HomeMy WebLinkAboutHomestead_HeemanINDIANA SALES DISCLOSURE FORDI SDF ID 26- 2009- 1000529 Page?
.PREPARER .. - .;, - r "..�_,_, •�: - -
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SAMANTHA CUTSINGER BROADWAY TITLE, INC.
Prepare, efthe Sala Duclosvre Form
7:111
226 W. BROADWAY
BROADWAY TITLE, INC.
Address !Number m:d.A,eer)
E -mail
. SELCER(S)JCRANTOR(S) -
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MICHAEL C STRICKLAND
SHERYL K STRICKLAND
Seller -,Vame as apprarz on comnvmce documeat
Seller -Name as appears on cenve.vurce do.vmem
2870 S 1150 E
2870 S 1150 E
Address (Number and Stmeq
Addren (A'umber and Yrerq
OAKLAND CITY, IN 47660
OAKLAND CITY, IN 47660
omplete as required by law, and is prepared in accordance with IC
6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
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Rimed •Vameo Seller Sign Dwe(SLIf :DD01T)J
) /GRAN - APPLICATION.FOR DEDUCTIONS'AND CREDITS S -IDENTIFY 'ALL ITEMS THAT APPLY, =.,.
ROBERT ANDREW HEEMAN
er -.Name as appeas on rorrve)vmce nr
Byo- • \'ame a<appenrs on rorrvnmxe dorvnmry
187 S 1200 E
Ad em (Number an Srreer)
Addm,. (A'umher and Street,
OAKLAND CITY, IN 47660
Tel hone Number E -mad
fIIE SALES DISCLOSURE FORA DIAL• BE USED TO APPLY FOR C : 'AIN DEDUCTIONS FOR TIIIS OPERTY. IDF.STIFY AIA, OF THOSE TnAT
r 1. Will this property be the buyers primary residence? Provide omplete
r; 3. Homestead
address of primary residence, including county
y _ eating,/Cooling System
187 S 1200E
r 5. Wind Poorer Device
Addres, (.vat b, and Street)
OAKLAND CITY, IN 47660 Gibson
r 6. Hydroelectric Power Device
crv, Stale, a lZJPCe k Carson'
r 7. Geothermal Energy Heating /Cooling Device
r 2. Does the buyer have a homestead to be vacated for this residence? If
r• 8. Is this property a residential rental property?
yes. provide complete address of residence vacating, including cotmty:
r 9. Would you like to recieve tax statements for this property via
e -mail? (Provide contact information belo.v. Please see the
instructions far more information. Not amvilable in all counties.)
Addrer, (. \'umber and Sneer)
00% State. and7JP Code Ca..,
l"imi'pap"Va.."rientart.,
nd er pena I ties of perj u rv. I hereby certify t h at this Sales Disel osure, to the best of my knowledge and belief, is true, correct and complete as
required by law, and is prepared in accorance with IC 6- 1.1 -5.5. "Real Property
d
Sales Disclosure Act ". (Note: Spouse Information, Social Security
and Driver's License/other numbers are not necessary if no Homestead Deduction is being filed.)
S"naru',t H .rr
Signaturr Qt Btoer
, , rf- A>L_to / GC.PI[ /D- 23-2009
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V.mt, Lieanse/lb.'Other Number
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