State Form 46021 - Sales Disclosure Form - Indiana Page 7

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INDIANA SALES DISCLOSURE FORM INSTRUCTIONS
Page 4
2.
Other local fee: Enter the amount of other local fees collected for the transfer of the property. This amount should not include the sales
disclosure fee as required by the state.
3.
Total fee collected: Enter the total amount of the fee collected for this transaction. The amount should equal the sum of part 3 item 1 plus
part 3 item 2.
4.
Auditor receipt book number: Identify the receipt book number used for collection of the disclosure fee.
5.
Date of transfer: Enter date entered in transfer book.
6.
Is form completed? Check yes if the form is completed except for PART 2 - COUNTY ASSESSOR, Items 15-18, which may not be completed
prior to submission to the auditor.
7.
Is fee collected? Check yes if fee has been collected for this sales disclosure form.
8.
Attachments complete? Check yes if the attachments required to support this sales disclosure form have been provided and are complete.
The county auditor shall review each sales disclosure form and process any homestead credit or any of the deductions for which the SDF serves as
an application under IC 6-1.1-12-44 [solar energy heating/cooling system, wind power device, hydroelectric power device, geothermal energy
heating/cooling device deductions] and IC 6-1.1-20.9-3.5 [homestead credit and standard deduction].
Sales disclosure forms provided in response to public records requests may not include telephone numbers.

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