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HomeMy WebLinkAboutHomestead_Frantz INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1803139 Paget •D:PREPARER: . -. . . .''..7.1r.''' ,- --•x--. "- - . " _`'N-'- 1. , :?'S -.1:14-::;:::c.."-:: 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.btit@mw.twcbc.com City,State,and ZIP Code Telephone Number E-mail -E:SEELER(S)%GRANTOR(S),Ys.._r.Li_ 51.-.r_::rt:2}. . .'t.sz .'` r: . t.< .'.. ` " i.'- `�-.,y.i_;-, # _-!.4. Tr _. y Philip E Hamm The Rosetta Hamm Revocable Living Trust Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 118 S.Second Ave. Address(Number and Street) Address(Number and Street) Under penalti's of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a r t , leas required by law d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". p ICY Si nature of Seller Signature of Seller r t-te G• prinifif /-/3-1S Pri-,rd A•m'r wtr. r. nr a«,r rue ivvm pn.r,Nrmvenr bP.r ra"lMr"rn.,,ornn' ;PRUYER(S)%GRANTEE(SILIAPPCICATIOKE016PROFERTY3 TAX'DEDUCTIONS _16ENTIFYALLITEMS.7 ,:T APPLY?-11,%'' :e Jacob J Frantz ,a Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance doe: eat 2476 S. 1250E Address(Number and Street) Address(Number and Street) ,,77 Oakland City,IN 47660- '/4/p' rI THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THA'P 1.� �ti YES NO CONDITION YES NO CONDITION �rVV 1'r-,QQ © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead / OnTQR residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System residence,including county: ❑ 118 S.2ND AVE. S.Wind Power Device Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Oakland City,IN 47660 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 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. Not available in all counties.) Address(Number and Street) 007 City,State ZIP Code County Z- 4- 13 -(3 - 9 02 010 z 0 00 Primary property owner contact name E-mail