HomeMy WebLinkAboutHomestead_Auberry (2) •
- - - - I
•
,F.DIANA SALES DISCLOSURE FORM SDF ID: Page 2
e/D.PREPARER
Robert A. Calabrese. Esq. Counsel I Director
Preparer of the Sala Disclosure Form
Title
7365 E Kemper Rd, Ste B Prominent Title Agency, LLC
Address(Number and Street) Company-I
Cincinnati OH 45249 I I
E.SELLER(S)/GRANTOR(S)
rLoseotE_WehPrAnd Susan I WPhor NA
Seller I-Nome os appeon an Conveyance document
Seller Z•Name as oppea Ian conveyance document
_529 S Seminary Sheet
Address(Number and Street) I Address(Number and Street))
_Lincelon IN 47670
Cl ,,t State and 71P Code
City,State,and TIP Code
Email Telephone Number 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 by law,and is prepa ed In accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
SI .,acts /Seder
Signature of Seller
')o.)•,d,, Cs, WG4. a S-.Sc. J , t L.- Il/{3 Lig
Printed Name of Seller " - Sign Date MM Da/rvn1 Prints Name of Seiler Sign Date(MM/DD/ml]
F. BUYER(SlJGRANTEE S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
e Auberry n/a
err- nveyance dacument Buyer 2•Name aso
!'eappears on conveyance document
529 S Seminary Street
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
City,State,and VP fade fig;State,and ZIP Code FILED
E-mail Telephone Number
TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPE; • • • . OF THOSE THAT APPLY. Apr 04rs- 2019, E-mail YES NO CONDITION . - NO CONDITION ��
El0 1.Will this property be the buyer's primary • 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary tiossS:i , , = , ng/Cooling System
residence,including county: 0
12 5.Wind Power Device
Address(Number and Street) 0 KI 6.Hydroelectric Power Device
0 7.Geothermal Energy Heating/Cooling Device
City,stare ZIP Code 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 0 1# 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: . ,lease a scions for more information.
Not available in all counties.
Address(Number and Stint)
(26-12-07-403-000 . 432-028
City,State ZlPCode County
wm,y 1aupes.yowue.tv..mu nunre f-mall
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct
Lost S digits of Buyer 2/Spouse Driver's State Lost 50(gtn of Social Security
License/ID/Other Number Number License/ID/Other Number