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HomeMy WebLinkAboutHomestead_Whitehead INDIANA SALES DISCLOSURE FORM SUE ID SDO ID 1758492 Page 2 D.PREPARER Samantha Cutsinger Preparer of the Sales Disclosure Farm Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 broadwaytitlel @insightbb.com no;State,and ZIP Code Telephone.Number E-mail E.SELLER(S)/GRANTER(S) James C Jones Tonya K Jones Seller l-Name as apyerin convgvncedocument Seller 2-Nome en uppean on conveyance document 11 300 1,41' ME h/001.1 to- 8 3741N225W Address(Number and Street) �f �/ Address(Number and Street) /ef](•l�NC-Q tP-L 70 Patoka,IN 47666- Under penalties of perju 1 hereby certify that this Sales Disclos re,to the best of my knowledge a belief,is true,correct an*i/cr te as requir• •r A y law,and is prepared in accordance th I 6-1.1-5.5,"Real Pro rty Sale Disclosure Act". ( 1 9A• g ���� Y .S'i namrr sl - 5atkes y-2-7-2-/ )0»er/a, k. f;es056(o-l. Prin delm-a nieallar iion Onre•Mm mn4ivn ad"rM Nnmpnr Collor clan lMra rrrMm"mer ' F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Dennis R Whithead Cindy L N uitehead Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 147CE 50 N ;5149 50 N —Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton, IN 47670- 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 CONDITION © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead - residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System • residence,including county: ❑ 3741 N 225 W 5.Wind Power Device Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Patoka.IN 47666 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device Ciy,State ZIP Code County ❑ 4D 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 ❑ ❑ 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) CiyState ZIP Code County 4,-Q4 3 -30a-GY�I ! w 01 N A- Primary property owner contact name E-mail INDIANA SALES DISCLOSURE FORM SDI;ID SDO ID 1758492 Pagel BuverAddendum Sheet � - , _ i -5//i3 Signature Date