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HomeMy WebLinkAboutHomestead_Day ' INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER -H ' -- - Sherri S Hudson Closing Manager Preparer of the Sales Disclosure Form Title 501 Main Street, Suite 101 Bosse Title Company Address(Number and Street) Company Evansville, IN 47708 812-421-4000 - sherri.hudson(dieffbosse.com City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) -.. - . .'' •- . . .. -. - . . Stanton Investments Inc Se t1-,Name oyypears on conveyance document Seller 2-Name as appears on conveyance document C7 I/',!�-y(., /ay drives(Number and Stree Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an t t lete as required b law,and is pre ared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". _1/�.4� I ./!h/ r Signature g Signature of Seller Stanley Jo- urtnn President J ti Printed Name of Seller SitnDc..e(N.tl/DD/19711 Printed Name of Seller p jig • M/DD/rin1 NTEE(S)-APPLICATION•FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Sarah M. Day S F P 16 2014 \... Buyer I-B.o.nrCs appears on conveyance document Buyer 2-Name as appears on conveyance document 406 N Prince Street n. Address(Number and Street) Address(Number and Street) Princeton, IN 47670 GIBSON Rni INTy AU0'TOR THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER ' s a FY ALL OF THOSE THAT APPLY. YES NO CONDITION ES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary TA ❑ 3.Homestead residence? Provide complete address of primary ----_g_g_ 4.Solar t" r -eating/Cooling System residence,including county: ❑ 5.Wind Power Device Address(Number and Street) ❑ TA 6.Hydroelectric Power Device City, ZIP County ❑ TA 7.Geothermal Energy Heating/Cooling Device ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ Er 8.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 including county: below.Please see instructions for more information. Not available in all counties) Address(Number and Street) City,State ZIP Code County a6- la-D11'a03'DOR.10 30-E a Primary property owner contact name Email