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HomeMy WebLinkAboutHomestead_West INDIANA SALES DISCLOSURE FORM SW'ID 500 ID 1809238 Pavel D.PREPARER Lori R Deafer Agency Manager Preparer ofthe Sales Disclosure Form Title 331 Franklin St Title Center of Indiana Address(Number and Street) Company Columbus,IN 47201- 812-372-1170 on.deater @titlecenterofindiana.com City,Stare,and ZIP Code Telephone Number E-mail i E.SELLER(S)/GRANTOR(S) Mike A Karges I Dawn Karges (Oh et I- rune us,pe I`r mnverame document WI,2,-Nome asgpPegr7 11 on ronresvar,-donturcnr • j7+ r 11 nAddr ss( bet and eet) r ( da4(-n Nu ,be,and Srr e) r OJtoit�m( Under penalties of perjury,t hereby certify that this Sales Disclosur le)best of •knowledge and belief,is true,correct and complete as required by law,and is prepared in accordan2wtth IC 6-1.1-S.5," eal Pr erty Sales Disclosure Act". C.Signature of Seller yottf r$el! R i tt e A ,t 4 ff e 5 612-2- 15 ,j( a,L.-iffy k,2,,(yes 51 z2/15 Pr•-•r(rl--, rrSMh•- Si--1.,u'a/wit,' eve,, 1�'"-rr;• n/S„rr. n,,.,, -,r n . F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Gary D West Julie L West Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 104 S.Eastwood Drive 104 S.Eastwood Drive Address(Number and Street) Address(Number and Street) Petersburg,IN 47567- Petersburg,IN 47567- THE SALES DISCLOSURE FORM MAY RE 16ED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALI,OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION JUN 1 2015 © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead n �/ residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/0 9�{j❑{iS¢:►7&fh1( residence,including county: ❑ © 12733 S.40 WEST 5.Wind Power DP(Gi�SON COUNTY AUDITOR Addres(.Number and Street) ❑ ❑ 6.Hydroelectric Power Device Haubstadt,IN 47639 NOT APPLICABLE ❑ © 7.Geothermal Energy Heating/Cooling Device City State ZIP Code County ❑ ❑ 8. Is this property a residential rental property? t ❑ ❑ 2.Does the buyer have a homestead in Indiana to be 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 �inncludi�county: below. Please see instructions for more information. 10 J t S. h a s--f 7000 a b(-. Not available in all counties.) A ess(NumberandStreet) fttersbLu-j , 1--,\) L-175-67 t (cra.))-I8-oo-000 , q%2\5 -61) Ca;;State ZIP Code County Primary property owner contact nume E-mail