Homestead_SwartzL
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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. PREPARER
CHRISTINA M LENFERS CLOSING AGENT
Preparer of theSoles Disclosure Form Tide
501 MAIN ST STE 101 BOSSE TITLE CO
Addres(Numberand5tiert)
E -mail
E: SELLERS GRANTOR S - h . -4. {
JOSEPH W. SINGLETON
BETTY J. SINGLETON
Seller 1 - Name as appears on conveyance document
1816 S WHISPERING HILLS RD
Seller 2 - Name as appears on conveyance document
1816 S WHISPERING HILLS RD
Address (Number and Street)
OAKLAND CITY IN 47660
Address (Number and Street)
OAKLAND CITY IN 47660
`�
Tele hon .'umber E-mail
Tele hone 'umber E -mail
Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by , at is epared in accordance with IC 6- 1.1 -S.S, "Real Property Sales Disclosure Act ".
Y an �n �',,4>v
% 1
A reo/ ller na rea Seller
TON 01/2012012 BETTY J_ SINGLETON 0112012012
PrinredN r Sign Dow MM DO Printed Nameo Seller Si nDao MM /DO
YER S GRAN S - APPLICATION FOR PROPERTY TAX DEDUCTIONS-' IDENTIFY ALL ITEMS.THATAPPLY _ g
HAD E. SWARTZ
,' rs on conveyance document
Buyw2- Name asappearson conveyance document
STONE FORGE PIKE
Address (Number and Street)
Address (Number and Street)
FLORA IL 62839
Tele hone Number E -mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
Q ❑ 1. Will this property be the buyer's primary
❑✓ ❑ 3. Homestead
residence? Provide complete address of primary
❑ ❑ 4. Solar Energy Heating /Cooling System
hresidence, includil glcou r�,(
S
❑ [Z] S. Wind Power Device
D
❑ ❑� 6. Hydroelectric Power Device
Ad ress u berand5tr t) ' 1��6o
_[
Q�
El ❑� 7• Geothermal Energy Heating /Cooling Device
❑ Q 8. Is this property a residential rental property?
City, State ZIP Code County
❑ Q 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
❑ [Z] 9. Would you like to receive tax statements for this
complete address of residence being vacated,
property via e-mail? (Provide contact information
including county:
below. Please see instructions for more information.
Not available in all counties.)
°Z - 1.3 • a,3 - I01 - 0 0D • '790 - 0 0 6
Address (Number and Street)
a� - /3 -.13 - 101 - 000. 4a7 - oob
Ciry, Some ZIP Code County
Primary property owner contact name E -mail
Under penalties of perjury, l 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 Act ". (Note:
Spouse i for 'on, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is
being f
Sigma f erl r Swartz S(gnawreofRvyer2 1Spouse
01I20I2012
®
Number License /ID10ther Number