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HomeMy WebLinkAboutHomestead_Campbell INDIANA SALES DISCLOSURE:FORM SDF ID SI)O ID 1792073 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@rnw.twcbc.com City.State,and ZIP Cade Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - Christopher P Gentry Seller l-Name as appears on conveyance document Seller 2-Name as appears on cone ante document 518 S.Hall Address(Number and Street) Address(Number and Street) Princeton, IN 47670- Under penalties of perjury,l 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 ofS�� Signature of Seller u-r:s400b - P &en+ry P.Urr,lR(S) RA ( Si PROPERTY TAX PnIO.Ir -IDENTIFY ir : (Mr v,nrmvn nf F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTYTAX DEDUCTIONS-IDENTIFY ALL IF l•Iy6IµAP J1 ' Zackery T Campbell / / conveyance document Buyer 2-Name as appears on conveyance document 505 S.Center St. MAY 2 0 2014 Address(Number and Street) Address(Number and Street) Ft. THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES .' a 't ION © ❑ ' 1.Will this property be the buyer's primary _ © El 3.Homestead residence? Provide complete address of primary ❑ LT 4.Solar Energy Heating/Cooling System residence,including county: ❑ 518 S.HALL ST. 5.Wind Power Device Address(Number and 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 ❑ © 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) City,Starr ZIP Code County 2 - /2 - o 7 -3 03 —o o,/, Primary property owner contact name E-mail