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HomeMy WebLinkAboutHomestead_Kinsall (2) INDIANA SALES DISCLOSURE FOR?I SDI:ID SDO ID 1791355 Page 2 D.PREPARER - - _ . - Samantha Cutsinger Prepnrer 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 ZIPCode Telephone.Number E-mail E.SELLER(S)/GRANTOR(S) - - Woodrow M Hillis Seller I-,Name as appears on romrrunee document Seller 2-Name as appears on conveyance document 1006 S.Washington Address(Number and Street) Address(Number and Street) Princeton,IN 47670- 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,an t prepared in accordance with IC 6-1.1-5.5,"Real Property'Sales Disclosure Act". 12.10-d-cticety , 1-1 .Signature of Seller Signature of Seller W ao z2(9d a/ 41. J/ /1 L /5 titA lap ,v)/ Primed PI-me re Gen.- v^^(let .MVQP.,eeme t Pre,..l„ ar rHlrr m„nrra, ttem 'n s F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL IT PP ' Kathelyn M.Kinsall meet -,ame as appears on conveyance document Buyer 2-Name us appears on conveyance nacumen 5305 N 200 W d U Address(Number and Street) Address(Number and Street) APN 3 0 2014 Patoka, IN 47666- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YE -"" °voTm © ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead residence? Provide complete address of primary Li q.Solar Energy Heating/Cooling System residence,including county: ❑ 1006 S.WASHINGTON ST. 5.Wind Power Device Address(,Number and Street) ❑ ❑ 6. Hydroelectric Power Device Princeton, IN 47670 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State 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. Not available in u court le . Address(Number and Street) 1.6 - /A - /) - /0/-000 . 7Fs-0 .lg h Cay,State ZIP Cade Cot ty • -- •ro terry miner contact name E-mailsill