HomeMy WebLinkAboutHomestead_DavisSALES DISCLOSURE FORM SDF
Preparer ofthe Sales Disclosure Form
Tide
_116 S. Main St
0
ess (Number and Street)
Company
„ ceton IN 47670
City, State, and ZIP Code
Telephone Number E -mail
E. SELLERS GRANTOR S -
8. Is this property a residential rental property?
(:n ntry Avre Inc
Seller 1 - Name as appears on conveyance document
7989 F warrenton Rd
Seller-2 - Name as appears on conveyance document
Address (Numberand Street)
Has hetadt IN 47649
Address (Number and Street)
City, State, and ZIP Code
City, State. and ZIP lode
n E -mail I Telephone Number E -mail
Under pen ties of perj I her ertify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and comple as requir by l prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
Si nature of Seller Signature ofseller
Nv .,cl � G,,e (fie( 6-a.�- ,20/0
Printed Name o Seller I te fm D Printed Name o Seller Stan Date f!tt22
F: S )/G f E S '= APPLICATION FOR PROPERTY TAX DEDUCTIONS - ,IDENTIFY ALL ITEMS;THATAPPLI
Carol J. Davis
Buyerl-Nomeosa s on conveyance document BuyerZ Name asappears an conveyance document
101 .
Address (Number and Street) Address (Number and Street)
Ft 1.3ranch.IN 47648
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR
0 ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of 1
residence, including county:
Address (Number and Street)
City, State ZIP Code County
0✓ 0 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:
101 S. Main
Address (Number and Street)
Ft Branch, IN 47648
City, State ZIP Code County
THAT APPLY.
✓0 0 3. Homestead
System
0
❑✓
S. Wind Power Device
0
❑
6. Hydroelectric Power Device
0
0
7. Geothermal Energy Heating /Cooling Device
0
0
8. Is this property a residential rental property?
❑ 0 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 av ilable in all 8 unties.) FI J 00
CW0 00
/co /1/1
Primary property owner can met 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 Act ". (Note:
Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is
being filed.)
�omre ofBUyer7 // / Signature ofBuyer21Spouse
1)� V (V
Printed Legal Name of Buyer l Sign Data(MM/DD/YYY1) Printed Legal Name of Buyer 21Spouse Sign Date(MM/DD/YYYY)
6 -A, �,- d 0 (0
Lost 5 digits of Buyer I Driver's State Last 5 Digits of Social Security Number Last S digits of Buyer 2 1Spouse Driver's State Last 5 Digits of Social Security
License /ID10ther Number _ / Number License /ID /Other Number