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HomeMy WebLinkAboutHomestead_Rogers (3) INDIANA SALES DISCLOSURE FORM SDI?ID SDO ID 1807291 Paget D. PREPARER Bryceann Cutsinger Preparer of the Sales 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,State,and ZIPCode Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Dorothy O.Yates Seller I-Name as app`Son conveyance document Seller!-Name as appears on conveyance document 201 S. Elm St. I t S Address(Number and Street), l Address(Number and Street) Owensville, IN 47665- '\ 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�I{C/6�-1.1-5.5,"Real Property Sales Disclosure Act". � gnaove of.Seller Signature of.Seller gall\ ) ,4es LI �3 (l( P'fled ( r c;,"D-.e fpwrnnem Pr+"red Nnma ar Ws,- ,vvb1 F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL IT® j) A1q t.44,Y as tin C.Rogers g SJ �6 mil/ buyer t- ame us appears on conveyance document Buyer 2-Name as appears on conveyance document 7650 W 275 South APR 2 3 2015 Address(Number and Street) Address(Number and Street) Owensville, IN 47665- �� THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONnrun © ❑ 1.Will this property be the buyer's primary x ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 201 S. ELM ST. 5.Wind Power Device Address(Number and Street) ❑ © 6. Hydroelectric Power Device Owensville,IN 47665 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 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 ❑ © 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 avail rl- i a counties.) Address(Number and Street) 02C -/7- . -el o/-000. 51.23 -o A2_. City,State ZIP Code C.unty per oumer co . ail