HomeMy WebLinkAboutHomestead_Smith (41) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
=DPREPARER_ „, •.. _a_z + ,- .-. _ f ..__ ., L,. - -;-7
Jerry «---_.
Jerry D.Stilwell , Attorney at Law
Preparer of the Sales Disclosure Form Title
302 N.Prince Street Bamberger,Foreman,Oswald&Hahn,LLP
Address(Number and Street) Company
Princeton,IN 47670 812-386-6482
City,State,and ZIP Code Telephone Number E-mail
Robert J.Smith,III
Seller).Name as appears on conveyance document Seller 2-Name as appears on conveyance document
3010 S.Old U.S.Highway 41
Address(Number and Street) Address(Number and Street)
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn lete as re. ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
j1 .
.• .of Seller' Signature of Seller
Robert J.Smith,III Do'//a/15
Printed Name o(SelIer Sian Date(MM/DD/m9') Printed Name[:(Seller Sian Date(MM/Da/YYY1)
F..RUYER(S)/GRANTEE(S)' _AP P.LICATION,F_OR.PROPERT-Y_TAX.DEDUCTIONS'IDENTIFY'ALL:ITEMS_THAT.APPIY._ • . _
Timothy A.Smith Vickie Lee Smith
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
2730 S 100 W 2730 S 100 W
Address(Number and Street) Address(Number and Street) I(� y
Princeton,IN 47670 Princeton,IN 47670 �l":
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
n 1.Will this property be the buyer's primary 0 ❑ 3.Homestead GIBSON COUNTY AUDITOR
residence? Provide complete address of primary ❑ Q 4.Solar Energy Heating/Cooling System
residence, including county: n
5.Wind Power Device
Address(Number and Street) ❑ 12 6. Hydroelectric Power Device
❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
n is 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes, provide ❑ IO 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)
a
City State ZIP Code County
(—� 1 a5-aoo-D -07 /2
Primary property owner contact name E-mail