HomeMy WebLinkAboutHomestead_WilliamsonINDIANA SALES DISCLOSURE FORM SDF ID: Pae�
D:PREPARER ._ � .
heparero(fhe Sala Diulasvre Farm
S.O� �1V1 S'%. ; SiC. �� 1
Address (NUmber and SveeQ
F�racns�e.ee� IN �41`t08
Ciry, Smtc andZlP lode
E.
Sel/er]-Nameasappearsanconveyvncedocvmen[ -�
3124 s.�25 �J
Acn,��eeia�esm�y - —
1. e J
T,�e &�- s�e %�e. �rn,�u
Campany -
Telephane Num6er E-mail
Seller7 - Name as appears on ronveyona dorument
Addr�'(Nomberand5veetJ
Ciry.Sm[e, and ZIPCode
Under penalries of perjury, I hereby certfy that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and complete as r wre by aw, and i pr pared in acc rda e�th IC 6-11-S.S, "Real Property Sales Disclosure Act".
����� �� �� � �'a•h.
5(qnomreoJSeffer � 1 . � �' S(q�amrecf5eller �
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERT.IIN DEDUCf10NS FOR
YFS NO CONDITION
� � 1. SNill this property be the buyer's primary
residence? Provide complete address of p�
7 13 �sidep��iduding�unty:
D � cS�
�1res(Nvm6erandS�eet) �^G � 0 ^ '�SO
f�rine..e, o�t,T.�. -! (� �
Ciry, Smte Z1PCOde Counry
��` 2. Does the buyer have a homestead in Indiana to be
�� vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Address (h'umber and Sveee)
Counry
�UC'I'IUNS- IUEN"PIFY ALL I"PEMS THAT AYPLY
Buyer 2- Nome as appmrs on ronveyanre darummt
Addres (Num6er and So-eet)
Ciry, Smte, and Z/GCade
Te/ephane Number E-mail
� .IDENT� ETNATAPPLY.
YES NO CONDITIOY
❑ 3. Homestead
. �nergyHeating/CoolingSystem
n 5. Wind Power Device
Lf � 6. Hydroelectric Power Device
❑ [✓3 7. Geothermal Energy Heating/Cooling Device
� � 8. Is this property a residenaal ren[al property?
❑ /d 9. Would you like [o receive ta�c statemenfs for [his
property via e-mail? (Provide contoct informodon
be(ow. Please see instructions for mare information.
Not availa6le in all coundes)
- �a
'. .�/a .o � b�
Under penalties of perjury, 1 hereby certify [ha[ 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 64.1-5.5, "Real Property Sales Disclosure AcY'. (No[e:
Spouse informa[ion, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deducdon is
being filed.) �
-�Sc)r�`°qii"P W�,I ►ic�►Y1�-� NOV 1 4 2Gi2
LostSdigiaoBuyer7Driver's Smte LostSDigiGSOfSocial5tturiryNumber
License/!D/Other Number
Signamre o(Buyer2/Spouse
Legal Name of Buyer 2/Spouse
SlBn DUt¢ (MM/DD/YYYY)
LastSdigittofBuyerZ/SpouseDriveh Stare LastSDigitsofSocialSecurity
Num6er License/ID/OtherNumber
n