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HomeMy WebLinkAboutHomestead_Berberich INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1782203 Page 2 - D.PREPARER H _ - .. Kimberly A.Lewis Broadway Title,Inc. Prepurer cif Sales Disclosure Form Title 226 W.Broadway Broadway Title,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) _ - - - _ •Jeremy Marshall Erin Marshall Seller I•Name as appear.on conveyance document Seger 2-Name us appears on cunreynnce document 338 S.Jackson St. 338 S.Jackson St. Address(Number and Street) Address(Number and Street) Oakland City.IN 47660- Oakland City,IN 47660- 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 wit 6,-11.1-5. "Real Pro e ty Sales Disclosure Act". �stm.- niAssil-LL 1 kr) U'sY .Signature ofeller _ !-L[ N�rshat 9/L//3 S.• °rsofSellrr/ M I p i nt Nat ye g igs P,1 ,.S N 4 cs-"n•,r.rvninnrvrrn r',--r.d v dU l.- c;""n,..rn••irnmm" F.BUYER(S) GRANTEE(S)-APPLICATION.FOR PROPERTY TAX DEDUCTIONS IDENTIFY ALL ITEMS THAT.APPLY _ atthew L.Berbe' Julie M.Berberich Buyer I•Name as uppean an conveyance document Buyer 2-Name as appears on conveyance document 1230 N.Walnut St.Apt.K4 1230 N.Walnut St.Apt.K4 Address(Number and Street) Address(Number and Street) Mt.Carmel,IL 62863- Mt.Cannel,IL 62863- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION ....YSS NO .—LONDITION 9 ❑ 1.Will this property be the buyer's primary r © ❑ 3. Homest•-. residence? Provide complete address of primary ❑ 3 4.Solar hnergy f eating/Cooling System residence,includin g county: 338 S.JACKSON ST. ❑ Ej 5.Wind Power Device Addres(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Oakland City,IN 47660 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ] 2.Does the buyer have a homestead in Indiana to be Li Li 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 cnrmtiec) Address(Number and Street) � a6 ^/f_/p - 403 . 000 • /31 - 00 City,State 2IP Cale Count ^PrL hPoLLY-.....,,_.,..._.." oil