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HomeMy WebLinkAboutHomestead_Clark (3) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1782860 Page 2 D.PREPARERUe ' - - - , . - -v` .. _ - Kimberly A.Lewis Office Manager Preparer of the Sales Disclosure Form Tide 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.SELLERS)%GRANTOR(S)' _ • • . Joshua W.Stolz Lori B.Stolz Seller I-Name us appears on conveyance document Seller 2-Name as appears on conveyance dueument 9734E4508 9734E450S Address(Number and Street) Address(Number and Street) Oakland City,IN 47660- Oakland City,IN 47660- Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c plc as requir d b awe and is prepared in accordance with IC 6- al Pro r erty Sales Disclosure Act"- �� . W.. , ip tore of Seller eof.5e er 3-0911 4 L4 ill)2- 11126 /13 ®Lbz1 ' B . srou 11/42152/010l3 PnrmA Nnranr SA., nirn Mran.,•inntYVVr1 Pro-,MNmne nrtana- I Sinn D^•"tar•/nanwn F.BUYER(S)/GRANTEE(S)-APPLICATION.F.OR PROPERTY TAX DEDUCTIONS •IDENTIFY ALL ITEMS THAT APPLY _ _.. Ronald L.Clark Buyer I-Name as appeun an conveyance document Buyer 2-Name as appears on conveyance document 2062 S Co.Rd.225 W Address(Number and Street) Address(Number and Street) I Paoli,IN 47454-9521 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 © ❑ 1.Will this property be the buyer's primary © ❑ 3. homestead residence? Provide complete address of primary ❑❑ © 4.Solar Energy Here /foQilg S9 to/ ) residence,including county: I It 919 HIGHLAND AVE. 5.Wind Power Devi Address(Number and Street) El 6.Hydroelectric Power Device Oakland City,IN 47660 GIBSON ❑ © 7.Geothermal Energy HiWg,i11g9evice City,State ZIP Code County I ❑ €] 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 re ; )- . 4, -•;' . er this via e v tor • it t o n ormntion complete address of residence being vacated, property �� i including county: below. Please see ins rim Rion. Not available in all counties.) Address(Number and Street) (=/y/1 I '/'/� r��( cog City,State ZIP Code County jial 4—I g- iaa- na ` `moo t Primary property owner contact name I E-mail