Loading...
HomeMy WebLinkAboutHomestead_Fleetwood INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 tD:PREPARER - ' KAREN HARBISON VP Prepare,of the Sales Disclosure Form Title 803 E STATE HWY 68 HAUBSTADT STATE BANK Address(Number and Street) Company HAUBSTADT IN 47639 812-768-5800 kharbison(8esbanc.com City,State.and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR{S) - RYAN JAMES BARBAULD AUDRA IANF RARRAI II D Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2161 COUSTEAU OR 2161 COUSTEAU DR Address(Number and Street) Address(Number and Street) WEST 1 AFAYETTE IN 47906 WEST 1 AFAYETTE IN 47906 __- Under p$$n31t • • -perjury, erety certify that this Sales Disclosure,tf the best of my knowledge and belief,is true,correct and lthp -toy re • ed b 'law, nd is repared in accordance with • u-1.1-' 5,"' -.1 Property Sa :s Disclosure Act". Stg, or ,�/ rgnamre Seller RYAN JAMES BARBAUI D OV:2 //0/ AUDRA JANE BARBA 3 t I2 Printed Name of Seller Sian Date(MM/DD/Im) Printed Name of Seller Sian Date(MM/DO/n))1 F.BUYER(S)/GRANTEE(S),=APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY; L ITEMS THAT APPLY - - KRISTEN N FLEETWOOD Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 106 NORTH 8TH STREET Address(Number and Street) Address(Number and Street) PETERSBURG IN 47567 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE'YfAtA LY - -c�' YES NO CONDITION I YES NO CONDITION f�®t"11 IGpRI f A -f g ❑ 1.Will this property be the buyer's primary g ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy HeatingConning Sy,.Ij¢p residence,including county: ❑ 1 CLUU II44 517 S 8TH AVE S.Wind Power Device Address(Number and Street) ❑ Ca 6.Hydroelectric Power/ vice HAUBSTADT IN 47639 ❑ 0 7.Geothermal Enera )- Device City,State ZIP Code County GIBSON COI T ❑ El 2.Does the buyer have a homestead in Indiana to be ❑ ❑ 8.Is this property a res(den 'al rents o� j? vacated for this residence? If yes, provide ❑ 0 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. Not available in all counties.) cal Address(Number and Street) I�/o�sl a(/�x/J ,coo "1 I 1 City.State ZIP Code County. �a3 ©4/ t/�*-' - -�.�/V 1 Primary property owner contact name E-mail