State Form 46021 PDF Details

The State 46021 form, officially known as the Sales Disclosure Form, stands as a significant document within the Indiana property transaction landscape, meticulously designed and mandated by the Department of Local Government Finance. This documentation plays a pivotal role in the conveyance process, ensuring transparency and compliance with IC 6-1.1-5.5, the Real Property Sales Disclosure Act. Its comprehensive structure demands detailed input from both buyers/grantees and sellers/grantors, capturing essential data including property transfer details, conditions affecting the sale, and intricate sales data. With strict guidelines protecting personal information, the form strikes a balance between required disclosure and privacy concerns, explicitly marking telephone numbers and Social Security numbers as confidential. Conditions listed within the form not only address common circumstances around property transactions - such as adjacent property ownership or changes in property use - but also delve into specifics like seller financing terms and the inclusion of personal property in the transfer. Moreover, the form is instrumental for buyers aiming to apply for property tax deductions, encompassing options from homestead to renewable energy systems. Assessor and auditor sections further validate and process the disclosure, ensuring a holistic approach to property sale transparency. Serving beyond a mere transactional requirement, the State 46021 form emerges as a critical tool for clarity, legal compliance, and facilitation of property sales within Indiana.

QuestionAnswer
Form NameState Form 46021
Form Length13 pages
Fillable?No
Fillable fields0
Avg. time to fill out3 min 15 sec
Other namesform 46021, state form 46021, indiana form 46021, disclosure

Form Preview Example

 

 

 

State Form

 

R /

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SDF ID

County Year

Unique ID

 

 

 

 

SALES DISCLOSURE FORM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prescribed by Department of Local Government Finance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SDF Date:

 

 

 

 

 

PRIVACYPursuant toNOTICE:)C ‐ .

The‐ .

telephone numbers and Social Security numbers of the parties on this form are confidential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

accordingGET COUNTEDto IC)N6­1.1­5.5! LEARN­3(d).MORE AT WWW.CENSUS.)ND)ANA.EDU

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART 1 – To be completed by BUYER/GRANTEE and SELLER/GRANTOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. PROPERTY TRANSFERRED – MUST BE CONVEYED ON A S)NGLE CONVEYANCE DOCUMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Property Number

 

 

 

 

 

Check box if applicable to

 

5. Complete Address of Property

 

 

6. Complete Tax Billing Address (if different from

 

 

 

 

 

 

 

 

 

 

 

 

 

 

parcel

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

property address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A.

 

 

 

 

 

 

 

 

 

 

2. Split

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. Land

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Improvement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. Legal Description of Parcel A:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B.

 

 

 

 

 

 

 

 

 

 

2. Split

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. Land

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Improvement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. COND)T)ONS – )DENT)FY ALL T(AT APPLY

 

 

 

 

C. SALES DATA – D)SCLOSE VALUE OF )TEMS L)STED )N TABLE B,

 

 

7. Legal Description of Parcel B:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO

CONDITION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. Conveyance date

 

 

 

: _________________________________________________

 

If condition 1 applies, filer is ubject to disclosure and a disclosure

iling fee.

 

)TEMS

‐

 

MM/DD/YYYY

 

 

 

 

 

 

 

 

 

 

 

 

. A transfer of real property interest for valuable

 

 

. Total number of parcels: _______________________________________________________

 

 

 

 

consideration.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. Describe any unusual or special circumstances related to this

 

 

 

 

. Buyer is an adjacent property owner.

 

 

 

 

 

 

 

 

 

 

 

 

sale, including the specification of any less‐than‐complete

 

 

 

 

. Vacant land.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ownership interest and terms of seller financing.

 

 

 

 

 

. Exchange for other real property "Trade" .

 

______________________________________________________________________________________________

 

 

 

 

. Seller paid points.

(Provide the value Table C Item 12.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

______________________________________________________________________________________________

 

 

 

 

. Change planned in the primary use of the

 

______________________________________________________________________________________________

 

 

 

 

property?

Describe in special circ mstances in Table C Item 3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

______________________________________________________________________________________________

 

 

 

 

. Existence of family or business relationship

 

______________________________________________________________________________________________

 

 

 

 

between buyer and seller.

 

 

 

YY

 

 

 

 

______________________________________________________________________________________________

 

 

 

 

and contract date

 

MM/DD/YYYY

:

plete Table C Item 4.

 

 

 

 

 

 

 

 

 

 

 

 

Co

 

______________________________________________________________________________________________YES NO CONDITION

 

 

 

 

. Land contract. Contract term :

 

Provide t e value

 

 

 

 

 

. Personal property included in transfer.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe in special circumstances in Table C Item 3.

 

 

 

 

 

 

. Family or business relationship existing between

 

 

 

 

. Physical changes to property between March

 

 

 

 

 

 

buyer and seller?

 

 

 

 

 

 

 

 

 

 

Table C Item 5.

 

 

 

Describe in special ci cumstances in Table C Item 3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

and date of sale.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount of discount: $________________________________________

 

 

 

 

. Partial interest.

 

 

 

 

 

 

 

 

 

 

 

 

Disclose actual value in money, property, a service, an agreement, or other consideration.

 

 

 

 

. Easements or right‐of‐way grants.

 

 

 

 

 

. Estimated value of personal property:

 

$

 

 

 

YES

NO

CONDITION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If conditions 13­15 apply, filers are subject to disclosure, but no disclosure filing fee.

 

 

. Sales price:

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

. Document for compulsory transactions as a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

result of foreclosure or express threat of

 

 

 

 

 

 

. )s the seller financing sale? )f yes, answer

 

 

 

 

foreclosure, divorce, court order, judgment,

 

YES

NO

questions

‐ .

 

 

 

 

 

 

 

 

 

 

condemnation, or probate.

 

 

 

 

 

 

 

 

 

 

 

. )s buyer/borrower personally liable for loan?

 

 

 

 

. Documents involving the partition of land

 

 

 

 

 

 

. )s this a mortgage loan?

 

 

 

 

 

 

 

 

 

 

between tenants in common, joint tenants, or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

tenants by the entirety.

 

 

 

 

 

 

 

 

 

. Amount of loan:

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

. Transfer to a charity, not‐for‐profit organization,

 

 

. )nterest rate:

 

 

 

 

 

 

 

 

 

 

%

 

 

 

 

or government.

 

 

 

 

 

 

 

 

 

 

 

 

 

. Amount in points:

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. Amortization period:

 

 

 

 

 

 

 

 

 

 

 

 

D. PREPARER

SDF ID: _________________________________

Page 2

 

INDIANA SALES DISCLOSURE FORM

 

______________________________________________________________________________________________

______________________________________________________________________________________________

 

Preparer of the Sales Disclosure Form

 

Title

 

 

Address (Number and Street)

 

Company

 

 

City, State, and ZIP Code

 

Telephone Number

E­mail

 

E. SELLER S /GRANTOR S

 

 

 

 

 

 

 

 

 

 

 

 

______________________________________________________________________________________________

______________________________________________________________________________________________

 

Seller 1 ­ Name as appears on conveyance document

 

Seller 2 ­ Name as appears on conveyance document

 

Address (Number and Street)

Address (Number and Street)

City, State, and ZIP Code

City, State, and ZIP Code

Telephone Number

E­mail

Telephone Number

E­mail

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 6­1.1­5.5, "Real Property Sales Disclosure Act".

Signature of Seller

 

Signature of Seller

 

F. BUYER S /GRANTEE S – APPL)CAT)ON FOR PROPERTY TAX DEDUCT)ONS– )DENT)FY ALL )TEMS T(AT APPLY

Sign Date MM/DD/YYYY

Printed Name of Seller

Sign Date MM/DD/YYYY

Printed Name of Seller

______________________________________________________________________________________________

Buyer 2 ­ Name as appears on conveyance document

 

Buyer 1 ­ Name as appears on conveyance document

 

 

Address (Number and Street)

Address (Number and Street)

City, State, and ZIP Code

City, State, and ZIP Code

Telephone Number

E­mail

Telephone Number

E­mail

THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.

 

 

 

. Will this property be the buyer's primary

 

 

. (omestead

 

 

 

 

 

 

 

 

 

YES

residence? Provide complete address of primary

YES

. Solar Energy (eating/Cooling System

 

 

NO CONDITION

 

NO CONDITION

 

 

 

Address (Number residence, including county:

 

 

. Wind Power Device

 

 

 

______________________________________________________________________________________________

 

 

 

 

City, State ZIP Code

C unty

 

. (ydroelectric Power Device

 

 

 

and Street)

 

 

. Geothermal Energy (eating/Cooling Device

 

 

 

. Does the buyer have a homestead in )ndiana to be

 

. )s this property a residential rental property?

 

 

 

 

(Provide contact information

 

 

vacated for this residence? )f yes, provide

 

 

. Would you like to receive tax statements for this

 

 

 

 

below. Please see instructions for more information.

 

 

complete address of residence being vacated,

 

property via e‐mail?

 

 

 

 

 

Not available in all counties.)

 

 

Address (Number including county:

 

 

 

 

 

 

______________________________________________________________________________________________

____________________________________________________________________________________________

 

 

and Street)

 

 

 

 

 

 

City, State ZIP Code

County

Primary property owner contact name

 

E­mail

 

 

 

 

 

 

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 6­1.1­5.5, "Real Property Sales Disclosure Act". (Note: Spouse information, Social Security and Driver’s License/Other numbers are not necessary if no Homestead Deduction is

being filed.)

Signature of Buyer1

Printed Legal Name of Buyer 1

Sign Date MM/DD/YYYY

Last 5 digits of Buyer 1 Driver’s State

Last 5 Digits of Social Security Number

License/ID/Other Number

 

______________________________________________________________________________________________

Signature of Buyer2/Spouse

 

Printed Legal Name of Buyer 2/Spouse

Sign Date MM/DD/YYYY

Last 5 digits of Buyer 2/Spouse Driver’s State

Last 5 Digits of Social Security

Number License/ID/Other Number

 

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