HomeMy WebLinkAboutHomestead_Unfried INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER-
KAREN HARBISON VP
Preparer of the Sales Disclosure Form Tide
803 E STATE HWY 68 HAUBSTADT STATE BANK
Address(Number and Street) Company
HAUBSTADT IN 47639 812-768-5800 kharbison(Tesbanc.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTORJS) ___.-.:.;•` . �— ";.. .-'
DANIEL R ANDERSON
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
6077 S S00 F
Address(Number and Street) Address(Number and Street)
FORT BRANCH IN 47648
U der penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
I corn�•s' a e t fired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
1' ` t r :.ti
Signature of Seller Signature of Seller
DANIEL R ANDERSON 09/25/2015
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller t t• ,VOD/YYYn
F.BUYEROGRANT`EE(S)-APPLICATION:FOR PROPERTY-TAX DEDUCTIONS {DENT[EYAI1:iITE T P(?L ,_ I®•`.__ _-__•
(SLEY J UNFRIELt l LAUREN J UNFRIED
o..., i-name ua u,.,...,.<.., nveyance document Buyer 2•Name as appears on conveyance daurrJeptP 2 8 2015
802 E WALNUT ST 803 E WALNUT ST CC
Address(Number and Street) Address(Number and Street) n
FORT BRANCH. IN 47648 FORT BRANCH,IN 47648 _
TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES cnsn'T nN
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ig Wind
703 F LOCUST ST 5.W nd Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
FORT BRANCH. IN 47648 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be II] 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax statements for this
complete address of residence being vacated, prope via e-mail? Provide contact information
including county: se ow.Please see instructions o . • 'n ormation.
Not available in all counties.)
Address(Number and Street)
1 6 - /9 /8 - Soy -000. 60 y-oxL
Cite State ZIP Code Coakry _
\� Primary property owner contact name E-mail