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