HomeMy WebLinkAboutHomestead_Spear INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2
D. PREPARER
Amy Pollard 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)
David Michael Jones Delores Darlene Jones I
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
517 S. 9th Ave. 517 S. 9th Ave.
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
City,State,and ZIP Code City State,and ZIP Code
(
(
Telephone Number 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".
Signature of Seller Signature of Seller
David Michael Jones Delores Darlene Jones
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller r" --- (MM/DD/YYYY)
F. B�TEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL ff14 Aj Air
Linda S. Spear //
uyer e as appears on conveyance document Buyer 2-Name as appears on convekt*ffi44rr@�9
` V\tcO SI--
Addre 5(Nu ber and Street) Address(Number and Street)
,PI0(.) uill- Ic 47,65 •
E-mail Telephon N,rmnar E-mail _
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIO OR THIS PROPERTY. IDEN Y ALL OF THOSE THAT APPLY.
NO CONDITION yYES NO CONDITION
❑ 1. Will this property be the buyer's primary 9/ 0 3. Homestead
residence? Provide complete address of primary
residence, including county: eating/Cooling System
517 S 9th Ave. 0 5. Wind Power Device
•
Address(Number and Street) 0 6. Hydroelectric Power Device
Haubstadt, IN 47639 I Gibson ❑ 7. Geothermal Energy Heating/Cooling Device
)(
ity, State ZIP Code County 0 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be 0 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete ope y wa-ema de contact informal on
address of residence being vacatq, including count • below. Please see instruction more information.
n07 I '� r((d �� Not available in all counties.)
ddress(Number and Street)
tc4&65 ��- 23 - 06 200 —�00 -0,
City, fate ZIP Code C Primary property owner contact name _. E- it
License/ID/Other Number