HomeMy WebLinkAboutHomestead_Victor�
INDIANA SALES DISCLOSURE fORM SDF ID:
D.PREPARER
Dan L.Reeves
, RepareroJN[SaleDiulosureFOrm
AOdren(Numberand
Title
Reeves & Cochren
lampany
Princeton.IN 47670
Ciry, Smu, ondZ/P Code Tefephone A'um6er E-mail
Charles G_ Hiam EstatP
Seller 1- Name as appears om m�veyonce document
12343 Rollin9 Meadows Dnve
Address (A'vmber and Strne)
CiN.Smte, andZlPCOde
Seller 2- Name as appevrs on ronveyanre do[vmen[
Address (NUmber and5vee[J
[iry.Sm[e. mdZlPCode
Under penalties of perjury, I hereby cer[ify that [his Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and�plet�as r�d�by law, anc '�)epared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
s�y� �
Address (h'u mber orM Svee[J
Smre, andZlPCade ��
THE SALFS DISCLOSURE FORAI MA1' BE USED TO APPLY FOR CERTAIN DEDURIONS FOR
✓Q ❑ 1.14ri11 this proper[y be the buyer's primary (
residence? Pmvide cnmplete addrrss nf prima
residence, induding county:
505 S. Main St.. Princeton. IN 47670
Addreu (Number ondStrre[)
Ciry, Smre ZIP lade Gounry
� � 2. Does the buyer have a homes[ead in Indiana to be
vacated for this residence? 1(yes, provide
complete address of residence being vaca[ed,
including county:
Addr�' (Num6er and SveetJ
Ciry, Sm[e ZIP Lode Counry
Signamre o(Seller
415 E. William Sireet
Address (Number ond Svee[J
Ciry, Srare, and ZIPCade
ALL
OF THOSf THAT APPLY.
h'FS NO C06DITIOY
❑J ❑ 3. Homes[ead
�Sa rgylleatiug/CuuliugSys�eui
� �✓ 5. Wind Power Device
❑ ❑✓ 6. Hydroelectric Power Device
❑ Q✓ 7. Geothermal Energy Heating/Cooling Device
❑ Q✓ 8. Is this property a residential rental proper[y?
❑ ❑✓ 9. Would you like [o receive ta�c sta[ements for this
proper[y via e-mail? (Provide contact in(ormotion
6elow. P(ease see instructions for more in%rmation.
Not available in all counties.J
o3G -/a -a �-3o� �6/ /,�/-�a�
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/O[her numbers are not r J#�es ad Deduc[ion is
being filed.) �., /'/. _ :' j � �! � �` �
Jo�.,.. ,_ L./ .� i/-_�.� a
IR1n[edLegalNameo(Buyerl SignDate(u.r/DD/IYYY) PnntedLegalNameo(Buyer?/Spouse SlgnDate(xM/06/YYYYJ�
_
LostSDigilsofSOCiolSecuriryNum6er Los[SdigiGSOfBuyer2/SpouseDriver's Smte LostSDigiuof5ocialSecurity
License/ID/OtherA'um6er Number License/lD/OrherNum6er
/�