HomeMy WebLinkAboutHomestead_Sigmund INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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DEBBIE JACKSON TYPIST
Preparer of the Sales Disclosure Form Tide
530 FREDERICA ST. FOREMAN WATSON LAND TITLE,LLC
Address(Number and Street)
City,State,and ZIP Code Telephone Number E-mail
E-SELLERfSJ%GRANTOR(Sy _ if n- ,.:t:tt , -2„. _21 •1t.;.5.will. ,Eia:"'zt .-_ ;i7, i4,:,:r,
LOIS A.FARRIS
Seller I-Name as ears caconveytince optcumgnt Seller 2-Name as appears on conveyance document atAda dStreet) Address(Number and Street)
ci, Ctf� y7�6U
'
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/J as required b j aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
C7?2,ofer a t2
Si � Signature of Seller
LOIS A. FARRIS 06/13/2019
PH me of Seller Sian Date(MM/D(0n) Printed Name of Seller Sian DatJM.N/DD/YYYY)
;F UYER(SVGGRANTEE(S);A PLICATION;FOR,PROPERTYTAkDEOUCTIONS-'IDENTIFYALLJTIE .1 P,.BED
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KATHLEEN SIGMU 'D 1 Jbuyer I-Name as appears on conveyance document Ber2 Name as appearson conveyanc
9727 E.600 S
Address(Number and Street) Address(Number and Street) JUN 1 7 2019
OAKLAND CITY, IN 47660
E-mail Telephone Number (;1134ON COUNTY AUDITOh'E-mall
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. I a'. L OF THOSE THAT APPLY.
YES NO CONDITION I '+ NO CONDITION
❑✓ ❑ 1.Will this property be the buyer's primary ❑✓ ❑ 3.Homestead
residence? Provide complete address of primary ., - d. •eating/Cooling System
residence,including county: ❑ 0 5.Wind Power Device
9727 E.600 S.
Address(Number and Street) ❑ Z 6.Hydroelectric Power Device
OAKLAND CITY, IN GIBBON ❑ (] 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑✓ 2. Does the buyer have a homestead in Indiana to be ❑ 0 8 Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ ❑'/ 9.Would you like to receive tax statements for this
complete address of residence being vacated, - ' 7 Provide contact information
including county: below.Please see instrucno more information.
IVot available in all counties.)
Address(Number and Street)
0- 1 -3D0 -Q -Ot9l
City,State ZIP Code County \
Pn'mdytproperty owner contact name �^ E-mail
Number License/ID/Other Number