Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Cook (2)
Erb IANASALES DISCLOSURE FORM SDF ID: Page 2 D1PREPARER = SHERI L. GREENE Preparer of the Sales Disclosure Form Title 1122 E.OHIO ST. Address(Number and Street) Company PRINCETON, IN 47670 812-664-1005 City,State,and ZIP Code Telephone Number E-mail-TT sE„SEn ER(S)%GRANITQR(S) - -- ' -- --7---;--- - - - - -- -- _-- _ - -- — --- -- 1 ROBERT GREGORY - BD I IE GREGORY Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5066 F SR 168 5066 E SR 168 Address(Number and Street) Address(Number and Street) FORT BRANCH IN 47648 Under pen, of-perjury / ereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c m let quire y law,and is prepared in accordance with IC 1.1-5. "Real Property Sales Disclosure Act". (AA teltom% L-Signature afSeller— " SlgnaNre of5elleq ROBERT GREGORY / 05/.-1g72017 BILI IE GREGORY 05/- f 7/2017 Printed Name o(Seller t Sian Date(M,H/DD/YYYY) Printed Name of Seller Slqn Date fM.N/OD/YYY11•F_13lNatIS)'MA'NTEE OM=.APPLTCATIONrFORT$ROEERT,Y>,TAX;DEDU CTIONSa.IDEN;TIFXAEMFEMS_ 'N j JEFF COOK I ••K :` Buyer 1-Name as appears on conveyance document Buyer as �� Am. s.appears on conveyance document 126 S EAST ST 126 S EAST ST Address(Number and Street) Address(Number and Street) lJ LU 1/ OAKLAND CITY, IN 47660 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION E ❑ 1.Will this property be the buyer's primary 171 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 126 S FAST ST ❑ igi S.Wind Power Device Address(Number and Street) ❑ ( 6. Hydroelectric Power Device OAKLAND CITY, IN 47660 ❑ Z 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 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 ❑ IZ 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 Caun a6 - I y-I - Y0.3- �a 800 /7 ty Primary property owner contact name E-mail _ — I