Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Lyles
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER Jeffrey B. Kolb Attorney Preparer of the Sales Disclosure Form Tide 801 Busseron Street, P O Box 215 Kolb Roelloen&Kirchoff LLP Address(Number and Street) Company Vincennes,IN 47591 (812)882-2280 kolbeemisonlaw.com City,State and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) - - .__ Uraina Lyles now known as Uraina Mohammed Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 709 N 6th Street Address(Number and Street) Address(Number and Street) 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". fj . 41.420 777 .06 Signature of Seller '" Signature of Seller Uraina Mohammed OO p 0-// a0 to Printed Name of Seller Sign to IMM/ Mill Printed Name of Seller It J.Agn; SM/aa(YYYY) R BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALLIT S TLATAPP_ Neil Lyles /l Buyer I=Name as appears on conveyance document Buyer 2-Name as appears on conveyance doruLnF4� 15 2016 1155 Sycamore /-�U Address(Number and Street) Address(Number and Street) /1 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of prima ❑ © 4.So ar nergy Heating/Cooling System residence,including county: 609E Fmerson Street ❑ IN 5.Wind Power Device Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Princeton,IN 47670 ❑ El 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 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 ❑ 171 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) City,State ZIPCode County Primary property owner contact name E-mail