HomeMy WebLinkAboutHomestead_Dunn. I�DIANA SALES DISCLOSURE FORN � SDF ID SDO ID 1758390 Page 2
'iD:'-PREPARER�_c�,.�LC_�,�'^'`.—`'_t�'�t?��:.fx•i�rN'..,.,5`t.1�i5� ���..y�"4't>�F .-r��..�`� `^..ti:_`-"�'�*'x'._v�-�R`�"m?...�'���s �� "-�_"%Y��T-rt.::-:s'...�_._i.
Holy Peritins . qoser � �
Preparuo/NeSulesOtulusvreFOrm , Title ' �� �
7202 N Shatleland Avenue Hocker 8 P.ssociates
Addreu(Numbera�dStrectJ Comyvny . . ' . . .
Indianapolis, IN 46250.. �
:�E�SEfISfiR S' GRANTOR �S °.ir�,p?;iv"�"i"..�'���'-','�+��'���� ���"� '�r`.�?�g�.�_ -��,.;�x'�.�=�+-r=��:,:..�-�=.�:,.�`�—`�'�'"�*�'�:
?5, � .�. .:.
The Secretary of HUD �
Selierl-NOmeosaypearsonronveyvnttdxument ' . Selle�2-Nameofappeanonronvryancedxument
40 Manetla SVeet � - �
Addres(Num6erondStreet) - Addres(Numberand5tmt) ' _
AUanta, GA 30303- � - �
Ciry, StuCe,
t oneN 6er E-mafl TUe honeNUmber E-mail
n er pen "es ot perjury, 1 here � certiry [hat [his Sales Disciosure, to the bes[ uf my knowledge and belie�; is true, correct
� n o le as required by law, nd is prepared in accordance with IC 6•11-5.5, "Real Proper[y Sales Disclosure Ac[".
OCIATES
� nomreaJ ` � .� Signammo/SAIU .
�U
„ ,
�F:-BUYER LRANTEE S ��.'APPLICATION%FOR��PROPER77sTAX�DEDUCTIONS-;IDENTIFYrACL`ITEMS:THATAPPLY'�.�c: ��. ��� =`�,z.;:' �
Kent Dunn /
Buyer E� Name m apymrs om m�veyance dorumen[ Bvyer2 � Name ns a➢Oe^rs on convryance dorumm[ .
506 N tst Street -
Mdress (A'umber andSUeetf Address (Numher andSbatJ
Ov2nsville, IN 47665-
Ciry. Sm�q' and Z/P lade Ciry. SmtG and Z1P Code
Email Tde MneNum6er E-mail
TNE S1LFS DISCLOSURE fOR�N MAY BE USED TO APPLY POR CERTAIN OEDUCfIONS i0R TNIS PROPERTY. IDENTIiY ALL OF 7NOSE THAT APPLY.
YES NO COYDITION CONOITION
�x � 1. Wi11 this property be the buyer's primary �x � 3. Homestead
residence? Provide comple[e address of primary 4. Solar Energy Heating/Cooling System
residence, induding county: � �
506 N 1ST STREET 5. Wind Power Device
AQQrea(NUmberandSrteerJ ❑ Q 6. Hydroelearic Power Device
Ovrensville, IN 47665 GIBSON � � 7. Geo[hermal Energy HeaUng/Cooling Device
LSry, Sru�e LG!ade ca��.y
�� 2. Does the buyer have a homestead in Indiana to be � �$� Is this property a residenriaf rental property?
vacated for this residence? If yes, provide ❑ Q 9� Would you like [o receive tau sta[ements for this
complete address of residence being vacated, property via e-mail? (Provide contact information
intluding county: below. Please see �instructions for more informadon.
Not a�va"j/'lable in all counties.
Addrev(Num6erand5veet) a��'" / —D/ �D� �4�
1 (
[Iry, Sma ZIP CoQe tounry
Yn'merypmpertyownermnmciname E-mail
Under penalties of perjury, 1 hereby certify [hat this Sales Disdosure, [o the 6es[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in aceordance with IC 64.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse informa[ion, Social Security and Driver's License/Other numbers are no[ necessary if no Homes[ead DeducUOn is
being fil//ed�.�) �
� /(��(/ �GG'v"lnJl�
Sip�naNreo(BuyeA Signalurco(Buyerd/Spause
I\�t��" l�. Un1rJ OZ-15 -2013
LastSdigicsa( uyerlDriver't Sta[e LastSD[giGSaJSaialSxurityNumber 6as[SdjgiuofBuyer2/SpouseDriver's Srnte Lart50{qi[sof5onalSeturity
License/10/OrherNum6er Num6er License/!D/OtherNumber
1'�