HomeMy WebLinkAboutHomestead_Popp INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Jill Cooper closer
Preparer of the Sales Disclosure Form Title
606 Main Street Dubois County Title Co., Inc.
Address(Number and Street) Company
Jasper, IN 47546 812-482-1696
City,State,and ZIP Code Telephone Number
E-mail
E.SELLER(SJ/GRANTOR(S)
,lames J 8 Faye I Seramur
Seller l.Name as appears on c document Seller 2-Name as appears on conveyance document tut• / /a u /g onv a re s±/?
Adness( umbera Street) Address(Number and Street)
`
IU , 751 17
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
and co I,.lete as requir d by-law and is prepared in accordance with I 6-1.1-5.5,"Real Property Sales Disclosure Act".
X r / /�efaeia/zi k�. 1-_ `of t rn_t_r t
Sig /'re of Seller Signature of S 1er
Ja -s J.Seramur 7-25-14 Fave L Seramur 7-25-14
Printed Name of Seller Sian Date S lM/DD/YiJ Printed Name of Seller Sian Date(14M/DWITY1')
F.BUYERS GRANTEE S -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
-
Kennet W. 8 Heather D. Popp N
yer l A'.,,,.m uppeur,un wn.cyum a document Buyer 2-Name as appears on c veyan do me t
265 S. 1225 E.
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660
JUL 3 1 2014
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. •
YES NO CONDITION / NO CONDITIO, _
(� ❑ 1.Will this property be the buyer's primary 1 , ❑ 3. Homestead
residence? Provide complete address of primary . oar nergy Heating/Cooling System
residence,including county:
a5 n including ❑ [L]- S.Wind Power Device
Address(Number and Street) l� 4ibsU-Y1 ❑ V 6. Hydroelectric Power Device
J 'Rope's ❑ Er 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ ,�/ B. Is this property a residential rental property?
vacated for this residence? If yes,provide 111 L7 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.
kA l l ti-S�E- at-aveilablerin-afT°nntie .
Address(Number and Street) c elp)[r w
rrareiSGo T-N 4.--/i n„basis. .2(o -/t./ - 07 -Yoo .00/, cu 237-00 L
City,State ZIP Code County
'ma ,ro•er owner contact no • E-mail