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HomeMy WebLinkAboutHomestead_AtchisonC :3 L�DIANA SALES DISCLOSURE FORNf SDFID SDO ID 463398 Page 2 eo . D:IP.REPARER,i Samantha Cutsirlger Preyarer o /[he5eles Disclosure Form Tide 226 W. Broadway Broadway Title, Inc. Address (Number and Sheet) Company Princeton, IN 47670- City, State, and ZIP Code Telephone Number E-mail .E.'SELLER S GRANTORS Michael J Woods S Susan E Woods Seller 1- Name as oppeors oa conveyance document S SItar2 Nomeasappearsanconveyancedocument 7932 State Rd. 165 7 7932 State Rd. 165 Address(Numberaad5veet) A Addras(Numberand St eet) Owensville, IN 47665 - O Owensville, IN 47665 - Ciqt State, and ZIP Code G Gry Store, a ad ZIP Code �� 1 Telephone Number E-mail T Tele hone Number E -mail Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete as required by late, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". S dn��W C7c7 n( signature of Seller sl°°W oTseller f / TEES' - .APPLICATION FOR PROPERTY -TAX DEDUCTIONS -1 DENTIFY -ALL ITEh1SiTHATAPPLY: -,`= - Jason L Atchison (toyer 1. Name as appears mnveyvnce dacumen: B Buyer 2- Name as appears on moveyance document Address(Numberaad St t) A Address (Number and Street) Poseyville, IN 47633 - City. State, and ZIP Code C City, Seem and ZIP Code -mail T Telephone Number Email THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION NO C0ND MITI O x] ❑ 1. Will this property be the buyer's primary ❑ ❑x ❑ 3. Homestead residence? Provide complete address of prima • •nergy Heating /Cooling System residence, including county: ❑ ❑ 6292 W OLD PRINCETON RD. 5 ❑ © 6. Hydroelectric Power Device Address(Numbmood5treet) ❑ Princeton, IN 47670 GIBSON ❑ ❑ © 7. Geothermal Energy Heating /Cooling Device CIty,Smte ZlPCode County ❑ [] 2. Does the buyer have a a h ❑ © 9. Would you like to receive tax statements for this complete address of residence being vacated, p property via e-mail? (Provide contact information including county: b below. Please see instructions for more information. Not available in all counties.) Address (Number and Sorre.) C City, 5mte ZIP Code County Pnmarypmperry osvver mrmrt name E -mail 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 law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". (Note: Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is being fil .) S{gnamre ofBayerl Sgnamre eJByed /spouse Printed Legal Name of Buyer l � � S NO