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HomeMy WebLinkAboutHomestead_Wickert (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER KELLY HUGEBECK DOCPREP Preparer of the Sales Disclosure Form Tide 4877 GALAXY PKWY,SUITE I MORTGAGE INFORMATION SERVICES, INC. Address(Number and Street) Company CLEVELAND,OH 44128 888-901-4647 City,State,and ZIP Code Telephone Number E-mail E.SELLER(/GRANTOR[S) Leah M Wicked f/k/a 1 eah M Fads Seller I-Name as appears on conveyance document Seller I-Name as appears on conveyance document 859 F 400 N 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". • Signature of Seller Signature of Seller Printed Name of Seller Sign Date(MM/DD/11Y11 Printed Name of Seller Sign Date ODf/DOYYYn F.BUYER{S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Joshua M.Wickert ame as appean on conveyance document Buyer Z-Name as appears on conveyance do merit 105 W. Pild1. Address(Number and Street) Address(Number and Street) JUN 3 Fort Branch, IN 47648 2016 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPL .OD TY AUDITOR YES NO CONDITION YES ON p ❑ 1.Will this property be the buyer's primary Ct2 ❑ 3.Homestea residence? Provide complete address of primary ❑ 2 4.Solar Energy Heating/Cooling System residence,including county: ❑ 105 W Park St 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Fort Branch,IN 47648 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County ❑ p 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) Joshua M.VT 2 p en , . II -/ , • D -000. .274 -.0 do City,State ZIP Code County Primary property owvr Frtnmaenmme Email