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ADDENDUM SALES DISCLOSURE FORM
COMMERCIAL OR INDUSTRIAL PROPERTY
State Form 5701 (8 R2 / 1 3-2 ) Original SDF ID
Prescribed by Department of Local Government Finance
Pursuant to IC 6-1.1-5.5
County Year Unique ID
INSTRUCTIONS: This form should only be used by assessing officials to modify or
note additional information about a sale that is identified after the original Sales
Disclosure Form has been submitted.
PRIVACY NOTICE: The telephone numbers and SSNs of the parties on this form are confidential according to IC 6-1.1-5.5-3.
PART 1
A. PROPERTY TRANSFERRED – Must be conveyed on a single conveyance document (Additional contiguous
properties can be listed on Page 5 of the underlying Sales Disclosure Form.)
1. Parcel Number or Tax Check all boxes 5. Complete Address of Property 6. Complete Tax Billing Address (if
Identification Number applicable to parcel. different from property address)
A.) ▢ 2. Split
▢ 3. Land
▢ 4. Improvement
7. Legal Description of Parcel:

B. CONDITIONS – Check only those that apply.
If condition 1 applies, filer is subject to disclosure and a disclosure filing fee. YES NO CONDITION
YES NO CONDITION
▢ ▢ 7. Easements or right-of-way grants. (Please
▢ ▢ 1. A transfer of real property interest for valuable note that: (i) public utility/governmental
consideration. easements; or (ii) rights-of-way that do not
▢ ▢ 2. Buyer is an adjacent property owner. transfer fee simple; do not require a sales
▢ ▢ 3. Vacant land (No structures on land) disclosure form. See the instructions for more
information.)
▢ ▢ 4. Exchange for other real property (“Trade”) If conditions 8-10 apply, filers are subject to disclosure, but
Parcel number of traded property: ___________________ not to the disclosure filing fee.
▢ ▢ 5. Land contract. ▢ ▢ 8. Document for compulsory transactions as a
Contract term (YYYY-YYYY): _________________ result of foreclosure or express threat of
foreclosure, divorce, court order, judgment,
Contract date (MM/DD/YYYY): ________________ condemnation, eminent domain, or probate.
▢ ▢ 6. Partial interest. Describe: ________________________ ▢ ▢ 9. Documents involving the partition of land
between tenants in common, joint tenants, or
_____________________________________________ tenants by entirety.
_____________________________________________ ▢ ▢ 10. Transfer to a charity, not-for-profit
organization, or governmental entity or agency.

C. TRANSACTION DETAILS – Complete only those that apply.
YES NO CONDITION YES NO 6. Transaction includes multiple Sales Disclosure Forms?
▢ ▢ 1. Sheriff Sale or Tax Sale ▢ ▢ SDF Form ______ of ______
▢ ▢ 2. Short Sale 7. Date conveyance document signed (MM/DD/YYYY): ____________
▢ ▢ 3. Quitclaim Deed 8. Days property was on the market: __________________________
▢ ▢ 4. Auction 9. Total number of parcels on this disclosure: ____________________
5. Other: _________________________________________ (If there is more than one (1) parcel, See Page 3.)
_______________________________________________ 10. Select the type(s) of property below and fill out corresponding page(s).
_______________________________________________ Check all that apply.
_______________________________________________
_______________________________________________ ▢ Commercial ▢ Industrial
_______________________________________________

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D. SALES DATA – Complete only those that apply.
▢ Information contained in question 3 is confidential and non-disclosable under IC § 5-14-3-4.
YES NO CONDITION 3. Planned use of the property?
▢ ▢ 1. Changes to the property between Jan. 1 and sale date? Describe: __________________________________
Describe: ______________________________________ __________________________________________
▢ ▢ 2. Property is a residential rental property. __________________________________________

E. FINANCE DATA – Complete only those that apply.
▢ Information contained in questions 2-1 3is confidential and non-disclosable under IC § 5-14-3-4 and IC § 6-1.1-35-9.

1. Sales price. Amount: _________________________________ 9. How was the sale financed? (Check any that apply.)
Check only those conditions that apply. ▢ All Cash ▢ Seller Financing ▢ Construction Loan
YES NO CONDITION ▢ Mortgage Loan ▢ Sale Leaseback ▢ Small Business Loan
▢ ▢ 2. Sale price included an existing business? 10. How was property marketed? ▢ Word of mouth
▢ ▢ 3. Sale price included a liquor license? ▢ List with broker ▢ For sale sign ▢ Buyer approached
▢ ▢ 4. Transaction was part of a portfolio sale? 11. Special Circumstances? (Check any that apply.)
▢ ▢ 5. Any part of the property was leased at time of sale? Sale between same Sale in lieu of Sold at
▢ ▢ 6. Sale included property receiving an abatement? ▢ business entity ▢ foreclosure ▢ auction
▢ ▢ 7. Appraisal was completed for the sale? Trade of equipment Sale of partial
▢ or services ▢ interest
Appraisal Value $ ___________________________
8. Sale included property in a Tax Increment Finance 12. Value of personal property included: $ _______________
▢ ▢
(TIF) District? 13. Value of intangible personal property included: $ _______

RELIGIOUS USE ROPERTY P AX TXEMPTIONE
Is the property being transferred going to continue to be used by a church or religious society YES NO
for the same property tax exempt purposes provided by IC 6-1.1-10- 21(e)? ▢ ▢

F. ADDITIONAL INFORMATION
1. Physical changes to the property identified 2. Identify any additional special circumstances or information relating to the
after the submission of the original Sales sale identified after the submission of the original Sales Disclosure Form:
Disclosure Form: _________________________ ___________________________________________________
________________________________ ___________________________________________________
________________________________ ___________________________________________________
________________________________
___________________________________________________
________________________________
___________________________________________________
___________________________________________________
Assessor Stamp
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Assessor Name (Printed) Assessor Signature Date (mm/dd/yyyy)

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SALES DISCLOSURE PART 1(A)
State Form 55632 (R / 1-21) SDF ID
PRIVACY NOTICE: The telephone numbers and Social Security numbers
of the parties on this form are confidential according to IC 6-1.1-5.5-3. County Year Unique ID
Do NOT place personally identifiable information (e.g. consulate numbers,
passport numbers; government ID numbers, etc.) on this form as it may
become publicly available.

PART 1 – To be completed by BUYER/GRANTEE and SELLER/GRANTOR
A. PROPERTY TRANSFERRED – Must be conveyed on a single conveyance document.
(Multiple parcels can be listed on this form and attached to State Form 46021 only if they are contiguous and
located entirely within a single taxing district.)
1. Parcel Number or Tax Check all boxes 5. Complete Address of Property 6. Complete Tax Billing Address (if
Identification Number applicable to parcel. different from property address)
B.) ▢ 2. Split
▢ 3. Land
▢ 4. Improvement
7. Legal Description of Parcel B:

C.) ▢ 2. Split
▢ 3. Land
▢ 4. Improvement
7. Legal Description of Parcel C:

D.) ▢ 2. Split
▢ 3. Land
▢ 4. Improvement
7. Legal Description of Parcel D:

E.) ▢ 2. Split
▢ 3. Land
▢ 4. Improvement
7. Legal Description of Parcel E:

F.) ▢ 2. Split
▢ 3. Land
▢ 4. Improvement
7. Legal Description of Parcel F:

G.) ▢ 2. Split
▢ 3. Land
▢ 4. Improvement
7. Legal Description of Parcel G:

H.) ▢ 2. Split
▢ 3. Land
▢ 4. Improvement
7. Legal Description of Parcel H:

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