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HomeMy WebLinkAboutHomestead_Huelsman (2) INDIANA SALES DISCLOSURE FORM SDF ID: p-• 'Page 2 ED.!BREP,ARE&,L ='r __,_,_ Laura Rinineer Closing Coordinator I Preparer of the Sales Disclosure Form E-mail [Ei.SEL`LER(S)/TRANTTR(S) ::; —. --- :- e– — - - _ ----C-1 -- - - ----.. James M Stone Janice S (Scott)Ostrander Seller I•Name as appears on conveyance document Seller 2-Name as appears on conveyance document 202 F 800 S 805 Fllen Address(Number and Street) Address(Number and Street) Ft.Branch. IN 47648 FL Branch 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 requi ed by law d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". SI ature ofSeller h_ I I poture of Seller II)'.)OII 3 ,lames M.Stone \ 11V11'1' 3 Janice S Ostrander Printed Name of Seller Sign Date(MM/aD/Yin) Printed Nome of Seller I Skin Date(M.M/DD/n fl) (FTB • )/GRANT ` 7,517ARIR L l GAT 10NWFOR PROPERTY TAM)EDUCTIONSpDENTIFY(ALhITEWI THAVTRRI.Yi Beau A. Huelsman I Buyer l-Name as a. •- on conveyance document Buyer 2-Name as appears on conveyance document 644 " . i Address(Number and Street) Address(Number and Street) Ft. Branch, IN 47648 THE 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 I is ❑ 1.Will this property be the buyer's primary 14 ❑ 3. Homestead I residence? Provide complete address of primary si- n 4. r . .- : If a nrrCoo residence,including county: ❑ Q I y� S.Wind Pow: !tev P 501 N Hull St I Address(Number and Street) ❑ 5 6.Hydroelectric Power Device Fort Branch, IN 47648 Gibson ❑ 0 7.Geothermal EnNH2a22 oling Device ':r City,State ZIP Code County ❑ 4- Et F4 2. Does the buyer have a homestead in Indiana to be 0 8.Is this propertyla residential rental property? - vacated for this residence? If yes,provide ❑ 0 9.Would you li ,P.Y; -.�r. y .e ements for this complete address of residence being vacated, properpriggej ft• •V- ontact information including county: below.Please see instruc fent$PMRnformation. Not available in all counties.) Address(Number and Street) n/ /9/7 /air 2J-1--or/_ City,State ZIP Code County C//-'//(/Y•, /' fair' (O Primary property owner contact name I E-mail