Loading...
HomeMy WebLinkAboutHomestead_Williams (18) I INDIANA SALES DISCLOSURE FORS' SDF ID SUO ID 1780544 Page 2 D.PREPARER - Samantha L Cutsinger Preparer of the Sales OGClasure Form Tide 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 broadwaytitlel @insightbb.com O4 State and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) ' ' Marcia E Couts Janet L Shoultz Seller 1'Name as appears on conveyance document Seller 2-Name as appears on conveyance document 234 N.Lucretia St. 998 S Co Rd 325 W Address(Number and Street) Address(Number and Street) Oakland City,IN 47660- Petersburg,IN 47567- Telephone Number 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". `'/ ..GJ,,-_- . Cam'- derY.�-b/ -1..+-�C^'+ '�Le- - Signature of5dler tare ofSeller p M42Cf4 E. colt-> s _ i3 T.,� - L, CAct Lfi__�:26-/3 Pnn•rd Nom.n Collor <� O-MI van ',rem Prinre4 A'nnrr,nt Crlln Cb,,ts"on•vmnnmm F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY ' . • (Neil A Williams Th Joanna J Williams - " ber s appears an conveyance document Buyer 2-Name as appears on conveyance document 1703 Jefferson St. 1703 Jefferson St. Address(Number and Street) Address(Number and Street) Lawrenceville,IL 62439- Lawrenceville,IL 62439- 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 © ❑ 1.Will this property be the buyer's primary ( 13 ❑ 3.Homestead M TTTT residence? Provide complete address of primary -7:1- ©- 2r.Solar Energy Heating/C In y em residence,including county: ❑ © 9 '' 130 S.GIBSON ST. S.Wind Power Device 1 Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device q Oakland City,IN 47660 GIBSON ❑ © 7 Geothermal Energy Heating/1111214 6?t==L3 qp�� City State ZIP Code County ❑ >Q 2.Does the buyer have a homestead in Indiana to be ❑ ❑ 8.Is this property a residential rental propert ? vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to receive t.�I)9 =.t.--4 5l- this complete address of residence being vacated, property via e-mail?2�{{QQ��44i•' • 8r •.! e�l�pq-'OR including county: g below. Please see insert! morem)ormation.- • tillable in all counties. • Address(Number and Street) AG,-/9-/1? - 03 'UDO. 0) 7 -00 ) City.State ZIP Code County '^mary 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 informaron,Social Se ity and Driver's License/Other numbers are not necessary if no Homestead Deduction is being file..) A103 fBuyar2/Spou a. � ae