HomeMy WebLinkAboutHomestead_Landis INDIANA SALES DISCLOSURE FORM SDF ID
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Chris Sullivan Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Streel)
City,State,and ZIP Code Telephone Number E-mail
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Ellis Estates,L.L.C.
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
7199 Newman Rd •
Address(Number and Street)
Elberfeld,IN 47613
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 law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Ellis Estates,L.L.C.by Brian Ellis \D- 1-1- 6
Printed Nome Sellr Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
WifiggggiMANNP'E 51 3AI itK0i(UlftQIRIItRO0itt:tatig�DgD'17CfiION.S. 1DENll IRY=f1 eiliI? MS-TIlq'I1,-AP?WA .. ' ,gciatiZb
effe! C.Landis 2
BuyerI-Name asa rson conveyance document B ^-" document
323 S. t.Apt. 127
d umber and Street)
Princton,IN 47670
FOR CERTAIN DEDUCTIONS FOR THIS PRO1P.ER'r .IDENTIFY ALL OF THOSE APPLY.
YES NO CONDITION YES NO CONDITION JM`+•�••'
IA ❑ 1.Will this property be the buyer's primary ( N ❑ 3.Homestead IBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ` ergy Heating/Cooling System
residence,including county: ❑
701 E State Street II 5.Wind Power Device
Address(Number and Street) ❑ I 1 6.Hydroelectric Power Device
Princeton,IN 47670 Gibson ❑ RI 7.Geothermal Energy Heating/Cooling Device
City,State ZI de County ❑ n 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 121 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide property via e-mail?(Pro 11'decnnt in ormation
complete address of residence being vacated, below.Please a nse tructions for more in orm tion.
including county:
Not ava'! le in all counties.)
Address(Number and Street)
Other Number