HomeMy WebLinkAboutHomestead_Gasaway •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
.: ter- - .. ....z.
Charlie Lewis __
Preparer of the Sales Disclosure Form Title
_2011 Northwestern
Address(Number and Street) Company
Princeton, IN 47670 812-385-3674
City,State,and ZIPCode Telephone Number E-mail
,E.SEELER(S)%GRANTOR(S) t)- .r . ,-=L� _ . _ r,.- __-
Charles I owic Jana Snyder _
Seller I-Name as appears on conveyance document Seller 2•Name as appears on conveyance document
7011 Northwestern Ave 407 F Old Petersburg Rd
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton IN 47670
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 I w,and is prepared in accordance with IC 6-1_.1-5.5,""Real Property Sales Disclosure Act".
fe { ``tai f-�S"er -; ‘61.--1-/LP Signaure ofSelle *r Signat re S""er
ihl •
• @' fin S `�� cTJ)s 3a414. SvHde(
Printed Name of Seller 'Sion Date(NM/DOMTY) Printed Name of Seller Sian Date(MM/oo/YYYY)
+F:;BUYER(S)/6RAN TEES) APPIiICAT10NtFOR=PROPERTy;TAXDEDUEF IONS-;IDENTIFYALh:ITEMS_THATAPPlirn'
Benjamin Gasaway ..
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
411 S Hart
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TIIAT APPLY.
YES NO CONDITION I YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homeste eTTe
residence? Provide complete address of primary n IS 4.Solar En °y aaon "tem
residence,including county: ,
411 S Hart ❑ 0 S.Wind Power Device
Address(Number and Street) ❑ TA 6. HydroelectriddNve-61115
Princeton, IN 47670 Gibson ❑ TA 7.Geothermal Energy Heatin /Cooling Devi e
City,State ZIP ode County r ,
❑
❑ 2,Does the buyer have a homestead in Indiana to be
0 8.Is this prop. rental property?
vacated for this residence? If yes,provide ❑ TA 9.Wou01$SOM&COtiNdlyeAUi o14tffwents 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) i-1 t�_D1-2o
City;State ZIP Code County
Primary property owner contact name E-mail