HomeMy WebLinkAboutHomestead_Linback 1
t
I INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
i-D.`PREP'Al1tai l £ i117-'_i_ , ;Mr r.'f,11-7_4:., - .Wy r Ile , z '-1 WkE:Cit+ '713.17
7iriatirmInli
Dana Belcher Processor
Preparer of the Sales Disclosure Form Title
2301 N. Burkhardt Road First Advantage Title
Address(Number and Street)
E-mail
E.SELIiER(S)%G 1NT01T Thln SCi; -L'i.F.0 fz a-= i_: in Tr.✓_ifia:La7ius tsi t:?fY)s ze07 9�tia r
Michael J Rose
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
Su� •OfAVVGCid &-
Address(Number and Street) Address(Number and Street)
EvtinS\A\ke * u-11t1
City,State,and ZIPCod 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 corn I to as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
PCOie--
Signature er Signature of Seller
Michael J Rose 5 1 24 0°I
Printed Name(Oilier Sian Date(NM/DDMYY) Printed Name of Seller Date DIM/00/1 rr0
S ', 'EE(S1.:,APPL'IGATION`EOR'PROPERT _TA:VE EDUCTIONSf IDEINTriF 'AL 7 Ei S; HAT • P
Gary L. Linback
•erI-Nome a - , on conveyance document Buyer 2-Name as appears on conveyance document
301 EclssClt"4 st MAY 3 0 2019
Address(Number and Street) Address(Number and Street)
roft 6,(Nnd,, IN 41 ,q%
City,State,and ZIP Code City State,and ZIP Code tt2—
(
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PRO . DENTIFY ALL 0 E THAT APPLY.
YES NO CONDITION "F-5 NO CONDITION
0 ❑ i.Will this property be the buyer's primary V ❑ 3.Home
residence? Provide complete address of primary 4.Solar Energy Heating/Cooling System
residence,including county:
301 S F-A sky;ew SI" ❑ ❑✓ S.Wind Power Device
Address(Number ondStreet) ❑ 06.Hydroelectric Power Device
reel H g(Nn(h I ki 41 4t &kW\ ❑ ❑ 7.Geothermal Energy Heating/Cooling Device
City,State ZP Code - County
❑ 2.Does the buyer have a homestead in Indiana to be ID 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax statements for this
complete address of residence being vacated, pro ' e-mai ? Prow act information
including county: elow. Please see instructions for more - rmation.
Not available in all counties.)
Address(Number and Street) I
City,State ZIP Code County -n-Lq - tot - 00o 1)b - 02-6
Primary property owner contact Horne -mail
License/ID/Other Number