Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Koberstein (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Dy P tla REIt t z , 3 , ... ,. ... H_., t `" M } . .. : "�` ' ,.3 r� � a Leon C. Stone President Preparer of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title,Inc. Address(Number and Street) Company Princeton, IN 47670 ( E-mail E SELisER(S)attaft.OR(SrK_' -._' .. l: I z, z'.T. . Rodney D Seifers Synthia I Seifers Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4222E 200 N 4222 F 200 N Address(Number and Street) Address(Number and Street) Princeton IN 47670 Princeton_IN 47670 E-mail Under penalties of perjury,I hereby •-rtify tha this Sales Disclosure,to the best of my knowledge and belief,is true,correct and ete as required by .y d is prep ed in accordance wit C 6-1.1-5.5,"Real ro erty Sales Disclosure Act". Signature of Seller - ,,.-- Si ature of Seller Rodney D.Se-ers t3/07402-0 Synthia L.Seifers gA7/7n7�47) Printed Name (SellerSign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) ViltiY)R(S /GUN,TEE(S) ,CAI'PLLCA I'ON:FQRaT*EnYTAX, EDtteMO 1§AIDENTIFY.(1 ntat.t,T:HAV PLY ;gi ...�`,a ,,, Jordan Koberstein Elaina Kavanaugh Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 4222E 200 N 4222E 200 N Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton. IN 47670 Aug 07 2020 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 YES NO CONDITION WI ❑ 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: 4222E 200 N ❑ 2S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2 2.Does the buyer have a homestead in Indiana to be ❑ B.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 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. Not available in all counties.) Address(Number and Street) 26-05-35-200-000. 651-004 City,State ZIP Code County