HomeMy WebLinkAboutHomestead_Robbins (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER.i_ :.
Brvceann 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
E.SELLERS)/GRANTOR(S) -
Chad Pfohl
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5258 S 775 W
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 reguid by •Iv'," d'/.repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Sell r Signature of Seller
Chart Pfohl 7 JlV– /O
Printed Name of Seller Sian Date(MM/DD/YYn) Printed Name of Seller Sian Date(MM/Da/ntY)
F.BUYER(S)./GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS=IDENTIFY ALL ITEMS THAT APPLY
Griffin A. Robbins
pears on conveyance document Buyer 2-Name as appears on con i I t I 1
® .
228 W. State St. : L__ .7�i,,.
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 OFIT11Q3E i• •i
I " TY AUDITOR
YES NO CONDITION I YES glt2a J
❑ ❑ 1.Will this property be the buyer's primary ki ❑ 3.Homestead
residence? Provide complete address of primary ...--.70-1{I 4molar Energy eating/Cooling System
residence,including county: ❑ 0 S.Wind Power Device
442 W Glendale St
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton. IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ IZI 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)
A( - /a-o4, - 303 _ 000 • Y 8/ -0 )&
City,State ZIP Code County
Primary property owner contact name E-mail