HomeMy WebLinkAboutHomestead_Williams (16) INDIANA SALES DISCLOSURE FORM SDF ID: Pa:e 2
D PROARER; .v
Robert E.Zoss, Sr. Attorney
Preparer of the Sales Disclosure Form Title
2405 N. Green River Road Bob Zoss Law Office, LLC
Address(Number and Street)
•
E SELLER(S)/GRANTOR(S) •
Norman Thomas Williams
SelleAmber
s appears orAw conveyance doymren� Seller 2-Name as appears on conveyance document
Address( umber and treet) Address(Number and Street)
bria4 S VA,e, tee
City,State`,and. de
ZIP Code
,
de n / City,State,and ZIP Code
-11.1ZI /�J..�Gi�t/h.t.K ! If-
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 co plete 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
Norman Thomas Williams
Printed Name of Seller Sign Date(MN/DD/YYYY) Printed Name of Seller S' rt Date(MM/DD/YYYY)
F BUY•ER(S)/GRANTEE(S) ,.,APPLI;CATION FOR PROPERTt Wit15EDUCTIONS IDENTIFY ALL I 1 T;'AT ®
Dixie Marie Williams A.
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
8106 S.Victoria Drive S E P 11 2019
Address(Number and Street) Address(Number and Street)
Ft. Branch, Indiana 47648 _—
E-mail ephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS F HIS PROPERTY. IDENTIFY ALL OF THOSE THAT PLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead
residence? Provide complete address of p ' ar ating/Cooling System
residence,including county:
❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
❑ J 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
ill ❑✓ 2.Does the buyer have a homestead in Indiana to be El ❑✓ 8•Is this property a residential rental property?
vacated for this residence? If yes,provide 0 ❑ 9.Would you I• ee? statements for this
complete address of residence being vacated, pr y via e-mail?(Provide conta • rmation
including county: Blow. Please see instructions for more infor 'on.
Not available in all counties.)
Address(Number and Street)
City,State ZIP Code County 2-6 —,S 2u—1O I —000 . 601 -0 2S-
Primary property owner contact name E-mail
Number License/ID/Other Number