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HomeMy WebLinkAboutHomestead_Stratman (2) INDIANA SALES DISCLOSURE FORNI SDF II) SDO ID 1814672 _ Page 2 D.PREPARER . . - litany N Barnes searcher Preparer of the Sales Disclosure Form Tale 226 W Broadway Broadway Title,Inc Address(Number and Street) Company Princeton, IN 47670- 812-386-1687 britany.bli @mw.twcbc.com City,State,and ZIP Code Telephone Number E-mail -E.SELLER(S)/GRANTOR(S) - -. - . - - Sam Fugate Melany Renee Seller)-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 253E 200 S 253E 200 S Address(Number and Street) Address(Number and Street) Princeton, IN 47670- Princeton,IN 47670- 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 required by law,and is pprreparedd in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". S�;rc (/S- / .Si ham of serer , ` D I `--'.71---1 Sign re of Seller( /VI VV 9 n f�C(vT ) t c4A- ic.)--/f= /y"_ /an ( �rue2 l0-/Y/s- Pn"redn-me of Son.- c;-,n.r",asrnn,vyvn p--•■-a tlnm=nreep Pa"M.•,wi,nnq»p F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Kimmie Stratman Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 115 S Race St PO Box 403 Address(Number and Street) Address(Number and Street) Haubstadi,IN 47639- 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 NO CONDITION 3 Z 1 5-2015 © ❑ 1.Will this property be the buyer's primary 13 ❑ 3.Homestead VY. 1 residence? Provide complete address of primary ❑ © 4.Solar Energy Heat' /CDoli a S residence,including county: ❑ © 5.Wind Power pDSevi 253 E 200 S ii-1CPQvN COUNTY AUDITOR Addres(Number and Street) ❑ ❑ 6.Hydroelec o er vice Princeton,IN 47670 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device Coy.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. Not available in all counties.) Address(.'umber and Street) 2/c-/2- /9-ZOO my 9/ 70.2> City,State ZIPCode County Primary property owner contact name E-mail