HomeMy WebLinkAboutHomestead_White (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:P:REPARER -. -2:7-Ii.,.,:"...s _ _ - ' _Z77. I - _ - s :.;..
SHERI L.GREENE I
Preparer of the Sales Disclosure Form Title
1122 E.OHIO ST
Address(Number and Street) Company
PRINCETON. IN 47670 812-664-1005
City,State,and ZIP Code Telephone Number E-mail
rE:.SECCER(S)%GRANTOR(S) __... _.. - I':'- - - .. - .
SPANL MrNFFLEY
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1109 S SEMINARY ST APT B
Address(Number and Street) Address(Number and Street)
PRINCETON IN 47670
Telephone Number I 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 cgmPppllete as r ulre law,a Is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
[Saki �� Signature of Seller
SEAN I MrNFF1 FY 09%�7/7013
Printed Name o(Seller Sian Date(MM//oD/Y1YY) Printed Name of Seller I Sian Date(MM/oo/YYT1)
F'iBUYER(S)%GRANTEE(S);`-ABPLICATIOMF.OR:PROPERTYcTAX•.DEDUCTIONS-IDENTIFY ACC ITEMSI'THAT i1P.PLY _
DERRICK E.WHITE CRYSTAL L.WHITE I
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears an conveyance document
6066E 390 N 6066E 390 N
Address(Number and Street) Address(Number and Street)
FRANCISCO, IN 47649 FRANCISCO IN 47649
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 rYES "^ `^`^
I7] ❑ 1.Will this property be the buyer's primary l ❑ 3. Homestead
residence? Provide complete address of primary Li LA 4.Solar Energy Heating/Cooling System
residence,including county:
19 0 S.Wind Powe
6066 E 390 N �)
Address(Number and Street) ❑ WI 6.Hydroelectri it evic
FRANCISCO, IN 47649 GIBSON ❑ El 7.Geothermal nergy eating oo (rig Device
City State ZIP Code County I
❑ 12 8.Is this property ,)dent ayytal property?
111 IZI 2.Does the buyer have a homestead in Indiana to be I 7
vacated for this residence? If yes,provide ❑ 0 9.Would you Tike to receive tax statements for this
complete address of residence being vacated, property via e�m//' ?(Prot,' e a to ' formation
including county: below. Please se:Q.t,.,; -v' 1ft. more information.
Not availe{j;gv0$Ioq , • AUDITOR
Address(Number and Street) Cr (0-0(.0--l(^ po^—I0 00.7 v g-o/7
City,State ZIP Code County
Primary property owner contact name I E-mail
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