HomeMy WebLinkAboutHomestead_Stephens (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER. - --- --. - - - - -- - ,
-- - - - - - - - -- --- __ ---- - -
it C., . ' k' t ∎ I I
Preparer of the les Disclosure Form Title
It IV w ese main
Address(Number and Street) Company
Y"LLhciS[n i 'zN WILU9 Pa- "lta• 3524
City,State,and ZIP Code Telephone Number
E-mail
E.SELLER(S) GRANTOR(S). -
J0 f - r- _ • I Mar,tj 3 3ra.kebal
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
COO W eec.& mean 4 to W PS 6 IYlo.■n
Address(Number and Street) Address(Number and Street)
F ran Ci5Co
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 r by law,and is prepared in accordance with IC 6-1.1-5.5 "Real Property Sales Disclosure Act".
garfSeler ktd yller Signature of Se ler
F- a rake b i II
Printed Name of Seller Sian Date(MM/DD/YYY1') Printed N meofSeller Sian Date(MM/DD/YYYY)
F:BUYER(S)/GRANTEE(S).=APPLICATION.FOR PROPERTY TAX.DEDUCTIONS=IDENTIFY_ALL ITEMS_:HAT APPLY_ _• '
-Caroni v m. St ephens
Buyer l-N'ame as on conveyance document Buyer 2-Name as appears on conveyance document
LOV nut
Address(Number and Street) Address(Number and Street)
i Pri-n ce,}-o nl rw • 17 4 iro
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.9 20/5
YES NO CONDITION YES NO CONDITIO.tIQ
v ❑ 1.Will this property be the buyer's primary B"... ❑ 3.HomesteaPic c'ti
residence? Provide complete address of primary ❑ G✓ 4.Solar Energy Heatihtt g Sy m
residence,including county: UO
&Olt- Ea.ct WD-1 'hut
❑ ❑/ S.Wind Power Device AfT� .
dress(Number and Street) �} ❑ Re 6.Hydroelectric Power Ilev' -
`!V(C he e 4-o n 13w Vine /o L1lbso n ❑ [.�" 7.Geothermal Enera :�:t' • I:. i g Device
City,State ZIP ode J County
❑ . 2.Does the buyer have a homestead in Indiana to be ❑ ��/ R. Is this prop: ty 4:` • al rental property?
vacated for this residence? If yes,provide ❑ LJ 9.Would you ike i e eive tax statements for this
complete address of residence being vacated, property vi. e-I.ail?(Provide contact information
including county: below. Pleas- :• instructions for more information.
Not available in all Counties.)
Address(Number and Street)
2. ter'a—G 7-Zo 2-co..) 076 0 a V
City,State ZIP Code County
Primary propertyowner contact name E-mail