HomeMy WebLinkAboutHomestead_Lutz (5) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
ID PIWPWIVI irate tn.ANIa'...''. `'tr„fEgTE - +AAD r AS Nair r` -?";PNSIM S, . -- ,S,Ph
DEBBIE JACKSON TYPIST
Preparer of the Sales Disclosure Form Title
530 FREDERICA ST FOREMAN WATSON LAND TIRE, LLC .
Address(Number and Street) Company
OWENSBORO, KY 42301 270-689-2424 DJACKSON@FW-LT.COM
Ciry,State,and ZIP Code Telephone Number E-mail
E SEi ill ERMYL6ANTORNt it ieTai 'a ' (` ,f ik le s4. e , Cawa
RYAN A. FOSTER SARAH M. FOSTER
Seller a e as appears on eragityance document Selig-2-Name as appears on conveyance document
O.J 657-&---t (A *tIV
Address(Number and Street) Address(Number and Street)
2-I-f-7SBt. /0LSS
Ciry;State.and,ZIP.Code T l /']'JL
( r &t1 i`d -1- _L.h, ( 7(O ` D '� • l7-F hi �-(( -1 I✓ "r (9 S
Telephone Number E-mail Telephone Number E-mail
Under f I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c plete quire y law,and is prepared in accordance with G 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Sign�eller
RYAN A. FOSTER 11/30/2018 SARAH M. FOSTER 11/30/2018
Printed Name of Seller Sign Date(MM/DD/YITY) Printed Name ofSeller Sie Date(MM/DO/n1/)
VF?BUY- j2j$)%GRANTEES APP,L•1@ATION,FORP,ROP,ERTY=TAXitEDUGTiONS`IIDENTIFY?ALO(TEMSa 'Ye::.. , le
NDREW J.LU KACI M. LUTZ 2 L
- vycrl-Name as appears on conveyance document Buyerl-Name as appears on conveyancedocument
206 SOUTH FIRST AVENUE 206 SOUTH FIRST AVENUE rr��„ Q ,,,
Address(Number and Street) Address(Number and Street) UL(. LU W
HAUBSTADT, IN 47639 •HAUBSTADT, IN 47639
E-mail Telephone Number
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF 77105E THAT APPLY.
YES NO CONDITION YES NO CONDITION
❑✓ 0 1.Will this property be the buyer's primary _ CI ❑ 3.Homestea
am
residence? Provide complete address of primary 0 RI 4.Solar Energy Heating/Cooling System
residence,including county: ❑ V 5.Wind Power Device
206 SOUTH FIRST AVENUE
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
HAUBSTADT, IN 47639 ❑✓ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 0 8.Is this property a residential rental property?
❑ ❑✓ 2.Does the buyer have a homestead in Indiana to be vacated for this residence? If yes,provide ❑ IE 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 ar.d Street) 2 / -. /9 _ ..3 I- Jo eT 7/ -00O. yo/t0 -Do ?
0,.State ZIP Code County (p `' E-mailPrimary property owner contact name
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 by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".(Note:
Spouse information,Social Security and Driver's License/Other numbers are not necessary If no Homestead Deduction is