HomeMy WebLinkAboutHomestead_RigginsIrvu1H1YH JHL[J UWGLUSUKC hVKM SDF ID: pp�p Page 2
D. PREPARER
Sherri S Hudsan Closing�Agenf
Preparero(the Sales Disclosure Form Trtle
605 SE Martin Luther King Jr Boulevard Southwesfern Indiana Land Title
Address (NUm6er and Street)
E. SELLER(S) / GRANTOR(S)
Layne M. Greubel Tami J. Greubel
Selle� 7- Name as appears on conveyance document Sel/e� 2- Name as aOPea�s on conveyance documenf
702 W. Conwell Drive 702 W. Conwell Drive
Add�ess (NUmber and Sfreet) Address (Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
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 AcY'.
�O.�c� �.`!ll' �C_l'�f�lA-C
S� nature of Seller Signature o Sel/er
�ayne M. Greubel �o?—//— /02 Tami J. Greubel /��/�,/,(.��
Pnnted Name o! Seller Sign Date (MM/UD/YYYY) Pnnted Name of Seller Sign ate ( M/DONYYY)
F. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL ITEMS THAT APPLY
Brett E. Riggins Tawnya D. Riggins
Buyer i- Name as appears on conveyance document Buyer 2- Name as appears on conveyance document
13043 S. Horseshoe Lane 13043 S. Horseshoe Lane
Address (Num6er and Street) Address (NUmber and Street)
Clinton,IN 47842 Clinton,IN 47842
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERN. IDENTIFY ALL OF THOSE THAT APPLY.
YE NO CONDITION YE NO CONDITION
❑ 1. Will this property be the buyers primary ❑ 3. Homestead
residence? Provide complete address of primary p 0 q, Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
702 W Conwell Drive
Address (Number and Sbeet) ❑ 0 6. Hydroelectric Power Device
Hau stadi, IN 47639 � Gibson � a �� Geothermal Energy Heating/Cooling Device
ry, Srate ZIP Code Covnty ❑ Q� S. Is ihis property a residential rental property?
� 2. Does the buyer have a homestead in Indiana to be � 0 9. Would you like to receive tax statemenis for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact inlormalion
address of residesce bein vacated, including county: below. Please see inshuctions (ormore in(ormation.
Not available in all counties.)
i ?,�D�(-?� S - r-��Sk_�� �c ,
Address umbei and Shee!)
Cl�r���c ��' �-��� �lc-r�ll,�.��c a�-/g-3�-zoo cb 1.91� 5-o�
City, State ZIP e Counry P�mary property owner contact name 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 AcY'. (Note: Spouse
infortnation, Social Securi and Drivels License/Other numbers are not necessary if no Ho estead Deduction is being filed.)
�/ 2. �'�7� �� � � [ Ni o�� �� j���
SignatureolBuyer7 Slgnafureo/BUye� pouse �JI �J
Brett E. Rigqins i�j}.,i � Tawnya D. Riggins ���i/ I�/,