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Homestead_Vandiver
INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1798617 Paget D.PREPARER Samantha Cutsinger Prepnrer o/the Soles Disclosure Form Title 226 W. Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton, IN 47670- 812-386-1687 samantha.bti @mw.twcbc.com t.cv,.State,and ZIP Cade __ . — Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Jerry K Heldt Shannon K Heldt Seller I-Name as appears an tom era me document Seller_-,Name as appears on conveyance document 7760E 450 N 7760E 450 N Address(::umber and Street) Address(Number and Street) Francisco, IN 47649- Francisco, IN 47649- Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an/d�/ef�mplete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". / Signature of Her ,1 7)-P Sr.4natnreofSeller ' / J /1/q1/c" // L di —/ ., ` l eiii den Ni H e ICII q- El-/(7 •ten N�•�.,.rc r-_ cm-n-, P--ern N"rne„ledn c:.,"Orr,,o.r.•mrvm•. . t 1 ' - ' RANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS TAT APPLY Kristi L Armstro ._....as appears an conveyance document Bayer?-Name as appears on con veyam ed =nent 6341E 500 N Address(.Number and Street) Address(Number and Street) - Francisco,IN 47649- SEP THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY Al-I.OF THOSE TH-&Q@,y41 714 YES NO CONDITION YES NO CONDITION Ty © ❑ 1.Will this property be the buyer's primary C © IN 3. Hon • '•:1 Oe residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 7760E 450 N S.Wind Power Device Address(Number and Street) ❑ ❑ 6. Hydroelectric Power Device Francisco,IN 47649 GIBBON ❑ in 7.Geothermal Energy Heating/Cooling Device lily.State ZIP Cade Cuunry. ❑ ❑ 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) (0- Lt-1(,-)co- oeo•Q8)-0lq City State ZIPCade County. Primary property owner contact name E-mail