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HomeMy WebLinkAboutHomestead_CatesINDIANA SALES DISCLOSURE FORM SDF ID SDO ID 468640 Page 2 D.PREPARER IkSamantha Cutsirlger Preparer ofthe Sales Disclosure Forth 226 W. Broady y Address (Number and Sheet) Princeton, IN 47670. City, Stare, and ZIP Code Title Company Telephone Number E -mail E. SELLER(S)/GRANTOR(S) I Philip D Cline Lorraine M Cline I 5e11er2 - Nume as upprors on convrwnrs d«vmeni 6520 W. North Street Address (Number and Street) Owensville, IN 47665 - Omy,Srate,andZlPCode j n E -muil 6520 W. North Street Address (Number and Street) Owensville, IN 47665 - Ciry, State, and 21P Code of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct / req red by I d is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". . BUYERS GRAEE S - APPLICATION -FOR PROPERTY Ricky G Cates Buyer I - Nome as ap rs on anvevanre document �. W. St. Address (Number and StreetJ Princeton, IN 47670 ' Ciq•, State. and ZIP Cade /I/a' n Tele hoe Number,noi THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDU RTHI YES NO CONDITION x❑ ❑ 1. Will this property be the buyer's prima residence? Provide complete address o rimary residence, including county: 6520 W. NORTH STREET Address (Number and Street) Owensville, IN 47665 GIBSON Ciry, State ZIP Code County ❑ ❑ 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide complete address of residence being vacated, including county: Address (Number and Street) Cio, State ZIP Code County oC o 0,n- r, cam—. Signature of5eller Sandi K Cates Buyer 2 - Name a Address (Number and Street) Princeton, IN 47670 i PROPERTY, IDENTIFY ALL _6F THOSMAT APPLY. YES NO CONDI ❑x ❑ 3. Hot Heating /Cooling System ❑ © S. Wind Power Device ❑ © 6. Hydroelectric Power Device ❑ © 7. Geothermal Energy Heating /Cooling Device ❑ © 8. Is this property a residential rental property? ❑ © 9. Would you like to receive tax statements for this property via e-mail? (Provide contact information below. Please see instructions for more information. Not available in all counties.) of - / %0 /- �la) - Pnmary omDerN owner contact 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 filed.) A - Signcmreof8eyer] Signature ofBvyer2/Spoose Rick ✓�(Iai�S odhI,a Aao ,So.leC /1 CAPS r -t: /i6 /zo /D Printed Legal Name afBuyer] Sig. Date). M1DD/YYYYI Pnmed Legal Name al Suyer 2 /Spouse Sig. Date Last 5digitsa)Buyer l Driver's State Last 5 Digits of Social Security Number Lost 5 digits of Bayer 2 /Spouse Driver's State Last 5 Digits ofSoclal Security License /I DIDther,Yumber Number License /ID /Other Number