HomeMy WebLinkAboutHomestead_Lowe INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Leon C. Stone President
Preparer of the Sales Disclosure Form Title
226 West Broadway Street Broadway Title, Inc.
Address(Number and Street)
E-mail
E SEI LEl2(S)jGRAN OR(S I W 4- ` W .rae, ,M:M <. ._g7X* M It:—.W . _ _{ RVA
Richard W.Smith
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
12860 S Sunset Drive
Address(Number and Street) Address(Number and Street)
Haubstadt IN 4763,9
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 omp ete as require by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Richard W. Smith
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYY)
Mir - 7'__ =EE(t rAMI(A-tatar '_aitI YMOEDMCTIONS ;IDENTI_FYAI,MMS'IH�,laMER M S
Trais W. Lowe
a conveyance document Buyer 2-Name as appears on conveyance document
.L-7q( (Lw0lo40,A (I-
Address(Number and Street) Address(Number and Street)
I_Va,r,Sidi 1—IV LI 77Z 5
TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY
YES NO CONDITION Y NO CONDITION JT�i
Z ❑ 1.Will this property be the buyer's primary CZ n 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary Solar Energy Heating/Cooling System
residence,including county:
303 S.Main Street ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Ft. Branch,IN 47648 ❑ IZ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 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: be .Please see inst lc ' ns for more information.
Not available in all counties.)
Address(Number and Street)
2 —18-24-202-000. 338-026
City,State ZIP Code County '
Primary owner contact name " E-mail
Number License/ID/Other Number