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HomeMy WebLinkAboutHomestead_Mason (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D:P REPAIRER--- ---- - -- - _. - - --- - - - 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 mahoneylaw(&nwcable.net City.State,and 7,IPCode Telephone Number E-mail .E>SELLER(S)/GRANTOR(S)_ _ Maurice Raymond Williams II Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 303 E Poplar Street Address(Number and Street) Address(Number and Street) Ft Branch IN 47648 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct e and complete as re uired by law,and-iiss/ffepared in^a7cccoordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". // ICGu.r,L.t.as N.t.e-, 7L Signature of Seller /" Signature of Seller Maurice Raymond Williams II /0.29•/` - PrintedNameo(Seller Sian Date(MM/DO/n YYt Printed Name of Seller Sian Date(MM/DO/YY)) _F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX.DED.UOTIONS-IDENTIFY ALL ITEMS THAT.APPLY _ — Angela K. Mason Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 9742 E CR 450 S Address(Number and Street) Address(Number and Street) Oakland City,IN 47660 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 NI ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homes residence? Provide complete address of primary ❑ Q 4.Solar E e e tins D li lir tem residence,including county: ❑ si 9742 E CR 450 S 5.Wind Power Device Address(Number and Street) ❑ Fl 6. HydroelectKROv5er D70 Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device Ciry,State ZIP Code County ❑ Fl 8. Is this pro e ry a•re ides. .J -- tal property? ❑ 0 2.Does the buyer have a homestead in Indiana to be 6, f u vacated for this residence? If yes,provide ❑ 0 9.Wou„It t' e r4.-, •: ,5 cements for this complete address of residence being vacated, property via e-mai ?('row l ct information including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) ae-13-35-3o0 - 000. 096- Doh Ciry,State TJP Code County Primary property owner contact name E-mail .