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HomeMy WebLinkAboutHomestead_DePriest INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1787501 Page 2 D.PREPARER - • - , . . - .. - -_ Kimberly A.Lewis Office Manager Preparer of the Sales Disclosure Form Tide 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 kim.bti @mw.twcbc.com City,State,and ZIP Code Telephone Number Email E.SE LLE R(S)/GRANTOR(S) .- - - Heather L.Powell Seller 1'Name as appears on conveyance document Seller 2-Name as appears on conveyance document P.O.Box 131 Address(Number and Street) Address(Number and Street) Ladoga,IN 47954- 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 required by law,and Is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". �, a I we.✓C et Signature of Seller Signature of Seller WGeFher L Powe-L1 a •.1--t • 1 4 PnnrM Alnmo nr4.,r,• c;nn or tp f y ki inn/vyfll Ain fad Nnme nrt,n,r chin nnm(Mxmnwn, F:BUYER(c)/GLtANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL 'ITT A " - �ChestieDePriest ) y J gWAD uyer I•Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 908 S.Race St. QR 1 Z��� Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Telephone Number THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES u^ CANDL N © ❑ 1.Will this property be the buyer's primary C © ❑ 3.Homestead T residence? Provide complete address of primary I__I © ,+,solar ti ergy Heating/Cooling System residence,including county: El 7763 S.ANDEE LANE 5.Wind Power Device Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Ft.Branch,IN 47648 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device Cite,Stare ZIP Code County El 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. s0 oval ateina es . Address(Number and Street) City,StateZIP Code ounty ab -/ 9 -/9- OJ -ow. ? /3 . oJ,,, r Primary property owner contact name -mail