HomeMy WebLinkAboutHomestead_Pierrard INDIANA SALES DISCLOSURE FORM . SDF ID: Page 2
D.PREPARElt •
Jeffrey H.Bosse Closing Agent
Prepnterof the Sales Disclosure Pornt Title
501 Main Street,Suite 101 Bosse Title Company,LLC
Address(Ninnber and Street)
City,State,and ZIP Code Telephone Number B-mail
E.SELLER(S)/GRANTOR(S) •
Sheila J.Kell
Seller!-Name as appears on conveyance document Seller 2-Name as wean.ems an conve yartce document
210-214 E.First St.
Address(Number and Sheet) Address(Number and Street)
Oakland City,IN 47660
City,State and ZIP Code City,State,and ZIP Code
E-mall Telephone Number E-nrall
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
and complete`s required bpdisaw, prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".•
lil
•Signnture of Seller Signature of Seller
Sheila J.Kell 06/25/2020 06/25/2020
Printed Name opener Sign Date IMFI/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYV)
ER(S)/GRANTEE '-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Robert L.Pierrard -
Buyer.1-Nanreas;. .. • cedocument Buyer 2-Name osappeareon conveyance document
'a' L• Ifi$r51:
Address(Number and Street) Address(Nul»ber and Street)
Ala 0.4 F.1,) O ryl �J ki- (,c-0 FILED
E-mail Telephone Number
Jun 26 2020 E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORMS PROP ERTY.IDDFN1B+Y70LOF THOSE TI Y-
YES NO CONDITION ES NO CONDITION
❑ 1.Will this property be the buyer's primary LI ❑ 3.Hal estead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary 4.Solar Energy Heating/Cooling System
residence,including county:
❑ ® 5.Wind Power Device
210-214 E.First St. ❑ ® 6.Hydroelectric Power Device
Address(Number and Street)
0 ® 7.Geothermal Energy Heating/Cooling Device
Oakland City,IN 47660 Gibson ❑. ® 8,Is this property a residential rental property?
City,State ZIP Code County
❑ 1] 9.Would you like to receive tax statements for this
El ❑ 2.Does the buyer have a homestead in Indiana to be property via a-mall? (Provide contact information
vacated for this residence? If yes,provide below.Please see instructions for more information.
complete address of residence being vacated, l a e in all coup e.
13 including county:
3S�S. (te tt)Po
‘Address(Number an Stet)
26-14-18-203-000. 226-007
s ) z (,t l n r Bristow,IN 47515
City,State Eli'Code County r briery property owner contact name E-mall
ID/Other Number