HomeMy WebLinkAboutHomestead_Bowens _INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER •. .
Britany N Barnes • Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc
Address(Number and Street)
mail
FE.SELLER(S)%GRANTOR(S) - • .
Jan M Ayers
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
12429 S Brook Dr
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
City,
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 re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signe Tt ofSeller Signature of Seller
Jan M.Ayers 1- ty-a0
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
5';-Jesse A.Bowe ' " j
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
240 E Harvest Ln
Address(Number and Street) Address(Number and Street)
Petersburg, IN 47567
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary (........-El --1 1 3,Homestead 1
residence? Provide complete address of primary ❑ J 4.Solar Energy Heating/Cooling System
residence,including county: 5.Wind Power Device
820 S Stormont ❑ ❑
Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ ID 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
El 2.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, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) _
City,State ZIP Code County
Primary property owner contact name E-mail
Number License/ID/Other Number