Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Stoffel
zt(j INDIANA SALES DISCLOSURE FORM SDF ID: Pp e 2 D"BREPARER Kimberly A. Lewis Office Manager Neparer ofthe Sales Disclosure Form Title 226 W. Broadway Broadway.Title, Inc. Address(Numberand Street) 1E:�SELLER S -.GRANTOR S f. ':.3e i '„-"' .``. ?`iY«Tb' e' '�s``` ' . F. :4 :;' -�s`w +,i '•= 5�i_+'.> }7� ' .':b t.'a+r -LL!e -,r"` ^ Frances J. HalweS Family Trust 5 Ilan I - Name ass ars on conveyance document Seller 2 - Name as appears on can veyance document Z50 Address (Number and Sheet) ddren (Number and Street) Ft- Rranrh TN 47648 E -mail Telephone Number Email 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 re 'red by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". Signature of Seller -- Signature of Seller F - 1- - -zorl 9 Print ameo/Seller Shtn Dale MM DD Printed Sin Dow MM1D01YYYY1 S ' GRANTEE S �=`'APPLICATION�FORP OP.ERTYeTAXiD 1ONSq;IDENTIFY?ALI: fTEMS'e APP.L'Yfi`2'�`SrPt=rsl.° : Christopher A. Stoffel Amanda 11 Buyerl Name as appears on conveyance document Buyer2 -Name asappeors on conveyance document 7925 E 775 S 7925 E 775 S A mberand Sheet) Addreu um er an reef Ft. Branch, IN 47648 Ft. Branch, IN 47648 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 CONDITIO. ❑ ❑ 1. Will this property be the buyer's primary © ❑ 3. Homestead residence? Provide complete address of pri a 4. Solar E Healing /Cooling System residence, including county: S. Wind Power Device 7925 E 775 S ❑ 6. Hydroelectric Power Device Address(NumberandStreel) Ft. Branch, IN 47648 Gibson ❑ 7. Geothermal Energy Heating /CoolingDevice ❑ ®1�77 R• Is this property a residential rental property? City, Smte ZIPCode County ❑ ❑ 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide t ❑ IeI 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. `,—�O /yq AddressiNumberandSawt) Ciy, State ZIP Code County ° ^/r Primary pmperry own" contact name 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 required by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". (Note: Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is bein � G'_ � l�U Yl1i YICi_t�`ii S�'Ol�or -R. Signature of Buyerl Signature � of B1uy^er2/5pouse S h 66,1 f o i 9 d JLt 4 YY1C�YlclCx l�l • 5 i-off 10 - I9 - 2_WC1