HomeMy WebLinkAboutHomestead_Rawlinson INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER . - fe r " . .stst _ .4_ ,__ ,t , " »._ ... ,-' —T
Britany Barnes Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 britany.bti@mw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Anthony J.Carson
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
307 S Mal„Gt r-!/? L/ Jf',-f,-/" fir/
Address(Number and Street) - Address(Number and Street)
Pawka i-44666 (Vcnf //r,J// y2/7/0
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 Se//er4 Signature of Seller
Anthony J.Carson /A- 7'7-/47
Panted Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY:TAX DEDUCTIONS-IDENTIFY ALLITEMS THAT PLY-. _ - . - _ __
Shaila D.Rawlinson 1
Buyer I-Name as appears on conveyance document Buyer 1-Name as appears on conveyance document 4,44"iaao S a;bao� si 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 APPOGA
YES NO CONDITION I YES Nsq CONDITION •L, 1',
MI ❑ L Will this property be the buyer's primary ►n• '(T',I 3.Homestead t/b/).�
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System°1?
residence,including county: ❑ S.Wind Power Device
307 S Main St
Address(Number and Street) ❑ 6.Hydroelectric Power Device
Patoka.IN 47666 Gibson ❑ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
V
❑ MI 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 ❑ �'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)
og - 0 Ai--/0a- OCC. aos-6"c2
City State ZIP Code County E-mail
Primary property owner contact name