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HomeMy WebLinkAboutHomestead_Pierce • INDIANA SALES DISCLOSURE FORM SDP ID SDO ID 1797715 Paget D.PREPARER Bryceann Cutsinger Preparer of the Sales Disclosure Form - - - _ Tale 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 samantha.bli @mw.twcbc.com Ctty,State,and ZIP Code Telephone Number E-mcil E.SELLER(S)/GRANTOR(S) Adam Dilbeck Seller I-Name vs appeun on conveyance document Seller Z-Name as appears on on e,)unce document 3516 E.50 S. Address(Number °-•••1 Address(Number and Street) Princeton -,IN 47670 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an>,mpl teas required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller .Signature of Seller 4E) / P �laAN n edict Sinn llmte•MMmn ,yvVr Orin roil Mn,,,,'of.Seller l ert yyr F.BUYS NTEE S -APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS T P Y alhew D.Pier Alyssa J.Pierce r -Name as appears ontonvesvncedocument Buyer 2-None as appears on conveyance document AUG 2 5 2014 4702 White Oak Court 4702 White Oak Court Address(Number and Street) Address(Number and Street) Evansville,IN 47712- Evansville,IN 47712- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary r"---> 112 ❑ 3.Homestead residence? Provide complete address of primary u © 4.Solar Energy Heating/Cooling System residence,including county: 3516 E.50 S. 1:1 © 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Francisco,IN 47649 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City.State 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) -/d - //.,306 -00/. .3. 7 -oo7 City,State ZIP Code County I r . er contort name mail