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HomeMy WebLinkAboutHomestead_Lawrence INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D:P.REPARER 4 _ ,.r._,.- . . .• Brian K.Mahoney Attorney Preparer of the Sales Disclosure Form Tide 822 Main Street, P.O.Box 176 Mahoney Law Office Address(Number and Street) Company Petersburg,IN 47567 812 354 8121 mahoneylaw(Enwcable.net City,State,and LP Code Telephone Number E-mail - .'E..SELLER[S /GRANTOR(S)_-._'. -. . - _.. . • _ . . - _ - .. - . _ s -_ , Fmmitt R Williams Sandy K Williams Seller)-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 119 N Gihsnn 11q N Gibson 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 requir d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". l/°/9�- 1 n1 • 2J ri.° na/Iti . 04.0_0%n rrti Signature of Selle Signature of er Fmmitt R Williams R-Itg-I4 SandyK W ams 8-1U-I e Printed Name of Seller Stan Date(MU/DD/Yrv1) Printed Name ofSeller Sign Date(MM/DD/YYf) £.BUYER(S)/GRANTEE(S)_=APPLICATION FOR-PROPERTY TAX DEDUCTIONS-.IDENTIFY ALL-ITEMS THAT APPLY _ . amen E.Lawrence Megan Lawrence n.5.0r t.Name as nnron V, veyance document Buyer Z-Name as appears on conveyance document q4bu uJ �ISo S Addr Nu w 950 S It 1' Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APP fY� YES NO CONDITION EBRDITION JJYIIMC { 0 ❑ 1.Will this property be the buyer's primary 0 3.Homestea GIBBON COUNTY AUDITOR residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System residence,including county: ❑ ig 322 N Grove Street 5.Wind Power Device Address(Number and Street) ❑ 12 6. Hydroelectric Power Device Oakland City.IN 47660 Gibson ❑ SI 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County El 151 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 ❑ TA 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 or more information. ••• Dual able in all counties.) Address(Number and Street) 26 -/y -/8 -4 30 -_000 - 67s-ov7 City,State ZIP Code County - -- - --- -- ---- c o n c o c t name al