HomeMy WebLinkAboutHomestead_Howard (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page?
eD P R E P A R E R J R.i 4. _- T' Vr .'17 3a s. 7:;,;17W:-7r c.- -`'-. ._s tz --s-s- w.•ai - _ .uT
John Imes Escrow
Preparer of the Sales Disclosure Form Title
25400 US Highway 19 N,Suite 263 Novare National Settlement Services
Address(Number and Street) Company
Clearwater,FL 33763 727-726-8700 NovareFLONovareNSS.com-City, State,and ZIP Code Telephone Number E-mail
_ErtSELLER(S)LGRANTOR(S) —. - .1 f z;..`:. . , 1::;:. . — - ,
JPMorgan Chase Bank,N.A. Not Applicable
Seller 1 -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
3415 Vision Drive Not Applicable
Address(Number and Street) Address(Number and Street)
Columbus.OH 43219 Not Applicable
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp! a qui . b 'las and is pared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
A-� j 2/// Not Applicable
Signature of Seller BENITO E CAL DWELL Vice-President Signature of Seller
JPNlorgan Chase Bank, Not Applicable Not Applicable
N.A. 8/23/2016 Printed Name of Seller Sign Date(ALiUDD/A'n')
Printed Name of Seller Sign Date(tfM/DD/YYY7)
ZFSBUYER(S)/GRANTEE(S) APPLICATION TORPROPERTYc-TAX‘DEDU,CTIONS IDEN b'gjL;ITEMS1THAT;APPLY
John B.Howard Candace J. Howard -Q ,'
Buyer I -Name as appears on conveyance document Bitter 2-Name as appears on convevNre c'rct met 1
1500 Dogwood Lane SF1J, `
Address(Number and Street) 1 500 Dogwood Lane
Addrvsl(.0 be a Address(Number and Street) 2016
Boonville.IN 47601
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPEl2CVMDENTIFY ALL
OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
Ivi I. Will this property be the buyer's primary 3. Homestead
residence?Provide complete address of X 4. Solar Energy Heating/Cooling System
-riman'residence,including county:
9Quo E 45 0 S S 5. Wind Power Device
Address(Number/a,td' Street)• / / / /� /1 �` X 6. Hydroelectric Power Device
Add.
C 1� I A 1 7tr�F7v Lj/hiri X 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County 8. Is this property a residential rental property?
IV1 2. Does the buyer have a homestead in X 9. Would you like to receive tax statements for
Indiana to be vacated for this residence?If this property via e-mail?(Provide contact
yes,provide complete address of residence information below.Please see instructions for
/ ,` Dogwood vacated.including county: more information. Not available in all
-/' '-00 Docgw od I oa_ counties.)
Ajclrreess�s,(.Numher- nd Street) 4//y I 1/435. 3�j , I,37�Gc�
wile l'� Y (�Cy `��rrIC-I i � � ' Not Applicable
City,State ZIP Code County -
Primary property owner contact name E-mail
xxxxxx-2969 zgC