HomeMy WebLinkAboutHomestead_Fox INDIANA SALES DISCLOSURE FORM SDF ID: } Page 2
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Rexanne McCauley Title& Escrow Processing
Preparer of the Sales Disclosure Form Title
3930 Mezzanine Drive. Suite C Columbia Title.lnc.
Address(Number and Street)
.E7SEL"LER(STARA1!T,OR(S) 7
4 _. -L, :127 CAL. i 7=e 77,- -_ - ,1-
Jennifer L Hoof formerly known as Jennifer L Sheoherd
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1454 West Crony Road175 South
Address(Number and Street) Address(Number and Street)
Petersburg IN 47567
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".
g acr
°lure ofSelb: '1 (, Signature of Seller
Jennifer L Hoof flk/a Jennifer L Sheoherd °r�1 1
Printed Name of Sete: Sian Dpe(M.N/DD/YYY11 Printed Name of Seller I St n N/oohnp
/ yx. ` - FSAPREICATIO\•FORPROPERTXATAXDEDUCTIO\'S=IDE\TIF.1'AL'L;ITE TIP LI' 1 i
Rusten Derek Fox
Buyer 1-Name as op arz - acument Buyer 2-Name as appears on conveyance documrrU L 11 2019
9559 East Main Street 'JLU
Address(Number and Street) Address(Number and Street) n
Mackey, IN 47654 as-
Mackey, IN
OFTH APPLY.
YES NO CONDITION I YES NO CONDITION
Xi ❑ 1.Will this property be the buyer's primary k) ❑ 3.Homestead
residence? Provide complete address of primary '❑ IA 4.Sinai Cttt,gy a mg/Cooling System
residence,including county:
i S 5
CC, E M�,i n S-1
❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ` - f 1
m(1 El0 6.Hydroelectric Power Device
.c`k.e L\ t fl L 1 (e ) � `9 i Yo. UV\ ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be Ill ❑✓ 8.Is this property a residential rental property?
I`1 vacated for this residence? If yes,provide ❑ IJ 9.Would you like to receive tax statements for this
complete address of residence being vacated, r - act information
including county: ----below.Please see instructions for more ation.
Not available in all counties.)
Address(Number and Street)
City,Stale LP Code s arty 2&-26-/4f— '10/—�0• Dz/ - 002
Prima°•property owner contact name E-mail
Number License/ID/Other Number