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HomeMy WebLinkAboutHomestead_Hensley (8) INDIANA SALES DISCLOSURE FORJI SUE ID SDO ID 1809387 Page 2 D.PREPARER I Bryceann 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@mw.hvcbc.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Christopher Dee! Seller I.Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2108 E.SR.64 Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Under penalties of perjury, 1 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 6-1.1-53,"Real Property Sales Disclosure Act". (ice- V.e,vA- Signature of Seller Signature of.Seller (h1;) Tic fiv. Peel 6 - 30- (S Vnr tad.vn",rnrlaPer cnn II.,,..T all ronmvn P.Lrad Nn monrca1re, Vim,Mr"r,.rnarvvvn F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS PLY Mark A. Hensley Buyer I-Name as appears on conveyance document Buyer 2-Name us appears an conveyance document NA Address(Number and Street) Address(Number and Street) JUN 9 Princeton, IN 47670- O o 20/5 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. Aljor,.OR YES NO CONDITION YES NO CONDITION © n 1.Will this property be the buyer's primary © ❑ 3. Homestead residence? Provide complete address of primary n © 4.Solar Energy Heating/Cooling System residence,including county: n El 2108 E. SR 64 5.Wind Power Device Address(Number and Street) n © 6. Hydroelectric Power Device Princeton,IN 47670 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City,Store ZIP Code County © ❑ 2. Does the buyer have a homestead in Indiana to be n © 6. 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: below. Please see instructions for more information. 101 S.JEFFERSON ST. Not available in all counties.) Address(Number and Street) Princeton,IN 47670 GIBSON 01‘_/v?_/o_/Q/ CC)//01 67_6a 2 City,State ZIP Code County Primary property owner contact name E-mail