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HomeMy WebLinkAboutHomestead_Dean 1.1- ANA SALES DISCLOSURE FORM SDF ID: • ' e Page 2 /REPARER- _— j ,THOMAS L. MONTGOMERY GENERAL MANAGER Preparer of the Sales Disclosure Form Title 101 PLAZA EAST BLVD., SUITE 102 TRUE TITLE SERVICE, LLC ..Address(Number and Street) Company EVANSVILLE. INDIANA 47715 812-402-6555 closinosetruetitlein.com Ciry,State and ZIP Code Telephone Number E-mail - - ----- -- --- II OD PROPERTIES I I C Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2068 NORTH CARITHFRS ROAD Address(Number and Street) Address(Number and Street) PRINCETON INDIANA 47670 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my kno e t .1 1, . '•t e,correct an r t mplete t required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". • �,dSSAS _ _ McAni APR 13 2017 Signaoae of Seller S(gnamre of Seller DAVID DI INN MEMBER 03/ 7 I DD/2017 - 4 nwi:l Printed Name o(Seller Sian Date IM /YYY11 Printed Name of Seller DD/YYY11 •F.TBUYER(SVGRANIFEE(S)" A PPE(CATIONIEOR'P.ROP.ERTY;�TA;Y.DEDUCTIONS_1DENTIEWA-1:43AMP," •YMVO,LrY_ $�f tom`s+_, DAVID B. DEAN.JR. DESIREE D DEAN Buyer I•Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 330 N.MAIN STREET 330 N. MAIN STREET Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION Z ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ IN 330 N.MAIN STREET S.Wind Power Device Address(Number and Street) ❑ [ 6.Hydroelectric Power Device OAKLAND TY, INDIANA 47660 GIBBON ❑ 7.Geothermal Energy Heating/Cooling Device City,StateZ Code County ❑ 2.Does the buyer have a homestead in Indiana to be ID 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ Ei 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. Cl ha Not available in all Counties.) Q. / Address(Number and Street) d"Il0 ( y - ($ - 3a ^ ,�'D'a, (�Ip 5-b )7 i DAVID B.DEAN,JR.,&DESIREE DEAN Ciry,State ZIP Code County Primary property owner contact name E-mail •