HomeMy WebLinkAboutHomestead_Hughes (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Amber Messmer Closer
Preparer of the Sales Disclosure Form Title
606 Main St. Dubois County Title Co.. Inc.
Address(Number and Street) Company
Jasper, IN 47546 812-482-1696
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTORjS)
Jonathon &Ashley F Willis
Seler' , m so ears on conveyanc document Seller Z-Name as appears on conveyance document
a� E
H iGKor� lr�,
dress(Number and Street) Address(,V umber and Street)
tflx e lt1 47 Lc (e0
Under penalties of perjury,I hereby certify that this Sales Disclosui e,to the best of my knowledge and belief, is true,correct
and complete as required by)aw,and is prepared in accordance mii' IC .- .1-5.5,"Real rop Sales Disclosure Act".
Signature of Seller Signature of Seller Or
Jonathon Willis 9/2/16 Ashley E Willis 1/ 9/2/16
Printed Name of Seller Sian Date IMM1DD/YYYY) Printed Name of Seller � S te(MM/DD/YYYY)
F,BUY��_ GRANTEE(,-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL IT {}ISJHJT APE
Douglas C. Hughes AA I JL!
document Buyer 2-Name as appears on conveyance document
°�a`0 _= - conveyance S SEP S 2016
rri s 6erad Sect) Address(Number and Street)
tQ
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION
Cos._�❑ 1.Will this property be the buyer's primary estead
residence? Provide complete address of prim - gy Heating/Cooling System
residence,including county:
/� ❑ V S.Wind Power Device
Address dstree::
93 G I ❑ N77-6.Hydroelectric Power Device
I]�f�t
`� I ❑ 1/7.Geothermal Energy Heating/Cooling Device
City,State Zl ode County ^/ Energy
❑ W�8 Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide ❑ RA.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 availo. • '. . :. .
Address(Number and Street) -
City,Sta:eZlPtade 2 . 3 -ae - goo • coo . 3 aY -oo
ount
I 71 7 . - - - pntact name
-