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HomeMy WebLinkAboutHomestead_Christmas (8) INDIANA SALES DISCLOSURE FORM SOF ID SDO ID 1801069 Page 2 D. PREPARER Samantha Cutsinger Preparer of the Sales 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 City•.State,and ZIP Code Telephone Number Email E.SELLER(S]JGRANTOR(S) .:c - Vicky L Jarvis Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1713 CR 700W Address(Number and Street) Address(Number and Street) Petersburg, IN 47567- Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and camp •to as r quir d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". .., r ...r te e Signature of Seller Sig�tn/�ature;,eeBer _ i l i . S / O Pn^n^I xrr, ^rGn... ,n or.,,, mo ton„rn Prirr.-A Nern,rd Gdy.r ("ion m..,ov..T man F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Lucile G Christmas Buyer I'Name as appears on conveyance document Buyer 2-,Name as appears on conveyance document 400 Kensington 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. IDENTIFY ALL OF THOSE TtIJtNP(y.lt 2014 YES NO CONDITION � - NO CONDITION Isl t)� LI 1 L 9 © ❑ 1.Will this property be the buyer's primary © ❑ 3. Iomestead I • residence? Provide complete address of primary oar Energy H:e'-t °'--� i' residence,including county: ❑ © CsUNTY 'UOITO S.Wind Po ricowc R 518 E.WATER ST. Address(Number and Street) n © 6.Hydroelectric Power Device Princeton, IN 47670 NOT APPLICABLE ❑ © 7.Geothermal Energy Ileating/Cooling Device City,State ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to he ❑ © 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. Nat available in all counties.) Address(A'umber and Street) .0161'' I a -07- Lk l- oo/.311-oa3 Coy.State ZIP Code County Primary property owner contact name E-mail