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HomeMy WebLinkAboutHomestead_Williamson (6) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1767825 Paget D.PREPARER allSamantha Cutsinger Preparer of the Sales Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 broadwaytille1@insightbb.com yr @insighlbb.wm City,State,and ZIP Code 1 elephone Number E-mail E.SELLER(S)/GRANTOR(S) Carol F Montgomery Jennifer D Clark Seller 1-Nome as appeun at cunveyame document Seller 2-Name m appears on cumr;unce document 8885 E 550 S 304 N.Main St. Address(Number and Surer) Address(Number and Street) Oakland City,IN 47660- Ft.Branch,IN 47648- 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 6-1.1-5.55,,"Real Property Sales Disclosure Act". to i ' .//an. ! a / - Icy cY • e �3LiIL�IC_ Signature al Seller , Si -lat..e of Seller //.4 4. A .r t It 44/3 3enni-cs 1. Clark OUl Hi 13 Pr ,d-, a,-"!h, , "roev a(trv,v.mne,vm . YER(S)/GRANTEE PPLI -TION FOR PRO'ERTYTA. % - )UCTIONS-IDENTIFYAL MS THAT APPLY Pete J Williamson Jessica Williamson Buyer I-Name as appears an con a document Buyer?-Name as appears on to rice document 300 E.Sinclair Apt 1 t r Sind." - nsaress(num land Street) Address(Number and Street) Ft. anch,IN 47648- Ft.Branch,IN 47648- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS F,' - PROPERTY.IDENTIFY AL . •I SE THAT APPLY. YES NO CONDITION a NO CONDITION © ❑ I.Will this property be the buyer's primary © ❑ 3.Homestead residence? Provide complete address of prima -"Nliuma -- 4.Solar En- - ng/Cooling System residence,including county: 304 N.MAIN ST. ❑ © 5.Wind Power Device Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Ft.Branch,IN 47648 NOT APPLICABLE ❑ © 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ © $ Is this property a residential rental property? vacated for this residence? !ryes,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.) Address(Number and Street) a1-i 1-13 -I/0Q ooa CP/ aafe, City,State ZIP Code County Primary property owner contact 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 b g led.) tit aA , Sign cure girl Signature of Buyer2/Spo use 1.e 4e 1- idi i'vnSon oy/J9/ 13 fY, )c e - �Uk.ICI o y/,a��A :