HomeMy WebLinkAboutHomestead_Glispie INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Brian K.Mahoney Attorney
Preparer of the Sales Disclosure Form Title
822 Main Street,P.O. Box 176 Mahoney Law Office
Address(Number and Street) Company
Petersburg,IN 47567 812 354 8121 mahonevlawenwcable.net
City,State,and ZIP Code Telephone Number E-mail
iE?SEELER(S)'/GRANTOR(S))i. - ;`- �_�� ,s_..= = �.. - __�—. '•`-77 John A Wilson
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
911 N Polk Street
Address(Number and Street) Address(Number and Street)
Oakland City IN 47660
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and omplete as re aired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
EJ
gnature of Seller Signature of Seller
John A Wilson
Printed Name of Seller Sian Date(MM/DD/YYYYI Printed Name of Seller Sian Date(MM/00/YYYY)
_E:;80YER'(M GRANTEE(STL—i APPL'ICATION iEORP.ROP,ERTYt:TAX,DEDUCTIONSENTIFY:AL'h;ITEMS'THAT,APPLYLI ;- =_
Rhonda Michelle Glispie William Glispie
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
168 N Autumn Lane 2477 E Co Rd 150 S
Address(Number and Street) Address(Number and Street)
Petersburg,IN 47567 Winslow, IN 47598
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY `.(, n '
YES NO CONDITION I YES NO CONDITION
ID ❑ 1.Will this property be the buyer's primary TA ❑ 3.Homestead SEP 1 3 2016
residence? Provide complete address of primary ❑ TA 4.Solar Energy Heating/Cooling System
residence,including county: n 0
S.Wind Power Device
911 N Polk Street
Address(Number and Street) ❑ 12 6. Hydroelectric Power CAI8 DN COUNTY AUDITOR
Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be El 8.Is this property a residential rental property?SI
vacated for this residence? If yes,provide ❑ SI 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) (9(0 _ ) 1 _ 1 - d D I _ co) ,I s L _co o
Ciy,State ZIP Code County
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Primary property owner contact-name E-mail