HomeMy WebLinkAboutHomestead_Weber (2) •
INDIANA SALES DISCLOSURE FORM SOF ID: Page 2;
LD.PREPARE_R _ _ __ -- _. _ __ _— -
Rhonda Blake Escrow Officer
Preparer of the Soles Disclosure ram Title
1010C East US 36,Ste.0 Frs;American Title Insurance Company
Address(Number and Street) Company
Avon,IN 46123 -- (317)271-5656 In.avon @9stam.com
Cry,State,and ZIP Muth Telephone Number E-mad
I E.SELLER(5)/GRANTOR(S)
The Bank of New York
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conscyance document
400 National Way 400 National Way
Address(Number and Street) Address(Number and Street)
Siml Valley,CA 93065 51ml Valley,CA 93065
Gy, State,and ZIP Code Gy,State,and ZIP Code
Telephone Number E-maltt Telephone Number 5-m,ad
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".
Signature of Seller S/graNre of Seller
The Bank of New York. March 07,2014 March 07,2014
Printed Name of Seller Sign Date(•+'✓DD/YYY)) Printed Name ofSefer • to(. •••/1T') .
i
F. :+2„;avt"'c"-! 5 -APPLGATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY . j. + . • 11
i Lenora I.Weber -
Buyer l-Name. •-.is on comvyance document,a n f MAK , n 2014 60155.C-T Ln
a• -- • and Street) Address(lumber and Street)
Winslow,IN 47598 Winslow IN 47598 _
j
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR t., •- R . • ••• ALL 0- OSE THAT APPLY. i
YES CONDITION ES NO CONDmO _f 4, _• _ . r
`, Fri ri 1.Will this property be the buyers primary 11-'1 I 3.Homes -•d
residence?Provide complete address of in. -.ar Energy Heating/Coding System
primary residence,induding county: Li j
5.Wind Power Device
Address(Number and Street) I I I 1--1" 6.Hydroelectric Power Device
I I .1 t'' 7.Geothermal Energy Heating/Cooling Device
e County I 271-l� 8.Is this property a residential rental property? 1
ti L r
Does the buyer have a homestead in Indiana I 1 [ 7 1 9.Would you like to receive tax statements for
to be vacated for this residence?If yes, this property via e-mail?(Provide contact
provide complete address of residence being information below. Please see instructions for
vacated,including county: more Information.Not available yin all counties.)
I
Address(Number and Street) // t1/4.----�� -/o2-O�/- T�� �/�l7—Oo2g
Gry,State ZlP Code County PrimaNprnperty opines contact name E-mail