HomeMy WebLinkAboutHomestead_Ashby INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Regional Title Servies Closer-Stephanie McClure
Preparer of the Sales Disclosure Form Tide
412 E Flora Street Regional Title Services
Address(Number and Street) Company
Washington, IN 47501 (812)642-5127 stephanie.mcclure @reeionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
Jeffrey Duane Nossett Jamie Lynann (Hutchinson)Nossett
Seller 1-Name as appears on conveyance document Seller -Name as appears on conveyance document
/D/SV e c75 5 OaX/e.,e, ()Lys
dr (NUmberandStreet) l Address(Number and SSee.)
/v (/2/co
E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and plete as re(uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Si, o•.'S r SignatVre-on ller
fir- I e Nossett lD I I j H( Jamie Lynann(Hutchinson)Nossett La I I i Ii r
Printed Name of Seller Sig6DPtZMM/DD/YYY1') Printed Name of Seller Sig riDate MM/DO/rvnq
GF.t:BUYER(SW6RTA'NTEE(181 =?rtEP.LIG,n1i10NiF.ORlP.ROP,ER,T.tWTAXdDEDUCTiIONS linTIiLtFt\frrAnift1EMalt-lAir FRITS` :.?;=a °.tra" ?I
Garrett Ashby
Buyer 1--Name as appears on canveyan document Buyer 2-Name as appears on cameyanc u. nT
�7 ► ,u A4�
Atl res(hum•er an btreet) Address(Number and outer)
WL15h ;y-,9I-onl ( AI 41 so ( JUN 132018
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THL 77f 1PYI
YES NO CONDITION YES NO CONDITION
El ❑ 1..Will this property be the buyer's primary 2- ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
1857 S 1190E El 5.Wind Power Device
Address Stmt) ❑ 0 6. Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ E 7.Geothermal Energy Heating/Cooling Device
City,stare zlP Code County ❑ [ ' g Is this property a residential rental property?
❑ E• 2.Does the buyer have a homestead in Indiana to be ❑
vacated for this residence? If yes,provide 0 9.Would you like to receive tax statements for this
complete address of residence being vacated; property via e-mail?(Provide contact information
ncluding county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
Garrett R. Ashby —a\D-1`{•kg- 104- CCO.011Q0 —
City,State ZIP Code County Primary property owner contact name tOO ^ E-mail