Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Johnson (4)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 :tD..RREPARER _ _ s A r ..,xs )01):n..13erl Li Q-I--r ph-e-iY, $ Preparer of the Sales D osure Form Tide 9o1sE ss'o S Address(Number and Street) Company tt\4.-r of G.1y__.7-1M1 1-17(2la0 F/2 - 779- 7/72 Kc>lskptieass-VP City,State,and ZIP Code Telephone Number E-mail FESElluER(SSGRAN,Tiiii] v -nOlri, `I e -;,.=9, - W,, x... - .- l- __E Chales W. Moore Patricia A Moore Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 201 N Main Street 201 N Main Street Address(Number and Street) Address(Number and Street) Winslow, IN 47598 Winslow, IN 47598 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct anddccomple a as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". L Y� �JY U1/ , l p�� /t•• lit - /Si1gnatureofSeller Signature of Seller Click ( i.L� . Moore. /-.?.?-/R 'PR%rICIA AI -\OnrC /-2 /.F Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DO/YYYY) BUYER(S)%GRANTEE S JEAP,RLIGATIONl F,OR1P,RQRERTIY6FAxiDEDUCTIONSEIDENTIE AEWITEMSyTHATIAP,BBY '57' M Ronald W Johnson Stacey D Johnson . Buyerl-Nameasappears onconveyanc edocument Buyer 2-Name as appears on conveyance docFILED 8596 S 850E 8596 5 850E N' Address(Number and Street) Address(Number and Street) Elberfeld, IN 47613 , THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APP I� YES NO CONDITION YES NO cONDmON GIBBON COUNTY AUDITOR 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ R 4.Solar Energy Heating/Cooling System residence,including county: 8596 S 850 E ❑ © 5.Wind Power Device Address(Number and Street) ❑ RI 6.Hydroelectric Power Device Elberfeld, IN 47613 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 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 ❑ © 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) mSY-t�o-a r7- 100- 000- 64/7-1)01 City,State ZIP Code County t,/.Jt Primary property owner contact name E-mail •