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HomeMy WebLinkAboutHomestead_Mayes INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 I D.PREPARER DAN L.REEVES ATTORNEY Preparer of the Sales Disclosure Form • Tale 116 S MAIN ST. REEVES 8 COCHREN Address(Number and Street) Company PRINCETON, IN 47670 812/385-8641 City,State.and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) • COUNTRY AYRE INC Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2282 F WARRENTON RD Address(Number and Street) Address(Number and Street) HAUBSTADT IN 47639 I 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 c plete as requi ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". I atAft l; Mk_ , Signa.,.re of Seller Signature of Seller & , 1d GreubeI 602/- /3 Printed Name a(Seller Sign Date(MM/DD/nYYI Punted Name of.Seller Sian Date(NH/00/nfl F.BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY STEVEN D.MAYES Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 3936 A.J.DRIVE Address(Number and Street) Address(Number and Street) WADESVILLE, IN 47638 Telephone Number E-mail TIIE SALES DISCLOSURE FORM MAY RE USED TO APPI.Y FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE.THAT APPLY. YES NO CONDITION YES NO CONDITION is ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ 4 4.Solar Energy Heating/Cooling S rs qn 13 _ residence,including county: JUL A.7 Lu _.5 oI ‘1c1) ❑ 0 S.Wind Power Device - Address(Number and Street) /7 5 Q 6.Hydroelectric Power Device J.ht L t�ry5-4-44 r TI� Cl 6.-- 3 // I I ]L'3 vi 7.Geothermal Energy Heati•�, ; . H.�C City,State ZIP Code County ��TYY ITOR ❑ 0 8.Is this property a r fjai IIG 1-dperty? 81 ❑ 2.Does the buyer have a homestead in Indiana to be �il vacated for this residence? If yes,provide ❑ 5 9.Would you like to receive tax statements for this -- _ complete.addre-Ss of residence being vacated, - property-via e_mailT(Provide.contnct'information— below.Please see instructions for more information. including county: , ,/(/� f f -ici 3 /I a .7,---. 1_,,,-_,-,, ,, - h?r`1 ,1,� I /.4 , I rin1J F t Not available in all counties.) Address(Number and Street) CL;t4-OF _;; l/- Al %7i..� )� 4 . p a1• a,-ob- Zm coo g9 S 005 City,State ZIP Code Counh, Pnmary 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 72yL ° Signature of Buyer! V — I Signature of Buyer?/Spouse ,57L ir /#?/t y 4..---S Lo- 2/-- /0_ Number License/ID/Other Number