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HomeMy WebLinkAboutHomestead_Lingis INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D:P.REPARER _ Karen Harbison VP Preparer of the Sales Disclosure Form Title 803 E State Hwy 68 Haubstadt State Bank Address(Number and Street) Company Haubstadt IN 47639 812-768-5800 kharbison(@esbanc.com City,State.and ZIP Code Telephone Number E-mail Aaron Enterprises Inc Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5101 Kleitz Rd 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". Signature of Seller - Signature of Seller I Li e.2 hGirla5 K &VCbe Vre-, 09/16/2016 Printed Name ofSeller Sian Date(MM/DafYYYf Printed Name of Seller Sian Date(MM/DO/YYYn F`BUYER(5)/,GRANTEE(S) AEP:LIGATIONIF,ORtPRO PER•WJAX-I)EDUCTIONS aIDENTIEYALLGTEMS11HAT%AP:PLY - Marianne Lingis _ Buyer l-Name as appears an conveyance document Buyer 2-Name as appears c v an dau nt 902 Mohawk Dr Address(Number and Street) Address(Number and Stre. THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF' M YES NO CONDITION I YES NO coNDfa%{rjSON COUNTY AUDITOR ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ al 513 S 9th Ave S.Wind Power Device Address(Number and Street) ❑ WI 6.Hydroelectric Power Device Haubstadt IN 47639 Gibson ❑ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ID 2.Does the buyer have a homestead in Indiana to be ❑ 8.1s this property a residential rental property? vacated for this residence? If yes,provide ❑ E1 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. 902 Mohawk Dr Not available in all counties.) Address(Number and Street) / rl r-1 (Xp� /� _ Ft Branch, IN 47648 Gibson —al0- 3 O( , W- " '-007? City,State ZIP Cade County (J` Primary property owner contact name E-mail