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HomeMy WebLinkAboutHomestead_Timberlake (4) INDIANA SALES DISCLOSURE FORM SOF ID SDO ID 1796000 r Page IJ D.PREPARER CARLA WALTMAN ESCROW CLOSER Prepare:of the Sales Disclosure Form Title 331 FRANKLIN ST TITLE CENTER OF INDIANA Address(Number and Street) Company COLUMBUS, IN 47201. 812-372-1170 @TITLECENTEROFINDIANA.COM City,State,and ZIP Cade Telephone,Number E-mcd E.SELLERS)/GRANTOR(S) QQ(,I TIMBERLAKE Seller I-N' me as appears on conveyance document Seger 2-Name as appears on conveyance document 503 W CATT RD Address(Number cad Street) Address(Number and Street) HAZELTON,IN 47640- V Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co :lete as et If ed b las and is prepared In accordance with IC 6-1.1.5.5,"Real Property Sales Disclosure Act"- =- .V •s QS 4t► t uveee41 C7 (i/abc2(gt Si:, :are Seller / -- Signature of Seller • L PTIJ T 1I -EeE j-tuu,n„rvnr• -. t R(S)/GR. 1 -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENT IFY ALL T T A 4 KERRY W TIMBERLAKE --. • •,veyanre dccumenr Buyer 2-Name as appean on conveyance document 1e, 503 WCATT RD JUL 172014 Address(Number and Street) Address(Number and Street) HPZELTOan,IN 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 ES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary © ❑ 3. Homestead residence? Provide complete address of primary nergy Heating/Cooling System residence,including county: ❑ © Wind 503 W CATS RD S.W nd Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device HAZELTOY,IN 47640 GIBSON ❑ © 7,Geothermal Energy Heating/Cooling Device City,Stole ZIP Cade County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ © B. 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) at—ua—s9—a/9—cam. a 99.0/9 . City.State ZIP Code County Primary property owner contact name E-amB