HomeMy WebLinkAboutHomestead_Ziliak INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER.._. :_- ..__.- __
1 Leon C. Stone President
Preparer of the Sales Disclosure Form Title
226 West Broadway Street Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 (
E-mail
E SELLER(S)/GMNTOR(S). ,1 . -- - _ ,_ _- ._ j `
Tyler Norton Jordan Norton f/k/a Jordan Maurer
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
400 East Walnut Street 400 Fast Walnut Street
Address(Number and Street) Address(Number and Street)
Ft. Branch, IN 47648
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 comu' law,and is prepared in accordance w' C -1.1-5.5,"Real Property Sales Disclosure Act".
, 4
Signature of eller Signatu of er
Tyler Norton OZ/O 7/Z-0 2-0 Jordan Norton f/k/a Jordan Maurer z ZI-ZOZc�
Printed Name of Seller Sign Date MM DD/Ym) Printed Name of Seller Sign Date(MM/DD/YYYY) ,
F.BUYERjS)J:GRANTEE(S)-=-APPLICATION:FOR PROPERTY TAX DEDUCTIONS-_IDENTIFY ALL:h _. I ARP
ennifer L.Ziliak t , ,tip
• son conveyance document Buyer 2-Name as appears on conveyance docume
66@6-weFm-ig Song Lane 1N') % L J
Address,(Number and Street) Address(Number and Street) FEB 2 4 Z020
PraM -- it70 K
- ,
Telephone Number E-mail Telephone Number '. ItiSUN C: UNTY AUDITOR 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 NO CONDITION
[ [i 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary 4.Solar E Heating/Cooling System
residence,includingcounty:
j b � w •: ❑ ❑✓ 5.Wind Power Device
l ress/ umber andStre1 ��`3 p ❑ 0 6.Hydroelectric Power Device
_ _� L7? — —J J4 6)C(1 Gibson ❑ z 7.Geothermal Energy Heating/Cooling Device
City,State ZiP Code J County
❑ Z 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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.
I a le in all counties.)
Address(Number and Street)
--1 q-15-3..o -000, 423--02 6
City,State ZIP Code County
Pri property owner contact name -mail
Number License/ID/Other Number