HomeMy WebLinkAboutHomestead_Parker (8)I\DIA\.\ SALES DISCLOSURE FOR\I SDF ID SDO ID 679284 �� Page 2
D.PREPARGR - � � '
�Samantha Cutsinger
Pr<yarer o/Ne Scles Diulosuie fom T�tle
226 W. Broadway Broativray Tiile. Inc.
Add�m (h'umLer and Sven) Compvny
Princeton, IN 47674
Ciy, Srn:e, anE IIPCodt Telephone Number E-maif
E.SELLER S GRANTOR S
John W Cederholm Misty Cederholm
Seller 1- Namr w ap�rears nn �vmr�m�e documm( Se/ler2 - Nume as apyears on ronnyan�e dxument
429 W. Glendale a29 W. Glendale
AdErtu (NUmber ond SveR) ACdrm (A'um6rrand Svee[]
Princeton, IN 47670. Princeton, IN 47670-
F�muil
Under penalties of perjury, I hereby certi(y that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and c m ete as requir d by� �law�, d is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[".
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.BUYERS GRAYTEES -APPLIC ONFORPROPERTYTAXDEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY
Frances�E. Parker
Buyer I� A'ame n3 app.nrs an ronvevunre dxvmn�t Buyer? � Name asnppears on conveimnre document
09 Back St.
Arl .1dCress (NUmbrr and Srtret)
Patoka,IN 47666-
E-moil Tdr honeNmnber E-mail
THE SALES DISCLOSURE i0Nl1 MAY BE USED TO APPLV fOR CERTAIN OEDURIONS i0N THIS PROPERTY. IOE.YfIFI' ALL Oi THOSE THAT APPLY.
1'ES VO COYDITION YES NO COtiDIT10Y
Qx ❑ 1. Will this properry be the buyer's primary Q ❑ 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy lieating/Cooling System
residence, induding couniy:
a29 W. GLENDALE ST. ❑ Q 5. �Vind Power Device
Add¢tt(NUmberondSneee) ❑ Q 6. Hydroelectric Power Device
Princeton, IN GIBSON � � �. Geothermal F.nergy Headng/Cooling Device
Ciry.SmreZIPCaCe Connry
x� � 2. Does Ihe buyer have a homestead in Indiana to be � � 8. Is this properry a residential rental property?
vacared for this residence? If yes, provide ❑ Q 9� 4Vould you like to receive tax statements for [his
mmplete address of residence being vacared, property via e-mail? (Provide conmtt information
induding roun[y: below. Pleasesee instructlons%r more in%rmotion.
209 BACK ST. Not availoble in all rounties.)
Address (A'umber and SvmQ
Patoka, IN 47666 GIBSON ��� /� �� /Q� QQ/ ,/p?� (��
Ciry. Smre ZIP Code Counry
F'nmarypmperry o�mrr ror.mrt numr E�mail
Under penal[ies of perjury, I hereby certify [hat this Sales Disclosure, to [he best of my knoN�ledge and belief, is true, correct
and complete as required by law, and is prepared in atcordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure AcC. (No[e:
Spouse in(orma[ion, Social Securiry and Driver's License/Other numbers are not necessary i(no Homestead Deducrion is
being filpd.) �/
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Signnomre ofBuyerl Signamre o(BVyerl/Spovse
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LastSdigieso/'Bu}'er2/SpauseDnver's Stete Las�50igi[soj5aeial5ecu�iry
License/ID/O[herNumber Number License/ID/OtherNumber