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HomeMy WebLinkAboutHomestead_McClellan (2) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1812976 Paget 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.btitmw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Carolyn Singer Carolyn Singer Trust dated 21 January 2003 Seller I-Name as appear on conveyance document Seller 2-Name as appears on conveyance document 621 S. Hart St. Address(Number and Street) Address(Number and Street) Princeton, IN 47670- Unde r enalties of r erjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an r complete as'uire• by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". I • ".aoreore of Sell- r -7 Signature of Seller • 'Li /' �i d/ O o(Op—/S n ANn.nn n(✓br chin nr..TMVmninyVV1 Pr4n.ua NmmonrcpOer cc ,,!Into ri•W,nnfvvvYl F.B�EE1S)LGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALIT q IATLI Eric p McClellan If a• ��!! Buyer I- ametrs on conveyance document Buyer 2-Name as appears on conveyance document 1103 Plum St. SEP 1 2015 Address(Number and Street) Address(Number and Street) Mt.Carmel, IL 62863- � 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 Mn CO ITION © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestea residence? Provide complete address of primary 171-1© 4.Solar Energy Heating/Cooling System residence, including county: ❑ 621 S. HART ST. 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Princeton, IN 47670 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County L ❑ © 8.Is this property a residential rental property? ❑ ® 2. Does the buyer have a homestead in Indiana to be 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.) A.14,,e,tM.....,..,nndSweet) WABASH ti& - /at -0 7 - 3 o Se- a 0...3 . / G e -oat 8 City.Store ZIP Code County Primary property owner contact name E•muil