HomeMy WebLinkAboutHomestead_Haynes INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Christina Lenfers closing agent
Preparer of the Soles Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company,LLC •
Address(Number and Street)
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) •
Marla Kay Overton
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
Address(Number and Street) Address(Number and Street)
City,State,and ZIP Code City.State,and ZIP Code
Telephone Number E-mail Telephone Number E-mail
Under penalties of perjury, I her by certify that is Sales Disclosure,to the best of my knowledge and belief, is true, correct
and complete as required by aw is pared• accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller S2J- Signature of Seller
Marla Kay Overton 04/30/2020 04/30/2020
Printed Name ofSellcr Sign Date(MM/DD/YYYY) Printed Name ofSellcr Sign Date(MM/DD/YYYY)
l
(...- F.BUYER(S)/GRANT'6(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Mark W.Haynes
1 Nen— unce document Buyer 2-Name as appears on conveyance document
8514 Yellowstone Dr.
Address(Number and Street) Address(Number and Street)
Email Telephone Number
May 13 202(f-
mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY NTIFY ALL OF THOSE THAT APPLY.Ist /l�
YES NO CONDmON YES NO CONDITION �l/��
❑ 1.Will this property be the buyer's primary '1 ❑ 3.Homestead
residence? Provide complete address of primary GIBBON COUNTY AUDITOR CB
residence,including county: eating/Cooling System
❑ A. • 5.Wind Power Device
9065 S.State Rd 165 ❑ 6.Hydroelectric Power Device
Address(Number and Street) ❑ 7.Geothermal Energy Heating/Cooling Device
Poseyville,IN 47633 Gibson ❑ 8.Is this property a residential rental property?
City,State ZIP Code County
❑ 9.Would you like to receive tax statements for this
0 2.Does the buyer have a homestead in Indiana to be • - ail? (Provide contact information
vacated for this residence? If yes,provide below.Please see instruc . or more information.
complete address of residence being vacated, Not available in all counties.)
including county:
Address(Number and Street) 26-17-30-400-004. 619-021
City,State ZIP Code County nc E-mall
Number