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Homestead_Sessenwood
INDIANA SALES DISCLOSURE FORM SDF ID 500 ID 1803279 Page t D.PREPARER Bryceann Cutsinger Preparer of the Soles 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.Sore.and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Dennis R.Whitehead Cindy L.Whitehead Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2976 E.50 N. 3179 E.Curtice Lane Address(Number and Street) Address(Number and Street) Princeton,IN 47670- 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 and complete as required by laa• „nn Ic pre in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 3 f 1J---■.7 ic.- -°—J. Sign tore of Seller .Signature ofSellr jtfnn , g,Luhitg, e/ad a.-f ). - i5 a;t--er L. u3 ‘,..--k.ketul ZIiLIts Od-•H••••^y r,irPe• cirn Ps•,ry w•-a'r's' Prim,'V-sre elf altrr P-+One l«rt•nfMni F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Cole W.Seessenwood Bayer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document 5729 W.CR 50 N. FILED Address(Number and Street) Address(Number and Street) Petersburg,IN 47567- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT !I'll': YES NO . CONDITION YES NO CONDITION -^'•�- cL/gMT '"l(+{,•Qrt- © ❑ 1.Will this property be the buyer's primary © ❑ 3.HomesteaPBSON COUNTY AUDITOR residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System residence,including county: ❑ 3741 N.225 W. 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Patoka,IN 47666 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City.State LIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ © B.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) I((o - 01/-d 3-300- bob. 191l-0 8 City.State ZIP Cude County Primary property owner contact name E-mail