HomeMy WebLinkAboutHomestead_Fidler (3) INDIANA SALES DISCLOSURE FORM SDF ID: _, Page 2
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Bryceann Cutsincier
Preparer of the Sales Disclosure Form Tide
226 W.Broadway Broadway Title, Inc.
Address(Number and Sweet) Company
Princeton, IN 47670 812-386-1687 samantha.btk@mw.twcbc.cOrn
City,State,and ZIP Code Telephone Number E-mail
:E:TSELLER(SII,GRINNT0a(S17-2, 701577.aW:- -41177C-creigni'7147•747.1"st-il7g LC:kLrlf:Iii.7. 77-aLCHit-Vin-i-';r:- 7%■
Alvin I Gish Michelle I 'Brown) PI DUC12--
rs on conveyance document Seller 2-Na e as ap a
Seller I-Name as appears on conveyance document
1509 S Main St 1509 S Main St
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 Princeton IN 47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as re uired b law, nd is prepared in accordance with IC 6-1.1-5.5,"R a roperty Sales Disclosure Act".
fito_Lvf‘.- _
LifigLeja • cw-i—r-
Signature of Seller Signature of Seller
Alvin L Gish ,3 - .2 9 -/ . Michelle L(f3row r)fiS)t-r 73-dq-lle
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(LIWOnfi)Yr
4c4ill.YEk(S)IGRANTEE(S), APPIIICATIONIF,Oft"•PROPERTYJAX;DEDUC-TIONSLIDENTIEY4ALEITEMSITHAVAPPIl`CLTV '-77-:LI
Adam D. Fidler Michelle T,_ Fi al er
Buyer I-Name as appears on conveyance document Buyer Z-Name as appears on conveyance document
1509 S Main St 1509 S Main St.
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY,
YES NO CONDITION I YES NO CONDITION 11. ji
0 0 1.Will this property be the buyer's primary Z 0 3.Homestead IL r,
residence? Provide complete address of primary fl 12I 4.Solar Energy Heating/Cooling System
residence,including county:
D 0 5.Wind Power Device MAR 3 0 2 016
1509 S Main St
Address(Number and Street) D z 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson 9 z 7.Geothermal Energy t.4.,. ' • _1 t 1.,,! revice
City,State ZIP Code County li ' --49405711
8.Is this propeGgssukItntjW i, •-BrapreW .
9 IZ 2.Does the buyer have a homestead in Indiana to be D f4
vacated for this residence? If yes,provide 9 izi 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contatt information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
Da) .- 1 al g -30a-00a--1 lb -WP
City,State ZIP Code County
Primary property owner contact name E-mail