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HomeMy WebLinkAboutHomestead_Meny INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1805056 Paget D.PREPARER - - • Samantha 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 @rnw.Iwcbc.com City,Smote and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) . Darwin G Neufelder Seller 1•Name as appears an conveyance document Seller Z-Name as appears an conveyance document 205 S.West St. Address(Number and Street) Address(Number and Street) Ft.Branch,IN 47648- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct omplete as requitted by law, rid is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". %nature of Seller Signature of Seller _ 7V Q. // i Mk-. Pri"rod Nnne"r4nrr m„nr e," .nopeynn Mr.M Verne nrCeltrr —4 i '— S,j�;rurnnm,v, F.BUYER(S) GRANTEE(S)-APPLICATIONFORPROPERTYTAXDEDUCTIONS-IDENTIFY ALLI (EMS rH _ •P: Damon Ray Meny .Nur_,[la appears on mnveyvnce document Buyer 2-Name as appears on conveyance daMAyt 7 2015 Address(Number and Street) Address(Number and Street) IYIF11 3o? E. _ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES ..._.'n CO.NDI ON © ❑ 1.Will this property be the buyer's primary rril ❑ 3.Homestead residence? Provide complete address of primary '1-u 4.Solar Energy Heating/C • g S t residence,including county: ❑ 304 E.MAPLE ST. 5.Wind Power D ice Address(Number and Street) ❑ ❑ 6.Hydroelectric(\Poo/vL ef evice Owensville,IN 47665 GIBSON ❑ © 7.Geothermal Enbfgy Heating/Cooling Device City,State ZIP Code County 0 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: •• ow. ' ease see ms- • • • more information. Not available in all counties) Address(Number and Street) L C City,State ZIP Code \ County '2�',7 —0l— 70Y-000 . .) 8� -0� 1- ` Primary property owner contact name E- I ,