Homestead_Besing INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:.PREPARER
Stephanie McClure Closing Agent
Preparer of the Soler Disclosure Form Title
412 E Flora Street Regional Title Services, LLC
Address(Number and Street) Company
Washington, IN 47501 812-642-5127
City,State,and ZIP Code Telephone Number E-mail
E:S6LLER(S)/GRANT012(S]—!- T
Garry Weber - Joyce Weber
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
3_r0 S irna ifkl St" 3 I 0 S `7fl 1,3 %St
'Address(Number and Street) -7 Address(Number and Street) / ' /
Under penalties of perjury, t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co plete as required by law,and is prepared in accordance with IC 1-5.S,"Real Property Sales Disclosure Act".
1 tfriz ,_ cc 0
Signatuie of Seller Signatureo Iler
IJ J
Garry Weber 1a3-'/7 Joyce Weber 5-02 3— /
Printed Nome of Seller Sian Date(MM/DD/YYY11 Printed Name of Seller Sion Date(MM/DD/YYYY)
------------------------------------------------------------------------------------------ - -
K e l l y • h_
Kelly J. Besinci
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
425 es Columbia St
Address 1
Address(Numberond Street) Address(Number and Street) 1
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TB PPLY.
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary I Q 3.HomesteaGIBS N COUNTY
residence? Provide complete address of primary ID 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
215 Division Rd S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Oakland City, IN 47660 Gibson n NI 7.Geothermal Energy Heating/Cooling Device
City,State ZIP a County
2.Does the buyer have a homestead in Indiana to be 0 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide n 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)
f12—I4-13- 30Y -DOD Geig-0
City,State ZIP Code -- -County
Primary property owner contact name E-mail