HomeMy WebLinkAboutHomestead_Fulling INDIANA SALES DISCLOSURE FORM SDF ID: __ Page 2
D.PREPARER
Kim Racey Escrow Closer
Preparer of the Sales Disclosure Form Title
606 Main Streert Dubois County Title Co., Inc.
Address(Number and Street) Company
Jasper, IN 47546
E-mail
LE E.SELR(S)/GRANT ORM., _
Sean E.Trader Scott F.Trader
SellerA Name as appea s on conveys ce document Seller 2-Name as ap ears on conve once document i ,01
• Address(Number and Street) (//e(/^ pi /i i4 7� Address(Number and Street)
E-mail _
Unde penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an���,m�et�s r,�'quir bylaw,and is prepared in accordance with I/G 6-1. -5.5,� Property Sales Disclosure Act".
�yff//�� �I ; /�/41
/ o�/lLf /L
Signature of her Signature of Seller
Sean E.Trader 9-20-19 Scott E.Trader 9-20-19
Printed Name of Seller Sign Date(MMD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
.F I ',.. ^'-- E(S)-APPLICATIONFOR•PROPERTYTAXDEDUCTIONS-_IDENTIFYALLITEMSTHATAPPLY_- - -
Robert R. Fulling
Bu er - ear conveyance document Buyer2-Name as appears on conveyance docunient
3- S ,1# .s C/`( gr.
Address(Number and Street) Address(Number and Street) *,
O/1'.L4 r('J Of r`l <al �^76,lo0 „, r 1' ,e.
s
City,State,
2
Telephone Number E-mail Telephone Number C�° �c E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PRO . THOSE TH 71
•
YES NO CONDITION YES 0 CONDITION O� �
❑ 1.Will this property be the buyer's primary YES
3.Homestead q6�
residence? Provide complete address of prima I . � o ar Ener ting/Cooling Syster
residence,including county:
❑ 2" 5.Wind Power Device
Address(Numb an st' )� i\D5b IA ❑ 6.Hydroelectric Power Device
JU '' ❑ kr 7.Geothermal Energy Heating/Cooling Device
City,State ZIP e County
El2.Does the buyer have a homestead in Indiana to be ❑ 8 Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 9.Would you like to receive tax statements for this
complete address of residence being vacated, operty via a-mai . • ontact information
including county: below.Please see instructions form information.
Not available in all counties.)
Address(Number and Street) a clLi .... is...t...,0, _001 .2 1-9---0 3
City,State ZIP Code Co my •
Primary property owner contact name E-mail
Number License/ID/Other Number