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HomeMy WebLinkAboutHomestead_Wilkerson (2) INDIANA SALES DISCLOSURE FORM SUP II) SDO ID Page 2 D.PREPARER 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.twcbc.com City,State,and ZIP Code Telephone Number Email E.SELLER(S)/GRANTOR(S) Dorothy(Smith)Schurmeier Seller I-Name as appear;on conveyance document Seller 2-Name as appears on conveyance document 592 E. 1025 S. Address(Number and Street) Address(Number and Street) Haubstadt, IN 47639- Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct nd complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". r(,rvILUI U ^1YU-AL L UU ch wiriYVJ i(' s. Signature s) el Signature of Seller ;011 Sm‘i�h St NuOcYli. ;ef `1Jh ) i5 Pn".✓A N�t C,aer Veen IM•u'All,mnrvrrn vrlv.na Nair..III color car D,..p nor,.an rvvYn F.BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Stephanie asperson Buyer IName as appears on conveyance document Buyer?-Nnmensuppears an to F rt a neat ED 600 S. Hull St. Address(Number and Street) Address(Number and Street) Ft.Branch,IN 47648- JUL 1 4 2015 TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALLY 1�BISS "I'tGQWPLT.Y AUDITOR YES NO CONDITION I YES NO CONDITION © ❑ 1.Will this property be the buyer's primary © ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 592 E. 1025 S. 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Haubstadt, IN 47639 GIBBON ❑ © 7.Geothermal Energy Pleating/Cooling Device City,State ZIPCode County ❑ SC 2. Does the buyer have a homestead in Indiana to be ❑ vi©� $ Is this property a residential rental property? vacated for this residence? If yes,provide ❑ p 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) (f-1CI -3- -- 101 -001 . o5cs -oa4 Cite Store ZIP Code County Primary property owner contact name E-mail