Loading...
HomeMy WebLinkAboutHomestead_Willis INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1779448 Paget - - - Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Title 226 W Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47666- 812-386-1687 broadwaytitle@insightbb_com City,State,and ZIPCode Telephone Number E-mail E.SECLER(S)/GRANTOR(S)`- -;_. . . .`. _ _ , . . -- .,:- ;.. _ -- Carlos F Gonzales Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 10426 E 350 S Address(Number and Street) Address(Number and Street) Oakland City,IN 47660- 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 co as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". `ei t fSill' `�U� Signature of Seller L� ./1,5 F(mgzyl,o 5 0-l3 1 PnnrM NrmarTGte• I Cia"Or've mu/Wm-in 1 Pnn'rte Pr n(CiPr boa nrr n' nnmvn F-BUYER(Sl/GRANTEE(S)'-'APPLICATION FOR PROPERTY TAX,DEDUCTIONSm IDENTIFY,ALL ITEMS_THAT APPLY . _ _ (nathon Mils Ashley E Willis s appears an conveyance document Buyer 2-Name as appears an conveyance document 925 N Polk Dr 925 N Polk Dr Address(Number and Street) Address(Number and Street) Oakland City,IN 47660- Oakland City,IN 47660- 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 INIITIO © ❑ I.Will this property be the buyer's primary © 3.Homest residence? Provide complete address of primary ' J ❑ 4.Solar Energy Heating/Cooling System residence,including county: 10426 E 350 5 ❑ © 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Oakland City,IN 47660 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County © Li 2.Does the buyer have a homestead in Indiana to be ❑ © 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ ❑ 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. 925 N POLK DR Not availa. - 'a • • • -_ Address(Number and Street) Oakland City,IN 47660 GIBSO a(o - /3— e.4 — yoo -000. 3AV-004 I City.State ZIP Code County • n o'er owner contact name E-mail