Homestead_Geuss INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D PREPARER x`": _jr '__ _ _.-_ _ -s ,
Steven L.Whitehead Attorney
Preparer of the Sales Disclosure Form Title
111 N. Hart Street
Address(Number and Street)
E-mail
SELLERS)%
Mary J GeussGRANTOR(S)` - -
_ —----- -- - - -- ---- — --- -- -
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
701 E.Monroe Street.Apt.234
Address(Number and Street) Address(Number and Street)
Princeton, Indiana 47670
City,State,and ZIP Code City,State,and ZIP Code
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 complete as equired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".p ry , Q J
Signature of lied Signature of Seller
Mary J.Geuss 9/ 3/aM 0
Printed Name of Seller • Sign Date(MM DD/YYYY) Printed Name ofSeller Sign Date(MM/DD/YYYY)
k F BUXER(S)/GRANT_EE(SJ-APPLI-GATIONFOR PROPERTY TAX DEDUCTIONS IDENTIFY ALL ITEMS T HATAPPLY, • _
Kenneth G.Geuss
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance do2465
N.CarithersrandRoad
Address(Number and Street) Address(Number and Street)
Princeton, Indiana 47670
City,State,and ZIP Code City,State,and ZIP Code 0 8 2020
E-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 AP
i YES NO CONDITION YES NO CONDITION GIBSON COUNTY AUDITOR
❑ ❑✓ 1.Will this property be the buyer's primary ❑✓ ❑ 3.Homestead
residence? Provide complete address of primary ❑ ❑✓ 4.Solar Energy Heating/Cooling System
residence,including county:
❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device
Gibson ❑ ❑✓ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 ❑✓ 2.Does the buyer have a homestead in Indiana to be 0 ❑✓ 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)City,State ZIP Code Caun � 05-33 -200-J03. g�1 _p2-
ty
Primary property owner contact name E-mail
Number License/ID/Other Number