HomeMy WebLinkAboutHomestead_Norrick (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.•PREPARER. • • .
James G. McDonald, Ill Attorney at Law
Preparer of the Sales Disclosure Form Title
120 S. Main Street McDonald Law Office
Address(Number and Street)
E-mail
i E:SELLER(S)/GRANTOR(S) . '
Ronald E 7ollars
ISeller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5334 Great I akes Drive
IAddress(Number and Street) Address(Number and Street)
Evansville Indiana 47715
City,State,and ZIP Code City,State,and ZIP Code
E-mail Telephone Number 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".
Y rn,!n
Signature of Seller /I� l Signature of Seller
Ronald E Zollars e/ 01/21/ j'/
Printed Name of Seller Sian Date(MM/aDrtrrq Printed Name of Seller Sian Date WMM/DD/'rrrrl
' •EE(S)'-APPLICATION FOR PROPERTY TAX.DEDUCTIONS-IDENTIFY ALL ITEMS THAT.APPLY•_ _
Brad Norrick Betty Norrick
Buyer Name as on conveyance document Buyer 2-Name as appears on conveyance document
41 Elm Street 410 W Elm Street
Address(Number and Street) Address(Number and Street) I Oakland City, Indiana 47660 Oakland City, IN 47660
City,State,and ZIP Code City.State,and ZIP Code
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS F HIS PROPERTY. IDENTIFY ALL OF THOSE APPLY,
YES NO CONDITION YES NO CONDITION oar
0 ❑ 1,Will this property be the buyer's primary 2 ❑ 3. Homestead GIB COUNTY AUDITOR
residence? Provide complete address of primary ICI 4.Solar Energy eating/Cooling System
residence,including county:
❑ Z 5.Wind Power Device
Address(Number and Street) ❑ Z 6. Hydroelectric Power Device
City,State ZIP Code ❑ g 7.Geothermal Energy Heating/Cooling Device
County
❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ El
8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ El 9.Would you like to receive tax statements for this
complete address of residence being vacated, pro...• . . •• ontact information
including county: •elow.Please see instructions formor• '• .rmotion.
Not available in all counties.)
Address(Number and Street)
A
CitySteteZlPCode Cou .
b =1ti -vg 303 -o p) soo-Doo-4-
I 'nmary proper owner • mammal- 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 information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
beiin file iU / , ,
Signature of Buyer! I �W Signature o r2/Spouse
Brad Norrick oy 12 yMM o/ j 9 Betty Norrick c 1 /2 t1 I Ie
I
Printed Legal Name of Buyer I Sign Dote( oflvvY) Printed Legal Name of Buyer 2/Spouse Sign Date(MM/Do/rifI
Last 5 digiu of Buyer I Driver's State Last 5 Digits of Social Security Number Last 5 digits of Buyer 2/Spouse Driver's State Last 5 Digits of Social Security
License/ID/Other Number Number License/ID/Other Number