Loading...
HomeMy WebLinkAboutHomestead_Ziliak INDIANA SALES DISCLOSURE FORM SDF ID: 26 - 19 1128197 1;1D'21?REl' ' '. at04:3-'lige#. s1e -tzj Page2� i La,-'s�t� ��4aS .Ctc `�'-. Meghan Napoli Closing Agent Preparer of the Sales Disclosure Form Title 215 Chesterfield Business Parkway Netco Inc Address(Number and Street) SC ER(S)r d N +SR ti ' . a,..._ , „ Barbara A Ziliak Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5323 E 1150 S Address(Number and Street) Address(Number and Street) Haubstadt, IN 47639 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". 5Q.A 4- S! atdse of Seller ) Signature of Seller Barbara A Ziliak ao lag/20 0 Si n Date NM D Printed Name o Seller Si n Date NM D F 1.13.1[F(S: T Aga-1Ci D N EQT BR Eft[i1P ED[t, -t11) ilitikCEMS ! _ i Mitchell J Ziliak e as appears on conveyance document Buyer 2-Name as appears on conveyance document FILED 1750 W 1300 S Address(Number andStreet) Address(Number and Street) Jun 10 4019 Haubstadt, IN 47639 ,/�f_-e^�+k � ' Ciry,State and ZIP Code City,State and ZIP Code "� E-mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PRO 1 r. IutN I ItY AL1-00.THOSETHAT APPLY. YES NO CONDITION / YES NO CONDITION i © ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary • 0 4.Solar Energy eating/Cooling System residence,including county: 3 A i/SO s 5.Wind Power Device S3a ❑ 'Address(Number and Street) ❑ © 6.Hydroelectric Power Device AI4vh s44d 1-, TA/ 517Q-W Ci ban ❑ 2 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code • County ❑ ❑✓ 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 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: below.Please see�in trucdonsfor_pore information. Not av ilab a iI all counties) Address(Number and Street) Mitchell J Zili 26-23-12-402-002 . 753-024 City,State ZIP Code County Primary property o er contact name E-mail Number License/ID/Other Number