HomeMy WebLinkAboutHomestead_Adams (7) INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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Leisa Billings Processor
Preparer of the Sales Disclosure Farm Title
530 Frederica Street Foreman Watson Land Title JUL 2 9 2019
Address(Number and Street) Company
Owensboro KY 42301
E SELLER(S)%GRANTOR(S).z ,>_.- `£ . `. .f=' ..E '- _>: /�
Mission Real Estate Group, Inc. (n\p,<,•, 0n CL c.tn1\ € er,AO- 2'trfl1�c I Vie
Seller 1-Name as appears on conveyance document Seller 2�-Name� as appears on conveyance document
PO Box 543 T 0 ' ov 5)1/4-r,
Address(Number and Saver) r a
Address(Numbend Street)
Owensville, IN 47665
Email
Under penalties of perj ,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co e s re ed by law,and is prepared in accordance with IC6 .1-5.5," 1 Property Sales Disclos;:: ,
t".
/ Ignaotre of el-r Y tgnature of Seller
PrIntojelameofSal S/ Date WM i Printed Name of Seller Slgn Date WHOD/YYM
YER(S)JGRANTEE(SJ=`APPLI = N PORE ROPER ; 4:TAX•DED t� CTinDtc"ancv,i rcv_pL'•L ITEMS THAT AP.BEY. . ,
Zachariah W.Adams Haleigh D.Adams
• • I-Name as appears on conveyance document '--+3vyf72'7id7vT! r ppearso acumen
53 South 180 East -53 South 180 East
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 Princeton IN 47670
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS HOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
d❑ ❑ 1.Will this property be the buyer's primary ❑✓ ❑ 3.Homestead
residence? Provide complete address of prim y ergy eating/Cooling System
residence,including county: ❑ ❑✓ S.Wind Power Device
Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device
❑ El 7.Geothermal Energy Heating/Cooling Device
pry,Stare ZIP Code County
❑ ❑✓ 8.Is this property a residential rental property?
❑ ❑✓ 2.Does the buyer have a homestead in Indiana to be vacated for this residence? If yes,provide ❑ ID9.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 'nstn,rtinns more information.
a able in all counties.)
Address(Number and Street) / G-•(p// _JZL)5 1D2_10512 �f/n - 027
City,State ZIP Code County N•(
Amory property owner contact name E-mail