HomeMy WebLinkAboutHomestead_Elpers (23)t\DIAA'ASpLESDISCLOSUREFORJi $DFID SDOID 729506 Page2
`D:'PREPARER .-.- = "-- '- - " ` � - � - � - _
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PaVicia A McDOnald Post Closing
Prepartrof �he ScM Oisc/nsvse Form Title
605 S.E. Martin Lulher King Jr. Blvd. Southwestem Indiana Land Ttle, Inc.
Address(NumberaMSveet)
Ciry, Smre, and ZIPCode Telephone,YUmber Errpil
E:SELLER S GRANTOR S . . - -�., • =�.¢;'t'- ,,, r,a �; _,,=:5
JertyA. Greubel
Seller 1- Name as appears om m�veyonre dwvment Se11er7 - Name ne upprars om m�vnvnre dxvmen�
70344 Flov.ers Lane
Addrm(Numberm�dSneeQ AEdrea(A'um6erond5vezQ
Elberteld, IN 47613-
Tele honeNVm6er E-mail
Under penalties of perjury, I hereby cer[ify tha[ this Sales Disclosure, to the best nf my knowledge and belie(, is true, correct
and comple[ as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
.,�2�,, � ,�ileub.eQ C. ¢w+.;,L�. SH,;,`f�, �i�—
Signamr �/Sdier /� r /� Sgnoareo(Seller
�PVi �. vfONbP� " Ctv�; ( SV'�^•�, I�l�
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YERS-�� 'TEES -APPLICATIONFORPROPERT.YTAXDEDUCTIONS-�IDENTIFYALLITEMS�THATr1PPLY�_:°t� . '_ __
James R. Elpers
6uer1�'^ uppearsonronveyonadavment Buyrr2-Namrasnppevrsomm�vryanceJaumen[
12373 . 0 E.
Addres(Num.berandSLeeQ Addr¢s(Num6erandSOeetJ
Haubstadt, IN a7639-
T'le haneNUmber E-mo(l
TME SALFS DISClOSURE FORN MAY BE USEO TO dPPLY FOR CERTAIY DEDURI0Y5 FOH THIS PROPE2TY. IDEMIFI' dLL Oi THOSE THAT APPLY.
YES YO COYDRIUY I 1' N '�ITIOY
Q � 1. Will [his property be the buyer's primary X � 3. Homestead
residence? Provide complete address of primary . ar nergy Heating/Cooling Sys[em
residence,includingcounry: ❑ �
72373 S. 200 E, 5. �Vind Power Device
Addrea(Nnm6erand5ueetJ ❑ Q 6. Hydroelectric Power Device
hiaubstadt, w a7639 GiBSON � � 7. Geothermal Energy Heating/Cooling Uevice
Clry, Sm1eT.IP CoCe Counry
�� 2. Does the buyer have a homestead in Indiana to be � � $� �s this property a residential renial proper[y?
vacated for this residence? If yes, provide ❑ � 9. bVOUId you like to receive [ax statements for this
complete address of residence being vacated, property via e-mail? (Provide contact informaGon
induding county: below. P(easesee instrucpons%ar more in%rmatlon.
Not available in all counties.)
Address(NumberandSVeet) �� '�� I/ / / !D , ��/ ^���� �
lU O y
Ciry, Smte ZIP LMe Counry
Primary properry o�mer mnmrt name Emall
Under penalties o(perjury, I hereby certify [hat [his Sales Disclosure, to the 6es[ of my knowledge and belief, is true, correc[
and complete as required by Iaw, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Act". (Note:
Spouse information, Social Security and Driver's License/O[her numbers are no[ necessary if no Homestead Deduction is
being filed.) .
�a�as Q. £��tst� � f�r,t�S� ;�(, r�t [F
Signomreo(Bvyerin � 7� (� Signamrto/BVyer7/Spouse
�UW.�PS F. �I GT/S �y G�', �y J�x��� 6��IF
LastSdigicsojBuyerZ/SpouseDriver's Smte LastSDigitsajSocic(Sxunty
Wcense/ID/OtherNumber Number Lirense/lD/Otherh'umber