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HomeMy WebLinkAboutHomestead_AnslilngerINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2 �:D?-PREPARER _ ._4.�� .�- � :+..._:��_...,�-���:`����3�_ z`�.=:= ��=� Karen Harbison VP Preparer o/Ne Sale D'¢dosvre Form Title 803 E State Rd 68 Elberfeld Siate Bank Addreu(Numberond50-eet) Ciry, Sraq and ZIPCade Telephone Number E-mail .E�SEI:I:ER S -�.GRANTOR S _� -'.� .;�,. '�.,rs.=_�-�'�.,�_,._ .��._8L �.��-: -• �.�.:_ � _ . , � Mark A Anslinger Heather K Weiss SeOer 1- Name as aypears m conveyunce dorumm[ Shcer 2- Name as a➢➢ears om m�veyance drcemm[ 2032 W 1000 S ?932 W 1000 S Address (Nvmber and Sveet) Addrn's (Nvmber and Svee[J HaubstadtlN 47639 NaubstadtlN 47639 Under penalties of perjury, t hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is true, correct ' and comple[e as required by law, and is prepared in accordance with C 6-1 1-5.5 "Real Property Sales Disclosure Act". �i �c� fI /����fi�.-l� � y- � 2 � �'L�i, � � �Q� Signature o/Se!/er Signamre o/Seller Mark A Anslinger 08/08/2012 Heather K Weiss 08/O9I20'12 PnnredNameof5eller Si nDace MMOU PnntedNameof5elfer Si nDare(wN oD rF,>BUYER 5 GRANTEE S �e1P.P�IGATI0N+E0RiPROP.ERTY.:TAX-DEDUC-TIONS�IDENTIFY:�ALL?ITEM$tTHAT�AP,PGY�`'_ ��3 <� _�� Mark A Anslinaer Heaiher K Anslinaer Buyer 1� Name os appears om m�veyanre drcumen� Bvye� 2- Name as appears m ronveyance documm[ 2032 W 1000 S 2032 W 1000 S Addras (NUmber and So-ee[) AdCress (Number and SveetJ HaubstadtlN 47639 HaubstadtlN 47639 TNE SALFS DISROSURH FORM NAY eH USHD TO APPLY FOR CFRTAI\ DEDURIOAS FOR THIS PROPERTY. ID&\TIFY dLL OF THOSE THAT APPLV. 1'FS NO CORDITION I 1'FS NO C09DITI08 � ❑ 1. lVill this property be the buyer's primary 0 ❑ 3. Homes[ead residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System residence, including county: � � 20't2 W t000 S 5. �Nind Power Device Address(Numberand5trre[J ❑ � 6. Hydroelectric Power Device Haubstadt IN .7639 Gibson � � 7, Geothermal Energy Heating/Cooling Device Ciry, Smle ZIPCOde Counry ❑ ❑ 2. Does the buyer have a homes[ead in Indiana [o be � 0 $• �s this property a residential rental property? vacated for this residence? If yes, provide ❑ ❑ 9• Would you like to receive tax s[atemen[s for this complete address of residence being vacated, property via e-mail? (Provide contoct informotion induding county: below. Please see instructions for more informatian. Nat available in alI coun[ies.) Address (NUmber and 5[reeQ a1 �-i Fs -35 -ioo 00 �. 36 3- o a S� Ciry,SmteZlPCade Counry � Pnmarypmpe�ryownerconmatname E-mail Under penalties of perjury, l hereby cer[ify that this Sales Disdosure, to the best of my knowledge and belief, is true, corcec[ and complete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Ac[". (Note: Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduc[ion is being filed.) ' i)����� r�,� �,�_- s'`- � � z �.�X�,�Q� �i , I�n� Signamreo(Buyerl Sigva�uyer2/Spouse Mark A Pnsli�& r OAIOAI2012 Heather K Anclinger OR/ORI9019