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HomeMy WebLinkAboutHomestead_Shoemaker (2) INDIANA SALES DISCLOSURE FORM SDI:ID SDO ID 1780129 rage 2 D.'PREPARER::• - - Marc Hawley attorney Preparer of the Sales Disclosure Form Title P00 716 Marc E.Hawley,Attorney at Law Address(Number ami.Street) Company Mount Vernon,IN 47620- 812-643-0130 marc.edwin.hawley @gmail.com City.State,and ZIP Cate Telephone Number Email • 1.E.SELLER(S)/GRANTOR(S) Great Falls Timber,LLC .tiller1-Nunrr as appears an aumwnar,hxwnem Seller 2-Fiume u•appears w:twin: mre uhnomen( 4748 E 100 N Address/Ahab-rnM Stree:) _-- AAJrva (Sn"('pram!Street) Washington,IN 47501- Telephooe,Number Entail 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 yequired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Art". Siryrarrve a/Seller - Signature of Seller Pd-•ar(5rs--rrrcpP.-- e:,.^n..r.r.,,:.,•.:»r, Pn-.r-r Name ni ern r e,,,, F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY - Donald E Shoemaker Bayer l-Name as appears an cosce ranee document purer 2-Mane as appears an conveyance document 402 N.2nd Street Address(Number and Street) Addre a(Number and St,vet Owensville, IN 47665- . ! Telephone A'u ,her Email THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR DEDUCTIONS FORT DS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.IL ED YES NO CONDITION YES NU CONDITION �;I © ❑ I.Will this property he the buyer's primary Q ❑ 3. Homestead residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling S tonm3 residence,including county: ❑ © R�" 8718 MEADOW LANE 5.Wind Power Device Addnsr(Number mut Street) ❑ ❑ 6.Ilydroelectric Power Device Owensville, IN 47665 NOT APPLICABLE ❑ © 7.Geothermal Energy I[calk! 11l 1t R Oryt State ZIPCode Car TY AUDITO ❑ ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a rc (tg(gN l&Qat pI operty? vacated for this residence? If yes,provide ❑ © 9.Would you like to receive tax statements for this - - -- - ---completeaddressofresidencebeing vacated:. - - property.via.a-mail?(Provide contact information _ __ including county: ' helm r.,.Please.sce'instruc.ions fi:r nmrelaftaFira?ion. Addre-cs(Number and Saeea C A';;t comities.) in all cmties.) City.State Z(r^Code County ,9 — Q00-004. 519-oaI Primary property owner wawa name Email