HomeMy WebLinkAboutHomestead_AskrenINDIANA SALES DISCLOSURE FORM SDF ID:
D. PREPARER'
Gene D. Emmons Attorney
Preparer ofthe Sala Disclosure Form Title
63101 N. Green River Road Suite 140 Trustworthy Land Title Co Inc
'Address (Number and Street)
E -mail
E.SEL'LER S GRANTORS_
Brian.] Adams
Misty n Adams
Seller 1- Name as appears on conveyance document
conveyance document
Seller 2 -Name as ap eipl�
1026 S. 17th Street
^arson
io�x -
Address (Number and Street)
MUM an S en) `/ /,, n
Vincennes IN 47591
L/CLL((��(( (ml, /0 ^( 7(Ply v
E -mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required bylaw, and is prepared in accordance with J)r X145.5, " eal Property Sales Disclosure Act ".
SignatureafSeller Sq.arureofsallli
Brian J- Adams 09 -08 -2010 Misty 0- Adams 00-08-2010
Printed ' el Sian D-ate (Evffi= Printed Name o Seller Stan Dow MM D
F` YER S GRANTEE
.- APP[.[CATIONTOR PROPERTY TAX DED - 1 . '- LL ITEMS THATzAPPLY,.
Timothy W kr n
Pauline M. Askren
Buyer l - Nameas app ea conveyance document
Buyer2 -Name as app ears nvryance document
0 South
South
(NVmberand Street)
Address (Number and Street)
Oakland Citv. IN 47660
Oakland City, IN 47660
City, SmM and ZIPCade
E -mail
THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR HIS ENTIFYALL THAT APPLY.
YES NO CONDITION YES NO CONDITION
❑ ❑ 1. Will this property be the buyer's prima
❑✓ ❑ 3. Homestead
residence? Provide complete address "mary
❑ ❑ 4. Solar Heating /Cooling System
residence, including county:
S. Wind Power Device
.
8061 F 300 South
❑ ❑✓ 6. Hydroelectric Power Device -
Address (NumberandStree)
Oakland City, IN 47660 Gibson
❑ [2] 7. Geothermal Energy Heating /Cooling Device
❑ ❑ 8. Is this property a residential rental property?
City State ZIPCode County
❑ ❑ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
❑ ❑ 9. Would you like to receive talc 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.)
/g- 5- 00% boa -QOM
Address (Number and Street)
Ciry, State ZIP Code County
Primary property owner contact name E -mail
Under penalties of perjury, 1 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
being filed.)
Signature ofevyerl S nature of Bu r2/Spouse
imnthy W Askren 09 -OA -2010 Pauline M Askren 09 -08-7010
Printed
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