Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Grounds
INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1804260 Page 2 D.PREPARER • '. - - Samantha Cutsinger Preparer of the Sales Disclosure Form Tide 226 W.Broadway Broadway Ttle,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 samantha.bti@n1w.twcbc.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) . . ..' - -. Tom Hauschild Harrod Development,LLC Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 600 E.Strain St. 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 and commplete_a)!r u' a by law,and is prepared in aScprd: ,cc with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". T VI // ft' Snature ofSler a I Signature of Seller St-if Prim rM ten”,arc", tine n•P r w,•nnmm, Printer'?,1Thrrto at cePe clan n,, vn"rvwn F.BUYER/GRANTEE(S)-APPLICATIONFOR.P'IPERTYTAXDEDUCTIONS-IDENTIFYALLIT is ''' pPPL- it �rek J.Grounds Carmen L Grounds l _ T i_ "- 'w,::— p- on conveyance document Buyer 2-Name as appears an conveyance document 127 S.Adams St. 127 S.Adams Address(Number and Street) Address(Number and Street) JAN 27.2015 Princeton,IN 47670- Princeton, IN 47670- THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION © ❑ 1.Will this property be the buyer's primary ® 0 3.HomesteadI) residence? Provide complete address of prim ` u u 4.Solar Energy Heating/Cooling System residence,including county: ❑ 906 S.LINCOLN ST. S.Wind Power Device Address(.Number and Street) ❑ © 6.Hydroelectric Power Device Ft.Branch,IN 47648 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County ❑ U] 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.• '1 e•e .eeln° e, ... Address(Number and Street) A4 — 17- /7 -/03 - 0to. /3A -0x6, City,State ZIP Code Cuun . ' Prune • ner contact name E-mail