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HomeMy WebLinkAboutHomestead_Hoefling (5) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1787295 Page 2 Samantha Cutsinger - Preparer of the Soles 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.Stine,and ZIP Cade Telephone Number &moil E.SELLER(S)/GRANTOR(S) - • - - - ) . . - Clifford R Ingram Lode J Hayden I/k/a Lone H.Ingram Seller I-Name as appears conveyance document .�1 .../// Seller 2-Name as appears on conveyance document #9Y3.WCcuarDC '&? mice l/ t72-(4tefl � 102 S.Weber Dr. Address(Numberond Street) I ��/` - Address(Number and Street) +ieebcta86-IN-4?es9- q 1J Haubstadt,IN 47639- Under penaltie of le' -ereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an �! , r -i law,and is pre t. - -.1 rdance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". , is . I ) _.s.',. d A', ,..J. . I .. tar St na'.re . ear '• natureofSe er , c -1 Foaz (2_ .1/4)--7.70A,‘ 2-z/ -/� 'L —ia dc1_n2 llacirlen a-aci - l4 nd-„del-m ecal,- ctn..1) • "evrvn Pn ,.N F” nice cN,Or,,,„vie,wm F.BUYER(S)/GRANTEE(S)-APPLICATIONFOR PROPERTY TAXDEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY Mallory A Be-uligmann Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 300 E.Sinclair St.Apt.9 _ ___ Address(Number and Street) Address(Number and Street) FL Branch,IN 47648- THIS PROPERTY. I LLOF THOSE THAT APF .■ppnJ®6y YES NO CONDITION NO CONDITION © ❑ 1.Will this property be the buyer's primary • 3.Hoi - - C q residence? Provide complete address of primary I 4.Solar Energy Heating/Coolfrg�y5tc i2014 residence,including county: ❑ ❑ S.Wind Power Device 102 S.WEBER DR. Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Devil Haubstadt,IN 47639 NOT APPLICABLE ❑ © 7.Geothermal EnergGlflSOWC6tplh AlAt DITOR City.State ZIP Code County ❑ CI 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 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. Not available in all counties.) Address(Number and Street) of - f-3G - 1?-040. , 667 City.State ZIP Code County (ff}}�� 7lJY Primary property owner contact name E-mail