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HomeMy WebLinkAboutHomestead_Tillmanns INDIANA SALES DISCLOSURE FORM SDF ID:_ Page 2 ID.PREPARER Samantha L.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 E-mail 1E.SELLER(S)/GRANTOR(S) • Brian Brown Seller I-Name as appears on conveyance document Seller 2-Name as appears an conveyance document 2, -r-et,r r- 4&6 S C1Jec - s& Address(Number and Street) Address(Number and Street) ST�}nD Till Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and comple as q 'red by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Si ler 1/SJ Signature of Seger Brian Brown 7-7,3- 7,5-- -.3- 7,5-- F. Printed Seller Si Date R 7 Printed Seller BUYER(S)/GRANTEE(S)-APPLICATION FOR P ROPERTY TAX DEDUCTIONS-IDENT IFY ALL ITEM A I A 1 Y EDD/ q I Tillm nns Buyerr-i,uumvrUWpears on conveyance document Buyer 2-Name as appears on conveyance document 7883 Andee Lane JUL 2 4 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 0 EBNIMELON • 0 ❑ 1.Will this property be the buyer's primary ❑ 3. Homestea residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 206 N Church St ❑ lg S.Wind Power Device Address(Number and Street) ❑ 6.Hydroelectric Power Device Ft. Branch, IN 47648 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 ❑ 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. Address(Number and Street) 30 /- coo _ 43t/- oA6 City,State ZIP Code County •rima property owner contact name E-mail