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HomeMy WebLinkAboutHomestead_Singleton INDIANA SALES DISCLOSURE FORM SDP ID SDO ID 1788812 Page? D.PREPARER - Samantha Cutsinger Preparer of the Sales Dlsdocure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 samantha.bti©rnw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(❑/ -. _ _ -.. . _ .� Gary E Helsley Stanley R Helsley Seller I-Name as appears an ronvesnnce document Seller 2-Name as appears on conveyance document 510 W.Poplar Ave. 402 S.7th Address(,Number and Street) Address(Number and Street) Princeton,IN 47670- Petersburg,IN 47567- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c plete as r re by aw nd is prepared in accordance with IC 6-1.1-5.5,"Real Proper 'Sales Disclosure Act". _ Ale Sia-- weei Ier Signature of J ,er Jr C NcAS1. iv-/y SZi /LCI X //dI5tdY 2- is/ -/ Vf rid-r.dM-. r'Gne- chic n...a vematmn Pd••M,4wnre.,h e:^a O,rr,i.,,,,,,,,,,F.BUYER(S)/GRANTEE(S),APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY - Barbara J Singleton Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document 10289 S.Pheasant Rd. Address(Number and Street) Address(Number and Street) Haubstadt,IN 47639- THE SAILS DISCLOSURE FORM MAY BE USED TOAPPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. 'NTIFY ALL OF THOSE TH7?HL t�s3j4 YES NO CONDITION AY— NO CONDITION 3 L I © ❑ 1-Will this property be the buyer's primary © ❑ 3. Homestead residence? Provide complete address of primary ❑ 4.Solar Energy He-IIf-,. 4lVerilil; tem residence,including county: ❑ © S.Wind PoGJBSONECOUNTY AUDITOR 110 E.PINE ST. Addre-s(Number and Street) ❑ ❑ 6. Hydroelectric Power Device Princeton,IN 47670 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County © ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © 8.1s 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. 10289 S PHEASANT RD A Not available in all counties.) Addreaa(Number and Street) &f_ I,Q�-f D oco.3 L 2 ^� Haubstadt,IN 47639 GIBSON �(� LJC`J�-l/v-.LJ (�J'-1J City.State ZIP Code County Primary property owner contact name E-mail