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HomeMy WebLinkAboutHomestead_Terry (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D. PREPARER Samantha Cutsincier Preparer of the Sales Disclosure Forth Tide 226 W. Broadway Broadway Title. Inc. Address(Number and Street) Company Princeton, IN 47670 812-386-1687 samantha.btiemw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) - - - I Stephen K Hartley Flaine Hartley Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 319 E Water St 119 F Water St Address(Number and Street) Address(Number and Street) 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". � e 4; Signature staoSell S{gna Teo/Seller Slgna of Seller Stephen K Hartley S16/7/.- Elaine Hartley 6-16//C Printed Nome o(Seller Sign Date(MM/DD/Mn Printed Name of Seller Sign Date(MM/DD/Mil 'P.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE } P I 1 ' Victr A vyer - amT e as appears on conveyance document Buyer 2-Name as appears on conveyance document 106 E. Oak Street MAY 7 2015 Address(Number and Street) Address(Number and Street) 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 NO—CONDITION-- [7] ❑ 1.Will this property be the buyer's primary �J ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Heating/Cooling System residence,including county: 319E Water ST ❑ 12 5.Wind Power Device • Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2 2. Does the buyer have a homestead in Indiana to be ❑ 0 B. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 71 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) 1 zoo -A -0 7 - 4oi - ooi. 0 9g -o xg City.State ZIP Code County - - - - - -Primary property owner contact name E-mail