HomeMy WebLinkAboutHomestead_Pieper INDIANA-SALES DISCLOSURE FORM SDF ID: - Page 2
LIVREPARERI - --- _ - - -- - -- - - ,—:-- .
Christopher E.Carl Settlement Agent
Preparerofthe Sales Disclosure Form Title
101 Plaza East Blvd.,Suite 102 True Title Service;LLC __ _
Address(Number and Street)' Company
Evansville. IN 47712 .(812)402-6555
City,State,and ZIP Code Telephone Number E-mail
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!E SELLER(S)/G4NTOR(S)=
Janet I ynn Hulfarhor f/k/a Janet I ynn Gooch
Sellerl-Name as appears on conveyance document Seller 2-Name as appears on conveyance document .
2500 Fact I akP Road
Address(Number and Street) Address(Number and Street)
Princetnn Indiana 47670
Telephone Number E-mail
Vim——
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".
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C6 gnatreo Sv]le'd , Signature of Seller
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Janet Lynn Hulfachor-f/k/a Janet Lynn Gooch 3. /�2/2013 -
PrintedNameofSeller .(----Sian Date(SWINWITTP Printed Name of Seller - . Sian Date 1MM/oD/rvn1 -
F BU,YER(S)t/,GRAnfI1EE(S)LAPP.LICATIO1\71WiPk0EER IriTAXIDEDUETIONSD DEDENTIF;Y,iALNTEMSyTHATy+A P Yl ` . -
Randali D. Pieper • - Alicia A. Pieper
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on yonveyance document
226 N.2nd Avenue 226 N.2nd Avenue
Address(Number and Street) Address(Number and Street) ■
Oakland City, IN 47660 Oakland City IN 47660
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary Fl ❑ 3.Homestead
residence? Provide complete address of primary ❑ NI 4.Solar Energy Heating/Cooling System
residence,including county: ❑
2500 Fast 1 ake Road 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, Indiana 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
Liq•,Sate ZIP Lode County
Ir�RIl
❑ ( -- -' ❑ SI 8.Is this property a residential rental property?
2.'Does the buyer-have a homestead in Indiana to be
vacated-for fh�ls esidence? If yes,provide ❑ 5 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: `` t, J��, _ below.Please see instructions for more information.
.2nd t on `i jl /J J . POu< b 1 \VC Not available in all counties.) �r
Addres(Number and Street) c (r/a _ O 9-103�O ,-S9 tQ Cc 7
Oakland City;IN 47660 Gibson Randall D.Pieper
' City,State ZIP Code County
Primary property owner contact 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.) . •
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Signature of Blot, UUU Signature of Buyer2/Spouse)
Randall O Pinner 3 3/2013 Alicia A Pieper 3 -Y"�^/1�
"-1-2013-
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