HomeMy WebLinkAboutHomestead_Pynckel INDIANA SALES DISCLOSURE FORM SDF ID:
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!DyP,REPl1RER' —.r:—<,- r--•--' -- -. -
Jonathon Angerosa Escrow Assistant
Preparer of the Sales Disclosure Form Tide
13577 Feather Sound Drive, Suite 250 Bay National Title Company
Address(Number and Street) Company
Clearwater,FL 33762 727-449-8733 closings(abntc.com
City,State,and ZIP Code Telephone Number E-mail
LE:SELIERTS)YGRANTOR(S
JPMorgan Chase Bank National Association
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
3415 Vision Drive
Address(Number and Street) Address(Number and Street)
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 of Seller Signature of Seller
JPMorgan Chase Bank National Association
Printed Name of Seller Sian Date(MM/DD/ITYI) Printed Name of5eller Sign Date(MM/OOJYYYY(
F BUYER(STIGRANTEE(S11 ARPLTCAT[ONiF QlPROPERT(YTAXWID_UCTIONS=_dDENliTO ACL' ITEM - -
Nicholas Pynckel
Buyerl-Name as appears on conveyance document Bayer Name as appears on conveyance me
601 Pl-Paine,.✓ a3O S.63°6 14 n3 ti./ St,
Address(Number and Street) Address(Number and Street) OCR 1 9 LUi/
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES '0 CONDITION
la— ❑ 1.Will this property be the buyer's primary at 3.Homestead
residence? Provide complete address of primary ❑ Er 4.Solar Energy Heating/Cooling System
residence,including county:
r ❑ 12 5.Wind Power Device
•Bi♦�ai�i9wr . OS, GJa Gt v
Address(Number and Street) ❑ Er 6.Hydroelectric Power Device
'C-jnrp-•frvi O CDbsn,-1 ❑ El 7.Geothermal Energy Heating/Cooling Device
City.State Code County
❑
Et Q'' 2.Does the buyer have a homestead in Indiana to be El 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) ! -oa
City State ZIP Code County
aG- la -oR- 3oi -0Di _ y3 l
Primary property owner contact name E-mail