HomeMy WebLinkAboutHomestead_WIlson (13) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER. -' -' - - I•
Britany N Barnes Agent
Preparer of the Soles Disclosure Form Tule
226 W Broadway Broadway Title, Inc
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 britany.bti @mw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Steven K Anderson Rebecca L.Anderson
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
i 10798 S 350E 10798 S 350 E
I Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and n rlete as required by law,and is prepared in accordance wit -1.1-5.5," eal P operty Sales Disclosure Act"./
Ifir Signature of Seller Signature of Seller
Steven K.Anderson 7 //a$ / / Rebecca L.Anderson '7/25/b
Punted Name of Seller Sian Date(M.H/OD/Vini Printed Name of Seller Sian Dare(MM/OD/Yr1
-F.BUYER(S)/GRANTEE(S)L APPLICATION.FOR PROPERTY TAX
THE SALES DISCLOSURE FORM MAY UE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ is 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 12 S.Wind Power Device
511 S Eighth Ave
Address(Number and Street) ❑ LI 6. Hydroelectric Power Device
Haubstadt,IN 47639 ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIPCode 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 ❑ IS 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.
11972 S 525 W Not available in all counties.)
Address(Number and Street)
Cynthiana, IN 47612 a‘ —a 3-0 _�]oo_o&o.78OOC 7
City,State ZIP Code County L4 CJ OI. /ea V l
Primary property owner contact name E-mail