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HomeMy WebLinkAboutHomestead_Weber INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 IXPREPARERi 7- .. .r „i, .. (34}".- . . 1. :.s1, .T . - , " '-T,'sfts«. •x r Y ;3,2;1;' 7T ...:4 J. Robert Kinkle Attorney Preparer of the Saks Disclosure Form Title 219 N. Hart St.. PO Box 13 Hall, Partenheimer&Kinkle Address(Number and Street) E-mail ESELLE'SGRANTOR(S) _. _. * .... _ -- ass- r�, , :,a->f. —r—��- n— _ � _ , „ .. . ' T'i Stephen R Cox Teresa K Utley f/k/a Teresa K Cox Seller 1-Name as appears on conveyance document Seller 2'Name as appears on conveyance document 141 Chickcaw Drive AM W. attic Address(Number and Street) Add�rfyy/(N�umber and Street) Dawson Springs KY 42408 Poe/if Ccw4” /N 119670 City,State, E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete . ,ire. t law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /C \..�f S", azure of Seller Signature of Seller Stephen R Cox 01/15/2016 Teresa K Utley f/k/a Teresa K. C x / 01/15/2016 Printed Name of Seller Sign Date(MM/DD/YYYV) Printed Nome of Seller \\��JJ Sign Date(MM/DD/YYYY) F BUYERS)GRANTEE(S)'t'AP.P.EIGATIONLEOFRRQPErell AKDEDUCTI SIIDENTIF•Y?QLL;ITEMS3THAT AP,P,CW/c ? - 7-1 Greg J.Weber Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 802 E. Emerson St. PI Address(Number and Stmt) Address(Number and Street) Princeton, IN 47670 City State,and ZIP Code City,State,and ZIP Code E-mail Telephone Number r) IgJ N.' •U THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THO't :• it ; LY. CQ,6 c YES NO CONDITION YES NO CONDITION (SO '. ❑ 1.Will this property be the buyer's primary El ❑ 3. Homestead &A. -ix �j�t- residence? Provide complete address of primary ❑ © 4. Solar Energy Heating/Coolityste residence,including county: 7T ❑ S.Wind Power Device 204 S Wood Street O 6? Address(Number and Street) ❑ 71 6. Hydroelectric Power Device Patoka, IN 47666 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ WI 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 ❑ 0 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) 2.1.,,-&-/.. 6 - /0,2000 3,5100R0 Greg J.Weber City,State ZIP Code County Primary property owner contact name E-mail