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HomeMy WebLinkAboutHomestead_Mckinney (5) INDIANA SALES DISCLOSURE.FORM SDF ID SDO ID 1786428 Paget KimbedyA.Lewis Office Manager Preparer of the Soles Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 kim.bti @mw.twcbc.com Gay,State,and ZIPCode Telephone Number F inail•.E:SELLER(5)%GRANTOR(S);" . .. - , _.""-'?- j::.,:_t_ _ .• . _:`.,..-t `_;` s,. - "-- -. Melody S.Adams Seller 1-Name as appears on conveyance document Seller?-Name as appears on conveyance document 116 Fern Ave. Address(Number and Sweet) Address(Number and Street) Chattanooga,-TM 314 k i _ Telephone Number E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a d complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". AI , .pia i is t///.I Sig v:tiler ,,S Signature o/Seller Pri rHN..Ty nr Got- Pn"nr a mm, P-+rrl Nr-,e Dreary. O norm alt+" F.BUYER(S)/GRAN .EE(S)e APPGICATION',FOR PROPERTYJAX DEDUCTIONS-IDENTIFY ALLITEMS THAT APPLY' . — . - John E.McKinney Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document 207 N.First St. Address(Number and Street) Address(Number and Street) Owensville,IN 47665- Telephone Number E-mail THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. THOSE THAT APPLY. YES NO CONDITION - lE5 NO CONDITION �� © ❑ 1.Will this property be the buyer's primary � n ❑ Hnnieste residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System residence,including county: 9896 W 800 S ❑ © 5.Wind Power Der 1 6203 Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Owensville,IN 47665 GIBSON ❑ © 7.Geothermal Ene L;,, Heati eo L,j t1 g evict City,State ZIP Code County it, —i td7tIe © ❑ 2.Does the buyer have a homestead in Indiana to be ❑ El 8.Is this property N'0• -;en odotrorty? vacated for this residence? If yes,provide ❑ © 9.Would yutriRe 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. 207 N.FIRST ST. / Not available in all counties.) Address(Number and Owensville,IN 47665 GIBSON a�-17- ` I�,OD .Co Say-0d/ City,State ZIP Code County d Primary property owner contact name E-mail