HomeMy WebLinkAboutHomestead_Lindsey INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
tr al EEPARER. t -----`—'=s --- — -T_AT s--- - — - - -- t -
Steven L.Whitehead • Attorney
Preparer of the Sales Disclosure Form L- Tide
111 N. Hart Street ,'
Address(Number and Street) Company
• Princeton, IN 47670 812-386-5040 ethiteroc2egmaiLcom
City,State,and ZIP Code I Telephone Numb'r I E-mail
(E SEGLER(S)/GRANTOR(S):' „.- ` P . -`
Thomas A I ittleoagers
- - ---�� - _ t— -- - - - --
Seller 1-Name as appears on conveyance document Seller 2-Name al appears on conveyance document
I 413 E Second Street
IAddress(Number and Street) ! Address(Number and Street)
Ha2letnn Indiana 47640
City,State,and ZIP Code - C - City,State,and ZIP Code
o
E-mail Telephone Number E-mail _
Under penalties of perjury,Ihereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete asb},law;and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
//,-
Signature ofSeller Signature of Seller
Thomas A Littlepage
/a-7-/Q
Printed Name ofSeller T Sian Date ovelo /YYYY) Printed Name of Seller Sian Date(MM/DD/YYEY)
LE;.BU,YER(S)%GRAR,TEE(Sj1 AP,PLTCATIONIF0MitoP,ERVETAXDED.Uan0NS IDENTIEt ALCJTEMS THAT APPLYf -- �- ___
.,-
Shannon M.Lindsey d T® SF
Buyer l.N'ame as appears on conveyancedocument Buyer Z-Name as appears on cony diumAnt s
206 E.Third Street a 1 1Y1>•1 `
Address(Number and Street) Address(Number and Street) O V 2OI9
Hazleton,Indiana_47640 „, - FEB
City,State,and ZIP Code City,State,and ZIP Code
.
12 E-mail Telephone Number .L- 1^s'-'•.,-,, ,-12 E-mail
' R11NT'e i-' -a'T
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY'. IDENTIFY ALL OF TppgSIiIN,(d�
YES NO CONDITION I YES NO CONDITION
❑✓ ❑ 1.Will this property be the buyer's primary ❑✓ ❑ 3. Homestead
residence? Provide complete address of primary ❑ n 4.Solar Energy Heating/Cooling System
residence,including county:
, ❑ 0 S.Wind Power Device
Address(Number and Street) '., ❑ Q 6. Hydroelectric Power Device
'
_- Gibson El El7.Geothermal Energy Heating/Cooling Device
City,State ZIPCade ,_ County
❑ 22.Does the buyerhave a homestead in Indiana to be ❑ E 8. Is this property a residential rental 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(N'umberand Street) ._
_ a(Q -Oa - 54 - (033 -0oo.05b-qQ
-City State ZIP Code - County •
Primary property owner contact name Email
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 b) law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". (Note:
Number License/ID/Other Number