HomeMy WebLinkAboutHomestead_Dunn INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D,<PREPARERomesszemonmavz t V rw M M
Patti Kolb Closing Manager
Preparer of the Sales Disclosure Form Title
226 W Broadway St. Broadway Title, Inc.
Address(Number and Street)
mail
Ef=SELLER(S}/GRANTSt$P- aiti-. R i.__ .._`r`M r. ., _.._ z:M1-w'M .M ;. .__` _ _. z`. -._,.
Justin l . King
Sellerl-Name as appears on conveyance document Seller2-Name as appears on conveyance document
105 S Scott St
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665
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
an co lete as�quir y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Sgnature of Seller 3-' Signature of Seller
Justin I King 5--Z(o -2 Z0
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F+, i IF;; iLi2 gr PLICA' TQRta 'R_O,tat T1?i l)EAUCs'1�IQV_ MOVIFYaL'`Iq'EgS'1'F1AT'glE _<_ : , >r
Luke J. Dunn
• appears on conveyance document Buyer 2-Name as appears on conveyance document
1408 S Metro Dr.
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
City,State,and ZIP Code City,State,and ZIP Code FILED
E-mail Telephone Number L7 >� E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPL
YES NO CONDITION NO CONDITION idit
0 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary 4.Solar Energy Heating/Cooling System
residence,including county:
105 S Scott St. ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ [ 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
El WI 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.
at availu • counties)
Address(Number and Street)
26-18-07-101-000. 515-022
City,State ZIP Code County
Pr ma net Eenbert na+++P - E-mail
Number License/ID/Other Number