HomeMy WebLinkAboutHomestead_Lara INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER _Na__ ___--_ < :___:- - __ _-_-- . -___ ._, .J-.:,__ -__ __I_ -_4_.: , --.;•z_
Colleen Dunn Closer _
Preparer of the Sales Disclosure Form Title
621 Main St Ste 201 Regional Title Services
Address(Number and Street) Company
Vincennes,IN 47591 (
City,State,and ZIP Code Telephone Number E-mail
John Paul Sponenburg
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
902 E Ohio St
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670
grace,
Telephone Number E-mail
Under penalties of erjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co fete s r quired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
-- 3o-dal)
Sign tureofSe4h-
er Signature of Seller
John Paul Sponenburg -d4j 1 ,o
Printed Name of Seller rgn r._(tit /DD/YYYY) Printed Name of Seller to(MM/DD/YYYY
':F.:BUYER(Sl''/GRANTEE(S) -_APPLICATION F.OR PROPERTY_TAX DEDUCTIONS,.IDENTIFY ALL.ITE T A AP't • .. _-. _-.1
Gilbert Lara
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docun2enA y
MM II 0 6 2020
Addre (dumber and Street) Address(Number and Street)
/4 2- '- y✓Pj f-- It .
State,andzlPCode State,and ZIP Code GIBBON COUNTY AUDITOR
USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION
[r ❑ 1.Will this property be the buyer's primary ❑ "-3.-Homestead
residence? Provide complete address of primary 4.Solar Energy Heating/Cooling System
residence,including county: ❑
902 E Ohio St ll 5.Wind Power Device
Address(Number and Street) ❑ El 6.Hydroelectric Power Device
Princeton,IN 47670 Gibson ❑ z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ ❑ 8.Is this property a residential rental property?
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ RI 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
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) OR
a (1] 1�1^ ^�\1 a-bZi
Gilbert Lara c/r' 1 I b �'. .�f'
City,State ZIP Code County Primary property owner contact name E-mail
Number License/ID/Other Number