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HomeMy WebLinkAboutHomestead_Winget INDIANA SALES DISCLOSURE FORM SDF ID: Page? ,D PREPARER _ ::i -, < ., - .7.L .. 7,_. -r- ' ,77.-s. .-r..L CHRISTINA LATHAM TITLE CLERK Preparer of the Sales Disclosure For,n Title 4703 THEATER DRIVE REGIONAL LAND TITLE Address(Number and Street) Company E IANSVILLE. IN 47715 812-402-4553 CHRISTINAOREGIONAL-LT.COM City,State,and ZIP Code Telephone Number E-mail i E.SELLER(S)/GRANTOR(S):& -i~'- C,141.:1----' _ . 7'.174,„K::_>. 'k -r -x. — .fit -, 7.^ t' :;r:.':f.- '71:21: IOR=PH 0 WOI FP CAROI ANNE WOI FP Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document - X An. eli,i. //A Address('umber and Street) Address(Number and Street) , , 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". -&-ts1—ti, Oh , C*/ .14«'7^-"-—1 64.'-0 d" ".-- (J'—*— Siena:ure of Seller Signature of Seller CARO' AWOI FF AS ' qusavi f�) . CAROI ANNF WO' FF Printed Name of Seller Sian Date l.6M/DO"/rYYYI Printed Name of Seller Sian Date l.M.M/OD/1TtY' F"BUYER(S)%GRANTEE S)TAP,PLICATION FOR PROPERTY:TAX DEDUCTIONS;IDENTIFYALIIITEMS.THAT'APPLY:a= -e. _ -c_-> BRANDI M WINGET Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 901 MOHAWK DRIVE Address(Number and Saee:) Address(.Number and Street) FORT BRANCH IN 47648 Teleahone,Number E-mail 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 0 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ Q 4.Solar Energy eau a/ print SvStCtL residence,including county: n Q S.Wind Power— ce yl9"'�,, tltll J\/J Q01 MOHAWK DRIVE ❑ 6. Hydroelectric ow e Address(Number and Street) FORT BRANCH IN 47648 GIBSON ❑ Q 7.Geothermal Energ' (Ct��RRatino'��-t�ytr-iying Device City,State Zl Code Count' �Crt-u i� ❑ 2.Does the buyer have a homestead in Indiana to be —❑—©-8-43-this-proper-a-Frsldentdtrental-property? vacated for this residence? If yes,provide ❑ 0 9.Would you like to eiv,e t s a ' , For this complete address of residence being vacated, property via e-m -act information including county: below.PledBSGNteotM TAtiantrofirmation. Not available in all counties.) Address(Number and Street) BRANDI M WINGET 0 /-s)S-01-co 'w .ocll„ City,State ZIP Code County Email Primary property owner contact name