Loading...
Homestead_Goldman INDIANA SALES DISCLOSURE FORD? SDF ID: Page 2 (DAPREPARER3'-, �;_-7 1_ =o ,,:. e• . .(Ka .7:< ..'+-, -„ , - _v _ - =: ' . , - 1`t„ 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.btiemw.twcbc.com City,State,and ZIP Code Telephone Number E-mail EEC SEETIER(S)%GRANTORTSjY - r Y<-i .. .:_,. -c---'-'-r. Y- i'—. - , - Marsha R Blanton Seller I'Name as appears on conveyance document Seller 2-Name as appears on conveyance document 3877 W 75 S Address(Number and Street) Address(Number and Street) 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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Qifd erLiege,1�/ Mfi Signs ureof5d/er / Signature of Seller Marsha R Blanton 3041-J Printed Name of Seller Sion Date(MM/DD/IYYYI Printed Name of Seller Sign Date(MM/DO/M11 -F BUYER(S)%6RAN,TEE(S)FAP,PCICATIONiEOlkl.PROP,ERTYCAX):DEDUGTION IDENTIEVALL PEMSITHATttielIYT`. - ' Zakry S.Goldman Londa S. Goldman Buyer I'Name as appears on conveyance document Buyer 2-Name as appears on conveyance docum r W75S 387W75 Address Addr(Numberand Street) Address and Street) Princeton, IN THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE`nvivAy yt'.. YES El 1.Will this property be the buyer's primary ❑ 3.Homestead OVNTY OR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ IN 3877 W 75 S S.Wind Power Device Address(Number and Street) ❑ IA 6. Hydroelectric Power Device Princeton,IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ TA 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 ❑ 171 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.) n Address(Number and Street) / 0-Z7 ///‘ 1616 /7'y O ' City,State ZIP Code County Primary property owner contact name Email