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HomeMy WebLinkAboutHomestead_Miller (21) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER Samantha 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(ahmw.twcbc.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - - Arthur Paul Stephens Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 121 W Mulberry St Address(Number and Street) Address(Number and Street) Princeton IN 47670 Under penalties of 8 erjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c tea' squired by law,and prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Igo•to S: er ( �( Signature of Seller > tP /S Printed Name of Seller Sian Dote tM.M/DD/YYYYI Printed Name of Seller Sian Date IMM/DD/YYYY) F.:BUYER(S)/GRANTEE(S)-`APPLICATION FOR PROPERTY TAX DEDUCTIONS_IDENTIFY ALL ITEMS THAT APPLY _' ; Travis J. Miller Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 319 W.Trusler St. Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 ge THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TFM rJ PP i Y.1 2°15 YES NO CONDITION YES NO CONDITION [7 ❑ 1.Will this property be the buyer's primary IZ ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar EneFgSBfiakitCg9taliXMWRR residence,including county: ❑ S.Wind Power Device 121 W. Mulberry Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Q 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 ❑ C71 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) aC-■ a -0i -3oLi - 0o3to46-W4i City,State ZIP Code County Primary property owner contact name E-mail