HomeMy WebLinkAboutHomestead_DeFelice (2)IMJIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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Rav M. Drulev Attomev No. 4759-26
Prepaw o(Ne Sola D6dasrire Form 7f4e
505 N. Church Street. PO Box 146 Law Office of Rav M. Drulev
Addras (Numberand Street) [ampa�y
Fort Branch. IN 47648
'sE°SELLHIt S'.GRANTOR S ``�'4.t.'��?;-`r`�'r-.��:�'s�.�Y`i���:.�°a.'-���Z""�.�:i�-,:����;,�`.�a=+�'�%ie�;����:.'v:�`�.��.�i:��.. ."-��-
JPMorgan Chase Rank National Acco iatinn
Shcer t- Name as appenrs on ronveynnre docvment Seller 2� Name as oppevrs om m�veyvnre documm[
270 Park Ave
Addrnr (Numberand Street) Addr� (Number and Street)
New Ynrk NY 10017
E-mail Tele honeNumber 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 1 w, and is prep� ed in accordance with IC 641-5.5, "Real Property Sales Disclosure Act".
S namre Selle S(qnoWreo(Sel/u
PnnredNomeo Sellu St nDo[e MM D Prin[edNameo Selle� Si nDote MN 0
' _ __ _.. . _ . . . __�—_, _
BF.;BUYER S .GRANTEE S d;AP.P.tiICATi0N�E0R�P,ROPERTjYETAX{DEDUGTIONS�IDENTIFY�ALL�ITEMS:THAT/APPI:Y�a;�'"1��..'�
Mario A. DeFelice
euyrr 1- Name as oppmrs om m�veyvnce dacvment Bvyer 1- Name as appmrsan ronveyvnce docvmen[
94 E. 150 S
Address (Number and Stree[) Addras (Numberand Streeq
Princeton. IN 47670
Ciry, SmtG and7JPCOde City, Smtg and LPCade
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E-mail Tele honeNUmbrr E-mall
THE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIY DEDUCfI0Y5 FOR THIS PROPERTY. IDEMfIFY ALL OF THOSE THAT APPLY.
YES NO LOYDRION YFS NO C08DITION
� 1. Will this property be [he buyer's primary � 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Heacing/Cooling System
5 residence, including county:
�o �. Washin9ron StrPPt ❑ ❑� 5. Wind Power Device
Addrgs(Numberond5treetJ ❑ ❑✓ 6. Hydroelectric Power Device
Princeton. IN 47670 Gibson � Q 7, Geothermal Energy Heating/Cooling Device
Gry, Smre LP[ade Counry
� �✓ 2. Does the buyer have a homestead in Indiana to be � ❑� $• �s this property a residenrial rental property?
vaca[ed for [his residence? If yes, provide ❑ ❑✓ 9. Would you like to receive W�c statements for [his
complete address of residence being vacated, property via e-mail? (Provide conmct informadon
including county: 6elow. Please see instrucdons for more infarmadon.
Not available in all cauntles)
Addrgs(Numberand5treetJ
� b-l�-b � ya a oo a 7,�0 �
Gry, Smre LPCade Counry
Pnmarypraperryownerronmr[name E-mail
Under penalties of perjury, I hereby certify tha[ 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 wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informatlon, Social Security and Drlver's License/Other numbers are not necessary if oo Homes[ead Deduction is
bei filed.)
,5�g� �¢ �g��ti � ` Sjgnature a(Buyer2/Spouse
Marin A DrFaiirn
PnntedLegalNameo(BvyYrl SignDate(wN/DD/YYYh PnnfedLegalNameo/Bvyer2/Spouse SignDate(xM/OD/YYYY)
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LastSdigi�ofBuyeriDriver's S[ate L¢s[SDigiGSO�Sacial5ecurityNumber Las[Sdigi[tofBuyer2/SpouseDnver's Smre LastSDigitsojSocialSecuriry
Lirense/lD/OfherNum6er Num6er License/ID/OtherNum6er