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HomeMy WebLinkAboutHomestead_AltmeyerINDIANA SALES DISCLOSURE FORM SDFID SDO ID 726978 003 1 D.PREPARER Emily Smith ..� Closing Agent Preparer afthe Scies Disclosure Form Tide 605 S.E. MLK Jr., Blvd. Southwestern Indiana Land Title Inc. MId— (Numberand Street) Company ansville, IN 47713- City. State, and ZIP Code Telephone Number E -mail E. SELLER(S)/GRANTOR(S) Victor L. Grisham /V -Pres. Green Meadow Construction, Inc. Seller I - Name as appears on conveyance document Seller 2 - Name as appears on mnrnvace document 970 Huey Road Address (Number and Streeq Address (A'umber and Street) Wadesville, IN 47638 - City} State, and ZIP Code City, State. and ZlP Code Telephone Number E -mail Tele hmm Number E- ..mil Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct an completQQ as gequlr d b lot ,and is pre ar �jd in a cordim with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". r-Q<,v. NPa Jw s� ur• -u, �E ,g.1c. V(c4,nL ,tJh,. 1c4Pi�f. Irt f�^�4 %qZu r! I� SignamreufSc.r /_roe W(r Signature ofSeller yyu ll Vr{r/ L Vice Pe,-S' n F. S G E S - APPLICATIONFORPROPERTYTAXDEDUCTIONS- IDENTIFYALLITEMSTHATAPPLY Norma L. Adtme yor on conveyance datumeal Buyer2 t:utteasappwrsontonvevnntedo iiment ock Road Address (Number and Street) Address (A'umber and Sn eet) Owensville, IN 47665 - CiN, Slate, and ZIP Code Ciq•, State, and ZIP Code �de hone Number E -mail I Telephone Number Email THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TH IS PROPERTY. ID ' THOSE THAT AP PLY. YES NO CONDITION I Y NO CONDITION xj ❑ 1. Will this property be the buyer's primary X ❑ 3. Homestead residence? Provide complete address of primar, ❑ © 4. nergy Beating /Cooling System residence, including county: S. Wind Power Device 204 ROCK ROAD ❑ © 6. Hydroelectric Power Device Address (Number and Street) Owensville, IN 47665 GIBSON ❑ © 7. Geothermal Energy Heating /Cooling Device ❑ © 8. Is this property a residential rental property7 City. Some ZIP Code County ❑ ❑ 2. Does the buyer have homestead in Indiana to be a vacated for this residence? If yes, provide ❑ © 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.) R�- M-bb-301-004-9`73 -Od, Address (Number and Street) City, State ZIP Cade Caunty Primary Property owner tonmct name E -mail 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 law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". (Note: Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is bein filed.) i Il g�M�t °lam l� rte_ ,f� ,kA , I,4 Ij AS!ignamreofBuve i Artrk ` �L I "PI. Signature of Burer2 /Spouse IV0(mk C. Aw—me +or t EM- ySM, I �1p Last SdigitsofBuyer l Drivers State Last 5 Digits of Social Security Number Last Sdigimol Buyer21Spouse Driver's State Last S Digits of Social Security License /ID /other Number Number License /ID 10ther Number