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HomeMy WebLinkAboutHomestead_Scammon INDIANA SALES DISCLOSURE FORM SEW ID SDO ID 1813086 Page? D. PREPARER Bryceann Cutsinger Preparer of the Sales Disclosure Form Title 226 W. Broadway Broadway Ttle, Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 samantha.bti @mw.twcbc.com Cirv,Stare,and ZIPCode Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Tanna L. Bailey Seller I-Name at appear on conveyance document Seller 2-Name as appears an conveyance document 1012 S.Center St. Address(Number and Street) Address(Number and Street) Ft. Branch,IN 47648- 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 re uired by Iq`w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". S�gnuttvrco€, -4. r ) Signature of Seller �: I 4, e- V 9'-2 iC _ Prins..????-ma et 6110. ?Zinn M-a nnofnmw, Pnn.od nn".o nr Collar Cap„n -e•..•,mn'nvn F.BUYERSl( ,/QRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY _ -Lie May Scamman Buyer I-Name os appears on conveyance document Buyer 2-Nome as appears on conveyance document l 515 S.8th Ave. Address(Number and Street) Address(Number and Street) _E ]f\ Haubstadi, IN 47639- �r —'/ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF T110SE 1AItR YES NO CONDITION YES AQ et-mumps COUMry - © ❑ 1.Will this property be the buyer's primary © ❑ 3. Homestead A`/O,TO residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System R residence, including county: ❑ ❑ • 1012 S.CENTER ST. S.Wind Power Device Address(A and Street) ❑ ❑ 6. Hydroelectric Power Device Ft. Branch, IN 47648 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Cade County L g 2.Does the buyer have a homestead in Indiana to be ❑ © 8.Is this property a residential rental property? 1 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. tie : . ., - ' P our V . Address(Number and Street) A -t9-i 9- 03 _000. 377 .0 } L C„v.State ZIP Code Cu my Primary property owner contact some E-mail