HomeMy WebLinkAboutHomestead_Duckworth Jr INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Elizabeth Maher Closer
Preporcr of the Salo Disclosure Form Pile •
9885 E. 116th Street,Suite 600 Meridian Title Corporation
Address(Number and Street) Company
•
Fishers,IN 46037 (317)588-1110 Indva,MeridianTitle.com
City.State and Zip Code Telephone Number Email
•
E.SELLER(S)/GRANTOR(S) .
I Sycamore Homes.Inc. I
lie l Name as appears on cane' ce document Seller?-Name as appears an conveyance document
50 N ,.Tat P` .
J dress IN ether or Q I 1 ,1 ._., , r, Address(Number and Sine') .
•
...
•
Under p' nalties r f perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
and J mp,lete as '1 r� •v law, and is prepared in accordance with IC 6-I.I-5.5,`Real Property Sales Disclosure Act".•
— , PrOGirlal+
• i Si antre of Seller U Signature of Se ler
I Richard Jeffrey Clark-President afrth9
Printed Name of Seller Signed Date(MMIDD/YYYY) Printed Name ofSelkm Signed Date(,4LN/DD•YYYY) I
F.BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL ITEMS THAT APPLY
Mike Duckworth Jr. I Amanda J. Duckworth
I Buyer 1-Name ov appears on conveyance docu.e r I I vJ Name as appears an conveyance doeum r
e�) e�fi fit' ice+ 1v('''''I 440 iI si-re J--
Address(Number and Street) rrss(Number andSt el) r
Mil OCf-N�n 1 N 9� lD I � hce— on J N (o ' ! t;
/�
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. `e
YES NO CONDmON I YES NO CONDmON 2Ot1Of
it F I. Will this property be the buyer's primary � F 3. Homestead Cfe'SO >
residence?Provide complete address of primary F .� 4. Solar Errgy Hea:ing/Cooling N�.
,residence,includinf our1ty: s-I-
I/ + F 5. Wind Power Devise Arty
Address and rem ,
1 F 6. Hydroelectric Power Device
'kin
PIT a , r 1 F � 7. Geothermal Energy Heating/Cooling Device
Ciy.State and Zip Code County F 8. Is this property aEresidential rental property? S
F pi 2. Does the buyer have a homestead in Indiana to be F 9. Would you like to receive tax statements for this dj
vacated for this residence?If yes,provide property via e-mail?(Provide contact information !
complete address of residence being vacated below.Please see instructions for more information.
Including county: Not available in all counties.)
Address(Number and Street' QQ// /y� ��J y�
City.Some and Zrp Code County I QJ(O '/al'/,f"/D/-'CN3. / u 2-007 I