Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Burton (2)
INDIANA SALES DISCLOSURE FORM SUF ID SDO ID 1781363 Page 2 D..PREPARER Peggy A.Ralston Title Assistant Prepares-of the Sales Disclosure Form Title 3101 N.Green River Road Suite 130 Trustworthy Land Title Co.,Inc. Address(Number and Street) Compam' Evansville, IN 47715- 812-471-8563 pralston@twtitle.com Guy,Stoic and ZIP Code Telephone Number E-mail E.SELLER S .GRANTOR S F.Keith Shoultz Rebecca A.Shoultz Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 3211 E.Top Hat Road 3211 E.Top Hat Road Address(Number and Street) Address(Number and Sneer/ Princeton,IN 47670- Under e enaltie of perjury,1 by certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct �afid�omple sr-iy.,'red I •,and is per.red in accordance w'thl`, 1.1-5.5,"Real 'roperty Sales Disclosure Act". i. S m m iSZIhJ 1 ' i n -ure of Seller I if ,i,..an.,.,,,,,,,,,,,,,,,. F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY _ Christopher A. Burton Buyer I-Name as appears on conveyance dnnunent Buyer 2-,Name an appears on conveyance document 4085 N. Bradfield -- Addresc(Number and Street) Address(Number and Street) Petersburg,IN 47567- 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 (/I� )Xr NO CONDITION I © n 1.Will this property be the buyer's primary \ n n 3.Homestead residence? Provide complete address of primary n © 4.Solar Energy ce niC olint�' residence,including county: 3211 E.TOP HAT ROAD © 5.Wind Power Address(Number and Street) 0 © 6.Hydroelectric Power Device IDI((ee�viicqceCC 99Q(� Princeton,IN 47670 GIBBON © 7.Geothermal Energ3k tireg,�'UQl ig Device On•,State ZIP Code Count' 9 0 2. Does the buyer have a homestead in Indiana to be © 8.Is this property a re idential rental l rrv? vacated for this residence? If yes,provide n © 9.Would you like to - . `t , tents for this complete address of residence being vacated, property vie1BSON(b' - 73ffl Iylyf(ORlation including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) City,State ZIP Code County a-G- aDO -Go 1. acs-oa7 Primary pmrmgr owner mnmc name Email 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 in ormation,Social Sec rity and Driver's License/Other numbers are not necessary if no Homestead Deduction is tieingjfir -d.) ///' / / ..iGna: S,gnnmre ofFaTer2/Spouse !In 1-�p A' aligblA 1- If-IS Number Licence/ID/Other Number