HomeMy WebLinkAboutHomestead_Toth (5) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D`_RREPARER: _
Steven L.Whitehead Allomey
Preparrr of the Soles Disrhuurc Form Title
111 N.Hart Street.
Address(Number and Street) Company
Princeton 47670
E-noel
E.SELLERJSI/GRANTOR(S) - . ' •- . - ..
- - i
__lapel nth
Se(trr I-Name as appear on conveyance document Seller 2-Name as appears on conveyance document
3°S nl Vine Si- .
Address(Number and Save() Address(Number and Street)
Haubsi-a.d+ _.{J Ligt93 9
Telephone Number '—I mail Telhhnne Number E-mail t
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and_9 complete
as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".i
nature of Seller Signature of Seller
Jane-E Lath Q181a02-o Printed Name of Seller Sign Date(HAI/DP/11111 Printed Aarne of Seller De(14s1ADrr ri1F,;BUYER(S))GRANTEETS).7API't ICATION;POR PR0YEi2'l'Y TAa I)EDUC1i0NS-IDGN7IF.Y A (' S111
',
Daniell,Toth 7�
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears nn conveyance document
8262 West 475 South OCT 0 9 2020
Address(Number and Street) Address(Number and Street)
OCtvense,andZIPCa(Ia 47665
CiglStutc,andZlPLode
City.State,and ZIP Code \/jIi •
It i�tD[ips^a/`���'�{•
Telephone Number E-mail Telephone Number GIRSON COUN I Al E-mail
TIIE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TI 115 PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION .
m ❑ 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:8262 West 475 South ❑ ❑ S.Wind Power Device
Address(Number and Street) 0 ❑✓ 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ ❑✓ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 02.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: below.Please see instructions for more information.
8262 West 475 South Not available in all counties.)
Address(Number and Street)
Owensville, IN 47665 Gibson , -/7-Dz- 3Do-co4,3$2-0_021
City,State ZIP Code County
Primary propertyawnercontuct name Email
Number License/ID/OtherNumber