HomeMy WebLinkAboutHomestead_Buonopane :DES DISCLOSURE FORM SDF ID: 2019 Page 2
-.PARER
i Amy Pollard
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street)
E-mail
E. SELLER(S)/GRANTOR(S)
SPM Development, Inc., an Indiana corporation
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
304 E SR 69
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 ,
City,State,and ZIP Code City, State,and ZIP Code
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
complete as required by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".n .
,, Sign ture of Seller l / Signature of Seller •
10A ( P•;(�l j� jj� '7 "re5 r`cf C yt• 10/11/2019 10/11/2019
Printed Name of Se/ler e4MM/ YY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BU`YF (S)T NTEE(S)--APPLICATION-F_ORP_ItOPERTY TA—XtcDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Elizabeth M. Buonopane \ ,
' Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance,document
804 E. Sinclair St.
Address(Number and Street) Address(Number and Street)
. Branch, IN 47648 F8 �,
TO APPLY FOR CERTAIN DEDUCTIONSR T S-P ONDITION I � SHOSE THAT APPLY.
YES NO C
0 ❑ 1. Will this property be the buyer's primary 0 - 0 3. Home
residence? Provide complete address of pri ary ❑ 0 4. galaClateaglUj of stem
residence, including county: R
400 W Garfield Ave. — ❑ 0 evice 5 Wind As
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
._.._._.________._._....._ _._.._..___..__........_.......___._._._...._..._....__...._......._..__....._...._......_..._._.__.................. ID 0 7. Geothermal Energy Heating/Cooling Device
:Princeton, IN 47 0 I Gibson'
City,State Zl Code County 0 0 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ ould you like to receive tax ements for this
vacated for this residence? If yes, provide complete prvpertyetait. ide conta ' formation
address of residence being vacated, including co below. Please see instructions re ' formation.
Not available in all counties.)
Address(Number and Street)
p1' ‘ - ua-i --‘g- I0 - Oar -
City,State ZIP Code County Prima property owner contact name E-mail
a
License/ID/Other Number