HomeMy WebLinkAboutHomestead_Duke (2)INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1389835 Page 2
D.PREPARER
Pegqy A. Ralston Title Assistant
Prepvrer of the Sales Disclusure Fm�m Title
3101 N. Green River Road Suite 130 Trustworthy Land Title Co., Inc.
Address (Number m�d Stiret)
E. SELLER S GRANTOR S
M. Stan Pfeil II Erin M. Pfeil
Seller ]- hame as nppears an conveyonce document Seller Z- Name us appears on canveVnnce document
2343 N. Tower Lane 2343 N. Tower Lane
Address (Number ar�d Sa�eet) Address (Number aird Street)
Princeton,IN 47670- Princeton,IN 47670-
Ciry, State, and ZIP Code Ciry, Smte, mfd ZlP Code
E-mnil Tele honeNumber G-mail
Under penal ' s of r� , I ereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and m as r q' d law, and is prepared in accordance with 6-1.�-5.5, "Rea P operty Sales Disclosure Act".
�� i ��, �12i. ���
Si9natu e of eller Si,qnnwre ojSefler
F t -��' � �i,� �ti'L. F'��� f ��'��'��
F. B13YEit S GRANTEE S- APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAfiAPPLY
Stephen B. Duke
Buyer 1- Name as appears on conveyance document Siryer 2- Name as nppears on ronveynnce docmnent
814 N. Hillcrest Road
Address (Numbernnd Street) Address (Numl�er anrl Street)
vncennes, IN 47591-
Ciry, State, and Z(P Code City, State, and ZIP Code
Tele honeNumber E•mail Tele honeNum6er• E-rnail
THE SALES D15CLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. 1DENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDiT10N YES NO CONDIT[ON
OX � 1. Will this property be the buyer's primary QX ❑ 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System
residence, including county: �� 5. Wind Power Device
2343 N. TOWER LANE
AAdress(NumberandStreeG) ❑ Q 6. Hydroelectric Power Device
Princeton, IN 47670 NOTAPPLICABLE � � �, Geothermal Energy Heating/Cooling Device
Cit}; Smte ZIP Code County
�� 2. Does the buyer have a homestead in Indiana to be � ��• Is this property a residential rental property?
vacated for this residence? If yes, provide ❑�] 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�'or more information.
Not availabJe rn all counties.)
Address (NumGer and Street) / L n— ��
�-,o�� � ac� c� i• 07 ; Q
Ciry, Stnte ZIP Code Cnunty
Primary prnperty nwnr.r r.nntar.t n�me G-mai(
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 information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)
Signa�� � Signnh�re o%Buyer�/Spouse
�7�e-�lt� � ��z�� // /�� Z-
of Social Secur•iq� Number• Las[ 5 digits of puyer- 2/Spouse Driver's State Last 5 Digits of Social Securig�
License/ID/Other Numher Numher I,icense/ID/Other Number