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HomeMy WebLinkAboutHomestead_Collins (16) INDIANA SALES DISCLOSURE FORM SOF ID ID 1769204 Paget D.PREPARER Kimberly A.Lewis Office Manager Prepurerofthe Sales Disclosure Form Tide 226 W.Broadway Broadway Tiile,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 kim-bti @insightbb.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - . - - - . . Brandon K.Davenport Leann M.Davenport Seller 1-Name as appears on conveyance dot men: Seller Z-Name as appears on conveyance document 1018 S.Adams 1018 S.Adams 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 complete as re• fired by law,and is prepared in accordance with I 6-1.1-5.5,"Real Property Sales Disclosure Act". It / 07"..Z.,,, . lil • an n Lib . (r,,c ll(L .Signature a Seller .Sign•rare of Seller .i 4 eono , en •o r,- o r a A,, LEF}nn M J)HVen,f✓f- 4/28113 Prim.,N-,- aria/In r--n-..n.s,.narm', 1 0v-4n,,vm "ran., c;_-"n-..r.n./rvm-n F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS IDENTIFY ALL ITEMS THAT APPLY_ _ Rachel L.Collins Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 527 N.Race St. Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Telephone Number E-mall THE SALES DISCLOSURE FORM NIAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YF.S NO CONDITION - -NO- CONDITION © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead residence? Provide complete address of primary • . o ar Energy III in:.-C•: ' . • • :1 residence,including county: 1018s.ADAMS 0rvlit❑ © 5.Wind Power Device,A ey vi 2e92013 Address(Number and Street) ❑ © 6. Hydroelectric Pow Princeton,IN 47670 GIBBON ❑ © 7.Geothermal Energy eating/Cooli g Device City,State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © 8. Is this property a property? vacated for this residence? If yes,provide ❑ © 9.Would you GIB 80N 0010.:BYaPit1®nU this complete address of residence being vacated, property via e-mail?(Provide contact information including county: 64.971 below. Please see instructions for more information. - Not available in all counties.) Address(Number and Street) a-.(o—j ern_101-000. (0(o,3-0d City,State ZIP Coyle County Primary property 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.) LP/ALL-4 P/A L-4,?_ 0,9114•.7(:d Signature of Buyer Signature ofBuyer2/Spouse Pi Chd L- Co)1(VII 5/24 11 3 Number License/ID/Other Number