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HomeMy WebLinkAboutHomestead_Ramirez INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER Donna Zehner Processor Preparer of the Soles Disclosure Form Title 2301 N Burkhardt Rd First Advantage Title. Address(Number and Street) City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S1 ,,:=_. t.,_.-..;: -- — — _• .. .. : z Max Ray Sailer Seller 1-Name as �peorsonconi uncedocument Seller 2-Name as appears on conveyance document ,345 )• ht0cc ` i, .. less(Number and Street) Address(Number and Street) r-i e ar� `T—r ! 11-3 Li _2. Telephone Number 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 and cornpl et as req d by la ,and�is�repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". / u Signature of Seller �JJ 12. Signature of Seller Max Ray Sailer &l 12& �� Printed Nome of Seller. SignDate(MMh/DnmY1J Printed Name of Seller Sipe Date(?-1MIPM'm I:: Uvo(S G:Rt><NTE�E(S F.��IPP'la'IC���Ol��`FQRr� RQPER'lyAX'.UEDkJC'l faNS'-IDENTIEX_.AI:LITEMS THAT,APPI.Ystwo-ww",--. Tabitha Ramirez 'er1-.Namea orson.r cyancedocument •^4 Buyer 2-Name as appears on conveyance document � ,Ad Ms- Vmnhsr and Street) Address(Number and Street) el r cit._.--+ (, Ll(a)a mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. FILED YES NO CONDITION YES NO CONDITION IA ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead Sep 01 2020 residene " Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooli — (e,iden cluck g county: AN , S- ❑ ❑✓ 5.Wind Power Device GIBBON COUNTY AUDITOR CB A.dre (Akpn er and Strew) . r ❑ IZI 6.Hydroelectric Power Device t ! . L• ' I. tlL•10 gt4 ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ X 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 ❑ Z 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information n u • below.Please see instructions for more information. Spoke td ��' lzman from 1st AdK Title Not available in all counties.) Say ancm►r�r Cp a nve nllaction In►ac NO Address(Number and Street) 26-11-12-204-002. 780-028 ( City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number