HomeMy WebLinkAboutHomestead_Marginet I
INDIANA SALES DISCLOSURE FORM SDF ID: Pa•e 2
Dr r PREPARER.._.= P ': ... . _ •-
•
•
Steven L.Whitehead Attorney
Prrycrer el.the Soles Disclosure Form • Title
11 i N.Han Street .
Address(Number and Street) Company
Princeton,IN 47670 I
812-386-5040 whiteroc2Ogmail.com
t.
City.Seem,end ZIP Code Telephone Number
E-mail
I E.SELLER[S)/GRANTOR(S) - - . - . j
r Martin J Ma[ginet
Seller -Name as appears or.conveyance document Seller 2.Name as appears on conveyance document
I h.
457nW2255
Address(Number and Stree:J ' Address(Number and Street) I
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required bylaw and-isrprepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Sign cart ofSeI1,��_� / Signature of Seller
Mnriln J Margiinnpt K/ r:T/ Iti •J. /1V-I t/2-1s /111E/ / i/.-12.1 •
Printed Name of Seller ( -' V Sion Dote DI/Don'n)) Printed Name a[Seller _ --, s Sian Date(MM/DD/IYm
F:BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIf' 3 T 1S 7 4T S tY . -
Brittany K.Moraine; • r J, '
gayer I-Nome as appears on conveyance dacucent Buyer 2-Name os appears on conveyance document
9565 W 575 S PIOV 15 201E
Address(Number and Street) " Address(Number and Street) -
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
❑✓ ❑ 1.Will this property be the buyer's primary ja E 3.Homestead
residence? Provide-'complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county:
n ❑✓ 5.Wind Power Device
Address(Number end Street) - ❑ ❑✓ 6.Hydroelectric Power Device
Gibson ❑ ❑✓ 7.Geothermal Energy Heating/Cooling Device
Ciy.Sate ZIP Code County
-- ❑ 22.Does the buyer have:a homestead in Indiana to be ❑ 0 8.Is this property a residential yental 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(NumberandStreet)
City.State ZIP Code County
Z(1—1R- —flcl — 200 - 00� . t‘ -021 - .
Primary property owner cuntatt name