HomeMy WebLinkAboutHomestead_Mckinney INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER '
Bryceann Cutsinoer
Preparer of the Sales Disclosure Form Title
226 W.Broadway Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 bti(dmw.twcbc.com
Ciry.Store and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Debbie B. Lassiter
Seller I.Name as appears on conveyance document Seller 2-Name as appears on conveyance document
28 F I ake Inwood Dr
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
Debbie B. Lassiter j ( la'3') Co
Printed Name of Seller Sign Date tMM/DU/Yrtr) Printed Name of Seller T ill ate(M.M/DD/rvn')
F.BUYERS)/GRAN`TEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY AL I E S A P
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 NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestea9
residence? Provide complete address of primary • (q •• o ar • 39 'eating/Cooling System
. residence,including county: ❑ Q 5.Wind Power Device
28 F I ake Inwood Or
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
Q ❑ 2.Does the buyer have a homestead in Indiana to be
❑ 0 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: below.Please see instructions for more information.
9896 W.800 S.
Address(Number and Street)
Owensville, IN 47665 Gibson AA, - /4-O6- /ea -oo I. y3if-0.1.
City,State ZIP Code County .
E-mail