Loading...
HomeMy WebLinkAboutHomestead_Buckman II INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 TORERARER -. - — Ray M. Drulev Attorney No.4759-26 Preparer of the Sales Disclosure Form Tide 505 N.Church Street,PO Box 146 Law Office of Rav M. Drulev Address(Number and Street) Company Fort Branch. IN 47648 812-753-4975 drulev(a)insightbb.com City,State,and ZIP Code Telephone Number E-mail FE:SELLER(S)/6RANTOR(S)3 _"_ , -- - _—__ _ �_-- Robert W Asherry Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 806 Makpmson Ave Address(Number and Street) Address(Number and Street) Princeton IN 47670 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 7and c let as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /nature of Seller Signature of Seller Robert W Asherry July 25 2013 Printed Name of Seller Sign Date(MM/DD/'iY1) Printed Name of Seller Sign Date(MM/DD/YYYI) kF BUYER(S)`/.GRANTEE(S)=APP.LICATION;FORPROP,ERTYTAXiDEDUCTION'S IDENTIEVAll'ITEMUHAT'APPLY! Anthony J. Buckman II Buyer I•Name as appears an conveyance document Buyer 2-Name as appears on conveyance document 219 S. Chestnut Street Address(Number and Street) Address(Number and Street) Princeton, IN 47670 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 IN ❑ 3.Homestead residence? Provide complete address of primary ❑ ri 4.Solar Energy Heating/Cooling System residence,including county: ❑ 205 N Eighth Street 5.Wind Power Device Address(Number and Street) ❑ Fl 6. Hydroelectric Power Device Princeton, IN 47670 Gibson City,State ZIP Code County 0 7.Geothermal Energy Heating/Cooling Device ❑ 0 2.Does the buyer have a homestead in Indiana to be 111 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 12 9.Would you like to receive tax statements for this ._ _ complete address of residence being vacated, _ _ - _property vine=mail?(Provide contact information= including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) Z (o - II - IQ - ao3 ooa . W35 oF< 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.) S(gnatur uyer Signature of Buyerz/S pause Number License/ID/Other Number