HomeMy WebLinkAboutHomestead_Barretto INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Leon C. Stone President
Preparer of the Sales Disclosure Form Title
226 West Broadway Street Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 (
E-mail
E.SELLER(S)/GRANTOR(S) - • _ . . , _ - _ -
Blonie Lackey
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
429 W Glendale Street
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
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 cote as requir by la w9 and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature ofseller a-. I Signature of Seller
oni Ble Lackey &) / 7 r�
Printed Name of Seller Sion Date(MM/DDiiivvr'rrrr r'JJJ Printed Name of Seller Sian Date(MM/DD/YYYI)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS_IDENTIFY ALL I 'AftY' - - ,
-1
cieoretta J. Barrette J ! J
8l 7 " pyeejs on conveyance document Buyer 2-Name as appears on conveyance document
1303 N 12th Street JUN 18 2019
Address(Number and Street) . Address(Number and Street)
Vincennes, IN 47591
City.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 PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CO. ION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestea
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county:
429 W Glendale Street ❑ 0 S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 ❑ 2.Does the buyer have a homestead in Indiana to be El 0 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 instructions for more information.
1303 N 12th Street Not available in all counties.)
Address(Number and Stree O2 - /D/-O 0/, 7 fA _p ;4?Vincennes, IN 47591 Knox �,� _ /a _
City,State ZIP Code County
Primary property owner contact name E-mail
Number License/ID/Other Number