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HomeMy WebLinkAboutHomestead_Allen INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1793612 Page* D.PREPARER - - - '. . - • - - _ ' \. ' Kimberly A.Lewis Office Manager • Preparer of the Sales Disclosure Form Title 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 ZIPCode Telephone Number E-mail E.SELLER(S)/GRANTOR(S) . - _ - _ • - Mary A.Dyer . _._. Seller I-Name as appears on conveyance dacnment Seller 2-Name as appears on conveyance document 10125 E.Tennessee Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 . 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". 7i7 al , 162., , ti SignatureofSe4 , Signature of Seller 44 air, • , f) Pest— 6-6 -Pi r ne.e n..vm,nrn, Pdr,od Nn.,e rreefer cm,nn ,,,,,,,man„ .BUYER(S)/GRANTE' S)r APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY.ALL ITEMS-THAT APPLY • _ Derek Derek S.Allen .e appears on conveyance document Buyer 2-Name as appears on conveyance document 10141 S850E Address(Number and Street) Address(Number and Street) Elby. THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OE THOSE THAT�NY.9- 00 .1 YES NO CONDITION I a NO CONDITION ��77 L Y © ❑ 1.Will this-property be the buyer's primary © ❑ 3.Homestead residence? Provide complete address of prima ! r.,— ❑er Hea o o em — —residence,including county: ❑ © SON OUNTY AUDITOR 10125 E.TENNESSEE ST. 5.Wind Power evice Add,ess(Number and Street) ❑ in 6. Hydroelectric Power Device Somerville,IN 47683 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County ❑ 0 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 i all counties.) Address(Number and Street) City.State ZIP Code --- County do-a- a/ 029.%S`5"06`3 Primary property owner contact name E-mail