HomeMy WebLinkAboutHomestead_LuigsINDIANA SA�ES DISCLOSURE FORM SDF ID: Zp�2 Page 2
D. �PREPARER
LYnnii � L�SCi�-� C �GSI �-ec� !Q(�.c,�
Prepamr o/the Sales D�sclosure Form Trtle
605 SE Martin Luther Kin Jr Boulevard Southwestern Indiana Land Title
Address(NUmbe�and SheeQ
E-mail
E. SELLER(S) / GRANTOR(S)
Kristie Garred
Seller 7- Name as appears on conveyance tlocumenf Selle� 2- Name as appears on conveyance documen(
�r! a.1 Vi —' �4Y1 ��c
Atlaress (NUmber antl Street) Address (Numbe� and Streeq
.� Ne.���4 VS��.-, k� y�,� ac
City, State, and ZIP Cotle Gty, State, antl ZIP Code
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E{nail Tefephone Num6er E-mail
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 6-1.1 •5.5, "Real Property Sales Disclosure AcY'.
� �1.��� � C'. AeC�.
Signature o/ Seller Signafure o/ Seller
Kristie Garred �( ' �j-'�Q� �
Pnnted Name ol Seller Sign Date (MANDD/YYYY) Pnnfed Name oI Seller Sign Date (MhVOD/YYYY)
City, State, antl ZIP Cotle
(
�one Number E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUC710NS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE 7HA7 APPLY.
YES NO CONDITION
lE ❑ 1. Will this property be the buyer s primary � ❑ 3. Homestead
residence? Provide complete address of primary p p q_ Solar Energy Heating/Cooling System
residence, inGuding county:
❑ � 5. Wind Power Device
806 E Vine Street
address (Numberand St�eer) O 0 6. Hydroelectric Power Device
;FOrt Branch, IN 47648 Gibson � �� Geothermal Energy Heating/Cooling Device
Ciry, State Zia Code Counry ❑ C�i 8. Is this property a residential rental property?
� � 2. Does the buyer have a homestead in Indiana to be � a 9� �/�lould you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact infortnation
address of residence being vacated, including county: below. Please see instructions (or moie inlormation.
Not available in all counties.)
Address (Number and Street) ^� I p� I� � r �_ OM• i 1�/_ -0 p� �
O� l �f W �I o
City,Sta7eZlPCode County P�marypropeRyownercon(actname E-mail
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 6-1.1•5.5, "Real Property Sales Disclosure AcY'. (Note: Spouse
informat' n, Social Sec�ty and river's License/Other numbers are not necessary if no Homestead Deduc[ion is being filed.)
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Signalure of B�yer 7 l I Signature of Buyer 2/Spouse
�imoihy D. Luigs ['��/Pj 3/��%!�
� Pnnt Legal Name of Buyer 7 S1gn
Number Lasf 5 digits ol Buyer 2 Ddvers Siate Last 5 Digits of Social Secunty Num6er
License/ID/Other Number License/ID/Other Number