HomeMy WebLinkAboutHomestead_Sides INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
DANIEL A. MOON ATTORNEY
Preparer of the Sales Disclosure Form Tide
116 S. MAIN ST. REEVES.COCHREN&MOON
Address(Number and Street) Company
PRINCETON, IN 47670 8121385-8641
Ciry,State,and ZIP Code Telephone Number E-moil
E.SELLER(S)/GRANTOR(S)
COUNTRY AYRF INC
Seller 1-Name as appears on conveyance document Seller 2-Name as appears an conveyance document
9arrenton Road
Address(Number and Street) Address(Number and Street)
Haubstadt IN 47639
Under p aides • •e ' -jt r•by certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and im• et . . r • r',• b t< ,and is • 7 red in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
/ of Seller Signature of Seller
Ie Ii l lc -aj 4L-76
Printed Name of Seller Sign Date(MM/DD/TM) Printed Name ofSeller Sipe Date MM/oD/YYnI)
F.BUYERS GRANTEE S -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE - T PPL
SONJA SIDES
atryeri-Name as a pears on conveyance document Buyer 2 Name as appears an conveyance document
505 N.West St. Mil 5 2016
Address(Number and Street) Address(Number and Street)
Fort Branch. IN 47648
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDMON
❑ 1.Will this property be the buyer's primary ( 1. 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ U 4.S anergy Heating/Cooling System
residence,including county: \\\ ❑
5.Wind Power Device
Address(Number and Street) ❑ IN 6.Hydroelectric Power Device
City,State ZlPUde County ❑ 12 7.Geothermal Energy Heating/Cooling Device
i ❑ 2.Does the buyer have a homestead in Indiana to be
❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ A 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.
505 N.West St. Not t • •
Address(Number and Street)
Fort Branch, IN 47648 GIBSON 6 - - O(p - }.Da - oo4 ge Y -oo 9
City,Sate VPCde Coon