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HomeMy WebLinkAboutHomestead_GoddardD.PREPARER Seller 2- Name as appears on conveyance document Emily Smith Closing Agent Prepare, ofthe Sales Disclosure Farn, lifiM S.E. MILK Jr., Blvd. Title Southwestern Indiana Land Title Inc. dress(Number mud Stret) cvansville, IN 47713- company E.SELLER(Sl /GRANTO SellerI Nameasappmrsoaronve )vncedocument Seller 2- Name as appears on conveyance document 208 Wilson Avenue El Address (Number and Street) Address (Number and Street) Princeton, IN 47670 - © Cin•, State and ZIP Code City, State. and ZIP Code E -mail 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 complete as required by law, and is pr pared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". S' no reo(Seller = f Seller e �iss4 b Signature o t �t.l StM`F -l-�, -�k t-F YER S /GRANTEE S - APPLICAT1 FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY j John R. Goddard vver I - Name as apprnrso. - rmcument Bailer 2- Name ati appears on conveyance document S. Sixth Avenue orouerty Address (Number and.Slreel) Address (Number and Street) Haubstadt, IN 47639 - 'v, State, and ZIP Code City, State, and ZIP Cade fe453 - lenhone Number E -mail Tel o E -mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUMO•" THIS PROPERTY. IDENTIFY ALLOF THAT APPLY. YES NO CONDITION YES NO CONDITION X1 F-1 1. Will this property be the buyer's primary �X ❑ 3. Homestead residence? Provide complete address of prim 4. Solar Enera ing /Cooling System residence, including county: 205 S. SIXTH AVENUE 1. S. Viand Power Device Address (Number aad Street) Haubstadt, IN 47639 GIBSON City. State ZIP Cade County x❑ 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide complete address of residence being vacated, including county: 307 W. GIBSON Address (Number and Street) Haubstadt, IN 47639 GIBSON City, Slate ZIP Code County E] © 6. Hydroelectric Power Device El © 7. Geothermal Energy Heating /Cooling Device ❑ © S. Is this property a residential rental property? ❑ © 9. Would you like to receive tax statements for this property via e -mail? (Provide contact information below. Please see instructions for more information. Not available in all counties.) oo0 60 p Primmv orouerty owner 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 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.) Jak"e.( dVe;Wd(IS z e t SignomreofR rerl Fated Legal Name oflluyer l •S'( of Buyer I Drivers State Last 5 Digits of.Social Security A'umber I Lastidigit-sofBu) -erg /Spouse Driver's State Last 5 Digits ofSocia /Security' License /ID10ther Number Number License /ID /Other Number