HomeMy WebLinkAboutHomestead_Villalobos (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
DAN L.REEVES ATTORNEY
Preparer of the Sales Disclosure Form Tide
116 S.MAIN ST REEVES&COCHREN
Address(Number and Street) Company
PRINCETON. IN 47670 812/385-8641
City,State.and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S)
DAVID L FITHIAN
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
8055 S 600 W
Address(Number and Street) Address(Number and Street)
OENSVII 1 E IN 47665
Telephone Number E-mail
Under penalties of pe 'u ,1 hereb 'certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c . e ash quir• t aid.. t ' prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
and I�
Signature of Seller . - Signature of Seller
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Pnnted Name of Seller Sian Da •0.01,)D/YYn) I Printed Name ofSeller Sian Date IMH/Dan)Yll
F.BUYER(S)JGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
OSCAR S.VILLALOBOS
Buyer I-Nome as appears on conveyance document Buyer 2-Name as appears on conveyance document
1013 W.BROADWAY
Address(Number and Street) Address(Number and Street)
PRINCETON. IN 47670
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY RE USED TO APPI.Y FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDE: a'.LI.OF THOSE.THAT APPLY.
_YES NO CONDITION I 3 NO CONDITION
0 ❑ 1.Will this property be the buyer's primary El IA 3. Homestea
residence? Provide complete address of primary I ❑ Q 4.Solar Energy Heating/Cooling System
residence,including county: ❑
1013 W BROADWAY I S.Wind Power Device
Address(Number and Street) ❑ N 6.Hydroelectric Power Device
PRINCETON,IN 47670 GIBSON
0 7.Geothermal Energy Heating/Cooling Device
City,State ZIPCode c lY
El CI 2.Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ s 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
N available in all counties.)
Address(Number and Street) aL II-Ia-4O �-oo I . 077- o a$
PRINCETON, IN 47670 GIBSON fit I > U. t . 1"H. 1 A ni
City,State ZIP Code County
Primary pruperry 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
helm�filed,)
77941 r Nyc, L AL ci I ,
Signature of Buyer! r Signature of Buyer2/Spouse
r1°-)Clii: S. VI L-LF L LT 60 5 oB/rc ai
Number License/ID/Other Number �,/�
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