HomeMy WebLinkAboutHomestead_Lindsey (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Rexanne McCauley Title& Escrow Processing
Prepare:of the Sales Disclosure Form Title
3930 Mezzanine Drive. Suite C Columbia Title.lnc.
Address(Number and
Number E-mail
In-__i_—' - - ;”c:ft'Si- '7`,:i 1--ri t—`:-an,� 1".s 4z t.-.-Ns 7 you r�� OA'^'ra;
;E:.SEL (S)/GRANITOR(S) .-- e .,.- _ °(I �Fr+mact'- _a>.a-r,Ogc�i._°- asrsmc a------ + �
Thomas W Stiles Susan L Stiles
Seller I-,Name as appears an conveyance document Seller 2-Name as appears on conveyance document
103 South High Street 103 South High Street
Address(Number and Street) Address(Number and Street)
Brownstown IN 47220 Brownstown IN 47220
City,State,and ZIP Code City,State,and ZIP
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 completeas required y law,and is prepared in accordance with IC 6-1 -5.5,"Reall/Prope t,Sales I isclosure Act".
114,4
Signature of Seller Signature of Seller
Thomas W Stiles 7-8-2019 Susan L Stiles 7-8-2019
Printed Name Seller Sian Date(.Mil/DD/ITYY) Printed Name of Seller Sian Date M.k OD/1
J.E:BUYER'S .,GRANTEE S JAPPLICATION,FOR'PROPERTX'TAX•DEDUCTIONS--IDENTIFY ALL ITEMS,THAT AP. '' L r'
Shannon M. Lindsey
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears an conve.- a rumen
an 2eova 5 S} p
Address(Number and Street) IAddress(Number and Street) .' 9Q\
Number E-mail Telephone Number (�}�;(�' PUS E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TtiIS PROPERTY. IDENTIFY ALL OF THOSE THA ' oth—•1
YES NO CONDITION I YES NO CONDITION G\S3SQ CCGC.rI
0 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
a 1Q 1 0 eQ'.t) LS St o 5.Wind Power Device
Address(Number and Street) ''IA) ❑ 71r 6. Hydroelectric Power Device
RR✓ t e h ll- �v 4 r1 (D-10 C 9 L to-S Cfl ❑ L�J 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ,2/ R. Is this property a residential rental property?
❑ 'M. 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide ❑ 9.\-Vould 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.
Not available in all counties.)
Address(Number and Street) 21 - az- osi_ ID3 -Cnl, 059- c'ze
City,State ZIP Code County
Primary property owner contact name E-
Number Number License/ID/Other Number