HomeMy WebLinkAboutHomestead_Hoffman INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
rD PREPARER.•• T' R .5 -' . _ arc-aimitE+4,,i- I- ti 44--- *-- ate c•,i`�,r�.Mfrag..":raga:
Laura Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
.ailo.Ya"'�.r" 34Si . ` s-; iffc __-_ • --.r' —T.:,•- �i, }', "y"`'`.'.'i SSA".r"s 'r 1M51. 7klagFeW�^.s' NE
Shane C.Hayes Kayla A. Hayes
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
2108 Taylor Ave. 2108 Taylor Ave.
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton,IN 47670
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Under pen es of perjury,I reby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and con e e as re re aw d is prepared in accordance with IC 6-1.1-5.5,,""Real Property Sales Disclosure Act".
k 21
S+ya o(Seller /�� /� Signature o/Sell' pip!Sane C. Hayes � f/�r Kayla A. Hayes (/PrintedNagShc1 SI n Da (NM/DD/YYYY) Printed Name ofSeller S
sF. DYER(Sl%GRTANTEEISI MAP.PTICATIONIFORTPROEERT61Q4DEDUCTIONS fIDENTIEWXIFE-ITEMSsTHA1's Mae?. 44.
am C.Hoffman Alexandra L.Hoffman
Buyer 1-Nome. awn ocument Buyer 2-Name as appears on conveyance document
452 Antioch Cir W 452 Antioch Cir W
Address(Number and Street) Address(Number and Street)
Terre Haute,IN 47803 Terre Haute,IN 47803
Sate,and ZIP Code
ZTHES RT DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P Y.IDENTIPYALL OF THOSE'F TAPPLY. FILED
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead Apr 30 2019
residence? Provide complete address of primary r nergy Heating/Coolil ---
residence,including county:
2108 Taylor Ave ❑ B 5.Wind Power Device GIBSON COUNTY AUDITOR CB
Address(Number and Street) 0 H 6.Hydroelectric Power Device
Princeton,IN 47670 Gibson 0 El 7.Geothermal Energy Heating/Cooling Device
City,Sate Code County ❑ LJ( 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be 0 I3 9.Would ou like to receive tax statements for this
vacated for this residence? If yes,provide property via a-m . ide contact information
complete address of residence being vacated,
including county: below.Please see instructions ore information
Not available in all counties.
26-12-08-204-000. 748-02
Address(N um her and Street) William C.Hoffman Alexandra L.Hoffman
City,Sate ZIP Code County mary property owner contact name E-mail