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HomeMy WebLinkAboutHomestead_Griffin INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 _ _ .. D.PREPARER _ ."-- Brian K. Mahoney Attorney Preparer of the Sales Disclosure Form Title 822 Main Street,P.O. Box 176 Mahoney Law Office Address(Number and Street) Company Petersburg, IN 47567 812 354 8121 mahoneylawenwcable.net City,Stare,and ZIP Code Telephone Number E-mail E.SELCER(S)/GRANTOR(S). -. :: - .. Robert M Carnahan Paula Carnahan Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1416 Cloud Ridge 1416 Cloud Ridge Address(Number and Street) Address(Number and Street) Fl Paso TX 79912 Fl Paso TX 79912 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 re r uired by law,and is prepared in acco dance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ' iit"./. 1 P( eamv-h4- V U ' " A_ PM Signature of Seller 0 i Signature of Seller O • Robert M. Carnahan _ 7jJ� ) g Printed Name of Seller Si n Da[ MM/DD/YYYY) Printed Name of Seller 'gn, ate(A /DD/YTY) F.BUYER(S)/GRANTEE(S)'-APPLICATION FDR'PROPERTY_TAX DEDUCTIONS-IDENTIFY A EJ7SJHAT PI�V P ' sae Lour- L. Griffin - tJi )_rm] • appears an conveyance document Buyer 2-Name as appears on conveyanfe{Ipcurfent 512 Pearl Street JUL !i 2 2014 Address(Number and Street) Address(Number and Street) Rockport, IN 47635 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 _g1 COSETION 0 ❑ 1.Will this property be the buyer's primary ✓ ❑ 3.Homestea residence? Provide complete address of primary ❑ Q 4.Solar Energy Heating/Cooling System residence, including county: ❑ 9y� LO Columbia Stlat- 5.Wind Power Device 4ddr 0 ss(Number and Street) ❑ 6.Hydroelectric Power Device D a - • 4 CA 4 '!Mon ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County El IS 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 ❑ 0 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information ._..t.,A;.,,,rn,,nty• below. Please see instructions for more information. Not available in all counties.) ,1• •/ y . 162 - az - abb. 717 • 007 City,State ZIPCode J County Primary property owner contact name E-mail