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HomeMy WebLinkAboutHomestead_Morehead INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 SHERI L.GREENE __ Preparer of the Sales Disclosure Form Title 1122 E OHIO ST Address(Number and Street) Company PRINCETON, IN 47670 812-664-1005 City State.and ZIP Code Telephone Number E-mail :E.,SELCER(S)/.GRANTOR(S) �,y -_ --- 71''.:::!,:r;7:-.. - - . ROBERT GREGORY Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5066 E SR 168 Address(Number and Street) Address(Number and Street) _FT BRANCH, IN 47648 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 .eT 0. a asrequ' ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ti/ \Signature opener) Signature of Seller ROBERT L GREGORY 05/Zt/2011 Printed Name af Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/nfl _ 'F:BUYER(S)%GRANTEE(S)-'APPLICATION'.EOR-PROPERTY TAX DEDUCTIONS=IDENTIFY ALL,ITEMS.THAT APPLY`-':' - THOMAS R.MOREHEAD JR Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 434 E. HARRISON ST __- Address(Number and Street) Address(Number and Street) OAKLAND CITY, IN 47660 Telephone Number E-mail TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary Q - ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ IN 434E HARRISON ST 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device OAKLAND CITY,IN 47660 GIBSON ❑ E 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 171 9.Would you like to receive tax statements for this - complete address of residence being vacated, - __property-via.e,mail?.(Provide.contaCtinformatioo-. - including county: below. Please see instructions for more information. Not available in all counties.) Address(Number and Street) p l� 1 City,State ZIP Code County alp -14 - \ D --7W I -000 R'0\ - 00-7 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 In. / filed.) -Lid I / %Signature of Buyer),J Signature of Buyer2/Spouse THOMAS R MOREHEAD JR 05179-72013 Number License/ID/Other Number