Homestead_Siebe INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D PREPARER,
1 t
Michael J. Hayden Attorney at Law
Preparer of the Sales Disclosure Form Title
2906 First Avenue
Address(Number and Street)
mail
E SELLER(S))GRANTOR(S)-'`_ {
Bruce W.Siebe Carol B.Siebe -� _._.- .� . �. �__. ..��__.,___ _____w_..._��__1 .� ._,_.,..._:
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1016 State St. 1016 State St.
Address(Number and Street) Address(Number and Street)
Newburgh, IN 47630 Newburgh, IN 47630
E-mail
Under penalties of perjury,I hereby certify that this SalesDisclosure,to the best of my knowledge and belief,is true,correct
and co lete as reed by law, is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller I
Bruce W.Siebe 00/g b/? Carol B.Siebe6 - 4 4`� --1-44''4 .�////Printed Name o Seller S (MM/DD/YYYY) Printed Name of Seller ( Sin Date MM OD,9 ( / /YYYY)
::' R(S)/GRANT__ S _ APPLICATIQN FOR PROPERTY TAktal:0401 ID,ENTIFYALL ITEMS THAT�APPLY „�v_,_ .; __
C Byron J.Siebe Jammie L.Siebe
u a ears on convece document Buyer 2-Name as appears on conveyance document
F /D a ss- 1 R�7-d t ipa ss
ddress(Number and Stree Address(Num or and SI et)
YES NO CONDITION S NO CONDITION
iyir ❑ 1.Will this property be the buyer's primary [/ ❑ 3.Homestead
•
residence? Provide complete address of primary \ I E. 4.Solar Enema - •ati m
residence,including county: N OU I AUDITOR
i s Slot E 19�.15� ❑ [�• S.Wind Power `
Addressf(N berand;treat) �+ ` ❑ 6.Hydroelectric Power Device
04 Address
VC( Cr/ Ipl.TA/ 417440 6, V`Sph ❑ ®' 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code / County
❑ 8.Is this property a residential rental property?
❑ Z 2.Does the buyer have a homestead in Indiana to be �
vacated for this residence? If yes,provide ElL�/9 you like to receive tax s act cents for this
complete address of residence being vacated, property via e-mail?(Provide contact in ation
including county: below.Please see instructions for more infor tion.
,....4_ o av able in all counties.
Address(Number and Street) t_ 1^ U '�01
City,State ZIP Code County
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