Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Chamberlain (4)
t I INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER SHERI L. GREENE Preparer of the Sales Disclosure Form Title 1122 E.OHIO ST. Address(Number and Street) Company PRINCETON. IN 47670 812-664-1005 City,State,and ZIP Code Telephone Number E-mail E.-SELLER(S)/GRANTOR(S)L" , JOHN W WILSON Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document PO BOX 104 (107 W POPI AR ST 1 Address(Number and Street) Address(Number and Street) PATOKA IN 47668 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c pleteasireq ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Sig re of Seller !!II//)) Signature of Seller JOH W WILSON 09/ AV /2015 Printed Name o(Seller Sian Date(MM/aD/Y117) Printed Name o Seller / Sign Date(mm/00/MT) Ft BUYERS]/GRANTEE(S) APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFYALL ITEMS,THAT APPIIY _ ___. ___ _ JOHN DAVID CHAMBERLAIN Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docume Address BOX 271 and W. POPLAR ST.) I� Address(Number and Street) Address(Number and Street) PATOKA, IN 47666 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOS THAT A• /. YES NO CONDITION I YES NO CONDITION t`(BSON "ft 0 ❑ property y p ry 2 ❑ 3.Homestead COUNt U 1.Will this be the buyer's primary residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System ITOR residence,including county: ❑ IN 5.Wind Power Device 111 W POPI AR ST Address(Number and Street) ❑ 2 6.Hydroelectric Power Device PATOKA, IN 47666 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIPCade County IN ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 2 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) /, /.L/ City,State ZIP Code County X—V -tor J°a— � IP 14f °°L0 Primary property owner contort name E-mail