HomeMy WebLinkAboutHomestead_RyanINDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. PRE PARE
R r'1, i t -t 2 *• _<..; yl --_
Dan L. Reeves
Preparer of the Sales Disclosure Form
11B S. Main St.
W(Numberand5treet)
nceton.IN 47670
City, State, and ZIP Code
�ttornev
Title
Company
E.SELL'ER(S) /GRANTOR(S) °e
:nuntry byre. Inc. I Aaron Enterprises. Inc.
Seller 1 - Nome as appears on conveyance document Seller 2 - Name as appears on conveyance document
E -mail
9282 F. Warrenton Rd I 5101 KIP47 Rd
Address (Number and Street) Address (Number and Street)
Haubstadt. IN 47639 Evansville. IN 47720
City, Stale, and ZIP Code City, State• and ZIP Code
Email
Under enalties o e 'u hereby cer9fy that this Sales Disclosure, to the best Yal knowledge and belief, is true, correct
and cp le a re law, a i epared in accordance with IC 6 -1.1- Property Sales Disclosure Act".
S,5,.Mre of Seller i /
Uao;/� G euG� v roil
Buyer 1
sr 3
document
✓t nl u.
91k L B s AD F :tJ 4 '1 3
tute, and ZIP Code
Buyer Z - Name as appears on conveyance
Address (Number and Street)
City, State, and ZIP Code
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
✓❑ ❑ 1. Will this property be the buyer's primary
[Z]
E]
3. Homestead
residence? Provide complete address of primary
❑
4. Solar Energy Heating /Cooling System
esidence, including county:
I� (fr -VA-A
❑
O
S. Wind Power Device
13
❑
❑✓
6. Hydroelectric Power Device
Address(Nomber� e;t) /j n •
�7� �Q
4, �coantyy�
/StateZ
❑
❑
❑
0
7• Geothermal Energy Heating /Cooling Device
8• Is this property a residential rental property?
C'i/7ryJ, /P Code
❑✓ ❑ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
❑
❑✓
9. Would you like to receive tax statements for this
complete address of residence being vacated,
property via e-mail? (Provide contact information
including county:
ease see ins trucl re information.
325 S. Stormont
Not available in all counties.)
(Number and Street)
Princeton, IN 47670 Gibson
l,-JJ� l�J-'LJ✓�/ I (p�(_J�J l/•
City, State ZIP Code Coun
Prim
erty owner contact name 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.)
tore of Buyerl Signature of Buyer? /Spouse
O 10
Printed Legal Name of Buyer l 1 Sign Efate (mmlimlYYYY) Printed Legal Name of Buyer Z /Spouse Sign Date(MN/
sits -E 8s
Last 5 digits of Buyer l Driver's State Last 5 Digits of5ocial Security Number Last 5 digits of Buyer 2 1Spouse Driver's State Last 5 Digits of5ocial Security
License /ID/0ther Number Number License /lD /Other Number