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HomeMy WebLinkAboutHomestead_Hart INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Tide .226N/Broadway Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 812-386-1687 patti.btiemw.hvcbc.com City,State,and ZIP Code Telephone Number E-mail - - :E:.SELLER(S)/GRANTOR(S)i'_ . - - -._ .-. - - ._-:1_12.." -�._�- _ _ >`� _� �-.-wry., .-- ----- � 7'_-- - -- � - - - Tamara S (Meriwether)Basham _ Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 131 S Franklin St _-_ Address(Number and Street) Address(Number and Sweet) Oakland City IN 47660 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 Iat and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Lich a C?� ) 1 Signature.,Seller --'',,// Signature of Seller Tamara S (Meriwetherl Basham t t�/3 Printed Name of Seller Sian te( M/DD/YYnt Printed Name of Seller Sign Dateµx/DD/119q t£:BUYER(S)/GRANTEE(S)-APpLIGATION,FOR'FROPERT.YTAX;DEDUCTIONSjIDENTIFY TALL.ITEMS-HATAPPLY__._ __'_ la' Britney Hart Jonathan Schaeffer Buyer I-Name as appears on conveyance document Buyer?-Name as appears on conveyance document 123 S.Gibson St 123 S Gibson St Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 Oakland City, IN 47660 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPMAy 0 1 2015 YES NO CONDITION I YES NO CONDITION IVL'.{t 2015 Z ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead 464.04a-----residence? Provide complete address of primary ❑ © 4.Solar Energy Heating residence,including county: ❑ 5.Wind Power DeGIBSON COUNTY AUDITOR ce 214 S Jackson St Address(Number and Street) ❑ [7 6.Hydroelectric Power Device Oakland City, IN 47660 ❑ Z 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County ❑ 0 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 ❑ g 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) City,State ZIP Code 6- 14-M- 1403-©oo.s%-coq County Primary property owner contact name E-mail