HomeMy WebLinkAboutHomestead_WoodY
1= Paee 2
William H Cawley
Ncmrer ofthe Sales Disclosure Form
kO8 S. Division Street
Mahomet, IL 61853
City. 6mh, and ZIP code
Joseph L. Wood
Seller I - Name as appears on conveyance document
6803 Hwv. 11
Address (Number and Street)
Mount Carmel, IL 62863
City, State, and ZIP Code
(
Attorney at Law
Title
William H. Cawley, Attorney at Law
Company
(
Telephone Number E -mail
Shirley Ann Wood
Seller 2 - Nome as appears on conveyance document
6803 Hwv. 11
Address (Number and Street)
Mount Carmel, IL 62863
Under penalties of perjury, I hereby certify that this S les Disclosure, to the best of my knowledge and belief, is true, correct
V Iplete as re fired byjlaw nd is epared i ccordance with IC 6-1.1-5.5, "Real Property Sale`slDisclosuce Act
•'� -OTC/
um of Seller Signature of Seller
Jo eRh L. Wood O ��_ /� Shirley Ann Wo 3_7�
U I bblS)�.- *PPLICATION FOR
PPLIC
remv L. Wood
yerl,Name as appears veyance document
�ti-ncoln Ave.
dress (Number and Street)
&land City, IN 47670
r, State, and ZIPCode
TIFY ALL ITEMS THAT APPLY'
uuyer Z - Name as appears on conveyance document
(Number and Street)
City, State, and ZIP Code
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
- i�' ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
122 S. Lincoln Ave.
Address (Number and Street)
Oakland City IN 47670 Gibson
City, State ZIP Code Count
❑ Nr 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 (Number and street)
sty, orate ZIP Lane
County
3. Homestead
- QZ:::t8
\
a ti iarHnr t�eating /Cooling System
❑
®
S. Wind Power Device
❑
'Ekir
6. Hydroelectric Power Device
❑
LNJN7l
7. Geothermal Energy Heating /Cooling Device
❑
®
8. Is this property a residential rental property?
❑
(27j
9. Would you like to receive tax statements for this
property via e-mail? (Provide contact information
below. Please see instructions for more information.
Not available all counties.)
name
E -mail
Under penalties of perjury, I hereby ce ify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, an s prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". (Note:
Spouse information, Social Securi nd Driver's License /Other numbers are not necessary if no Homestead Deduction is
being fledJ /
Signature of uyer] r
\
W:re, L. Wood
. ra ued Legal Name of Buyer I
Sign Date (MM/DD/YYYY)
3 c; 7y
TA/
LastSd&gltsafB;Trl Driver's
State Last 5 Digits of5ocial Security Number
Licewe /ID /Other Number
S,gnature of 8uyer2 1Spouse
Legal Name of Buyer Z /Spouse Sign Date
Lost 5 digits of Buyer 2 1Spouse Driver's State Last 5 Digits of Social Security
Number License /l0101her Number