HomeMy WebLinkAboutHomestead_Wilhite INDIANA SALES DISCLOSURE FORM SDF ID: ' Page 2
D.PREPARER • - • . - .
Leon C. Stone President
Preparer of the Sales Disclosure Form Title
226 West Broadway Street Broadway Title,Inc.
Address(Number and Sweet) Company
Princeton, IN 47670 (812)386-1687
Ciry,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) -
Donald J Wright Jr
Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
7685 West 275 South
Address(Number and Sweet) Address(Number and Street)
Under enalti of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c pre r q fired aw and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller /V Signature of Seller
//Donald J Wright Jr 5
Printed Name o(Seller Sian Date(MM/DD/YYYY1 Printed Name o(Seller • n • M/DD/Yrilt
Cason BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE TI PP
/ C Wilhite
Buyers-name appears an conveyance document Buyer 2.Name as appears on conveyance document
3330 West Broadway Street NOV 16 2016
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES�Me--e .'
Q ❑ 1.Will this property be the buyer's primary ' ' ❑ 3.Homestead
residence? Provide complete address of primary ❑ 2 4.Solar Energy Heating/Cooling System
residence,including county: ❑
7685 West 775 South S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville,IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
IN
❑ 2 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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: •- • •. • 'ase see Ins -• • . ••• e information.
Not available in all counties.)
Address(Number and Street) /
,smtevpcoee county RL° -!e - ab - .2oo - 00Y • 78/-0�/
City,
Prima . ... .... Email