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HomeMy WebLinkAboutHomestead_Holzappel INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 del REP,ARER) �-i= , — — Samantha Cutsincier Preparer of the Sales Disclosure Form Title 226 W.Broadway Broadway Title, Inc. Address(Number and Sweet) Company Princeton, IN 47670 812-386-1687 samantha.bti(tilmw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E'SE LER(S)%GRANTOR(S) �' _ _. _ --- - -- Bradley A Barrett nersonal rep of Patsy R Watkins Est Seller 1-Name as appears on conveyance document Seller 2.Name as appears on conveyance document 905 N US Hwy 41 Address(Number and Street) Address(Number and Street) Ft Branch IN 47648 Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and e t plete as required b .w,and is p -pared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". -i �/ '. S _A AL 'r / 1 ' ature of Seller / q Signature of Seller Bradley A Barrett nersnnal representative rte'—/d—/,5 Printed Name of Seller Sian Date NMM/00/rvn) Printed Name of Seller Sian Date(MM/o0/Yrrr :-.KBUYER(S)/GRANTEEIS) APPLICATIONIF•ORIR,ROPER7i1'tTAX1DEDUGTIONS :IDEN,,TIFWAHEITEMSITHATAPP[iY' Bryan Holzaopel Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 10375 S 150 E Address(Number and Street) Address(Number and Street) Haubstadt. IN 47639 ' THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. y � YES NO CONDITION YES NO CONDITION FEB 19 2015 0 ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cool' Syste)p residence,including county: � "�1'•e�"'N4A�f 905 N US Hwy 41 ❑ IN 5.Wind Power Device g Address(Number and Street) ❑ 0 6.Hydroelectric Power Devvi eCOUNIY AUDITOR FL Branch, IN 47648 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIPCode County ❑ IN z 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 ❑ z 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 all counties.) Address(Number and Street) � a( ) q ig- IDS -ODD 35 Ciry,State ZIP Code County Primary property owner contact name E-mail