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HomeMy WebLinkAboutHomestead_GreeneC C INDIANA SALES DISCLOSURE FORM SDFI SDO ID 712411 Page 2 D.PREPARER Samantha Culsinger Preyarcr ofthe Sales Disclosure Farm Tide 226 W. Broadway Broadway Title, Inc. Address (Number and Sleet) Company Princeton, IN 47670- _ E. SELLER(S)/GRANTOR(S) Charles E Hamilton Sellers Name us appmn on mnve.mcr domrment Seller2 Ivvmeas.,pearsoomnvewnredocument 9659 E 550 S Address (Number and Street) Address (Number and Sleet) Oakland City, IN 47660 - C*,,Stam add ZIP Code ,/ 00O, Sate, and 71P Code Email Tele hone Number Email Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and comp�lete by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". as •requiredd � aA&= "/� Signamrc afS Ilcr V sign.mre nfseller �w ,� r0� 03.29 , Email THE SALES DISCLOSU RE FORM MAY BE USED TO APPLY FO R CERTAI N DEDUCTION THISPROPERTY. IDENTIFY ALL OF THOSE TH PPLY. YES NO CONDITION 1 "ES NO CONDITION x ❑ 1. Will this property be the buyer's primary ❑ Q ❑ 3. Homestead residence? Provide complete address of primary gy Heating /Cooling System residence, including county: ❑ 5. Wind Power Device 523 W MORTON ST. ❑ © 6. Hydroelectric Power Device Addrese(Number and Street) Oakland City, IN 47660 GIBSON ❑ © 7. Geothermal Energy Heating /Cooling Device ❑ © 8. Is this property a residential rental property? Clry, State ZIP Code County ❑ ❑ 2. Does the buyer have homestead in Indiana to be a vacated for this residence? If yes, provide ❑ © 9. Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail? (Provide contact information including county: below. Please see instructions for more information. Not available in all counties.) -/ Ji - 4()J 0002 Address (Number and Sweet) City, State ZIP Code County Primary property ovmer car. tact name 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 complete as required by law, and is prepared in accordance with IC 6- 1.1 -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 filed Si / ^'otyre ofHuyerl / I Signatureof Byrr2 /Spouse /777 e /C2 71, 0 0 o3 z8 201 Prated LegaLYame ofiluyer l Sign Date lM.. /DD/YYIYI Prated Legal Name a] Buyer 2 1Spouse Sign Date(xvIDD/rrYY) Last 5 digits of Buyer l Driver's State Lost 5 Digits of Social Securiq•Number Lest 5 digits ofBuyer2 /Spouse Driver's State Last 5 Digitsof5ociuISecuriry Licence /i0 /Other Number Number License /ID /other Number