HomeMy WebLinkAboutHomestead_RichardsonINDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Z" - ,.- _'. -. --.
-7 Z7-
Steven L. Whitehead Attorney
Prepareref the Sala Disclosure Form Title
I I North Hart Street
WAddress (Number and Sam) Company
Princeton, IN 47670
City. State and 7JP Code Telephone Number E-mail
E. SELLER (S)J.GRANTOR(S) .
Gary Richardson
.lane RichArrigni-I
Seller 1 - Name as appears on conveyance document
2930 Fast State Road 56
Seller 2 - Name as appears on conveyance document
2930 Fast State. Road 56
Adorns (Number and Street)
Ha7letnn IN 47640
Address (Number and Street)
Hazleton. IN 47640
City, state, and ZIP Code
City, Slate, and ZIP Code
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,' a] Property Sales Disclosure Act".
(- -�M I c�k&kAwy\_
SignatureofYeller Si of Seller
,pry rhnrrknn 2- ) I I V I I
u,
Nameol'Seller Sim,D.041DDI�"_�_ �_�nted Name ofSeller San MIDD/aM
b L
BUYERS )`,GRANTEE'SJ'*APPLI CATION; FOR;PROPERF _UCTICNS��IDENTIFY!AL EMS ,=THAVAPPLY_��
( -- 1)
,4a
aniel Richardson
Erica Richard on
"'a r'
I- No a ncom,eyancedmumera __4VN
z
Buyer 2 - Name as appears on once document
3259 East
3259 East State Road 56
Address (Number andSaeer)
(Number Street)
Hazleton. IN 47640
.Address
Hazleton, N 7640
Ciry,S [e, and 9PCOde
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 NO CONDITION
❑ 1. Will this property be the buyer's primary
FV1 F
' Ho IT St a
3. Homestead
residence? Provide complete address of pr* ary
I Sol
Solar Ene r
4. Solar Ener Ing/Cooling System
residence, including county:
.57WIrPower Devito
Po v
3259 East State Road 56
t720]�6. Hydroelectric Power Device
Address (Number and Sveet) I
Hazleton, IN 47640 Gibson
❑ ] 7. Geothermal Energy Heating/Cooling Device
❑ 8. Is this property a residential rental property?
City, Store ZIP Code County
2. Does the buyer have homestead in Indiana to be
a
vacated for this residence? If yes, provide
9. Would you like to receive Lax statements for this
complete address of residence being vacated,
property via e-mail? (Provide contact information
including county:
below. Please see instructions for more information.
Not available in all counties.)
Address (Number and Street)
c)
City. Soto VP Code County
Primary properry 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:
Spv use information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
em fil d.
L 5, im Ql.ciq&ild,QOr— —
Signatureol'Boyerl Wnature afBayer2lSpou5e
--;-. I I) I I Frir:a Rinhnrdsnn I I Q I I
Number Last Saligits offtyer2lSpouse Driver's State Last 5 Digits ofSociol Security
License/ID/Other Number Number LicenselID10ther Number