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HomeMy WebLinkAboutHomestead_Harpe (4) • D.PREPARER .. - - - . . Roman Ricker Attorney Preparer of the Sales Disclosure Form Title 219 N Hart St Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 1 812-386-0050 rrickerehpk-law.com City,State,and ZIP Code .. Telephone Number E-mail E.SELLER(S)/GRANTOR(S) • Tyler W Staples Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 500 E Strain St Address(Number and Street) Address(Number and Street) Ft Branch IN 47648 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct end-complete-as r- t 'red by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". (i'i Sign•• 'of eller Signature of Seller Tyler Staples - 7 y / S Printed Name of Seller Sian Date(M.N/DD/YYYY) Printed Name of Seller Sian Date tMM/DD/YYYY) • F.BUYER(S)/GRANTEE(S)--APPLICATION-FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS-THAT APPLY Ryan M.Haree Harlee Haree Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 320 W Mulberry St 320 W Mulberry St Address(Number and Street) Address(Number and Street) ggg THE SAL S DDISCLOSURE O FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS SPROPERTY. IDENTIFY ALL CONDITION OF THOSE T A AP ED YES 0 ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead 1p pe / residence? Provide complete address of primary ❑ © 4.Solar Energy Heatindgloo2r#wil5m . residence,including county: ❑ 19 S.Wind Power Device 500 E Strain St Address(Number and Street) ❑ 0 6.Hydroelectric Po'. -i; • Ft Branch, IN 47648 Gibson / .7"t• ❑ Q 7.Geothermal S�f�Fi�gg't _7� •e, ITORe City,State ZIP Code County f)I 1 per ❑ ❑ 2.Does the buyer have a homestead in Indiana to be - ❑ 0 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. Not available in all counties.) Address(Number and Street) City,State ZIP Code County 2�—/ Q-1 5?-503 coo o'99 0 6 Primary property owner contact name E-mail ■