HomeMy WebLinkAboutHomestead_Wilson (7)INDIANA SALES DISCLOSURE FORM SDF ID: A26201020000887 Paee 2
D.PREPARER
SHERI L GREENE
Rrtuucrafthr sates Disrlmurc Fw'+n Tt4-
1122 E OHIO ST
Idd,e,(Namberand.Strrr I Comnapv
- NCETON I 47670 (
Ciro, Sidi,, and ZIP Cude r0ephune.Nun+ber L'-mnil
E. SELLERS GRANTOR S
WILSON, SANDRA SUE
Sedter I-Namr as.ppa,rs an cu .,,n,e dawment
Seller2 Name usappears.. rma.wme dreamem
11972 S 525 W
Addrev (Numberand SrrertJ
Address (h'umher and Street)
CYNTHIANA IN 47612
City, State, and ZIP Cade
City. State. and ZIP Corte
(
E -mail
Tele have Namher 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 ".
Signature.( Seller
Signature of seller
WILSON, SANDRA SUE 11/19/2010
Rimed Name.(seller Sind tare l.wwau/nni
Printed A'amyn srlte, Stan Date 011f /Du/nITI
F. BUYER (S) GRANTEE 5 - APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
WILSON, DAVID E
WILSON, SANDRA SUE
Raper I- Rwne us appears on cuu, vua,e dacumrnt
Rrgrr ?- Suva•ns appears mr carnw,mcu Auru„rrnt
504 E GIBSON ST
11972 S 525 W
Address (Numhar and StrerQ
Addrell (Nwnher and,Street)
HAUBSTADT IN 47639
CYNTHIANA IN 47612
City, State. and ZIP Cad,
City, State, and ZIP Code
(
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TBIS PROPERTY. IDENTIFY ALL OF 71105E TBAT APPLY.
YES _ CONDITION I CONDIT10.
7 1. Will this property be the buyer's primary
I ',6 3. Homestead
residence? Provide complete address of primary
I I r •nergy Heating /Cooling System
residence, including county:
504 E GIBSON ST
❑ S. Wind Power Device
❑ 6. Hydroelectric Power Device
Address (Number and Street)
HAUBSTADT IN 47639 GIBSON COUNTY
1-1 7. Geothermal Energy Heating /Cooling Device
1 8. Is this property a residential rental property?
C, ,State ZIP cad, Cnun_v
IFl 2. Does the buyer have a homestead in Indiana to he
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 a -mail? (Provide contact information
including county:
below. Please see instructions for more information.
Not available in all counties.)
�ao_y_000 dO9_
Address (Numb, -and 51,e I)
Ci0{ Stun ZIP C.Ar Cnunry
Primary Property owner rnntact .tune E -moil
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.)
Signnmm ufD }vrl S {ynaturc of Ruvrr2/.Sprnur
WILSON, DAVID E 11/19/2010 WILSON, SANDRA SUE
Printed L,,,I8mneufRayer l .sq, an"Lasym) /rr111 Pnnanl Legal Nunn, nf8u, _'/5'p nu., Sign(lam(ruing /nil?
Lost 5 d(gits of l Driver's State Last 5 Di)7its of Social Srmu it), Number Last 5 Aigits ofQuyer 2ISpovae Driver's Suite Lust 5 Digits of5ocial Seewity
License /ID /Other Number Number License /lD /Other Number
Page 2 of 4