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HomeMy WebLinkAboutHomestead_Meny • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 - rD>PREPARER_. _ . ...zt�� -'-- , -� �� '�s �.- - �—Britany Barnes Title Support Preparer of the Sales Disclosure Form Title 226 W Broadway Broadway Title, Inc. Address(Number and Street) Company Ft.Branch, IN 47648 812-386-1667 britany.bti @mw.twcbc.com Ciry,State,and ZIP Code Telephone Number E-mail :E;SEGIER(5I/GRANTOR(,r f_.t,-.-v. o.._- 17.'^��_._..� Jenny L Eldridge Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 503 E Oak St Address(Number and Street) Address(Number and Street) Ft.Branch, IN 47648 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 L '\by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". }."tad (;,'Q O , 11� �Ic� Sign.tore Y Signature of Seller Jenny - :ridge V --_ Printed Name of Seller Sip,Date(M.M/UD/YYYY) Printed Name of Seller Sign Date(MM/DD/IYTY) 'F:BUYER(SVGRANTEE(Sf AP.P,GICATION;EORPROPER•T,YFODEDUGTIONSIIDENTIF,YACIITEMS)THATAPPLY_•`;.( Lacie Meny Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 101 N West Si Address and Street) Address(Number and Street) Haubstadt, IN 47639 � THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE"7TIAT A� YES NO CONDITION I YES NO CONDITION tlSpN 151 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead ��N7.1,q residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling Sy Oy7. residence,including county: ❑ ❑ 503 E Oak St 5.Wind Power Device Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Ft. Branch, IN 47648 Gibson ❑ ❑ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 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(Number and Street) A Q� 5- a46 /9i9-/O /- 00© City,State ZIP Code County Primary property owner contact name E-mail