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HomeMy WebLinkAboutHomestead_Hayes (2) "DIANA SALES DISCLOSURE FORM SDF ID: Page 2 I'D.PREPARE" - — Karen Harbison VP Preparer 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(Wesbanc.com City,State,and ZIP Code Telephone Number E-mail ,E.SELLERS)/GRANTOR(S). —_- - - _ . . - -- — - - —__ - Country Ayre Inr Seller I-Noise as appears on conveyance document Seller.?-Name as appears on conveyance document 72 7 F Warrenton Rd Address(Number and Street) Address(Number and Street) Hauhstadt IN 47639 Under enalti .o\pe j r) I,liereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and cot)plet as r Its -• y late, is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". off / m Signature of Seller David F Greubel Preside 10-20-2014 Printed Name of Seller Sian Date(MM/DO/Y1Y11 Printed Name of Seller Sian Date(MM/DO/Mn) F.BUYER(S)/GRANTEE(S)_APPLICATION FOR PROPERTY TAX DEDUCTIONS=jDEiNTIFY ALL ITEMS THAT APPLY. __ - ` Tamara Name Haves Tue ED Buyer as appears on conveyance document Buyer?-Name as appears on ran ce ru ent 510 E Elm Unit B Address(Number and Street) Address(Number and Street) Haubstadt. IN 47639 OCT 21 2014 THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TIIIB PROPERTY. IDENTIFY ALL'6IBSONIQ 0V NTY AUDITOR YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ lig S.Wind Power Device 505 S 9th Ave Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Haubstadt. IN 47639 Gibson ❑ g 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 B.Is this property a residential rental property? 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.) Address(Number and Street) (26723 .. tb aoo -(moo •8IOC - 009 Ci9',Stare ZIP Code County Primary property owner contact name E-mail -