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HomeMy WebLinkAboutHomestead_Kelley (9) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1789740 Paget -D.:PREPARER TI ` ` — t. - °:__�I=-W ._ . bit's -rW.L. = 1 `_ `::L. --' . . _,--.t;_- Kimberly A.Lewis _Office_Manager 1 _ Preparer of the Sales Disclosure Form Title 226 W.Broadway Broadway Title,Inc. I Address(Number and Street) Company Princeton.IN 47670- 812-386-1687 kim.bti @mw.twcbc.com City,State,and YIP rode Telephone Number E-mail I E:SELL'ER(S)%GRANTOR(S),- i;':',—.,.y __-: tS-_r7'b _ ::7::: ;_,._?-, c - t ) c--.'-L- `i:::125.,: :Lc_ f.._ 1 Wilma Jean Kirk Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1501. .Mary Lee Dr. Address(Number and Street) Address(Number and Street) Princeton,IN 47670- 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 and complete as re. ired by law,and is prepared in «ordance with I 6-1.1-5.5,"Real Property Sales Disclosure Act". 1. 9L4. . A _ Signature of Seller. F/7 p f Ofr Signatureof Seller p C / //Oar45 -r e / O ,, ee, s .�••w I s. _ @:BuyER(S)/GRANTEE(S).=:AFPI4CATION:F,ORiPROPERTY_TAX'DEDUCTIONSr:IDENTIE ALL:ITEMS:THAT:APP Vt-r't; r ;�;Cl . Amy J.Kelley Buyer 1-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document 301 Johnson Ave. Address(Number end Street) Address(Number and Street) Princeton,IN 47670- Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION NO CONDITION © ❑ 1.Will this property be the buyer's primary ® 1 1 3.Homestead residence? Provide complete address of primary U 4.Solar Energy Heating/Cooling System residence,including county: ❑ 1501 E.MARY LEE DR. 5.Wind Power Device Address(Number end Street) ❑ ❑ 6.Hydroelectric Power Device Princeton,IN 47670 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City,Stare ZIP Code County. .❑ 2.Does the buyer have a homestead in Indiana to be El © 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 incluc ing county: below.Please see instructions for more information. 0 I , \ o I.-` S o s3 firy c Not available in all counties.) (Number and Street) "E nb /MN ,\ Pi. s ) 111 A , �- & -0Y- 0(- �I. 59-0� City,State ZIPCode County Primary property owner contact name E-mail