HomeMy WebLinkAboutHomestead_BulcherINDIANA SALES DISCLOSURE FORM SDF ID: pa e 2
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Chris Ferauson Closina Aaent
Neparer o(Ne Sala Disclosure Form Title
501 Main St. Ste. 701 Bosse Title Comoanv
Addr� (Numberand StreetJ
Liry,Smlq andLPCOde idephoneNumber E-mvil
E;SEL'I.ER S GRANTOR S :"«'t' ' = - .3:�i � __ � __
Carla J Pohl fortnerlv Cada .I. Hahib
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Addiess(Num6erandSVraJ � � Address(NumberondSPee[J
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Tele honeNumber E�mail Tele honeNUmber E-mail
Under penalties of perjury, t hereby certify tha[ this Sales Disdosure, [o [he best of my knowledge and belief, is true, correct
an te as requ� law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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Signamre o/Sel/er Signomre o(Seller
Carla J. Pohl 12/14I2072
PrmredNomea Seller Si nDate MM DD PnhtedNamea Seller Si nDare MM/DO
F.�BUYER S GRANTEE S`-APPLICATION FORPROPERTY:TAX-0EDUCTIONS=IDENTIFYALI:ITEMS�THAT'APPLY *=
Travis Wavne Bulcher
Buyer I- Name as oppavrs om m�veyanae dorumen[ Buyer 2- Name as appears on ronveyance daaumm[
10499 Besina Road
AAdren'(NumberandSVeeQ Addr�(Numberand5veetJ
Elberfeld. IN 47613
Tele honeNumber E�mail iele honeNum6er E-mail
iNE SALFS DISCLQSURE FORM MAY 9E USED T0.IPPLY FOR CERTAIN DEDULTIONS FOR THIS PROPERTY. IDEMIFY,ILL OF TNOSE THAT APPLY.
YFS NO COVDITION I YES NO COFORION
Q � 1. Will this property be [he buyer's primary ❑✓ ❑ 3. Homestead
residence? Provide complete address of primary � � 4, Solar Energy Heating/Cooling System
residence, including county:
i20 W 975 S ❑ ❑✓ 5. Wind Power Devite
AAdress(NumberandSveeQ ❑ Q 6. Hydroeledric Power Device
Haubstadt IN 47639 Gibson � Q 7, Geothermal Energy Heatlng/Cooling Device
Ciry.SmreZ Cade Counry
�� 2. Does the buyer have a homestead in Indiana [o be � 0 8� �s this property a residential rental property?
vacated for this residence? If yes, provide ❑ ❑✓ 9. Would you like to receive tar sta[ements for this
comple[e address of residence being vaca[ed, property via e-mail? (Provide conmct informodon
including county: below. Please see instructions formore informadon.
Not available in aIl counties.)
Addrw(NumberandSvee[J
a�-�9-3�-�00 00 �,�33 •�ay
Ciry.5mre2lPCode Caunry . -
Pnma70�Verry ouaer ronmat name E�mail
Under penalties of perjury, 1 hereby certi(y [ha[ this Sales Disdosure, [o the best of my knowledge and belief, is We, correc[
and complete as required by law, and is prepared in accordance with IC 64.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Seturity and Driver's License/Other numbers are not necessary if no Homestead Deducdon is
ybe �filed.J �
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SignaNre uyer Signaoireo(Buyer2/Spo�,^
Travis Wavnw Rnlnhrr 12I14f2012
LastSdigitsofBuyer2/SpouseDnveis Sm[e Lat[SDigi[sof5otio15ecunry
License/IO/OlherNumber Number Liceue/l�/O[herNumber