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HomeMy WebLinkAboutHomestead_HoseINDIANA SALES DISCLOSURE FORM SDF ID: VPa;e 2 �D7P,REPARER P2`_ n T _. -st ',WEWiE Kimberly A. Lewis Office Manager Preparer of the Sales Disclosure Farm Title W Broadway Broadway Title, Inc. Address (Number ad Street) Ciry, Smtd and ZIP Code Telephone Number E -moil EE `NTR a tT 5erv� Benjamin Patrick Overfield Seller 1 - Name as appears oa conveyance document Seller 2 - Name as appears on conveyance document 211 S. West St. Address (Number and Street) Address (Number and Street) Oakland City, IN 47660 Ciry, tats and ZIP Code Ciry, Staid and ZIP Code \.Telee Num er E-mail Telephone Number 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 Act ". tore a /Seller Signature ofSel/er gqSig ll `` -- ISPn\ / a Paar�Gli 0 Pt -ad jaf- l�;ootl Printed Name o(Seller Sign Date MM DD Panted NomeofSel /er Si a to MM DD - -- -' '. - -' - _ -- -fig' ' - iFDRfP.ROPERTYSAX',DEDU 'F,B "- - . 1ITEMScTHe1TAP,P,LY'.v;' 7�� ,_- s?"-�. David N. Hose Heather N. Hose Boyer s. ... a2 Name as appears on conveyance document 138 N- Toi Ptia 1 I N T I r ti - Address (Numberand Street) Address (Number and Street) Oakland City, IN 47660 Oakland City, IN 47660 State, and ZIP Cade City, Staid and ZIP Code Telephone Number Email THE SALES DISCLOSURE FORNI MAY BE USED TO APPLY FOR CERTAIN DEDUMONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. ITS 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 residence, including county: ❑ n S. Wind Power Device - 211 S. West St. ❑ © 6. Hydroelectric Power Device Address(Numb road Strmt) Oakland City, IN 47660 QihGnn ❑ ® 7. Geothermal Energy Heating/Cooling Device p� E] E] 8. Is this property a residential rental property? City, State ZIP Code county ❑ ❑ 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide E] 9. Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail? (Provide contact information below. Please see instructions for more information. including county: Not available ina(J� /n'ti'els. w �G' /f' �J � ��wnwctnama �� Vv• `� Address and So-ee[) (Number �Primary property owner 4w�� E -mail Ci ry,State ZIPCode County 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 Act ". (Note: Spouse informati Rl Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is bein filed.) Signamre o tgnatvreo /Bvyer2 /Spouse .fBIuyerl �VIU l SP -z r HCC3 eY N k�e ►aI 1ol�co� " ted Ixgul Name of Buyer l Sign Dats(MM /DD/YYYY) Prin tad Legal Name of Buyer 2 /Spouse Sign are (M /DD/YYYY) Security License /ID10ther Number Number License /ID /Other Number