HomeMy WebLinkAboutHomestead_Gonyer INDIANASALESDI_SCLOSUREFORM SDFID: Page 2
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Deena Hendrickson Closing Services
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
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Justin L.Brewer Meaghan N.Brewer
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
104 N Lincoln Street 104 N Lincoln Street
Addrecs(Number and Street)
Address(Number and Street) Fort Branch, IN 47648
Fort Branch,IN '47648 State,and ZIP Code
state,Una sir Lade
I
E-mailane numoer E-m t
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
o0mplete as required by law,and is prepared in accordance with f 1.1-5.5,"Real Property Sales Disclosure Act".
a
J!nature ofSeller 5 aatreo er
ustin L. Brewer 1jIn11,vl Meaghan N.Brewer 12 1 Ih�lPrinted Name of Seller Sign te(MMDAM) Printed Name of nS 2eller Sign Date(Mlr/DD/STM)
€F BUYSR'(SIYG tKtcfTEE(S1 APP-I C4TTONIFORFP.R'ORER•T 2CFKX1DEUUGTIONS=IIDENTIFYaALI TEIvIStTHATITAPPbYFw�t'" tdl
Todd W.Gonyer
Buyer l-Name as n"gym.-----•— -document Buyer 2-Nome as appears on conveyance document
WO-
}dress N m er onydS eet) Address(NumberandStreet)
d Ilk. IN iC
State,
Telephone Number E-mail
Apr n1 719
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. /lr .
YES NO CONDITION YES 0 CONDITION
Erg ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ El 4.Solar Energy Heating/Cooling System
residence,including county: ❑
104 N Lincoln Street El. S.Wind Power Device
Address(Number and Street) ❑ H 6.Hydroelectric Power Device
Fort Branch,IN 47648 Gibson 0 Ei 7.Geothermal Energy Heating/Cooling Device
ContortZIPCode County ❑ Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ El 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
complete address of residence being vacated, property via e-mail?(Provide contact information
dudin co nh . below.Please see instructions for more information.
gist IA �,,, , I,, ,J �I�� Not available in all counties.)
_(l Ammsv `��[o LA ttN1 kl flthr � �l Todd W. Gonyer 26-19-18-303-000.462-026
• City,State ZIP Code lL County Primary property owner contact name E-mail
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
Number License/ID/Other Number