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HomeMy WebLinkAboutHomestead_Robling INDIANA SALES DISCLOSURE FORM SDI ID SDO II) 1800224 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 E-mail E.SELLER(S)/GRANTOR(S) Pamela K Weber Weber Investments,LLC Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1017 W 150 N Address(Number and Street) Address(Number and Street) Princeton, IN 47670- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a complete as required by law,and is prep red in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ignamre P-SelleerJ ,//n/gip"/' r_ �'[/ Signature of Seller if.Weite. / //—A5—/-/ PnnrN Nmm,nrG)1✓r Sinn nnr✓ISevmn Printed Marna n(f✓lte Pnn nnmr nntvwn F.BUYE 1S)(GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY - Donald E Fame as F J if / E 1) BuyerlNameas appears on conveyance document Buyer 2Name as appears on ronveyance me 206NE Mill St. Address(Number and Street) Address(Number and Street) NOV 2 Patoka. IN 47666- 6 2014 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE H P U rY AUDITOR YES NO CONDITION / 13 ❑ 1.Will this property be the buyer's primary ( © ❑ 3.Homestead residence? Provide complete address of primary —Erin 4.So ar Energy Heating/Cooling System residence,including county: ❑ 208 N EAST MILL ST. S.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Patoka.IN 47666 NOT APPLICABLE ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ID 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. available in all coup Address(Number and Street) ZA - 09-a41-30o - 000. / 99--o.10 City.State ZIP Code Cou ' ary property owner contact name Email