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HomeMy WebLinkAboutHomestead_Hamm (4)i INDIANA SALES DISCLOSURE FORM C 4 SDF ID SDO to 881019 Page t ^ t D. PREPARE Samantha Cutsinger Preparer ofthe Sales Disclosure Fam Title 226 W. Broacvray Broadway Title, Inc. Andres, (,Number and Street) Company Princeton, IN 47670- E. SELLERS GRANTORS Wiliam E Hamm Seller 1 - Name as appears an conveyance document Seller 2 Name asuppeon on ronveyunae dorvment 426 W. Morton Address (Number and Street) Address (Number and Sheet) Oakland City, IN 47660 - 00q, State and ZIP Code City, State, and ZIP Code umber E -moil Telephone Number E -mail Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and comp to as requlr y law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". /eller Signature efS SignamrenfSeller r r ERS G t ES - APPLICATIONFORPROPERTYTAXDEDUCTIONS- IDENTIFYALLITEMSTHATAPPLY Joshua A Tinsley B I_ I.A „ VVm a mnvevance document Buyer 2 - Name as appears an convnvnce document 10833 E 125 S Address (Number and Street) Address (Number and Street) Oakland City, IN 47660 - City. State. and ZIP Code 00ry Stow, and ZIP Code E -nmll Telephone Number E -mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CON'DITIO. ❑x ❑ 1. Will this property be the buyer's primary ❑ ❑ 3. Homestea residence? Provide complete address of primary az nergy heating /Cooling System residence, including county: E] 5. Wind Power Device 418 W. OAK ST. ❑ ❑ 6. Hydroelectric Power Device Addrm(Number and Street) Oakland City, IN 47660 GIBSON ❑ ❑ 7, Geothermal Energy Healing /Cooling Device ❑ © 8. Is this proper residential rental property? ❑ 9. 4Vo like for Gry•,S lezrg{ad�,, County Z / 2. does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide u to receive t st menu this complete address of residence being vacated, o rtyi -mail? (Pro contact information iO�g COLD �S el w. 1 is ei s u rmore information. ' i 5!u/'-- t / -�, of v un 'Z- -IY -IS 30/_00/ ,2so -oo7 en ss(N. mherand Sat A , - l' / City State ZIP Code County - Pn'maryproperry ormer 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 64.1.5.5, "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 file )� j - I SignorureofByer1 /5pouse �sign= — SUBSuy Printed Legal Nam e of Buyer $gn Dam tNM /Da/YY111 Panted Legal Name ofBvyer? /Spouse Sign Oc:e (MAI /DD/YYYl7 IN C?o Last 5 digits of Buyer l Number License /ID /other Nurnber