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HomeMy WebLinkAboutHomestead_Priestly INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1794838 Paget D.PREPARER Samantha Cutsinger Preparerofthe Sales Disclosure Form Tide 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 ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) • Norma Lee Goedde by Vernon Goedde,Personal Rep Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 506 S.Eastview Address(Number and Street) Address(Number and Street) Ft.Branch, IN 47648- 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 quired and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 0 /efSO e Cnua� /a{VP • ignature of Seller 1 �j 'IJ try / '/ Signature of Seller wimpy, GDee1M- 1 ` 0*/C 3,/QO/ P�mpA:'rr,pdGr,, tL.n note mow» GnriMXn."p,dUPpr '�^�(�"en mm'f F.BJIXER{S3IiYEQrc�RANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEM I J PLY) p /Dustin T Priestly _ Nikki R Priestly /�f `'� nv., I-name as appears on conveyance document Buyer 2-Nome as appears on conveyance document 818 S. 1st St. 818 S. 1st St. JUL 3 2014 Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton, IN 47670 Princeton, IN 47670- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF TIIOSE THAT APPLY. YES NO CONDITION YES _a r l'oltIOr' r0A10_ © ❑ 1.Will this property be the buyer's primary CIE ❑ 3.Homestea residence? Provide complete address of primary 4.Solar Energy Heating/Cooling System residence,including county: 506 S EASTVIEW ST. ❑ © 5.Wind Power Device Address(Number and Street) ❑ © 6. Hydroelectric Power Device Ft.Branch,IN 47648 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County © n 2. Does the buyer have a homestead in Indiana to be El © 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. 818 S. 1ST ST. Not available in all counties.) Address(Number and Street) �1 Princeton, IN 47670 GIBSON A /fP - 19 -!9 - ,0 A - 4000. ,5_3a -oak . City.State ZIP Code County Primary property owner contact name E-mail •