HomeMy WebLinkAboutHomestead_ErwinDISCLOSURE FORM SDF ID:
- . _. . ' _ .�;-; ._ _ �y . �--
Preparer oJthe Sa/es Disdnsure Fann
' N. Hart St. P.O. Box 13
vs (Num6er and Stree[)
Princeton IN 47670
Ciry, Smte, and Zl➢Code
Harnxl DPVelopmeni. I I C
Seller 1- h'ame as appears on conveyance dotumen[
ft00 F Strain Street
Address (Numberand Svee�)
Fort Rranrh IN 47648
Under penalties of
and comp te re i
�
, /
Signam�e aj5eller
Tom Hausr.hild. Manaoi
PdntedNomeo Selier
F. BW GRANTE
� hael D. Erwin
uyer 1- Name os appears or
i hwa �
Ad (Num6erandSVeet)
/�;eton. �17670
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E-mail � TelephoneNumber
THE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOk CERTAIY DEDUCfI0N5 FOR THIS PROPERTY. IUENTIFY ALL OF THOSf THAT APPLY.
Q✓ � 1. Will [his property be [he buyer's primary
residence? Provide complete address of E
residence, including county:
�ai�w a�nS
dddress (Num6er ond Stree[)
Fort Branch IN 47648 Gibson
Ciry, Smte ZIP Lode Lounry
Q� 2. Does [he buyer have a homestead in Indiana [o be
vaca[ed for this residence? !f yes, provide
complete address of residence being vacated,
induding county:
2440 N Old Highwav 41
Addre.a (Number and Sveet)
Princeton IN 47670 Gibson
Ciry•. Smte ZIP Cade Counry
�✓ � 3. Homestead
. nergy Hearing/Cooling System
� ✓ 5. in Power Device
� �✓ 6. Hydroelectric Power Device
❑ �✓ 7. Geothermal Energy Heating/Cooling Device
� �✓ 8. Is this property a residentlal rental property?
� Q 9. Would you like to receive tax statemenu for this
property via e-mail? (Provide contoct informotion
6elow. Please see instructions for more information.
otavaila6le in all coundes.)
c�lo /�Gf�a /G�- dD/ ��` Do?S
Michael D. Erwin
E-mail
Under penaldes of perjury, 1 hereby certify [hat this Sales Disclosure, to the best of my knowledge and belief, is [rue, 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/O[her numbers are no[ necessary if no Homestead Deducdon is
being filed.)
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Las[ 5 digiCS of Buyer ] Oriver's Sm[e Las[ 5 DigiLS a%Social5ecurity Num6er
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Pnnted Legal Name of euyer 2/Spouse
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Number License/ID/OtherNum6er ��