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HomeMy WebLinkAboutHomestead_Fidler (2) INDIANA SALES DISCLOSURE.FORM SDI?ID SDO ID 1797966 Page? D.PREPARER Samantha Cutsinger Preparerof the 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) Cory Fougnies Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1023 S.Stormont . Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Unde penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an om a to as re�•-law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Sir ••re of S•,. Signature of Seller ►d- /es- 9-S/c/ _ ,fl. _ .. m , vv, F.BUYERRj )/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY AL' ITE !Si• 'T'- '� t<achael L Fidler-) ,I Buyerl-Tame as appears On conveyance document Buyer 2-Name as appears on conveyancjktWns&t (U)4 1104 S.Hart St. Address(Number and Street) Address(Number and Street) Princeton, IN 47670- 124 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION © ❑ 1.Will this property be the buyer's primary 4 E ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 1023 S.STORMONT ST. 5.Wind Power Device Address(Number and Street) ❑ © 6. Hydroelectric Power Device Princeton, IN 47670 GIBBON ❑ © 7,Geothermal Energy Heating/Cooling Device Cin'.State ZIP Code County ❑ 0 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. Not available in all counties.) Address(Number and Street) c2 ‘ • / .1. -IF • "-oat - oo.t . ) 13 -o )• 8 City State ZIP Code County Primary property-owner contact name E-mail