HomeMy WebLinkAboutHomestead_BraseltonINDIANA SALES DISCLOSURE FORM SDF ID: I l' I Itaao �-
D.PREPARER
7
C. Dean H'R,I,ginbotham Attomev -at -Law '
'+eparerof thesales thsclosure Norm tide
East State Street Higginbotham Law Office
dress (Numberand Street) Company
Princeton, Indiana 47670
E -mail
E. SELLERS GRANTOR S
William F_ Ping
Barry Lynn Ping
Seller 1 -Name as appears on conveyance document
3207 S 825 W
-
Seller 2 - Name as appears on conveyance dormant
3153 S 825 W
Address (Number and Street)
Owp.ncvilla Indiana 47665
Address (Number and Street)
Owencville Indiana 47665
Gty, Smte and ZIP Code
Qty, State, and ZIP Code
E-mail
I Telephone Number 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 requlr and is prepared in accordance with[ 6- 1.1 -S.5, "Real Property Sa lsclosure Act ".
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intedN Date M DD Printed Nome 01sellor sion Dam MM /DD
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YER S GRANTEE S - APP-CfCATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL ITEMS THAT APPLY
Braselton
Buyer I- Nameasappearsan conveyance t
1
Buyer 2- Name as appears on conveyance document
Address (Number and Srmet).
Address (Number and Street)
nsville. Indiana 47665
�
Cry, State, and ZIP Code
Tye hone Number E-mail
I Telephone Number E -mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
Q ❑ 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:
❑ ✓❑ S. Wind Power Device
/33 S- �� l�
❑ ✓❑ 6. Hydroelectric Power Device
Address (Number and 5traetJ
1 /
bto"L)r11e �� �� Iv(o5 G+ $Bri
❑ Q 7. Geothermal Energy Heating /Cooling Device
❑❑ 6. Is this property a residential rental property?
Gty, State NP Code s 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 instrvctions formore information
Not available in all counties.)
o?G - /o- dG -3cb -aas. �a -Qoy
Address (Number and Street)
City, Smm ZIP code County
Primary propertyownw conmctname E -snail
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 -S.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Sectfflty and Drivers License /Other numbers are not necessary if no Homestead Deduction is
being filed.)
otureafBuyerl Signature ofBuyer2 /Spouse
Z 2
-2a1
DD/YYYY) Printed Lgal Name of Buyer 2 1Spause Sign Date(KY /DD/YYM
Last 5 digits of Buyer l Drivers State Last 5 Digits of Social Security Number Last s digits ofBuyer2 /Spouse Driver's State Last 5 Digits ofSwlal Security
License /ID /Other Number I Number License /ID /Other Number