HomeMy WebLinkAboutHomestead_Wilson (9) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2.
LDAPREPARERt . ..- _ - . ,• h ',- .7: 71_ ',.- _es _ ,'- - , _ -. „ . 't -_ - _•
Britanv N Barnes Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 britanv.btiemw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
LEItSELLER(S)/,G TRAM IoR(S) ' , f.,..;. ..- .' - y..- ;,..77.7. '. :f..._.,:-- .. .• • - , _ -- -
Jeffrey W McNeely Rita Cr MrNeel y
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
28174 Blackberry l n 28174 Blackberry Ln
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to t a best of my knowledge and belief,is true,correct
ann m,lete as required b} law,and js , eparedjp accordance with I - .1.5.5," 1 P grty S Dis osure Act".
Si•y,tu t�Seller ,V1 //1� >-- ' iC/.eqi(//�t/�� S no?reofSellerC/� '�/ t//
- A u .-- V),- )/ Rita G- /McNeel ,11 _D 6
Printed Name of Seller Sian Date'. M/DD Printed Name of Seller Sian late OH.,/DO/YYY1)
I FE?rBUMER(S-' ITiEE(SI APPL'ICATIQNPEORTROP;ERfre TAX/DED.UCTIION'SZIOENIMTielaiiIiiiEMS THAT AP.PI:Y : i).;!at'.
• Brian D Wilson Amanda L Wilson
9ep° ' " r rs on conveyance document Buyer 2-Name as appears on conveyance doc yyyy....
10222 S 1075 W 10222 S 1075 W it
Address(Number and Street) Address(Number and Street) ' ]�
Posevville, IN 47633 Poseyville IN 47633 //syl
YES NO CONDITION r 'ES NO CONDITION VCC/r1. ..",
IZI ❑ 1.Will this property be the buyer's primary ❑ ❑ 3.Homestead
�r%',S� \
residence? Provide complete address of primary 4.Soiar'TS€rgy Heating/Cooling'SMStem
residence,including county: ❑ IN 5.Wind Power Device '-''�N1'
6233 W Old Princeton Road
Address(Number and Street) ❑ [ 6. Hydroelectric Power Device .
Poseyville, IN 47633 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
1 ❑ 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 ❑ 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.
10222 S 1075 W • -` - - Not available in all counties.)
Address(Number and Street)
Poseyville, IN 47633 Gibson (2 q/ .7,69-o6- /d-o- oo.3. of -a02/
City,State ZIP Code County
Primary property owner contact name E-mail