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HomeMy WebLinkAboutHomestead_Sisk (4) . INDIANA SALES DISCLOSURE FORM SDF ID: Page 2•%D'PREPARER' "— —= — — KAREN HARBISON VP Preparer of the Sales Disclosure Form Tide 803 E STATE HWY 68 HAUBSTADT STATE BANK Address(Number and Street) Company HAUBSTADT IN 47639 812-768-5800 kharbison(alesbanc.com City,State,and ZIP Code Telephone Number E-mail SEISKSVGRANTORIS]L - _ r: - _. x,7. FLIZABETH A SFIB aQell rI /Nar` t(pes ion came document Seller 2-Name as appears on conveyance document lV HTt 7 ���D Address(Number and Street) Address(Number and Street) FT BRANCH IN 47648 Under penalties of perjury,1 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". Si rb r 4 ,Signature le Signature of Seller F! !7ARFTH A SFIR 09-16-2016 - Printed Name of Seller Sian Date(MM/DD/Y)1Y11 Printed Name of Seller Sign Date(MM/Do/ITY1) F,-4BUYER(S)T/GRANTEE(S): ARPEIEATIONIF,,ORIPROEERTY TAX,DEDUHTIONS'IDENTIFY/pl•IIII lw1 TH Y.;'- _ --7! AUSTIN W SISK Buyer I Name as appears on conveyance document Buyer 2 Name as appears o nv edbro enf'-4 308 E ULEN Address(Number and Street) Address(Number and Street) SEP 2 1 2016 FT BRANCH IN 47648 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ ❑ 204 N HUI L ST 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device FT BRANCH IN 47648 GIBSON ❑ j 7.Geothermal Energy Heating/Cooling Device City,State 2IP Code County ❑ 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 ❑ 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) City,State ZIP Code a� �co• oro-per City, Primary property owner contact name E-mail i