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HomeMy WebLinkAboutHomestead_Goldman (2) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1792648 \ Paget - D.PREPARER Samantha Cutsinger Preparer 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@O mw.twcbc,com City,State.and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) . Michael S Eads Laura Eads Seller I-Name as appears on conve rrue document Seller?-Name as appears on conveyance document 1803 W.Midland Ave. 1803 W.Midland Ave. Address(Number and Street) Address(Number and Street) Princeton, IN 47670- 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,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". .Signature of Seller Signature of Seller _f'L/rc/. e/ S. Lrdi- --'?- I1-t l 9,V(b; crcOS 512,k M ,,,.,.,..,,,,„„„..,,,v,„ Pn'.-,.-I•(.tee sr c0,., Cr n O"mot,, mw. tr.BUYER(S)/GRA • - 45)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Zakry S Goldman „ erl Name a.ap I,- ca _ me document Buyer?-Name as appears an conveyance document 388S75W Address(Number and Street) Address(Number and Street) Princeton,IN 47670- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDEN in,ALL OF THOSE THAT APPLY. YES NO CONDITION - • NO 'CONDITI4 !Mk- ` � . S k © ❑ 1.Will this property be the buyer's primary u {•J 3. Homestead residence? Provide complete address of primary LJ�I 4. e , et gy Heating/Cooling System, residence,including county: ❑ 859 E 400 N 5,Wind Power Device MAY 1 3 2 ri i4 .odd,ens(Number and Street) ❑ ❑ 6. Hydroelectric Power Device Patoka,IN 47666 GIBBON ❑ © 7.Geothermal Energy He g/Coo .n D>xt1ec� Cm .State ZIP Code County '� 2.Does the buyer have a homestead in Indiana to be ❑ ❑ 8. Is this property a alrresi fit, TPypprD�yertvv??CO ❑ vacated for this residence? If yes,provide ❑ ❑ g.Would you like cor cei e tax__aTFrY1Lftl�sYo tfliss 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) �j[J City,State ZIP code County "• OO ° + •�e6—d( O/if Primary property owner contact name E-mail