HomeMy WebLinkAboutHomestead_Etolen (5) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER_
Steven L.Whitehead Attorney
Preparer of the Sala Disclosure Form Tide
111 N.Had Street
Address(Number and Street) Company
Princeton, IN 47670
E-mail
E.SELLER(S]JGRANTOR(S) • .
Abby I Ftnlen
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
6242 S.River Road I nt 7
Address(Number and Street) Address(Number and Street)
Brusly LA 70719
E-mail Telephone Number E-mail
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 required by law,and is.prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature ofdplter Signature of Seller
J I
Ably I Ftnlen
Printed Name ofSeller Sign Date(MM/DDJYm') Printed Nam&Seller 1 `Sir,�Da M.Y/DD/YYM
F.BUYER S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL 11111 H T. P L
Peter B. Etolen
rs on conveyance document Buyer 2-Name as appears on conveyance doing t 1 2 2016
308 N.6th Avenue //ii�l�7
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 /
_____________________________________________________________
City,State,and ZIP Code Gry,State,and ZIP Code GIBSON COUNTY AUDITOR
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary U 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Ciry,Smte ZIP Code County ❑ 0 7.Geothermal Energy Heating/Cooling Device
❑ Q 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 ❑ 51 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: •- • v • or more information.
Not available in all counties.)
Address(Number and Street)
• 41 —IA -IOl -cox. ?X; -0).2
City,State ZIP Code Cou
-I mary property ownercontoa name