HomeMy WebLinkAboutHomestead_HowardINDIANA SALES DISCLOSURE FORM SDF ID: C26-2008-0000420 Pa e 2
D. PREPARER . ' -� - `':'-�; - .- -- - — . '" - .
STEVE FITHIAN OWNER
Pm(wrerof the Sala Olsclasure Form Title '
� BOX 43 _
AQdrtss(Numberand5meet) Compan}•
OWENSVIILE IN 47665
City, Smrc, ondZlP fode Telephonc A'umber E-meil
E. SELLER 5 GRr1NTOR S ` ' � - - � � - � � - _ � - - i" �-
STEVE FITHIAN
&Iler ]- h'nme as appevrs om m�re�nnte donmicnt Shcer2 - A'ume as appavrs om m�vcynnre dxummt
PO BOX 43
ddJress (Num6rr ond5veetJ Addros (A'umber undStree[J
OWENSVILLE IN 47665
❑n.5m�e, and ZIPCode Ory, S�ate, and ZIP lode
7elr honeNumdrr E-mail Tdt hanrNumbe� F.-mail
Under penal[ies o( perjury, I hereby certify [hat this Sales Disclosure, [o [he best of my knowledge and 6elief, is true, correc[
and complete as required by law, and is prepared in accordance tvi[h IC 641-5.5, "Real Property Sales Disclosure Act".
Stiqnalun oJShcer SignaNrc a/Seller
SfEVE FITHIAN 12/5/2008 �
PdnledA'omeo Shcer 5! nDate uM oD PnntNNamea Sefler Si nDate u.4 DD/Y»
F.BUYERS GRANTEES -APPL(CATION:EORPROPERTYTAXDEDUCTIONS-JDENTIFYALLITEMSTHATAPPLY.� + �
SHANEHOWARD
Auycr 1� A'ome asappmrs m mnreyantt dorument Buyer 2- Name as appears an mrtveyante darummt
8976 S 1125 W
Addrecs (Num6ernnd Streeq Addnss (Xumber ond50-eet)
OWENSVILLE IN 47665
'iq: Smu. and ZIP Codc Ciry. Sm�e andZ/PCOdr
7e/e noneHUmtrr f'-mail Teh honeNUm6rr G'-mall
TNE SALE$ DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAI.Y DEDURIOKS FOR TNIS PROPERTY. IUE\TIFY ALL OF THOSE THAT APPLY.
YES CONDITIO\ YES CONDITIO\
�J 1. 4Vi11 this property be the buyer's primary �� 3. Homestead
residence? Provide complete address of primary � 4. Solar Energy Hea[ing/Cooling System
residence, induding county:
8976 S 1125 W ❑ S. Wind Power Device
Addrrss(KnmberunAStmrQ � 6. Hydroelectric Power Devicc
OWENSVILLE IN 47665 Gibson County � 7. Geo[hermal Encrgy Heating/Cooling Devim
Ciry.Sm[e7.l�Cade lounrv
❑ 2. Does the buyer have a homestead in Indiana to be
❑ 8. Is this properry a residential rental property?
vacated for [his residence? If yes, provide . Would you like [o receive tax statements for this
complete address of residence being vacated, � roperty via e-mail? (Provide contact information
including county: below. Pleose see instructions for more information.
Not available in a!1 rounties)
Address (h'umMrandSfree[) p I ^ ^ — � � ` �^ �' �� I
n2�-�� 021"' UU 5
CireS[atr2/➢Codc Counry '
Pnmap' Properh' owner conmct name E-mail
Under penalties of perjury, I hereby certify [hat [his Sales Disclosure, to the best of my knowledge and belief, is t�ve, correct
and complete as required by law, and is prepared in accordance «�[h IC 6-1.1-5.5, "Real Proper[y Sales Disciosure Ac[". (Note:
Spouse information, Social5ecurity and Driver's License/O[her numbers are no[ necessary if no Homestead Deduction is
being filed.)
�
Signa:um of8uyerl SignoNre afey�erd/Spnuse
SHANE HOWARD 12/5/2008
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Los[SdigiaofBuyerlDriver's Smte LastSDigi6of5oriol5ecuriryNumber Los15digiuofBuyerZ/SpouseOriver's Smte LastSDigirso%Sociol5eturiry
l.icense/ID/OthrrNum6e� Number Lirense/l�/O[he�Num6er
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