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HomeMy WebLinkAboutHomestead_Krieg INDIANA SALES DISCLOSURE FORM SOF ID SDO ID 833522 Paget I D.PREPARER Samantha Cl Preparer of the e Sales es Disis closure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 broadwaytitle1 @insightbb.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Lill Johnson Power of Attorney for Florence L.Fronek Seller l-Name as appears on conveyance document Seller Z-Name as appears on conveyance document 501 E.Clark St. • Address(Number and Street) Address(Number and Street) Owensville,IN 47665- Under . 'nalties of perju ;, hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an I LI t lete as req 1 ed b law .nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". .Sign re of Seller Signature of Seller ■ a Me it Sal Sap 06 ?WA Pnnr.d N"_ nrcn.r r,n n.., nnt»i Pr;nred xn, n nrc.iror cl" linee,M•,m"nmm F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Clinton Krieg Buyer I-Name tic appears on conveyance document Buyer 2-Name as appears an conveyance document 640 E.State St. Address(Number and Street) Address(Number and Street) Princeton,IN 47670- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENFI FY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION © ❑ 1.Will this property be the buyer's primary © ❑ 3. Homestead ref —/(2 residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling yste / residence,including county: 501 E.CLARK ST. ❑ © 5.Wind Power Device Address(Number and Street) ❑ ❑ 6. Hydroelectric Power Device Owensville,IN 47665 GIBBON ❑ © 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 ❑ in 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) ./�`'''J R- (1y City,State ZIP Code County d b -fl `" { •!D / • w /4�•O a j Primary property owner contact name E-mail