Loading...
Homestead_Ziliak (9) INDIANA SALES DISCLOSURE FORM SDF ID Page 2 D PREPARER s ,,. i vg t 1. " -:,- .4 34 . � ', ' F r y .r _,._:c' .,.... .. > r,...s .�..._:.4 . _..,.•.cam _*' ,. ri.._ w .F ...�._.�._: s.r:,.,._ ..,.'_w _,..2."'-.. _..Yx'._: Leon C. Stone President Preparer of the Sales Disclosure Form Title 226 West Broadway Street . E-mail ili S 1, R J - .L O��3`• ¢ 'h� 1-.�-,.a i.�._ `�,-a.n......0 Y -a'4...r..R ,* -�.`'s/ .-+.y; t��rls '_.. 1..t s^ "+`.X '...La -_ .() _RAN' .__() �. .., _ .��_.__ - __�,}.� �_,._ , _.�-.� K_--<�_..�,.�� �= ,,^�,�:�-T�=_n_�� ���:� William Joseph Hasenour Rita Jean Hasenour Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5271 F. Hasenour Drive 5271 F Hasenour Drive Address(Number and Street) Address(Number and Street) Fort Branch. IN 47648 - Fort Branch. IN 47648 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 complete as requireAbir law,and is prepared in accordance with I -1.1-5.5 "Reaall Pr perty Sales Disclosure Act". V..elia;mJ f , 4-7/-4.44(4-ct/k-- f --- g';I 0,-,u t-e d_ri,--' Signature of Seller Sign ture of Seller 6 William Joseph Hasenour 9/3 v` 04,0 Rita Jean Hasenour ?PO/0?Gaa Printed Name ofSeller Sian Date(MM(DD/YYYY) Printed Name ofSeller Si ( MtPD/YYYY) F` tiS t(S,)f GRAN$TE)(S)..,.Al'P,LICATta,F fftN EERT A .DEDUGtIR.M ll)ENTI iat I 'GEMS TH I' AtFLI' _, ; _ , x Caleb Ziliak Lora Ziliak Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 7156 S 425 E 7156 S 425 E Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 Fort Branch, IN 47648 )-1 2020 E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION 00441att Z ❑ 1.Will this property be the buyer's primary Z1 ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 5271 E Hasenour Drive ❑ 05.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Fort Branch, IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 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 ' ❑ 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) 26-19-25-200-000.371-025 City,State ZIP Code County Primary property owner contact name E-mail