HomeMy WebLinkAboutHomestead_Allen (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
,aj?lk-EPARa .'.___...*-_.-:'2:_._,__:_ :--:: _ _ .,: _i I L',.,: ::-:.' , -_ '.:.:._.: '_:-: :;1, : ::::::.J"_`!,--','J:'-: : :`:. _:.:. ';:f i.:_:L,,,,,•.!.:.__. z.2._.-__:::::-:_'7_":.:,i_ ,2,',1 :.,.:_:;., f.:,
Leon C. Stone President
Preparer of the Sales Disclosure Form Title
226 West Broadway Street
City,State,and ZIP Code Telephone Number E-mail
'iff.-gETLEff(8176-11ANTOilt:Sr.i. :::;:.:SI: 1 7''".. ''.1:::_77,1,;i7::-:,--1:T,17 7. 7.l'7,:.:}I',;L:77:, .•.,.-77:'..-,:,,',-.7.,7:,::: :11::1 -2",;:,--51' 7:-.,:,z- ,":,,-, ::-.--Tj:: -,:L T '
---,
Tierney J_Wright
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
a )-1 1-1a.rnSon slue,.
Address(Number and Street) Address(Number and Street)
air6 V\11Q. i j ki 14 1—)ILI
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 complete as required by I w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Li Al-
Signature of Seller ' Signature of Seller
Tierney J.Wright ' kill ) / 9
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) j
Wistrtri,51-A.PPLIatloRY0 ig.P01510.VIU 08 beatto 1q8=:_ig.81srr WV'ALL I fElKSITTIAT AsiitY'.-.,L:1--'::: -----'_,_ Li.:_ii_
..- -.„.
4 Theron R.Allen t -7,
1 ' i 4
:u er 1-Name as a,- ars on conveyance document Buyer 2-Name as appe3i4on c4 vei:.n5sid 4 umf ti ,,e-
At4dress(Number and Street Address(Number and Street)
crer,72o ,e- o cf-,d4 NOV 0 7 2019
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS•t:• RTY. IDENT II'. IIII 1 '0-1"1144ATYAI4P1
YES NO CONDITION YES NO CONDITION
Z 0 1.Will this property be the buyer's primary Z El 3.Homestead
residence? Provide complete address of prima IiimiVAmmicall_ .s : Heating/Cooling System
residence,including county:
El Ei 8813 E 450 S 5.Wind Power Device
Address(Number and Street) 0 Z 6.Hydroelectric Power Device
Oakland City, IN 47660 Gibson 0 Z 7.Geothermal Energy Heating/Cooling Device
City,State/IP Code County
111 111 2.Does the buyer have a homestead in Indiana to be 8.Is this property a residential rental property?
0 Nil
vacated for this residence? If yes,provide 0 [Z] 9.Would you like to receive tax statements for this
complete address of residence being vacated, pro e- via e-mail?(Provide con • • ormation
including county: below.Please see instructions for more infor .. .n.
Not available in all counties.)
Address(Number and Street)
( 0 6 - ),40-03-‘oa -001 917-- —001 . 1
City,State ZIP Code County
,
Number License/ID/Other Number