HomeMy WebLinkAboutHomestead_Weiss INDIANA SALES DISCLOSURE FORM SDF ID: 2019 Page 2
D. PREPARER
Kristina Watson Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street)
E. SELLER(S)/GRANTOR(S)
Beau M. Hobson Michael Hobson
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
308 S Cumberland St 308 S Cumberland St
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648
E-mail
Under penalties of perju I hereby certify that this Sales Disclosure to the best of my knowledge and belief, is true, correct
and complete req by law, and is prepared in accordance wit17 IC 1. Rea1,Pr pe s Disclosure Alt". 11
41
0 can
of Seller Signature of Seller
Be-' . Hobson &s/ OI q Michael Hobson
Printed Name of Seller Sign Date(M /YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITTITTE i,l
ota G.Weiss jj�/
pears on conveyance document Buyer 2-Name as appears on conveyance document
104 S Haven Dr MAY 172019
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
GIBBON COUNTY AUDITOR
Telephone Number E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION •. . _ .N
❑ 1. Will this property be the buyer's primary [. 0 3. Homestea.
residence? Provide complete address of primary 0 X 4. Solar Energy Heating/Cooling System
residence, including county:
308 S Cumberland St. 0 Ck 5. Wind Power Device
Address(Number and Street) 0 ��6. Hydroelectric Power Device
Fort Branch, IN 47648 I Gibson 0 Qtr 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County El Cc 8. Is this property a residential rental property?
❑ r-' 2. Does the buyer have a homestead in Indiana to be ❑ Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
024-/8-a4/ - aoa -000. 7/g -0d6
City, State ZIP Code County Primary property owner contact name E-mail
License/ID/Other Number