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HomeMy WebLinkAboutHomestead_Straw (5) II INDIANA SALES DISCLOSURE FORM SDI:ID SDO ID 1767703 Paget D.PREPARER Samantha L Cutsinger Preparer of the Sales Dadwur a Form Title 226 W.Broadway Broadway Title.Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 broadwaytitle1@insightbb.com yC @insightbb.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) ' Patricia Vanoven Lisa Grubb Seller I-Name us appears an aunvgvnae document Seller 2'Nome us appears nn tunvtryvnce document 400 Swallowfield Dr. 223 E.State St. Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton.IN 47670- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and corn lete as required by I v,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". _ a 0-Q-c--- ��19, .Signs ar/(/ern.nof Seller d / Signature of Seller lie Prn.rA eel if Zr t r V• -, 4�y Q �/LaoI3 _1,-.- (11- y -!I ego/ Ci."nma U•i te,n reel P.0 M / nnr cellar Cf-n nr,P 4nrn'yvvvvr F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY kody Straw Tameeka Straw l!� `� ...•gar mm�r can conveyance document Buyer 2•Name as appears on conveyance document 210 W.Trusler St. 210 W.Truster St. Address(Number and Street) Address(Number and Street) Oakland City,IN 47660- Oakland City,IN 47660- 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 lir'IUN © ❑ 1.Will this property be the buyer's primary X ❑ 3.Homestead residence? Provide complete address of primary 4.Solar Energy Heating/Cooling System residence,including county: 1210 S.CAROL AVE. ❑ © 5.Wind Power Device Address(Number and Street) ❑ © 6. Hydroelectric Power Device Princeton,IN 47670 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ © Is t-is • operty a residential rental property? vacated for this residence? If yes,provide ❑ .73 9.4'0t ' ••tl like to receive tax statements for this complete address of residence being vacated, re • vi.---mail?(Provide contact information including county: te ow.Please see instructions for more information. C� Not available in all counties) Address(Number and Street) Ciry,smte ZIP Code County —fa "/€'-103 - DOD , tho -o ) Email 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.) ".)tif / cal. - " I/ 1 s ei C f J Signature of Buyer! Stpngture of Buyer?S use 5t., i._ �S / leode( feral✓ 4/-//-/3 °;mee ck (teiu) q-11-13