Loading...
HomeMy WebLinkAboutHomestead_DeJarnett INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 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(Wmw.twcbc.com City,State and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) . -_ - ?l _ - Jerome Flpers Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5024 F SR 68 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 r wired by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". ' -) Signature of Seller Signature of Seller Jerome Flpers 6 /C015 Printed Name of Seller Sion Date(MM/DD/YYYY) Printed Name ofSeller Sian Date(MWDD/VYYI) F..BUYER(S)/GRANTEE(S)-_APPLICATION FOR PROPERTY TAX DEDUCTIONS.,IDENTIFY ALL:ITEMS T P Y E -Anthony DeJarnett Destinee Stillwell - �li-j�'1 Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance documer�//A' 420 E. Mulberry 420 E. Mulberry V'Y 20/5 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 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 420E Mulberry St S.Wind Power Device Address(Number and Street) ❑ Ei 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy 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 ❑ 0 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 ' all counties.) Address(Number and Street) City,State ZIP Code County Primary property owner contact name E-mail