HomeMy WebLinkAboutHomestead_DillonSALES DISCLOSUREFORM SDFID:
. Steuen L. Whitehead Attor
Preparer o(the Sala Disclosurc Form T���e
, ���,o.. p.umoe. uiw �veeq
E-mail
iC.JELLGKIJJ/GHAN'I'ORIS) '.:--b _ ' '
Tonv I Dillon
Seller 7- A'ome os appears an ronveyanre dxumen[
/C/83 S Q, ' l �r ss�.� < !7r
AE�Or/ess (N'Um/ber and SveeQ
/lA.thfYNa�f 1 � `�7CsS' �I
� /
Se/le� 2- Name as oppeors on ronveyance dxumen[
Addras(Number
Ciry, Stace, andTJPCode
Under penaities of perjury, I hereby certify tha[ this Sales Disclosure, [o the bes[ of my knowledge and belief, is true, comect
and coq et � by law, and is prepared in accordance wi[h IC 6-11-5.5, "Real Property Sales Disclosure Act".
Sign ure %Seller CI � � I S�qnaNreo(Seller
Buyer 1- Nome os appears on
2� M1'ame os oppears on ronveyonre docvment
Addr¢s(NmnberandSveeQ
Ciry, Smte, and
APPLY.'� !' _�
THESALESDISCLOSUREFORDIMAYBEUSfDTOAPPLYFORCERTAItiDEDURIONSFORTHiSPROPERTY, IDfNTIFYALLOiTHOSETNATAPPLY.
Q � 1. Will this proper[y be the buyer's primary
residence? Provide comple[e address of primary
residence, including county:
AdE�ess (Number mM S4tt[J
[iry.5m[eTJV[ode Counry
❑❑ 2. Does the buyer have a homestead in Indiana to be
vacated for[his residence? Ifyes, provide
complete address of residence being vaca[ed,
including county:
Address (,VUmber and Srceet)
Ciry.Srare ZIPCade Counry
Q✓ ❑ 3. Homestead )
- Q_ . �4. Solar Energy"Heating/Cooling Sys[em
❑ Q�S. Wind Power Device
❑ 0�6. Hydroelectric Power Device
❑ � Geothermal Ener� Heating/Cooling Device
❑ Q�. Is this property a residential rental property?
❑ �9. Would you like [o receive tax sta[ements for [his
property via e-mail? (Provide contoct in%ormation
below. Please see instructions%r more in%rmation.
Not availa6/e in all caunnes.)
�-as-�a-3�o-oa� 9��-�as�
Pdmaryproperryawnerton[orrname E�mail
Under penalties of perjury, l hereby certify that this Sales Disclosure, [o the best olmy knowledge and belief, is true, correct
and complete as required by law, and is prepared in acmrdance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (No[e:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
( `/-
Lost S Digirs o(Social5eruriry Num6er
Signatureo(Buyerl/Spouse
PrinredLegal.YarneafBuyer2/Spouse SignDarelH.¢�o0/YYn)
LastSdigirso(Buyer2/SpouseDriver's State LastSDigivo(Social5ecuriry
Num6er License/lD/O[herA'um6er