MM/DD/YYYY) Printed Legal Name of Buyer 2/Spouse Sign Date (.V.V1DD/YYYY) Last 5 digits of Buyer I Driver's .State Last 5 Digits of Social Securi p1,Number Last 5 digits of Buyer 2/Spouse Driver's State Last Digits ofSoclat Securlry Number License/ID/Other Number License/ID/Other Nmrdrer INDIANA SALES DISCLOSURE FORM SDF ID: Page 3 PART 2—COUNTY ASSESSOR The count assessor must verify avd eom lm items 1 till. h 14 and surup the state disclosure form before sending to the auditor 1. Properly 2. AV Land 3. AV Improvement 4. Value of Personal P,.P,,,ty 5 AV Total 6. Property Class Code 7. Neighborhood I Code 8. Tax District 1 9, Acreage A-) B.) Assessor Stamp 10. Identify physical changes to property between March I and date of sale. YES I NO CONDITION ❑ ❑ 11. Is form completed? ❑ ❑ 12. State sales fee required? 13. Date of sale (MMIDDiYrro 14. Date form received (mecmonrrY): Items 15 through I8 are to be completed by the assessor when validating this sale: 15. If applicable, identify any additional special circumstances relating to validation of sale. YES I NO CONDITION ❑ ❑ 16. Sale valid for trending? ❑ ❑ 17. Validation of sale complete? 18. Validated by: PART 3 — COUNTY AUDITOR Auditor Stamp 1. Disclosure fee amount collected: $ 2. Other Local Fee: $ 3. Total Fee Collected: S 4. Auditor receipt book number: 5. Date of transfer (,M/Dmrvrvl: YES NO I CONDITION ❑ ❑ 6. Is form completed? ❑ ❑ T Is state fee collected? ❑ ❑ 8. Attachments complete? DEDUCTION OF 04/08/2020 SDFID SDF Date (MMIDIVY)'M 29-09-34-011-009.000-018 & 17-09-34-00-11-009.000 Parcel Alo.br Check all that apply: El Homestead El Solar Energy ❑Wind Power ❑ Hydroelectric ❑ Geothermal ❑ Rental Property n Electronic Statement (e-mail) Homes by McKenzie, Inc. Brg,er I —Name as appears on convepamae don<ment 473 Simon Drive Carmel, IN 46032 Addrerc t fProp,,Iy (Number and S1.d Carmel, IN 46032 On, Stme, a,,d ZIP Code ojProperm Auditor Signann e Date (VVIDD/YYYY) A person who knowingly and intentionally falsifies value of transferred real property, or omits or falsifies any information required to be provided in