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HomeMy WebLinkAboutHomestead_Bilskie INDIANA SALES DISCLOSURE FORM SDI;II) SDO II) 1788064 Paget D.PREPARER - . .. - . _ - - ' - - ' \: Samantha Cutsinger Prepares of the Sales Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 Samantha.bti @mw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) - • ..., - - - : " _ - ' - - Larry J Mounts Monica Mounts Seller I-Name as appears on Conveyance document Seller:-Name as appears on conveyance document P.O.Box 36 P.O.Box 36 Address(Number and Street) Address(Number and Street) Ft.Branch,IN 47648- Ft.Branch,IN 47648- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co r fete as/required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Si nature ofs Signature Seller f . - /. _ ,c // z / tt on Ka_ 1Y1 ou 13is t�aalaorL Pn",ed Ab ,,nrcnrlar Um,nrrn,yunm/ n Prim,/Nnmenr tollar eien ) ,et., "vnm . t e ' _- - t •NTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS=IDENTIFY ALL ITEMS!THAT APPLY . Geoffrey M Bilskie :over l-Na a • •cc on conveyance document Buyer?-Name as appean on conveyance document P.O.Ban 241 7 6G 7 Lv D7; Sar-f LL Address(Number and Street) Address(Number and Street) Owensville.IN 47665- Telephone Number Email THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION s NO CONDITION © ❑ 1.Will this property be the buyer's primary © . •stead �J residence? Provide complete address of primary • �t •. .elar EnergeagIt�System residence,including county: ❑ © . 7667 W 275 s S.Wind Power Device 2014 Addrest(Number and Street) ❑ © 6. Hydroelectric Po I e Owensville,IN 47665 NOT APPLICABLE ❑ © 7.Geothermal Ener Heatin /Cvice City.State ZIP Code County ❑ © 8.Is this property I property? ❑ ❑ 2.Does the buyer have a homestead in Indiana to be �4��� vacated for this residence? If yes,provide ❑ © 9,would yqg gONCO1ltil Y s or 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 counties.) Address(Number and Street) O-/6 d -, -CC3. 773 002-/ City,State ZIP Code County (/'s/(t/C/ Primary property owner contact name E-mail