HomeMy WebLinkAboutHomestead_Mays (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Amber Messmer Closer
Prepare'of the Soles Disclosure Form Title
606 Main St. Dubois County Title Co., Inc.
Address(Number and Street) Company
Jasper, IN 47546 812-482-1696
City,State.and ZIP Code Telephone Number E-mail
:E3SELLER(slic riA NT 0 lio: ;,.7-;::. : •:... hr-:). ..;:,_ '...-2-: -'1:;,:',7:: ;0:gr:;i:...k .7--:=SZ,V-:itic.-.Z-3Sf::C;e:c;V'.•.:Zi.rit,V. Wtt;4 ,ztctKS,E
Serretary of Housing and I rban Development -
Seller!-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
40 Marietta St
Address(Number and Street) Address(Number and Street)
Atlanta GA 3030.3
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
did compl.te as r uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
I i•
Signature of fie r
Signature of
Jennif- Lee I 4 , ,261.5 sew
PrinA.5 !! tj .m ' " • '• • Sian Date rAttrf/DDann Printed Name of Seller Sian Date(14M/MYTTM
;,F;'IBUYER(SI/GRANIFEE(SMAPP.LICATIONIFORIP,ROPERTNIFAX:DEDUCTIONS:IIIDENTIEVAWITEMS:11HAVAPPLYSitniraWa.
Jaymie S. Mays
Buyer I-Name ns appears on conveyance document a Buyer 2-Name as appears on conveyance document
.a1 (Ds outs Latt
ddress(Number and Street)
n Address(Number and Street) FILED
lir■■-■Clatirl
IN) 1/4-rl LC?0
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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
M' 0 1.Will this property be the buyer's primary Ni El 3.Homestead iiStelkir
residence? Provide complete address of primal}, D V 4.Solar EP RP tla rietIDAYRUR
i - residence,includi county:
Ni e_ 0 EY 5.Wind Power Device
Address(Number and Street) 0 W6.Hydroelectric Power Device
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LlibSoid
City,State ZIPiCade -9-AADOIS D Cal 7.Geothermal Energy Heating/Cooling Device
CountY
0 cfr-s.Is this property a residential rental property?
9 'W 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 9 IRV9.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) C96—1 9.-10--/C0—COD. 70251N7
City.State ZIP Cade County • -
Primary property owner contact name E-mail
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