HomeMy WebLinkAboutHomestead_BatesINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D.PREPARER , ., .
SHERI L. GREENE
Preparer o(Ne Sala Disrlosvre Farm Tide
1122 E OHIO ST
Address(Nvmberand50-eet) Company
PRINCETON IN 47670
E-mvll
E.SELLER S GRANTOR S
RnRFRT . H LM C;I FNDA SUE HELM
Se1/er 1- Name as appears on ronveyantt document Sdfer 2- Name at appears on tonveyanre darumm[
515 MFADOWI ARK DR S15 MEADOWLARK DR
Address (Numberand Stree[J Addres (NUmber and Svee[J
PRINCETON.IN 47670 PRWC'ETON IN 47670
Ciry, Smre. andZlP Code Ciry.Smte, and Z/PCadt
E�mai/ Tele honeNumber E�mail
Under penalties of perjury, 1 hereby certify tha[ this Sales Disdosure, to the best of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5,�"Real Property Sales Disclosure Act".
/���e-� �. ,����-. h�r ����.1w-- ��>-�,-�
Sjqnamre o/Sd/er S(qnamre o(Se//er
R(1RFRT I HFI M 02/ / D/2011 GI FNIIA RI IF HFI_M 02/ //! /2011
p��� SionDn[e MM 00 PAn[edNamea Sd/er Si nDare nX/DD
UYERS GRANTE -APPLICATIONFORPROPERTYTAXDEDUCTIONS-IDENTIFYALL�ITEMSTHATAPPLY� -
,
ALLEN L. BATES
Buyer]-Nameasappmrsonronvry aedacvment Bvytr2-Nameasappearsonronveyanredacvmm[
Ad r rand50-eet) Addrea(Numbe�and5trtt[)
FT BRANCH IN 47648
Ciry.Smte, and Z/PCade Ciry.Smte, and ZIPCOde
Tele haneNumbtr E-mail Tde honeNum6er E-mail
THE SALES OISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEUURIONS FOR TNIS P0.0PERTY. IDENTIFY ALL OF iNOSE THAT APPLY.
YES NO CONDRION YFS NO CONDITION
❑J ❑ 1. Will this property be the buyer's primary ❑✓ ❑ 3. Homestead�
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System
residence, induding county:
im � c nnaw ST ❑ ❑✓ 5. Wind Power Device
Addres(NumberandStrret) ❑ ❑J 6. Hydroelectric Power Device
PRINCETON IN 47670 GIBSON � Q 7. Geothermal Energy Headng/Cooling Device
Ciry.Smrell➢Code Counry
� Q 2. Does [he buyer have a homes[ead in Indiana to be � ❑� 8. Is this property a residenrial ren[al property?
vacated (or this residence? If yes, provide ❑ ❑� 9. Would you like [o receive ta�c statements for this
complete address of residence being vacated, property via e-mail? (Provide ron[act information
including county: 6elow. Please see instructions jor more information.
Not available in al! counpes.)
AdCress (Nvm6er and Svee[)
a�-i8•Z�zay- 006. oi4-aa�
Liry. Smu ZIP lode Counry
Pdmorypmperry ownerronma[ name £�mail