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HomeMy WebLinkAboutHomestead_Valentine • • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 PDi.PREP.ARLR . v — Karen Harbison VP Preparer of the Sales Disclosure For,n Title 803 E State Hwy 68 Haubstadt State Bank Address(Number and Street) Company Haubstadt IN 47639 8127685800 kharbison(Wesbanc.com City.State,and ZIP Code Telephone Number E-mail E;SELL'ER(S)/GRANTOR(S)`, 7 - --Kent Frio Newton aka Kent Newton Rosemary T Newton Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4721 N 74th St 702 E Oklahoma St Address(Number and Street) Address(Number and Street) Milwaukee.WI _ Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c mplete as required by law,and is prep red in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Am y, { fleteletn. 4y &it, 7'R74 .e1 Au= 7�lase ma,u/ T- ;u, ix. .Cu/ £CL,e1 7.z,2t/ t Signature of Seller /_ 0 r� ' `Signature of Seller d / Jl Kent Fric Newton aka Kent Newton Elaine Flask/ ? 192015 Rosemary T Newton Elaine Hasty St 03/1912015 Printed Name o(Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY1 ?,F..BUYER(S)(GRANTEE(Sf AP,PLICATION!.E01- ROPERTY_TAXAEDUGTIONS-I9ENTIFYALLITEMSTHATAPP:LY? Laura A Valentine _- Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance deco 209 N 5th Ave Address(Number and Street) Address(Number and Street) Haubstadt IN 47639 If.. � THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS I}PR PROPERTY. IDENTIFY A0 OF THOSE THAY4lev., ,/ YES NO CONDITION VV 0 ❑ 1.Will this property be the buyer's primary I,_f✓ ❑ 3.Homestead ;00/Tf� residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling Syst%%%l residence,including county: ❑ 625 W Pinkney St 5.Wind Power Device Address(Number and Street) ❑ 171 6.Hydroelectric Power Device Princeton. IN 47670 ❑ 0 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 ❑ 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 in all counties.) Address(Number and Street) dd-/o1.6 2-S03- pool. oda- pal City,State ZIP Code County Primary property owner contact name E-mail •