HomeMy WebLinkAboutHomestead_Besing INDIANA SALES DISCLOSURE FORM SDP ID: Page 2
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KAREN HARBISON VP
Preparer of the Sales Disclosure Form Title
803 E STATE HWY 68 HAUBSTADT STATE BANK
Address(Number and Street) Company
HAUBSTADT IN 47639 812-768-5800 kharbisonc esbanc.com
City,State,and ZIP Code Telephone Number E-mail
!E.SgatR(S)'/.GRANTOR(S) -!?v:. r, .,,.`..' ` ga as Al Y y7'-Y` .. ,- :,,. 1:Cff-lic" .
- NONA l TRADER BY JUI IA TRADER ATTY-IN-FACT
Seller I-Name as appears on conveyance document Seller2-Name as appears on conveyance document
233 CARDINAL LANE
Address(Number and Street) Address(Number and Street)
OWFNSBORO KY 42303
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp5te/ab required, y laws and is pre are in ccordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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e f Signature of5eller ' �,f I n->' c. J/v Signature of Seller
NONA L TRADER BY JUI IA TRADER ATTY IN i ICY t/ ul
Printed Name of Seller Sign Date(MM/Da/mi) Printed Name of Seller Sion Date(MM/oa/rvYn
1-F I MER(S)JGRANTEE(S)TdP,P,L4CAT10N-FORLP.,ROP,ERTYcTAXWEDUCTIONSZIDENi fiEYACLITENISHAT9ARPLYaa--7 rd
SHAWN E BESING
Buyer I•Name as appears on conveyance document Buyer2-Name as appears on con [
8518 S 950 E �'��e.°.°I`'�
Address(Number and Street) Address(Number and Street) 1 -/
ELBERFELD IN 47613
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE II/rAt(5
YES NO CONDITION YES NO CONDITION GIBSO N COUNTY AUDITOR
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
9516 E MAIN ST 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
MACKEY IN 47654 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device
City;State ZIP Code County
❑ 0 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.
Not available in all counties.)
Address(Number and Street) ^/ ^^
City,State ZIP Code County dtD dU - 1 ci - ID .3'ZSna , 6.51 -an,. _
Primary property owner contact name Email